A patient exhibits acute hypervigilance, refusal of treatment, impulsive acts, and hallucinations alternating with lucidity.

These are classic symptoms ofICU delirium, especially in pediatric or neurologically impaired patients. The nurse shouldmodel supportive, calm behavior,reorient the patient, andeducate familyabout what they are witnessing. This helpsde-escalate tensionand provides therapeutic support.

“In managing ICU delirium, the nurse should support the patient, reduce stimuli, and help families understand and cope with the patient’s altered mental status.”

(Referenced from CCRN Pediatric – Direct Care: Neurological, Delirium and Cognitive Dysfunction)