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    ATI LPN Mental Health Proctored Exam 2023

    A nurse is contributing to the plan of care for a client who has acute delirium.Which of the following interventions should the nurse include in the plan of care?

    Explanation & Rationale

    Choice A rationaleLimiting the client's need to make decisions helps reduce stress and confusion, which can exacerbate symptoms of delirium. Simplifying choices and providing a structured environment can aid in orientation and reduce cognitive overload.Choice B rationaleDiscouraging visitation from the client's family can increase feelings of isolation and anxiety. Family support can provide comfort and reassurance, which are beneficial for clients with delirium.Choice C rationaleKeeping the client's room dark at night can disorient them further. Maintaining a well-lit environment helps with orientation and reduces the likelihood of hallucinations or worsening confusion.Choice D rationaleProviding a high-stimulation environment can increase agitation and confusion. A calm, low-stimulation environment helps minimize stress and can aid in the recovery of clients with delirium.

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