Exam 22: Neurocognitive Disorders

A client diagnosed with Lewy Body Dementia has been prescribed an antipsychotic medication to manage a decline in mental capacities.Why should the nurse question this prescription?

Which of the following nursing interventions would be used for a client with a nursing diagnosis of risk of trauma related to impairments in cognitive and psychomotor functioning?

Martha is the primary caregiver for her husband,Norman,who has progressed to Stage 5 of Alzheimer's disease.Which of the following teaching topics should the nurse focus on for a caregiver of a patient with Stage 5 Alzheimer's disease? Select all that apply.

A client with pseudodementia presents with ______________ attention and concentration.

A client diagnosed with NCD has progressive memory loss,diminished cognitive functioning,verbal aggression,and is experiencing frustration.Which nursing intervention is most appropriate?

The nurse notices that Martha,the primary caregiver for her husband with Alzheimer's disease,seems distracted and she asked how Martha was doing."I'm doing okay," said Martha."I'm just so overwhelmed.I can't seem to get anything done.Just when I think I'm handling everything,something else comes up.Hopefully things will settle down soon and I can get a break." Which of the following would most help Martha cope with the caregiver strain she's expressing?

________________ is the inability to carry out motor activities despite intact motor function.

A client is experiencing progressive changes in memory that have interfered with personal,social,and occupational functioning.The client exhibits poor judgment and has a short attention span.The nurse recognizes these as classic signs of which condition?

The nurse identifies which symptoms differentiate clients diagnosed with NCD from clients with pseudodementia (depression)?

A client with a history of cerebrovascular accident (CVA)is brought to an emergency department experiencing memory problems,confusion,and disorientation.Based on this client's assessment data,which diagnosis would the nurse expect the physician to assign?

After 1 week of continuous mental confusion,an elderly African American client is admitted with a preliminary diagnosis of Major NCD due to Alzheimer's disease.Which of the following would cause the nurse to question this diagnosis?

A 36-year old female is admitted to the emergency department at 2:20 a.m.with a severe laceration to her forehead,with incoherent speech.Paramedics report that they picked up the patient at a local bar,and the bartender on site said,"She seemed just fine when she came in.She must have had a lot to drink before she came here." Witness reports onsite confirmed that the woman fell off a bar stool and hit her head on the bar rail.Based on the information provided,a blood alcohol test was administered with a result of a 0.01 blood alcohol level.The woman's weight was recorded at 145 pounds.Incoherent speech is most likely attributed to which of the following?

A client diagnosed with a NCD is exhibiting behavioral problems every day.At change of shift,the client's behavior escalates from pacing to screaming and flailing.Which action should the nurse implement first?

An elderly client recently moved to a nursing home.The client is having trouble concentrating and is isolating from others.A physician believes the client would benefit from medication therapy.Which medication should the nurse expect the physician to prescribe?

A client diagnosed with NCD due to Alzheimer's disease is disoriented,ataxic,and wanders.Which is the priority nursing diagnosis?

A client diagnosed with NCD due to Alzheimer's disease has impairments of memory and judgment and is incapable of performing ADLs.Which intervention is the nurse's priority?

A geriatric nurse is teaching student nurses about the risk factors for development of delirium in older adults.Which student statement indicates that learning has occurred?

A female client was admitted to the hospital after being treated in the emergency room for seizures following a head trauma.Within a few minutes of arriving on the floor,the admitting nurse noticed that the client had a difficult time sustaining attention and did not know where she was.What is the most likely reason for the abnormal behavior?

A nursing instructor is teaching about donepezil (Aricept).A student asks,"How does this work? Will this cure Alzheimer's disease (AD)?" Which is the appropriate instructor reply?

A client diagnosed with Vascular Dementia is discharged to home under the care of his wife.Which information causes the nurse to question the client's safety?