PN Adult Medical Surgical Practice Exam

For a client experiencing stress-related confusion, what is the best nursing intervention?

1. Provide a structured and familiar environment.

2. Isolate the client until they feel less confused.

3. Frequent changes in routine to stimulate memory.

4. Only speak to them in one-sentence instructions.

The correct answer is: Provide a structured and familiar environment.

Providing a structured and familiar environment is the best nursing intervention for a client experiencing stress-related confusion. A predictable and organized setting can significantly help minimize anxiety and disorientation in individuals who are confused. Familiar surroundings provide comfort and security, which are essential for the client to regain their cognitive functions. This approach allows the client to feel more grounded and less overwhelmed by stimuli that could exacerbate their confusion. In a structured environment, routines and expectations are clear, which can aid clients in processing information more effectively. Familiarity with their surroundings and a calm atmosphere can promote a sense of safety, encouraging the client to engage more readily with caregivers and participate actively in recovery. Maintaining a stable routine contrasts with isolating the client, which can induce feelings of loneliness and exacerbate confusion rather than alleviate it. Frequent changes in their routine would likely lead to increased stress and confusion, rather than aiding memory recall. Similarly, limiting communication to one-sentence instructions may hinder the client's understanding and engagement, as collaborative interactions often support cognitive clarity and emotional reassurance.