Test your cognitive skills with the Cognitive Reflection Test. Practice with challenging questions that test reflex and intuition. Improve your decision-making abilities and get ready for the CRT!

Each practice test/flash card set has 50 randomly selected questions from a bank of over 500. You'll get a new set of questions each time!

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What initial intervention should a nurse implement for an older adult with delirium who is acting out?

  1. Giving the client multiple complex instructions

  2. Providing a calm distraction activity

  3. Giving the client one simple direction at a time in a firm, low-pitched voice

  4. Leaving the client alone to avoid overstimulation

The correct answer is: Giving the client one simple direction at a time in a firm, low-pitched voice

The most effective initial intervention for an older adult with delirium who is exhibiting acting-out behaviors is to provide one simple direction at a time in a firm, low-pitched voice. This approach aligns with the needs of individuals experiencing delirium, as they often struggle with confusion and can easily become overwhelmed by complex information. Using simple, clear instructions helps to reduce cognitive load and minimizes frustration, making it more likely that the person will understand and follow the guidance provided. Using a low-pitched voice can also help to convey a sense of calm and authority, which can be reassuring for someone who may be feeling anxious or disoriented. The predictability of receiving one instruction at a time supports the older adult's ability to process information without becoming overstimulated. Implementing this intervention respects the vulnerabilities associated with delirium, focusing on creating a supportive environment that prioritizes clarity and calmness.