Question 1

The nurse explains that the term that describes the ability to make judgments quickly on the basis of unfamiliar stimuli is __________ __________.

Accepted Answer

fluid intelligence

Question 2

The person who is unable to identify time, place, or person to the point that he or she is unable to make appropriate decisions is described as __________.

Accepted Answer

confused

Question 3

How should the nurse adapt the environment for a person with right-sided hemianopsia?

Accepted Answer

A)   Approach the patient from the right side.
B)   Arrange personal articles on the left side of the bed.
C)   Remind the patient to avoid turning his or her head to reduce added perceptual problems.
D)   Touch the patient on the right side to get his or her attention. B

Question 4

When attempting to communicate with a patient who is hearing-impaired, what should the nurse consider?

Accepted Answer

A)   Keep the message simple.
B)   Provide lengthy explanations and information.
C)   Assume understanding if the patient does not ask for clarification.
D)   Use many hand gestures.

Question 5

The nurse hears a high whistling noise coming from the hearing aids that are lying on the bedside table of the sleeping patient. What would be the most appropriate action by the nurse?

Accepted Answer

A)   Replace the hearing aids in the patient's ears.
B)   Turn off the hearing aids.
C)   Place the hearing aids in a drawer to prevent loss.
D)   Ask that an audiologist be notified of the problem.

Question 6

The nurse should include which factor(s) in a pain assessment? (Select all that apply.)

Accepted Answer

A)   What provokes it
B)   Location
C)   Race
D)   Severity
E)   Frequency

Question 7

What would be the most effective intervention by the nurse when a patient with a cognitive disorder begins to exhibit delusional behavior as a result of excessive stimulation?

Accepted Answer

A)   Medicate with a psychoactive drug such as lorazepam or diazepam.
B)   Send the patient to his or her room for "time out."
C)   Remind the patient that acting out behavior will not be tolerated.
D)   Distract the patient with a quiet activity.

Question 8

The physician states that the patient with Alzheimer disease has progressed from the preclinical stage of the disease to the mild cognitive impairment stage. What would the nurse expect to find upon assessment of the patient?

Accepted Answer

A)   Inability to communicate
B)   Incontinent episodes
C)   Total dependency
D)   Forgetfulness

Question 9

An older adult has expressive aphasia. What would be the most effective intervention for the nurse to use to improve the patient's communication?

Accepted Answer

A)   Provide flash cards with text and pictures.
B)   Be patient and ask him to repeat himself.
C)   Encourage him to practice slow speech.
D)   Arrange with him to blink the eyes once for "yes" and twice for "no."

Question 10

Antipsychotic medication can be prescribed to control which patient symptom?

Accepted Answer

A)   Disruptive verbal behavior
B)   Constant yelling and hitting others
C)   Hallucinations
D)   Disorientation

Question 11

Which of the following are indicators of hearing loss? (Select all that apply.)

Accepted Answer

A)   Understanding the female voice better than the male voice
B)   Reluctance to have telephone conversations
C)   Becoming irritable with background noise
D)   Turning the TV up to the loudest volume
E)   Responding with off-the-wall answers to a question

Question 12

How can continuity of care be provided for a patient with dementia in the hospital setting?

Accepted Answer

A)   Keep the patient in the room.
B)   Reduce environmental stimuli such as the TV or radio.
C)   Assign care to a consistent group of staff.
D)   Attach a bed alarm to the patient.

Question 13

Which condition could cause delirium in the older adult?

Accepted Answer

A)   Uncontrolled pain
B)   Death of a loved one
C)   Relocation to a long-term care facility
D)   Altered sleep patterns

Question 14

What are the three types of confusion? (Select all that apply.)

Accepted Answer

A)   Acute confusion
B)   Mixed confusion
C)   Idiopathic confusion
D)   Generic confusion
E)   Dementia

Question 15

What does perception refer to in the environment?

Accepted Answer

A)   Intellect
B)   Memory
C)   Judgment
D)   Interpretation

Question 16

An 84-year-old female resident with dementia in an extended-care facility rapidly paces the halls and the common areas from right after breakfast to bedtime. What should be included in the nursing plan of care?

Accepted Answer

A)   Restrain the resident from pacing.
B)   Apply a bracelet that sounds an alarm if the resident leaves the building.
C)   Encourage rest by asking her to sit and have a glass of juice or a snack.
D)   Pace with her and engage her in conversations.

Question 17

What should be stressed in a teaching plan for a family caring for an older adult who is experiencing pain? (Select all that apply.)

Accepted Answer

A)   Give medication before the pain becomes severe.
B)   Distract the patient instead of medicating.
C)   Pain reported by the older adult may be exaggerated.
D)   Delay administration to reduce the risk of addiction.
E)   Observe the effectiveness of the medication.

Question 18

What observation would cause the nurse to suspect cataracts in the older adult?

Accepted Answer

A)   Holds the newspaper a good distance away while attempting to read small print
B)   Seeks an area in a room that is free from glare in order to read the newspaper
C)   Holds a hand over one eye while attempting to read small print
D)   Uses only peripheral vision while attempting to read a newspaper

Question 19

What is an appropriate response by the nurse to a resident with dementia in a long-term care facility who becomes combative when being prepared for a shower?

Accepted Answer

A)   Call for assistance to complete the shower.
B)   Say, "I understand you don't want a shower, so I'll give you a sponge bath."
C)   Medicate the patient with a sedative and complete the bath when the patient is more cooperative.
D)   Say, "Okay. It's your right to remain dirty."

Question 20

The home health nurse is caring for a patient who has been recently diagnosed with a cognitive disorder. How can the nurse best prepare the family for the patient's care?

Accepted Answer

A)   Leave them literature about the disorder.
B)   Instruct them about the physiological changes that cause the disorder.
C)   Allow them time for expression of their feelings and grief.
D)   Discuss options for placement in a long-term care facility.

Exam 10: Cognition and Perception

The nurse explains that the term that describes the ability to make judgments quickly on the basis of unfamiliar stimuli is .