Exam 16: Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders

A patient diagnosed with delirium has become agitated and fearful.Which nursing intervention should the nurse implement to help prevent a catastrophic response?

Which interventions provided by the caregiver will help ensure effective care for the patient diagnosed with dementia? (Select all that apply)

Which outcome is realistic for a patient with stage 1 Alzheimer's disease?

When asked about the prognosis for a patient diagnosed with a dementia secondary to normal pressure hydrocephalus the nurse replies:

The home care nurse is visiting a patient who was discharged to home after a procedure at an ambulatory surgical center.The patient lives alone in a senior retirement community.The nurse's assessment documents mild dysphasia.The patient repeatedly asks,"Why is there a bandage on my arm?" and is not able to state the appropriate day and year.Appropriate planning for the patient should include:

A patient with moderate dementia does not remember her son's name.The son repeatedly questions the mother asking,"Do you know my name?" The mother invariably becomes agitated.The nurse can most effectively intervene by explaining to the son:

An elderly patient with dementia has a nursing diagnosis of self-care deficit: bathing,hygiene.She lives alone and the nursing assessment proves reason to believe she has forgotten how to perform hygiene and bathing activities.Which intervention is most appropriate for this patient?

The wife of a patient with moderate to severe dementia tells the nurse,"I'm exhausted.He wanders at night instead of sleeping,so I get no rest.I'm afraid to leave him during the day,so I have to take him with me wherever I go." The nurse recognizes the need to provide teaching for this caregiver.An appropriate outcome for this teaching would include:

The nurse is to perform a complete assessment of a patient in her home,using the Mini-Mental State Examination (MMSE)as one component.When the nurse arrives,the patient is seated at the table with her husband,the TV is on,and several grandchildren are visiting.The patient is quiet,but her hands are gripped tightly,and she is staring at the ceiling.The best action for the nurse to take would be which of the following?

For which medication will the nurse prepare material for the family of a patient diagnosed with mild to moderate Alzheimer's disease? (Select all that apply.)

An elderly patient was well until 12 hours ago,when she reported to her family that in the middle of the night she awakened to see a man standing at the foot of her bed.There is no evidence that this situation ever happened.This series of events supports which possible diagnosis?

The daughter of an older patient with dementia tearfully tells the nurse that she doesn't know what's wrong with her mother,who has begun accusing the family of holding her prisoner.Which nursing diagnosis would be appropriate for this patient?

A patient diagnosed with Alzheimer's disease has a catastrophic reaction during an activity involving simultaneous playing of music and working on a craft project.The patient starts shouting "no,no,no" and rushes out of the room.The nurse should:

A patient has been admitted with a diagnosis of hypoactive delirium.Which nursing intervention is supported by this diagnosis?

The nurse is administering donepezil (Aricept)to a patient with stage 1 Alzheimer's disease.Based on this drug's mechanism of action,the nurse will seek evidence of improvement in the patient's:

Which behaviors would indicate that a therapeutic activity program for a patient with Alzheimer's disease had been successful?

The daughter of an elderly patient with dementia tearfully tells the nurse that she doesn't know what's wrong with her mother,who has begun accusing the family of stealing her money.The nurse assesses the patient's stage of Alzheimer's disease as stage:

A teenager is admitted to the ED after being alternately hyperalert and difficult to arouse.The symptoms started within the last few hours,during which time he became disoriented,confused,and delusional.These symptoms support the diagnosis of:

Which statement by an adult child concerning the behaviors of their parent supports the diagnosis of Alzheimer's disease?

A patient diagnosed with moderate dementia consistently appears to be distorting the truth resulting in his wife asking,"What should I do when he lies to me about unimportant things?" Upon what rationale should the nurse's response be based?