Exam 28: Cognitive Disorders

An older patient had a subtotal gastrectomy after being diagnosed with stomach cancer.What long-term mental health risk related to this procedure should the nurse discuss with the patient?

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.

The focus of nursing care for a patient diagnosed with dementia is best demonstrated by which nursing statement?

What information should the nurse provide the family of a client diagnosed with normal-pressure hydrocephalus (NPH)?

Effective management of a client diagnosed with Huntington disease is best demonstrated by which documentation made by the nurse?

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 disorder?

What is the expected outcome for donepezil therapy prescribed for a client diagnosed with mild-to-moderate Alzheimer disease (AD)?

A nurse gives anticipatory guidance to the family of a patient diagnosed with stage 2 Alzheimer disease (AD).Which problem common to that stage should be addressed?

A patient diagnosed with delirium stares at the corner of the room, wrings hands, and says, "I'm scared those snakes will bite me." What term should the nurse use to best document this event?

A newly admitted patient diagnosed with Alzheimer disease (AD) has demonstrated apraxia.The nurse should assist the patient with which activity?

A patient diagnosed 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?

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?

An older adult patient developed delirium secondary to diphenhydramine 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 diagnosed with delirium is anxious, agitated, and experiencing visual hallucinations.The nurse entering the room to assess vital signs should implement which intervention to best address this behavior?

What assessment data suggest that a client is at risk for the development of vascular dementia? (Select all that apply.)

What is the nursing care priority for a patient diagnosed with stage 7 Alzheimer disease?

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

Which nursing interventions are appropriate for the management of a client demonstrating the behaviors associated with dementia-related "sundowning"? (Select all that apply.)

An older adult presents with symptoms of delirium.The family says, "Everything was fine until yesterday." What is the most important assessment information the nurse should gather?

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