Question 1

The nurse differentiates vascular dementia from Alzheimer's dementia in that vascular dementia is related to:

Accepted Answer

A) cerebral atrophy. 
B) global reduction of cognition. 
C) hypertension. 
D) emboli in cerebral vessels. 
A) cerebral atrophy. 
B) global reduction of cognition. 
C) hypertension. 
D) emboli in cerebral vessels. D

Question 2

Matching
The nurse clarifies terminology related to cognitive disorders.Match the options to the expected characteristics.(Options may be used more than once.)

-Experiences an illusion

Accepted Answer

A) Cognition 
B) Dementia 
C) Delirium 
A) Cognition 
B) Dementia 
C) Delirium C

Question 3

When assisting the patient with middle-stage Alzheimer's disease (AD)to dress,the nurse should:

Accepted Answer

A) select clothes and dress him. 
B) lay out clothing and coach patient to dress self. 
C) ask patient what he wants to wear. 
D) open closet and say, "Get a shirt." 
A) select clothes and dress him. 
B) lay out clothing and coach patient to dress self. 
C) ask patient what he wants to wear. 
D) open closet and say, "Get a shirt." B

Question 4

The nurse is aware that the memory lapses seen in early stages of Alzheimer's disease (AD)are related to the pathophysiology of:

Accepted Answer

A) frontal lobe atrophy. 
B) overproduction of neurotransmitters. 
C) pituitary disorders. 
D) inadequate clearance of metabolic toxins. 
A) frontal lobe atrophy. 
B) overproduction of neurotransmitters. 
C) pituitary disorders. 
D) inadequate clearance of metabolic toxins.

Question 5

The patient with Alzheimer's disease has been on donepezil (Aricept)for several weeks.The nurse suspects an overdose when the patient:

Accepted Answer

A) eats hungrily at each meal and looks for snacks between meals. 
B) exhibits a consistent heart rate of 80 beats/min. 
C) has an elevation in blood pressure after each exercise period. 
D) is unable to grasp a glass tightly enough to prevent dropping it. 
A) eats hungrily at each meal and looks for snacks between meals. 
B) exhibits a consistent heart rate of 80 beats/min. 
C) has an elevation in blood pressure after each exercise period. 
D) is unable to grasp a glass tightly enough to prevent dropping it.

Question 6

The patient with Alzheimer's wakes up at 2:00 AM moaning and frightened and begs that her husband's coffin be removed from her room.The nurse should:

Accepted Answer

A) turn light on and say, "There is no coffin here, Mrs. Smith. This is the dresser." 
B) leave the light off and shine a flashlight on the dresser and say, "See! No coffin!" 
C) turn the light on, assist patient to the bathroom, and say, "This is your dresser." 
D) leave the light off and say, "You are in your room, Mrs. Smith." 
A) turn light on and say, "There is no coffin here, Mrs. Smith. This is the dresser." 
B) leave the light off and shine a flashlight on the dresser and say, "See! No coffin!" 
C) turn the light on, assist patient to the bathroom, and say, "This is your dresser." 
D) leave the light off and say, "You are in your room, Mrs. Smith."

Question 7

Matching
The nurse clarifies terminology related to cognitive disorders.Match the options to the expected characteristics.(Options may be used more than once.)

-Processes of perception,memory,and judgment

Accepted Answer

A) Cognition 
B) Dementia 
C) Delirium 
A) Cognition 
B) Dementia 
C) Delirium

Question 8

The percentage of the population that is 85 years of age and older who have some stage of Alzheimer's disease is _____%.

Accepted Answer

A) 10 
B) 20 
C) 35 
D) 50 
A) 10 
B) 20 
C) 35 
D) 50

Question 9

Matching
The nurse clarifies terminology related to cognitive disorders.Match the options to the expected characteristics.(Options may be used more than once.)

-Results from cerebrovascular accident

Accepted Answer

A) Cognition 
B) Dementia 
C) Delirium 
A) Cognition 
B) Dementia 
C) Delirium

Question 10

A patient who has been experiencing memory deficits questions the nurse about foods that are associated with better memory.What selections are linked to enhanced memory? (Select all that apply.)

Accepted Answer

A) Salmon 
B) Red meat 
C) Pork loin 
D) Leafy green vegetables 
E) Fruits 
A) Salmon 
B) Red meat 
C) Pork loin 
D) Leafy green vegetables 
E) Fruits

Question 11

When communicating with a patient with moderate Alzheimer's dementia,the nurse should speak:

Accepted Answer

A) slowly. 
B) clearly. 
C) loudly. 
D) softly. 
A) slowly. 
B) clearly. 
C) loudly. 
D) softly.

