Exam 28: Cognitive Disorders

A patient diagnosed with vascular dementia gets more confused, agitated, and anxious in the evening. This behavior represents:

An older adult patient developed delirium secondary to diphenhydramine (Benadryl) use. The patient usually took this drug for allergies but recently added a cough syrup that also contained the drug. What information is most important to teach the family?

An older adult patient has fluctuating levels of awareness, anxiety, and appears to be picking things out of the air. The patient says, "I saw my granddaughter standing at the foot of the bed last night." The nurse should suspect:

Which aspects of assessment are most important for a patient with diffuse Lewy body disease who is agitated? Select all that apply.

An older adult suddenly develops urinary incontinence. A family member says the patient "started walking oddly, like stepping on a sticky floor." Which problem would the nurse suspect?

Which assessment finding would be expected in a patient in the early stage of HD?

Which assessment finding would be expected in a patient in the later stages of Huntington's disease?

A nurse gives anticipatory guidance to the family of a patient diagnosed with mild AD. Which problem common to that stage should be addressed?

An older adult presents with symptoms of delirium. The family says, "Everything was fine until yesterday." The most important assessment information to gather is:

Which vector is associated with transmission of variant Creutzfeldt-Jakob disease?

A patient has coronary artery disease, type 2 diabetes, and hypertension. The patient has risk factors for:

An older adult patient diagnosed with delirium is anxious, agitated, and experiencing visual hallucinations. The nurse entering the room to assess vital signs should:

A patient diagnosed with delirium stares at the corner of the room, wrings hands, and says, "I'm scared those snakes will bite me." The nurse should document:

The family of a patient diagnosed with AD is concerned about the patient's occasional urinary incontinence. The nurse should give which suggestion?

The foundation of the cognitive process is:

Last year a patient had a subtotal gastrectomy after being diagnosed with stomach cancer. Now the patient says, "I'd rather take vitamin pills than shots." Which information should the nurse provide to this patient?

Donepezil ( Aricept ) reduces symptoms for patients diagnosed with mild to moderate Alzheimer's disease ( AD ) by:

An older adult patient is admitted with a diagnosis of delirium secondary to a urinary tract infection. The family asks whether or not the patient will recover. Select the nurse's best response.

What is the nursing care priority for a patient diagnosed with Stage 7 Alzheimer's disease?

An older adult with dementia describes a pencil as "that thing that writes" and a water faucet as "the thing you turn." The nurse documents which problem?