According to the ATI video case study, Cognition: Delirium and Dementia, which of the following is the best first action for the nurse to take when caring for a client with delirium?
The best first action for the nurse to take when caring for a client with delirium is:
A. Identify the underlying cause
Explanation:
- A. Identify the underlying cause: Delirium is often a result of an underlying medical condition or other factors, such as infections, medications, or metabolic imbalances. Identifying and addressing the underlying cause is crucial for effective treatment and management of delirium.
- B. Tell the client that hallucinations are not real: While reassuring the client is important, it is not the most immediate action. Addressing the underlying cause is essential before focusing on specific symptoms like hallucinations.
- C. Speak slowly and clearly: This is a supportive measure, but it does not address the root cause of the delirium. Identifying the underlying cause should be prioritized.
- D. Request the assistance of physical therapy: While physical therapy might be beneficial, it is not the first step in managing delirium. Identifying the underlying cause is more critical initially.
Correct answer: A