Question

A home health nurse visits a pleasant, independent 89-year-old female. At her appointment, the patient appears confused and agitated and has difficulty answering questions. The patient’s vital signs are normal. Which of the following is the *most* appropriate nursing action?

Accepted Answer

Make arrangements for the patient to be evaluated by her primary healthcare provider, and stay with her until she is seen to ensure her safety.

Answer

Call 911 and have the patient evaluated by EMS.

Answer

Ask the patient to give a detailed history of her day to identify the underlying cause for her altered mental status.

Answer

Since the patient’s vital signs are normal, schedule another home-health appointment within 12 hours to see the patient again.

Question 14 - Psychosocial Integrity Practice Test for the NCLEX-RN Exam