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Exam (elaborations)

Nurs 172 Exam 2 With Complete Solution

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Nurs 172 Exam 2 With Complete Solution

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Nurs 172 Exam 2 With Complete Solution

Duration |of |the |disorder |is |commonly |brief |- |ANSWER |delirium

Client |with |this |disorder |uses |confabulation |to |hide |cognitive |deficits |- |ANSWER
neurocognitive |disorder
|




Symptoms |of |this |disorder |may |be |confused |with |depression |- |ANSWER |neurocognitive
disorder
|




can |be |caused |by |a |series |of |small |strokes |- |ANSWER |neurocognitive |is

commonly |reversible |- |ANSWER |delirium
|




can |occur |as |the |result |of |a |seizure |- |ANSWER |delirium |level

of |awareness |is |affected |- |ANSWER |delirium
|




reversibility |occurs |only |in |a |small |percentage |of |cases |- |ANSWER |neurocognitive |disorder

severe |migraine |headache |can |lead |to |this |condition |- |ANSWER |delirium
|




personality |change |is |common |symptoms |- |ANSWER |neurocognitive |disorder

illusions |and |hallucinations |are |common |symptoms |- |ANSWER |delirium
|




symptoms |can |occur |as |a |result |of |alcohol |withdraw |- |ANSWER |delirium
|




symptoms |can |occur |as |a |result |of |cocaine |intoxication |- |ANSWER |delirium |can
|




result |fro |head |trauma |- |ANSWER |delirium |and |neurocognitive |disorder
|




disturbance |of |memory |is |commonly |the |first |symptom |- |ANSWER |neurocognitive |disorder

delirium |- |ANSWER |characterized |by |a |disturbance |in |a |level |of |awareness |and |a |change |in
cognition. |develops |rapidly |over |a |period |of |time.
|




symptoms |of |delirium |- |ANSWER |difficulty |sustaining |and |shifting |attention, |extreme
distractibility, |disorganized |thinking, |speech |that |is |rambling, |disoriented |time |and |place,
|


impaired |reasoning |ability, |illusions |and |hallucinations, |disturbance |in |level |of |consciousness,
|


emotionally |unstable, |elevated |bp, |dilated |pupils, |tachycardia, |abrupt |onset, |slower |onset |if
|


underlying |etiology |illness |or |metabolic |imbalance.
|




general |medical |conditions |that |may |cause |delirium |- |ANSWER |infections, |febrile |illness,

,metabolic |disorders, |head |trauma, |seizures, |migraine |headaches, |brain |abscess, |stroke,
electrolyte |imbalance
|




primary |NCD |- |ANSWER |disorder |itself |is |the |major |sign |of |some |organic |brain |disease |not
directly |related |to |any |other |organic |illness |(ex: |Alzheimer's |disease)
|




secondary |NCD |- |ANSWER |caused |by |or |related |to |another |disease |or |condition |(ex: |HIV |disease
or |cerebral |trauma)
|




symptoms |of |NCD |- |ANSWER |-impairment |exists |in |abstract |thinking, |judgement, |and |impulse
control
|




- conventional |rules |of |social |conduct |are |disregarded,

-personal |appearance |and |hygiene |are |neglected

- language |may |or |may |not |be |affected

- personality |change |is |common

NCD |may |result |from |- |ANSWER |stroke

depression
|




side |effects |of |meds

nutritional |deficiencies
|




metabolic |disorders
|




alzheminers |accounts |for _________ % |of |all |cases |of |NCD |- |ANSWER |50-60

AD |stages |- |ANSWER |1. |no |apparent |symptoms

2. forgetfulness

3. mild |cognitive |decline

4. mild-to-moderate |cognitive |decline

5. moderate |cognitive |decline

6. moderate-to-severe |cognitive |decline

7. severe |cognitive |decline

NCD |due |to |Alzheimers |- |ANSWER |onset |is |slow |and |insidious

, course |of |the |disorder |is |generally |progressive |and |deteriorating

etiologies |may |include:
|




plaques |and |tangles

acetylcholine |alterations
|




head |trauma
|




genetic |factors

vascular |NCD |- |ANSWER |result |of |significant |cerebrovascular |disease

there |is |a |more |abrupt |onset |than |seen |in |association |to |alzheimer's |disease, |course |is |more |variable

etiologies |may |include:

hypertension

cerebral |emboli
|




cerebral |thrombosis
|




frontotemporal |NCD |- |ANSWER |occurs |as |a |result |of |shrinking |frontal |and |temporal |lobes |of |the
brain
|




exact |cause |is |unknown |but |generics |appear |to |be |a |factor

NCD |due |to |traumatic |brain |injury |- |ANSWER |amnesia |is |most |common |neurobehavioral
problem
|




repeated |head |traumas |results |in |dementia |pugilistrica: |emotional |labitity, |dysarthria, |ataxia,
impulsivity
|




NCD |due |to |Lewy |body |disease |- |ANSWER |similar |to |alzheimer's, |but |progresses |more |rapidly

appearance |of |lewy |bodies |in |the |cerebral |cortex |and |brainstem
|




progressive |and |irreversible

may |account |for |25 |% |off |all |NCD |cases

NCD |due |to |Parkinson's |disease |- |ANSWER |caused |by |loss |of |nerve |cells |located |in |the
substantia |nigra |and |a |decrease |in |dopamine |activity
|




cerebral |changes |in |NCD |due |to |Parkinson's |disease |sometimes |resemble |Alzheimer's

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