What Is the Priority Nursing Intervention for a Patient Diagnosed

question 24

Multiple Choice

What is the priority nursing intervention for a patient diagnosed with delirium who has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations?

• A) Avoidance of physical contact
• B) High level of sensory stimulation
• C) Careful observation and supervision
• D) Application of wrist and ankle restraints

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Definitions:

Sensitization

An increase in behavioral response after exposure to a stimulus.

Higher-order Conditioning

A form of conditioning in which a stimulus is paired with a previously conditioned stimulus, leading to the acquisition of the same conditioned response without being directly paired with the unconditioned stimulus.

Modeling

The process of learning behaviors by observing and imitating others, a key concept in social learning theory.

Dishabituation

The renewal of a response, previously habituated, due to the presentation of a novel stimulus.