NR 601 Final combined Latest recent & frequently
tested exam with questions and verified accurate
solution (detailed & elaborated) GRADED A+
,_________ is an acute onset of memory deficit, disorientation, attention issues with fluctuation in status
based on situation and IS reversible - correct ans:delirium
__________ is insidious in onset with progressive decline in cognition - correct ans:dementia
What is the Mini-Cog? - correct ans:a routine screening tool that test pt's executive function, ability to
plan, manage time, organize activities, manage working memory
what are the parts of the mini cog - correct ans:3 word recall and draw a clock
what are the total points of the mini cog test and what does the score mean - correct ans:out of 5 ; less
than 4 - screen further, les than 3 - suspicious for dementia
symptoms in delirium (11) - correct ans:acute mental change
fluctuating
attention issue
memory issue
orientation issue
perceptual issues
though issue
sleep issue
consciousness issue
speech issue
psychomotor issue
potential contributing factors to delirium development - correct ans:medications, alcohol, infxn,
hypoxia, surgery, sleep disturbances
what particular medication class is strongly associated with delirium in older adults - correct
ans:anticholinergics
,why are antihistamines like benadryl and hydroxyzine not recommended for older adults - correct
ans:anticholinergic activity - promotes delirium
labs that should be checked in patient with delirium (7) - correct ans:UA
Creatinine
sodium
potassium
calcium
glucose
CBC
sedative agent considered okay to use in patient with delirium while being treated - correct
ans:haloperidol (or ativan if alcohol related)
opiates to avoid in older adults due to delirium concerns - correct ans:tramadol
meperidine / demerol
codeine
sleep aid safe for older adults (less concern for delirium) - correct ans:trazadone
what are the biomarkers associated with neurocognitive disorder (5) - correct ans:amyloid beta 42
phosphorylated / total tau
APOE4
Brain derived neurotrophic factor
ubiquitin
what tool is used to detect delirium reliably in under 5 minutes ? - correct ans:CAM / confusion
assessment model
, What is the Confusion Assessment Method (CAM)? - correct ans:-Standardized assessment tool used to
quickly identify delirium in a hospitalized patient
what is on the CAM - correct ans:squeeze hand when letter A is said, disorganized thinking questions,
hold up fingers
what is mild cognitive impairment - correct ans:patient or family may report decline in memory or other
cognition but function is preserved.
types of MCI - correct ans:amnestic and dysexecutive
what is amnestic MCI - correct ans:primarily relating to memory
what is dysexecutive cognitive impairment - correct ans:emotional, motivational, behavioral symptoms
type of MCI that more often progresses to alzheimers / dementiaa - correct ans:amnestic
what is the clinical dementia rating CDR scale / what do scores mean - correct ans:rating device that
rates based on memory, orientation, judgement, problem solving, etc. score is 0 to 3, 0 being no
dementia 3 being severe impairment
what is the mini mental state exam MMSE - correct ans:a screening tool used to monitor changes in
cognition
11 questions / includes orientation, registration, calculation, etc.
max score is 30 with < 23 being indicative of cognitive decline
mild dementia CDR score / MMSE score - correct ans:MMSE 20 to 26
CDR 1
tested exam with questions and verified accurate
solution (detailed & elaborated) GRADED A+
,_________ is an acute onset of memory deficit, disorientation, attention issues with fluctuation in status
based on situation and IS reversible - correct ans:delirium
__________ is insidious in onset with progressive decline in cognition - correct ans:dementia
What is the Mini-Cog? - correct ans:a routine screening tool that test pt's executive function, ability to
plan, manage time, organize activities, manage working memory
what are the parts of the mini cog - correct ans:3 word recall and draw a clock
what are the total points of the mini cog test and what does the score mean - correct ans:out of 5 ; less
than 4 - screen further, les than 3 - suspicious for dementia
symptoms in delirium (11) - correct ans:acute mental change
fluctuating
attention issue
memory issue
orientation issue
perceptual issues
though issue
sleep issue
consciousness issue
speech issue
psychomotor issue
potential contributing factors to delirium development - correct ans:medications, alcohol, infxn,
hypoxia, surgery, sleep disturbances
what particular medication class is strongly associated with delirium in older adults - correct
ans:anticholinergics
,why are antihistamines like benadryl and hydroxyzine not recommended for older adults - correct
ans:anticholinergic activity - promotes delirium
labs that should be checked in patient with delirium (7) - correct ans:UA
Creatinine
sodium
potassium
calcium
glucose
CBC
sedative agent considered okay to use in patient with delirium while being treated - correct
ans:haloperidol (or ativan if alcohol related)
opiates to avoid in older adults due to delirium concerns - correct ans:tramadol
meperidine / demerol
codeine
sleep aid safe for older adults (less concern for delirium) - correct ans:trazadone
what are the biomarkers associated with neurocognitive disorder (5) - correct ans:amyloid beta 42
phosphorylated / total tau
APOE4
Brain derived neurotrophic factor
ubiquitin
what tool is used to detect delirium reliably in under 5 minutes ? - correct ans:CAM / confusion
assessment model
, What is the Confusion Assessment Method (CAM)? - correct ans:-Standardized assessment tool used to
quickly identify delirium in a hospitalized patient
what is on the CAM - correct ans:squeeze hand when letter A is said, disorganized thinking questions,
hold up fingers
what is mild cognitive impairment - correct ans:patient or family may report decline in memory or other
cognition but function is preserved.
types of MCI - correct ans:amnestic and dysexecutive
what is amnestic MCI - correct ans:primarily relating to memory
what is dysexecutive cognitive impairment - correct ans:emotional, motivational, behavioral symptoms
type of MCI that more often progresses to alzheimers / dementiaa - correct ans:amnestic
what is the clinical dementia rating CDR scale / what do scores mean - correct ans:rating device that
rates based on memory, orientation, judgement, problem solving, etc. score is 0 to 3, 0 being no
dementia 3 being severe impairment
what is the mini mental state exam MMSE - correct ans:a screening tool used to monitor changes in
cognition
11 questions / includes orientation, registration, calculation, etc.
max score is 30 with < 23 being indicative of cognitive decline
mild dementia CDR score / MMSE score - correct ans:MMSE 20 to 26
CDR 1
