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    Hesi lpn exit proctored examQuestion 115
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    Hesi lpn exit proctored exam

    An older female adult who was admitted to a long-term care facility yesterday is confused about what day of the week it is. Her history does not indicate that she was confused prior to admission. What action should the practical nurse (PN) take?

    Explanation & Rationale

    A. Document the client's loss of memory in the record: Documentation is important, but it is not the first or only action needed when a new onset of confusion is observed. The PN should first provide orientation and supportive interventions before recording findings. B. Encourage the client to rest during the day: While adequate rest is beneficial, excessive daytime sleep can worsen confusion, especially in new environments. Promoting normal sleep–wake cycles is more effective than simply encouraging daytime rest. C. Notify the family of the change in the client's condition: Informing the family may be appropriate if confusion persists or worsens, but the priority is to support and reorient the client directly. Immediate family notification is not necessary for mild, situational disorientation. D. Remind the client what day of the week it is: Gentle reorientation helps reduce confusion and anxiety commonly seen with relocation or unfamiliar surroundings. Providing frequent orientation cues supports cognitive function and adjustment in newly admitted older adults.

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