Question 1

A newly admitted patient diagnosed with AD has demonstrated apraxia. The nurse should assist the patient with:

Accepted Answer

A)  grooming and hygiene. 
B)  visual acuity. 
C)  word finding. 
D)  orientation. 
A)  grooming and hygiene. 
B)  visual acuity. 
C)  word finding. 
D)  orientation.

Question 2

A patient diagnosed with dementia is watching a crime story on television. Suddenly, the patient begins to yell, "Stop! He's got a gun." What is the nurse's best intervention?

Accepted Answer

A)  Administer a PRN dose of an atypical antipsychotic medication. 
B)  Turn off the television and tell the patient, "You are safe." 
C)  Reassure the patient that there are no guns nearby. 
D)  Provide a snack, and put the patient in bed. 
A)  Administer a PRN dose of an atypical antipsychotic medication. 
B)  Turn off the television and tell the patient, "You are safe." 
C)  Reassure the patient that there are no guns nearby. 
D)  Provide a snack, and put the patient in bed.

Question 3

A nurse assesses a newly admitted patient with possible delirium. Which aspect of the history contributes to confirmation of the diagnosis?

Accepted Answer

A)  Acute onset of cognitive symptoms 
B)  Unchanging level of consciousness 
C)  Loss of ability to think abstractly 
D)  Paranoid delusions 
A)  Acute onset of cognitive symptoms 
B)  Unchanging level of consciousness 
C)  Loss of ability to think abstractly 
D)  Paranoid delusions

Question 4

The focus of nursing care for a patient diagnosed with dementia is:

Accepted Answer

A)  individualizing care. 
B)  improving cognition. 
C)  maintaining optimum function. 
D)  promoting self-confidence and self-esteem. 
A)  individualizing care. 
B)  improving cognition. 
C)  maintaining optimum function. 
D)  promoting self-confidence and self-esteem.

Question 5

The nurse teaches a family who provides in-home care for a patient diagnosed with dementia. Which measure to facilitate environmental safety should the nurse include?

Accepted Answer

A)  Install gates at the tops and bottoms of stairs. 
B)  Store medications in a clearly visible place. 
C)  Vary the daily schedule to provide variety and stimulation. 
D)  Include daily activities that call for use of higher cognitive functions. 
A)  Install gates at the tops and bottoms of stairs. 
B)  Store medications in a clearly visible place. 
C)  Vary the daily schedule to provide variety and stimulation. 
D)  Include daily activities that call for use of higher cognitive functions.

Question 6

A patient with vascular dementia does not remember family members' names. The family insistently reorients the patient, and the patient becomes more agitated. What is the most likely reason for the patient's reaction? The patient is:

Accepted Answer

A)  using agitation to distract the family from the cognitive deficits. 
B)  overstimulated by the reorientation and reacting negatively. 
C)  reliving family chaos that was previously unresolved. 
D)  experiencing guilt about the memory deficits. 
A)  using agitation to distract the family from the cognitive deficits. 
B)  overstimulated by the reorientation and reacting negatively. 
C)  reliving family chaos that was previously unresolved. 
D)  experiencing guilt about the memory deficits.

Exam 28: Cognitive Disorders

A newly admitted patient diagnosed with AD has demonstrated apraxia. The nurse should assist the patient with:

A patient diagnosed with dementia is watching a crime story on television. Suddenly, the patient begins to yell, "Stop! He's got a gun." What is the nurse's best intervention?

A nurse assesses a newly admitted patient with possible delirium. Which aspect of the history contributes to confirmation of the diagnosis?

The focus of nursing care for a patient diagnosed with dementia is:

The nurse teaches a family who provides in-home care for a patient diagnosed with dementia. Which measure to facilitate environmental safety should the nurse include?

A patient with vascular dementia does not remember family members' names. The family insistently reorients the patient, and the patient becomes more agitated. What is the most likely reason for the patient's reaction? The patient is:

Me, Meds, Milieu

Historical Issues

Legal Issues

Psychobiologic Bases of Behavior

Cultural Issues

Spiritual Issues

Models for Working with Psychiatric Patients

Learning to Communicate Professionally

Working with an Individual Patient

Working with Groups of Patients

Working with the Family

Introduction to Psychotropic Drugs

Antiparkinsonian Drugs

Antipsychotic Drugs

Antidepressant Drugs

Antimanic Drugs

Antianxiety Drugs

Antidementia Drugs

Over-the-Counter Drugs

Introduction to Milieu Management

Variables Affecting the Therapeutic Environment: Violence and Suicide

Therapeutic Environment in Various Treatment Settings

Introduction to Psychopathology

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar Disorders

Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and Dissociative Disorders

Personality Disorders

Sexual Disorders

Substance Abuse Disorders

Eating Disorders

Survivors of Violence and Trauma

Children and Adolescents

Mental Disorders of Older Adults

Soldiers and Veterans

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