An older client has become very confused since being hospitalized earl

An older client has become very confused since being hospitalized earlier in the week. Prior to this illness, the client exhibited clear thought processing and was able to maintain an independent lifestyle. How should the nurse document this mental state?

1. As reversible confusion
2. As sundown syndrome
3. As delirium
4. As dementia

ANSWER

Correct Answer: 3
Rationale 1: The nurse has no way of knowing if this client’s confusion is reversible.
Rationale 2: There is not enough information to determine if the client is experiencing sundown syndrome.
Rationale 3: Delirium is acute confusion caused by illness, medication, or a change in environment and is the appropriate documentation for this client.
Rationale 4: Dementia is chronic confusion with symptoms that are gradual in onset and are irreversible.