What type of alteration is more specific to delirium than to dementia?

Correct Answer: C

Rationale: The correct answer is C: alteration in attention. Delirium is characterized by acute onset and fluctuating course, leading to prominent deficits in attention. In contrast, dementia typically presents with gradual memory decline over months or years. Choices A and B are more indicative of dementia, as alterations developing over months and memory deficits are common in dementia. Choice D, no alteration in baseline, is not specific to either delirium or dementia, as both conditions can have alterations in baseline functioning.

Correct Answer: D

Rationale: The correct answer is D, collaborating with the social worker. The client's immediate needs involve addressing the loss of job and driver's license, which impacts their housing situation. The social worker can assist in planning housing arrangements, connecting the client with resources for stable housing, and addressing any social determinants of health contributing to the client's situation. This collaboration will provide a holistic approach to addressing the client's needs beyond just the alcohol use disorder. The other choices are incorrect because: A: In this scenario, the client's primary need is not related to anxiety but rather to the practical consequences of losing their job and driver's license due to alcohol use disorder. B: While counseling sessions to explore stressors may be beneficial in the long term, the client's immediate need is more urgent, focusing on practical solutions. C: Retraining and job placement may be important in the future, but at this time, the client's priority is addressing the housing situation and other immediate needs.

Correct Answer: A

Rationale: The correct answer is A because respecting the client's preferences is essential in providing patient-centered care. By avoiding touching during initial interactions, the nurse acknowledges and accommodates the client's discomfort with touch, promoting a trusting and therapeutic relationship. Choice B is incorrect because forcing the client to incorporate touch in communication may further distress them. Choice C is incorrect as open communication about feelings related to touch is important for understanding and addressing the client's aversions. Choice D is incorrect as wearing gloves during all interactions is unnecessary and may not address the client's specific discomfort with touch.

Correct Answer: C

Rationale: The correct answer is C. This response demonstrates understanding of mental illness as a biological condition by acknowledging that it is not the individual's fault. Bipolar disorder is known to have a strong genetic component and is influenced by neurobiological factors. This statement indicates recognition that mental illnesses are not simply a result of personal weakness or character flaws. It also implies an understanding of the complexity and chronic nature of mental disorders. Choices A, B, and D focus on environmental factors, family dynamics, and developmental issues, respectively, which do not directly align with the biological perspective of mental illness.

Correct Answer: B

Rationale: The correct answer is B because contracts in a therapeutic setting are meant to clearly outline the roles and responsibilities of both the nurse and the patient. By establishing expectations and boundaries, a contract helps ensure mutual understanding and agreement on the treatment process. Choice A is incorrect because contracts are not just about what the nurse will do, but also about the patient's responsibilities. Choice C is incorrect as contracts focus on the practical aspects rather than the emotional dynamics. Choice D is incorrect because while contracts provide structure, they do not prevent parties from ending the relationship if necessary.