A practical nurse is talking with the family member of an 86-year-old client in a community health clinic. The family member states, "My father was completely independent until yesterday. Today, he is suddenly disoriented, very restless, and cannot remember my name. Is this just what happens when people get old?" Which response by the practical nurse is the most appropriate?
- ARapid onset of memory loss is a normal, expected part of the aging process for someone in their late eighties.
- BTo ensure he does not wander and fall, you should apply physical restraints whenever he becomes highly agitated.
- Sudden confusion is not a normal part of aging and often indicates a physical illness that requires prompt medical evaluation.Answer
- DWhy are you so worried about this change? Older adults frequently experience sudden shifts in mood and memory.
Answer
The correct response is to inform the family member that sudden confusion is not a normal part of aging and requires prompt medical evaluation.
Sudden onset of confusion, disorientation, or restlessness in an older adult is never a normal part of the aging process. It is a hallmark sign of delirium, which is often triggered by an acute underlying physical illness, such as an infection, fluid imbalance, or medication toxicity. The nurse must recognize this as an acute medical issue requiring prompt provider evaluation.
Step-by-Step Solution
Key Concept
Normal versus Abnormal Aging Process (Delirium vs. Normal Cognitive Changes)