Question 1

The nurse is caring for a patient who has dementia and has been getting up out of bed at night.What action by the nurse will be most therapeutic?

Accepted Answer

A) The nurse places all of the side rails in the up position. 
B) The nurse raises the bed to a tall position to reduce the patient's ability to get out of bed. 
C) The nurse obtains orders from the physician to apply restraints at night. 
D) The nurse places the mattress on the floor. 
A) The nurse places all of the side rails in the up position. 
B) The nurse raises the bed to a tall position to reduce the patient's ability to get out of bed. 
C) The nurse obtains orders from the physician to apply restraints at night. 
D) The nurse places the mattress on the floor.

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.)

-Characterized by slow onset

Accepted Answer

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

Question 3

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

-An acute alteration in cognition

Accepted Answer

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

Question 4

The nurse is aware the older adult is at risk for drug-induced delirium because of:

Accepted Answer

A) slower bowel motility. 
B) reduced fluid intake. 
C) overall reduced metabolism. 
D) sedentary lifestyle. 
A) slower bowel motility. 
B) reduced fluid intake. 
C) overall reduced metabolism. 
D) sedentary lifestyle.

Question 5

The exhausted caregiver to a patient with moderate Alzheimer's disease asks what respite care entails.The nurse replies that respite care is:

Accepted Answer

A) placing the patient in a long-term care facility for a short period of time for the caregiver to rest. 
B) bringing in home health aides to do housework to lighten duties of the caregiver. 
C) accompanying patient to a long-term care facility and staying there while the facility staff do physical care. 
D) attending a support group to ventilate feelings and communicate with other caregivers. 
A) placing the patient in a long-term care facility for a short period of time for the caregiver to rest. 
B) bringing in home health aides to do housework to lighten duties of the caregiver. 
C) accompanying patient to a long-term care facility and staying there while the facility staff do physical care. 
D) attending a support group to ventilate feelings and communicate with other caregivers.

Question 6

The nurse uses the Mini-Mental Status Exam (MMSE)frequently to assess: (Select all that apply.)

Accepted Answer

A) orientation. 
B) judgment. 
C) memory. 
D) insight. 
E) ability to follow directions. 
A) orientation. 
B) judgment. 
C) memory. 
D) insight. 
E) ability to follow directions.

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.)

-Uses confabulation to cover memory gaps

Accepted Answer

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

Question 8

The home health nurse counseling a family who will be caring for a relative with moderate-stage Alzheimer's disease will stress the need for:

Accepted Answer

A) a consistent routine to provide structured environment. 
B) making each day different to enhance attention span. 
C) using several caregivers to increase social skills. 
D) placing bright scatter rugs, flower arrangements, and wall decorations to stimulate sensory perception. 
A) a consistent routine to provide structured environment. 
B) making each day different to enhance attention span. 
C) using several caregivers to increase social skills. 
D) placing bright scatter rugs, flower arrangements, and wall decorations to stimulate sensory perception.

Question 9

The nurse takes into consideration that the patient with AIDS dementia complex (ADC)is at risk for injury due to:

Accepted Answer

A) manic behavior. 
B) numbness and muscle weakness. 
C) suicidal ideation. 
D) difficulty concentrating. 
A) manic behavior. 
B) numbness and muscle weakness. 
C) suicidal ideation. 
D) difficulty concentrating.

Question 10

A recently licensed nurse is orienting to the Alzheimer's disease care unit.The nurse is caring for a patient who is transitioning from oral rivastigmine (Exelon)to the medication patch.Which action observed by the nurse's preceptor indicates an understanding of the medication?

Accepted Answer

A) The patient is instructed to put on the patch 12 hours after the last oral medication dosage. 
B) The nurse reports that the patient will need to replace the patch every 36 hours. 
C) The nurse explains to the patient and family that the sites of application will need to be rotated. 
D) The nurse explains to the patient that the patch should not be placed on the trunk region of the body. 
A) The patient is instructed to put on the patch 12 hours after the last oral medication dosage. 
B) The nurse reports that the patient will need to replace the patch every 36 hours. 
C) The nurse explains to the patient and family that the sites of application will need to be rotated. 
D) The nurse explains to the patient that the patch should not be placed on the trunk region of the body.

Question 11

The nurse takes into consideration that the patient with moderate Alzheimer's disease in a long-term care facility who "sundowns" would benefit from:

Accepted Answer

A) social interaction activities in the morning. 
B) darkened bedroom to encourage sleep. 
C) sedative to enhance initiating sleep. 
D) exercise program after supper. 
A) social interaction activities in the morning. 
B) darkened bedroom to encourage sleep. 
C) sedative to enhance initiating sleep. 
D) exercise program after supper.

Exam 48: Care of Patients With Cognitive Disorders

The nurse is caring for a patient who has dementia and has been getting up out of bed at night.What action by the nurse will be most therapeutic?

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

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

The nurse is aware the older adult is at risk for drug-induced delirium because of:

The exhausted caregiver to a patient with moderate Alzheimer's disease asks what respite care entails.The nurse replies that respite care is:

The nurse uses the Mini-Mental Status Exam (MMSE)frequently to assess: (Select all that apply.)

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

The home health nurse counseling a family who will be caring for a relative with moderate-stage Alzheimer's disease will stress the need for:

The nurse takes into consideration that the patient with AIDS dementia complex (ADC)is at risk for injury due to:

A recently licensed nurse is orienting to the Alzheimer's disease care unit.The nurse is caring for a patient who is transitioning from oral rivastigmine (Exelon)to the medication patch.Which action observed by the nurse's preceptor indicates an understanding of the medication?

The nurse takes into consideration that the patient with moderate Alzheimer's disease in a long-term care facility who "sundowns" would benefit from:

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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