NR 601 Final | 316 Questions And Answers | Complete
Study Solutions Rated A+
_________ is an acute onset of memory deficit, disorientation, attention issues with fluctuation in status based
on situation and IS reversible ANS delirium
__________ is insidious in onset with progressive decline in cognition ANS dementia
What is the Mini-Cog? 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 ANS 3 word recall and draw a clock
what are the total points of the mini cog test and what does the score mean ANS out of 5 ; less than 4 -
screen further, les than 3 - suspicious for dementia
symptoms in delirium (11) 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 ANS medications, alcohol, infxn, hypoxia, surgery,
sleep disturbances
what particular medication class is strongly associated with delirium in older adults ANS anticholinergics
,why are antihistamines like benadryl and hydroxyzine not recommended for older adults ANS
anticholinergic activity - promotes delirium
labs that should be checked in patient with delirium (7) ANS UA
Creatinine
sodium
potassium
calcium
glucose
CBC
sedative agent considered okay to use in patient with delirium while being treated ANS haloperidol (or
ativan if alcohol related)
opiates to avoid in older adults due to delirium concerns ANS tramadol
meperidine / demerol
codeine
sleep aid safe for older adults (less concern for delirium) ANS trazadone
what are the biomarkers associated with neurocognitive disorder (5) 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 ? ANS CAM / confusion assessment model
What is the Confusion Assessment Method (CAM)? ANS -Standardized assessment tool used to quickly
identify delirium in a hospitalized patient
,what is on the CAM ANS squeeze hand when letter A is said, disorganized thinking questions, hold up
fingers
what is mild cognitive impairment ANS patient or family may report decline in memory or other cognition
but function is preserved.
types of MCI ANS amnestic and dysexecutive
what is amnestic MCI ANS primarily relating to memory
what is dysexecutive cognitive impairment ANS emotional, motivational, behavioral symptoms
type of MCI that more often progresses to alzheimers / dementiaa ANS amnestic
what is the clinical dementia rating CDR scale / what do scores mean 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 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 ANS MMSE 20 to 26
CDR 1
moderate dementia CDR score and MMSE score ANS CDR 2
MMSE 12 to 19
, severe dementia CDR and MMSE scores ANS CDR 3
MMSE <12
forgetting key events, repeat questioning, misplacing objects, issues with bill pay are associated with what
level of dementia ANS mild
loss of communication, sleep dysregulation, loss of motor fxn, weight loss, mobility loss are associated with
what stage of dementia ANS severe
issues with reading and writing, communication change, irritation and irritability, impulsivity are associated
with which stage of dementia ANS moderate
what is anosognosia ANS Patient does not recognize the presence or severity of his illness
what is a hallmark of dementia ANS anosognosia
at which dementia stage does the person begin to lose ability to complete ADLs ANS moderate
2/3 of all dementia cases are from.... ANS alzheimers
hallmark pathologic changes of AD (alzeimer dementia) ANS amyloid beta plaques
tau / neurofibrillary tangles
nonmodifyable risks for AD ANS genetics, age
which 3 genes are mutated in early onset alzheimers ANS amyloid precursor protein (APP), presenlinin 1
(PSEN1) and presenilin 2 (PSEN2)
which congenital disease increases risk of AD formation in adulthood ANS trisomy 21 / Downs syndrome
gene associated with late onset dementia ANS APOE
Study Solutions Rated A+
_________ is an acute onset of memory deficit, disorientation, attention issues with fluctuation in status based
on situation and IS reversible ANS delirium
__________ is insidious in onset with progressive decline in cognition ANS dementia
What is the Mini-Cog? 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 ANS 3 word recall and draw a clock
what are the total points of the mini cog test and what does the score mean ANS out of 5 ; less than 4 -
screen further, les than 3 - suspicious for dementia
symptoms in delirium (11) 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 ANS medications, alcohol, infxn, hypoxia, surgery,
sleep disturbances
what particular medication class is strongly associated with delirium in older adults ANS anticholinergics
,why are antihistamines like benadryl and hydroxyzine not recommended for older adults ANS
anticholinergic activity - promotes delirium
labs that should be checked in patient with delirium (7) ANS UA
Creatinine
sodium
potassium
calcium
glucose
CBC
sedative agent considered okay to use in patient with delirium while being treated ANS haloperidol (or
ativan if alcohol related)
opiates to avoid in older adults due to delirium concerns ANS tramadol
meperidine / demerol
codeine
sleep aid safe for older adults (less concern for delirium) ANS trazadone
what are the biomarkers associated with neurocognitive disorder (5) 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 ? ANS CAM / confusion assessment model
What is the Confusion Assessment Method (CAM)? ANS -Standardized assessment tool used to quickly
identify delirium in a hospitalized patient
,what is on the CAM ANS squeeze hand when letter A is said, disorganized thinking questions, hold up
fingers
what is mild cognitive impairment ANS patient or family may report decline in memory or other cognition
but function is preserved.
types of MCI ANS amnestic and dysexecutive
what is amnestic MCI ANS primarily relating to memory
what is dysexecutive cognitive impairment ANS emotional, motivational, behavioral symptoms
type of MCI that more often progresses to alzheimers / dementiaa ANS amnestic
what is the clinical dementia rating CDR scale / what do scores mean 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 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 ANS MMSE 20 to 26
CDR 1
moderate dementia CDR score and MMSE score ANS CDR 2
MMSE 12 to 19
, severe dementia CDR and MMSE scores ANS CDR 3
MMSE <12
forgetting key events, repeat questioning, misplacing objects, issues with bill pay are associated with what
level of dementia ANS mild
loss of communication, sleep dysregulation, loss of motor fxn, weight loss, mobility loss are associated with
what stage of dementia ANS severe
issues with reading and writing, communication change, irritation and irritability, impulsivity are associated
with which stage of dementia ANS moderate
what is anosognosia ANS Patient does not recognize the presence or severity of his illness
what is a hallmark of dementia ANS anosognosia
at which dementia stage does the person begin to lose ability to complete ADLs ANS moderate
2/3 of all dementia cases are from.... ANS alzheimers
hallmark pathologic changes of AD (alzeimer dementia) ANS amyloid beta plaques
tau / neurofibrillary tangles
nonmodifyable risks for AD ANS genetics, age
which 3 genes are mutated in early onset alzheimers ANS amyloid precursor protein (APP), presenlinin 1
(PSEN1) and presenilin 2 (PSEN2)
which congenital disease increases risk of AD formation in adulthood ANS trisomy 21 / Downs syndrome
gene associated with late onset dementia ANS APOE
