N320: Foundations

Intercollegiate Center for Nursing Education

of Eastern Washington University, Gonzaga University, and Whitworth College, and College of Nursing, Washington State University

Cognitive Alterations

Study/Discussion Questions:

1. Identify causes of acute and chronic confusion in the elderly. Discuss nursing interventions to prevent acute confusion in the elderly.
2. Compare and contrast acute confusion, chronic confusion and depression. What signs and symptoms might you see in a client who had more than one of these problems concurrently? What are the key findings that differentiate one condition from the other?
3. Formulate nursing diagnoses for clients experiencing alterations in cognition.
4. State outcomes a client experiencing alteration(s) in cognition.
5. Formulate appropriate nursing interventions for a client experiencing alteration in cognition. State the rationale for interventions.
6. Use data from the research studies described in class to develop interventions for clients with acute or chronic confusion. Discuss the implications of interventions suggested in the video "Hello in There".
7. Evaluate outcomes of interventions for alterations in cognition.

Case: Think about a client you have had contact with who demonstrates alterations in cognition. List the signs and symptoms and other observations that led you to the conclusion that they had an alteration in cognition. List the data given to you from secondary sources concerning the person's cognitive alteration. Write a nursing diagnosis based on this data. What interventions did you or other health care team members implement to manage/address the cognitive alteration? What was the client's response to each of these interventions? How can you use this data to refine your approach to this and other clients who have similar prob-lems? What questions do you have as a result of this exercise? Be prepared to share these in class.