Question 12

The nurse explains that postmortem brain examinations of people with Alzheimer's disease have revealed that there are: (Select all that apply.)

Accepted Answer

A) tangled nerve cells. 
B) abnormal buildup of proteins. 
C) hemorrhagic areas. 
D) occluded cerebral vessels. 
E) reduced white matter. 
A) tangled nerve cells. 
B) abnormal buildup of proteins. 
C) hemorrhagic areas. 
D) occluded cerebral vessels. 
E) reduced white matter.

Question 13

An 85-year-old man is admitted to the hospital with gastroenteritis and dehydration after a hiking trip to Mexico.He is given a dose of meclizine hydrochloride,an anticholinergic,for vomiting.He begins to hallucinate and talk to his wife,who has been dead for 10 years.The nurse assesses this behavior to be:

Accepted Answer

A) dementia related to advanced age. 
B) delirium related to dehydration. 
C) dementia related to early Alzheimer's disease (A
D) . 
D) delirium related to side effect of anticholinergic. 
A) dementia related to advanced age. 
B) delirium related to dehydration. 
C) dementia related to early Alzheimer's disease (A
D) . 
D) delirium related to side effect of anticholinergic.

Question 14

Donepezil (Aricept)has been prescribed for a patient with Alzheimer's disease.Which statement by the patient and spouse indicates an understanding of the medication?

Accepted Answer

A) "It is best for me to take the medication at bedtime." 
B) "The medication will be most effective if taken on an empty stomach." 
C) "Absorption of the medication will be improved if taken with a citrus beverage." 
D) "The medication should be taken with meals." 
A) "It is best for me to take the medication at bedtime." 
B) "The medication will be most effective if taken on an empty stomach." 
C) "Absorption of the medication will be improved if taken with a citrus beverage." 
D) "The medication should be taken with meals."

Question 15

The nurse will record that the patient with Alzheimer's disease exhibited agnosia when the patient:

Accepted Answer

A) attempted to comb her hair with a spoon. 
B) had difficulty expressing herself verbally. 
C) was unable to understand written language. 
D) could not feed herself, although she had adequate motor function to do so. 
A) attempted to comb her hair with a spoon. 
B) had difficulty expressing herself verbally. 
C) was unable to understand written language. 
D) could not feed herself, although she had adequate motor function to do so.

Question 16

Criteria established for the diagnosis of dementia include: (Select all that apply.)

Accepted Answer

A) evidence of cognitive deficits. 
B) evidence of aphasia, apraxia, or agnosia. 
C) impairment in social function. 
D) impairments of occupational function. 
E) neurologic signs and symptoms, such as ataxic gait.
F)None of the above. 
A) evidence of cognitive deficits. 
B) evidence of aphasia, apraxia, or agnosia. 
C) impairment in social function. 
D) impairments of occupational function. 
E) neurologic signs and symptoms, such as ataxic gait.
F)None of the above.

Question 17

The CNA approaches the older adult in the long-term care facility and says,"Oh,look at your pretty dress.It is all icky with food spots! Come with me,sweetie,we'll put on that special party dress so you will look cute." The CNA is using:

Accepted Answer

A) instruction for personal hygiene. 
B) encouragement for self-care. 
C) simplistic "elderspeak." 
D) reorientation techniques. 
A) instruction for personal hygiene. 
B) encouragement for self-care. 
C) simplistic "elderspeak." 
D) reorientation techniques.

Question 18

The nurse notes that the newly admitted patient with Alzheimer's disease has significant anomia.An appropriate intervention for this problem would be to:

Accepted Answer

A) frequently reorient him to his room location. 
B) remind him what a particular item is and what its use is. 
C) help him feed himself. 
D) wait for the patient to find the word he wants. 
A) frequently reorient him to his room location. 
B) remind him what a particular item is and what its use is. 
C) help him feed himself. 
D) wait for the patient to find the word he wants.

Question 19

The nurse is aware the resident with global amnesia in the late stage of Alzheimer's disease will benefit from: (Select all that apply.)

Accepted Answer

A) reorientation sessions. 
B) music therapy. 
C) reminiscence therapy. 
D) pet therapy. 
E) looking at family scrapbooks. 
A) reorientation sessions. 
B) music therapy. 
C) reminiscence therapy. 
D) pet therapy. 
E) looking at family scrapbooks.

Question 20

The home health nurse assesses a family who is caring for a person with a cognitive deficit for responses that indicates exhaustion,which include: (Select all that apply.)

