Exam #3 Dementia – Medical Speech Pathology – Cognitive Communication Disorders Review
Material
The nurse administered donepezil (Aricept) to a patient. Which finding indicates that the
medication is therapeutic?
The patient is awake
The patient has urinated
The patient has increased cognition
The patient is relaxed - ✔✔The patient has increased cognition.
A 50-year-old client presents at the clinic with recent episodes of forgetfulness. The client
reports that
a parent had some kind of illness in which the parent had to be institutionalized at age 42 and
passed
away at age 45. The client states that the parent forgot who their children were when the
parent was
institutionalized. Based on this information, what should the nurse suspect?
A. Huntington disease
B. Schizophrenia
C. Cerebrovascular disease
D. Alzheimer disease - ✔✔D. Alzheimer disease
The nurse is providing education to a client with early-stage Alzheimer's disease (AD) and the
family
members. The client has been prescribed donepezil hydrochloride. What should the nurse
explain to
,the client and family about this drug?
A. It slows the progression of AD.
B. It cures AD in a small minority of clients.
C. It removes the client's insight that they have AD.
D. It eliminates the physical effects of AD and other dementias. - ✔✔A. It slows the
progression of AD.
A home health nurse makes a home visit to a 90-year-old client who has cardiovascular disease.
During the visit the nurse observes that the client has begun exhibiting subtle and
unprecedented signs
of confusion and agitation. What should the home health nurse do?
A. Increase the frequency of the client's home care.
B. Have a family member check in on the client in the evening.
C. Arrange for the client to see their primary care provider.
D. Refer the client to an adult day program. - ✔✔C. Arrange for the client to see their primary
care provider.
After a sudden decline in cognition, a 77-year-old client who has been diagnosed with vascular
dementia is receiving care at home. To reduce this client's risk of future infarcts, which action
should
the nurse most strongly encourage?
A. Activity limitation and falls reduction efforts
B. Adequate nutrition and fluid intake
C. Rigorous control of the client's blood pressure and serum lipid levels
, D. Use of mobility aids to promote independence - ✔✔C. Rigorous control of the client's blood
pressure and serum lipid levels
The nurse is caring for a client with dementia who has a fractured femur secondary to a fall.
Which
approach should the nurse take in regard to pain management with this client?
A. Assume that a client with dementia does not feel pain.
B. Document that the client is not in pain if the client is sleeping.
C. Assess vital signs to determine if the client is in pain.
D. Assume that a fracture is painful and the client is in pain. - ✔✔D. Assume that a fracture is
painful and the client is in pain.
Rationale: When assessing a nonverbal or uncommunicative client for pain, such as the client
with
dementia, consider whether the client has a condition that is typically painful and treat the
client
accordingly. A client with dementia can feel pain even if the client is unable to verbalize pain.
Being
asleep is not an indicator that the client does not have pain. While vital signs may change with
pain,
they are the least sensitive indicators of pain.
The nurse is caring for an older adult client in the postanesthesia care unit. The client begins to
awaken
and responds to their name, but is confused, restless, and agitated. Which principle should
guide the
nurse's subsequent assessment?
A. Postoperative confusion in older adults is an indication of impaired oxygenation or
Material
The nurse administered donepezil (Aricept) to a patient. Which finding indicates that the
medication is therapeutic?
The patient is awake
The patient has urinated
The patient has increased cognition
The patient is relaxed - ✔✔The patient has increased cognition.
A 50-year-old client presents at the clinic with recent episodes of forgetfulness. The client
reports that
a parent had some kind of illness in which the parent had to be institutionalized at age 42 and
passed
away at age 45. The client states that the parent forgot who their children were when the
parent was
institutionalized. Based on this information, what should the nurse suspect?
A. Huntington disease
B. Schizophrenia
C. Cerebrovascular disease
D. Alzheimer disease - ✔✔D. Alzheimer disease
The nurse is providing education to a client with early-stage Alzheimer's disease (AD) and the
family
members. The client has been prescribed donepezil hydrochloride. What should the nurse
explain to
,the client and family about this drug?
A. It slows the progression of AD.
B. It cures AD in a small minority of clients.
C. It removes the client's insight that they have AD.
D. It eliminates the physical effects of AD and other dementias. - ✔✔A. It slows the
progression of AD.
A home health nurse makes a home visit to a 90-year-old client who has cardiovascular disease.
During the visit the nurse observes that the client has begun exhibiting subtle and
unprecedented signs
of confusion and agitation. What should the home health nurse do?
A. Increase the frequency of the client's home care.
B. Have a family member check in on the client in the evening.
C. Arrange for the client to see their primary care provider.
D. Refer the client to an adult day program. - ✔✔C. Arrange for the client to see their primary
care provider.
After a sudden decline in cognition, a 77-year-old client who has been diagnosed with vascular
dementia is receiving care at home. To reduce this client's risk of future infarcts, which action
should
the nurse most strongly encourage?
A. Activity limitation and falls reduction efforts
B. Adequate nutrition and fluid intake
C. Rigorous control of the client's blood pressure and serum lipid levels
, D. Use of mobility aids to promote independence - ✔✔C. Rigorous control of the client's blood
pressure and serum lipid levels
The nurse is caring for a client with dementia who has a fractured femur secondary to a fall.
Which
approach should the nurse take in regard to pain management with this client?
A. Assume that a client with dementia does not feel pain.
B. Document that the client is not in pain if the client is sleeping.
C. Assess vital signs to determine if the client is in pain.
D. Assume that a fracture is painful and the client is in pain. - ✔✔D. Assume that a fracture is
painful and the client is in pain.
Rationale: When assessing a nonverbal or uncommunicative client for pain, such as the client
with
dementia, consider whether the client has a condition that is typically painful and treat the
client
accordingly. A client with dementia can feel pain even if the client is unable to verbalize pain.
Being
asleep is not an indicator that the client does not have pain. While vital signs may change with
pain,
they are the least sensitive indicators of pain.
The nurse is caring for an older adult client in the postanesthesia care unit. The client begins to
awaken
and responds to their name, but is confused, restless, and agitated. Which principle should
guide the
nurse's subsequent assessment?
A. Postoperative confusion in older adults is an indication of impaired oxygenation or
