PMHNP ancc Chapter 12 Neurocognitive Exam 2024 Questions With 100% Verified Solutions

PMHNP ancc Chapter 12 Neurocognitive Exam 2024 Questions With 100% Verified Solutions when do cognitive disorders occur - correct answer...any age. the very young and very old often have multiple health needs older adults usually have more than one chronic illness and psy. disorders can be co-morbid etiology of cognitive disorders - correct answer...a condition resulting in changes in multiple domains including memory, interpersonal relationships, and behavior. causes of cognitive disorders - correct answer...injury, medical condition, substance abuse, reaction to a medication, other injected agents or a combination of these Delirium is a - correct answer...syndrome, not a disease Subtypes of delirium - correct answer...hyperactive, agitated hypoactive, lethargic slowed mixed, cycles between hyperactive and hypoactive etiology of delerium - correct answer...general medical condition substance induced physical health problems medication sleep deprived incidence of delirium - correct answer...highest in hospitalized older adults 70-87% older adults in ICU 80% terminally ill nearing death screening for delirium - correct answer...Confusion Assessment Method (CAM) Delirium Index (DI) NEECHAM Confusion Scale Mini-Cog presentation of delrium - correct answer...acute change from baseline, waxs and wanes length of delirium - correct answer...can last 3-6 months physical exam finding for delirium - correct answer...tremors.. poor coordination, urinary incontinence, myoclonus, nystagmus. asterixis (flapping of the wrist), increase muscle tone and reflex diagnositc work-up for delerium - correct answer...serum chemistry, CBC, thyroid function, syphilis, HIV, urinalysis. chest x-ray, UDS EEG Pharmacological Treatment for delerium - correct answer...symptomatic tx. agitation and psychosis -Haldol, atypical antipsychotic, anxiolytic, delerium mnemonic - correct answer...Drugs Electrolyte abnormality Low o2 saturation Infection Reduced sensory Intracranial Urinary or renal retention Myocardial non-Pharmacological Treatment for delerium - correct answer...monitor for safety needs, orientation frequently, care for basic needs -hydration, nutrition. the client should neither by sensory deprived or overstimulated helpful to have familiar things in the room Children are suspectable to delerium - correct answer...due to immature brains often mistaken for uncooperative behavior if a child is not soothed by common methods -suspect delirium most common if febrile states medication is known to affect cognition (anticholinergics) Dementia are catagorized by 3 areas of the brain what are they - correct answer...cortical= involves the crotex & frontal lobe subcortical= (below) thalmus basil ganglia brain stem Bothe if it is a cortical Dementia what s/s - correct answer...Memory, language, vision ,judgement, Apraxia agnosia Name of the cortical dementias - correct answer...Alzheimers Picks Creutzfeldt-Jakob Disorder frontotempora; d/t subdural's