Exam 23: Neurocognitive Disorders

A nurse counsels the family of a patient diagnosed with Alzheimer's disease who lives at home and wanders at night.Which action is most important for the nurse to recommend to enhance safety?

During morning care,a nurse asks a patient diagnosed with dementia,"How was your night?" The patient replies,"It was lovely.I went out to dinner and a movie with my friend." Which term applies to the patient's response?

A patient has progressive memory deficits associated with dementia.Which nursing intervention would best help the individual function in the environment?

A patient with stage 3 Alzheimer's disease tires easily and prefers to stay home rather than attend social activities.The spouse does the grocery shopping because the patient cannot remember what to buy.Which nursing diagnosis applies at this time?

A patient with fluctuating levels of consciousness,disturbed orientation,and perceptual alteration begs,"Someone get these bugs off me." What is the nurse's best response?

Consider these health problems: Lewy body disease,frontal-temporal lobar degeneration,and Huntington's disease.Which term unifies these problems?

Consider these diagnostic findings: apolipoprotein E (apoE)malfunction,neurofibrillary tangles,neuronal degeneration in the hippocampus,and brain atrophy.Which health problem corresponds to these diagnostic findings?

An older adult is prescribed digoxin (Lanoxin)and hydrochlorothiazide daily as well as lorazepam (Ativan)as needed for anxiety.Over 2 days,the patient developed confusion,slurred speech,an unsteady gait,and fluctuating levels of orientation.What is the most likely reason for the patient's change in mental status?

A older patient diagnosed with severe,late-stage dementia no longer recognizes family members.The family asks how long it will be before this patient recognizes them when they visit.What is the nurse's best reply?

Which assessment finding would be likely for a patient experiencing a hallucination? The patient:

A hospitalized patient diagnosed with delirium misinterprets reality,while a patient diagnosed with dementia wanders about the home.Which outcome is the priority in both scenarios? The patients will:

Goals of care for an older adult patient diagnosed with delirium caused by fever and dehydration will focus on:

Which medication prescribed to patients diagnosed with Alzheimer's disease antagonizes N-Methyl-D-Aspartate (NMDA)channels rather than cholinesterase?

What is the priority nursing diagnosis for a patient with fluctuating levels of consciousness,disturbed orientation,and visual and tactile hallucinations?

An older adult was stopped by police for driving through a red light.When asked for a driver's license,the adult hands the police officer a pair of sunglasses.What sign of dementia is evident?

Which assessment findings would the nurse expect in a patient experiencing delirium? Select all that apply.

A nurse gives anticipatory guidance to the family of a patient diagnosed with stage 3,mild cognitive decline Alzheimer's disease.Which problem common to that stage should the nurse address?

A patient with fluctuating levels of awareness,confusion,and disturbed orientation shouts,"Bugs are crawling on my legs.Get them off!" Which problem is the patient experiencing?

An older adult drove to a nearby store but was unable to remember how to get home or state an address.When police intervened,they found that this adult was wearing a heavy coat and hat,even though it was July.Which stage of Alzheimer's disease is evident?

An older adult patient takes multiple medications daily.Over 2 days,the patient developed confusion,slurred speech,an unsteady gait,and fluctuating levels of orientation.These findings are most characteristic of: