Exam 17: Cognitive Disorders

An elderly male develops bradycardia and has a pacemaker surgically implanted.Although he was lucid preoperatively and has no history of dementia,at 10:00 PM on the night of his surgery,he becomes disoriented to place and time and insists on going home.When placed in soft restraints,he becomes hostile and is later caught trying to burn his way out of the restraints with a cigarette lighter.Which of the following charted observations would best indicate that a priority outcome has been achieved?

A patient in a dimly lit room demonstrates fluctuating levels of consciousness,disturbed orientation,and perceptual alterations and begs the nurse to get the bugs off her.Which nursing response would be most therapeutic?

An immigrant from Korea who has stage 3 Alzheimer's disease lives with a daughter,an Oregon native,in her hometown.During a patient follow-up visit,the visiting nurse notices that the daughter seems exhausted and has begun to cry.Which nurse response to the daughter would best reflect an understanding of the family's culture?

An elderly patient in the intensive care unit seems to be becoming agitated.She points to the wall and states,"The people in that picture are moving.That doesn't make sense,I know,but they are.Something is wrong here." Which of the following nursing interventions would be most beneficial for this patient?

A patient with stage 2 Alzheimer's disease calls the police,saying an intruder is in her home.The police officer who investigates the call determines the patient has seen her own reflection in the mirror and thought an intruder was present.This phenomenon can be assessed as:

The outcome that should be established for an elderly patient with delirium caused by fever and dehydration is that the patient will:

A 70-year-old woman is beginning to notice mild memory impairment.She fears she is developing Alzheimer's disease and asks her granddaughter,a nurse,if this is the case.What factors would the nurse and her grandmother use to distinguish normal age-related memory impairment from a developing dementia?

What environmental conditions should the nurse arrange for a patient with delirium and altered perceptions of her environment?

A patient with Alzheimer's disease has been determined to have a dressing/grooming self-care deficit.Which intervention(s)would be appropriate for this nursing diagnosis? Select all that apply.

Which intervention would best address the nursing diagnosis of Imbalanced nutrition for elderly patients in stages 2 to 3 of Alzheimer's disease?

Which information would be important to incorporate when teaching about medications for dementia in a caregiver's support group? Select all that apply.

A patient with fluctuating levels of awareness,confusion,and disorientation shouts,"The bugs,they are crawling on my legs! Get them off me!" The nurse's inspections show that no insects or other possible causes of the patient's perceptions are visible.The nurse can best assess this presentation as:

B and J both have Alzheimer's disease.B walks up behind J in the hall and shouts,"Move along,you're blocking the road.I'll take a stick to you." J turns around,shakes his fist,and shouts,"I know what you're up to;you're trying to steal my car." The best action for the nurse to take would be to:

What should the priority nursing diagnosis be for a patient with fluctuating levels of consciousness,disorientation,and visual and tactile hallucinations?