NSG6440 week 6 discussion latest 2018 july

Week 6
discussion

This week’s content discussed common psychiatric disorders
in the Adult and Older Adult client.
Often times a secondary diagnosis is masked due to their psychiatric
disorder. Review the following case
study and answer the following questions.

Mr. White is a 72-year-old man, with a history of
hypertension, COPD and moderate dementia, who presents with 4 days of increased
confusion, nighttime restlessness, visual hallucinations, and urinary
incontinence. His physical exam is unremarkable except for tachypnea, a mildly
enlarged prostate, inattentiveness, and a worsening of his MMSE score from a
baseline of 18 to 12 today.

Mr. White’s presentation is most consistent with an acute
delirium (acute change in cognition, perceptual derangement, waxing and waning
consciousness, and inattention).

What is the most likely diagnosis to frequently cause acute
delirium in patients with dementia?

What additional testing should you consider if any?

What are treatment options to consider with this patient?

Explanation & Answer

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