Accepted Answer

A) irritability with other family members and the patient. 
B) report of sleep disturbances. 
C) anger at patient and self. 
D) depression. 
E) fatigue.
F)None of the above. 
A) irritability with other family members and the patient. 
B) report of sleep disturbances. 
C) anger at patient and self. 
D) depression. 
E) fatigue.
F)None of the above.

Exam 48: Care of Patients With Cognitive Disorders

The nurse differentiates vascular dementia from Alzheimer's dementia in that vascular dementia is related to:

Matching The nurse clarifies terminology related to cognitive disorders.Match the options to the expected characteristics.(Options may be used more than once.) -Experiences an illusion

When assisting the patient with middle-stage Alzheimer's disease (AD)to dress,the nurse should:

The nurse is aware that the memory lapses seen in early stages of Alzheimer's disease (AD)are related to the pathophysiology of:

The patient with Alzheimer's disease has been on donepezil (Aricept)for several weeks.The nurse suspects an overdose when the patient:

The patient with Alzheimer's wakes up at 2:00 AM moaning and frightened and begs that her husband's coffin be removed from her room.The nurse should:

Matching The nurse clarifies terminology related to cognitive disorders.Match the options to the expected characteristics.(Options may be used more than once.) -Processes of perception,memory,and judgment

The percentage of the population that is 85 years of age and older who have some stage of Alzheimer's disease is _____%.

Matching The nurse clarifies terminology related to cognitive disorders.Match the options to the expected characteristics.(Options may be used more than once.) -Results from cerebrovascular accident

A patient who has been experiencing memory deficits questions the nurse about foods that are associated with better memory.What selections are linked to enhanced memory? (Select all that apply.)

When communicating with a patient with moderate Alzheimer's dementia,the nurse should speak:

The nurse explains that postmortem brain examinations of people with Alzheimer's disease have revealed that there are: (Select all that apply.)

Donepezil (Aricept)has been prescribed for a patient with Alzheimer's disease.Which statement by the patient and spouse indicates an understanding of the medication?

The nurse will record that the patient with Alzheimer's disease exhibited agnosia when the patient:

Criteria established for the diagnosis of dementia include: (Select all that apply.)

The CNA approaches the older adult in the long-term care facility and says,"Oh,look at your pretty dress.It is all icky with food spots! Come with me,sweetie,we'll put on that special party dress so you will look cute." The CNA is using:

The nurse notes that the newly admitted patient with Alzheimer's disease has significant anomia.An appropriate intervention for this problem would be to:

The nurse is aware the resident with global amnesia in the late stage of Alzheimer's disease will benefit from: (Select all that apply.)

The home health nurse assesses a family who is caring for a person with a cognitive deficit for responses that indicates exhaustion,which include: (Select all that apply.)

Caring for Medical surgical Patients

Critical Thinking and Nursing Process

Fluid, electrolytes, acid-base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Surgical Patients

Infection Prevention and Control

Care of Patients With Pain

Care of Patients With Cancer

Chronic Illness and Rehabilitation

the Immune and Lymphatic Systems

Care of Patient With Hiv/aids

Care of Patients With Immune and Lymphatic Disorders

the Respiratory System

Care of Patients With Disorders of the Upper Respiratory System

Care of Patients With Disorders of the Lower Respiratory System

the Hematologic System

Care of Patients With Hematologic Disorders

the Cardiovascular System

Care of Patients With Hypertension and Peripheral Vascular Disease

Care of Patients With Cardiac Disorders

Care of Patients With Coronary Artery Disease and Cardiac Surgery

the Neurologic System

Care of Patients With Head and Spinal Cord Injuries

Care of Patients With Disorders of the Brain

Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders

the Sensory System: Eye and Ear

Care of Patients With Disorders of the Eyes and Ears

the Gastrointestinal System

Care of Patients With Disorders of the Upper Gastrointestinal System

Care of Patients With Disorders of the Lower Gastrointestinal System

Care of Patients With Disorders of the Gallbladder,liver,and Pancreas

the Musculoskeletal System

Care of Patients With Musculoskeletal and Connective Tissue Disorders

the Urinary System

Care of Patients With Disorders of the Urinary System

the Endocrine System

Care of Patients With Pituitary, thyroid, parathyroid, and Adrenal Disorders

Care of Patients With Diabetes and Hypoglycemia

Care of Women With Reproductive Disorders

Care of Men With Reproductive Disorders

Care of Patients With Sexually Transmitted Infections

the Integumentary System

Care of Patients With Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients With Trauma or Shock

Care of Patients With Anxiety, mood, and Eating Disorders

Care of Patients With Substance Abuse Disorders

Care of Patients With Thought and Personality Disorders

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