HIC III EXAM 3 QUESTIONS AND ANSWERS |100% PASS

HIC III EXAM 3 QUESTIONS AND ANSWERS |100% PASS An 81-year-old patient diagnosed with septic shock has been in the critical care unit for 6 days. The patient was extubated yesterday but still requires blood pressure medication support (i.e. norepinephrine at 10 mcg/min). They become increasingly confused over the last 24 hours. Which of the following would be an appropriate intervention? a. Arrange for periods of uninterrupted sleep. b. Arrange for a psychiatric consult. c. Request a prescription for sedation. d. Request that she be transferred out of the critical care unit. - Answer-a. Arrange for periods of uninterrupted sleep. Delirium - Answer-Disturbance in attention Abrupt onset with periods of lucidity Disorganized thinking Poor executive functioning Disorientation Anxiety and agitation Poor recall EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 2/20 Delusions and hallucinations (usually visual) Confusion Assessment Method (CAM) Dementia - Answer-Progressive deterioration of cognitive functioning and global impairment of intellect Difficulty with memory, problem solving, and complex attention Disturbances in executive functioning Aphasia: Loss of language ability Apraxia: Loss of purposeful movement Agnosia: Loss of sensory ability to recognize objects Mini-Mental Status Exam (MMSE) Alzheimer's Drugs - Answer-Cholinesterase inhibitors (slow the destruction of acetylcholine) -Donepezil (Aricept) -Galantamine (Razadyne) -Rivastigmine (Exelon) Glutamate-blocking agent -Memantine(Namenda, Namenda XR) EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 3/20 A patient with Alzheimer's Disease attempts to brush their teeth with a spoon. Which problem is evident? A. Aphasia B. Apraxia C. Agnosia D. Perseveration - Answer-C. Agnosia A patient with dementia tries to refer to the electric bill, but ends up saying, "you know, the invitation. The invitation". What is this a sign of? A. Aphasia B. Apraxia C. Agnosia D. Perseveration - Answer-A. Aphasia agnosia - Answer-loss of the ability to recognize what objects are and what they are used for aphasia - Answer-loss of language ability apraxia - Answer-inability to perform tasks or movements on command perseveration - Answer-repetition of a word or phrase, regardless of whether a stimulus is present or removed EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 4/20 Which of the following describes the most effective communication technique for a patient with psychosis? a. Ask only "yes" or "no" questions. b. Avoid asking opinion questions. c. Frequently challenge the patients perceptions while reorienting the patient to reality. d. Keep sentences short and simple. - Answer-d. Keep sentences sho