465 Questions Final Exam 3 Questions
And All Correct Answers.
While caring for a client age 88 years suspected of having dementia, the nurse assesses the
client for a common delusional thought. Which of the following would the nurse interpret as a
common delusion? - Answer "My roommate keeps stealing my clothes."
The nurse is assessing a client age 78 years who lives alone in their own home. To assess the
client's instrumental activities of daily living, which question would be most appropriate to ask?
- Answer "How often do you go to the store to buy groceries?"
Assessment of an older adult diagnosed with dementia with Lewy bodies reveals that the client
is receiving psychiatric medications. The client states, "I get dizzy periodically and have trouble
walking." Which of the following should the nurse do first? - Answer Assess for development
of orthostatic hypotension.
A group of nursing students is reviewing information about age-related changes occurring in
cognition and intellectual performance. The students demonstrate understanding of the
concepts when they identify which of the following as a cognitive change for a client diagnosed
with delirium? - Answer Inability to recognize familiar objects
The nurse is assessing a client who has received a tentative diagnosis of delirium. The nurse is
explaining to the family about the major cause of the client's condition. Which statement by the
nurse would be most appropriate? - Answer "Their diagnosis is primarily based on the rapid
onset of their change in consciousness."
As part of a follow-up home visit to a client age 80 years who has had surgery, the nurse
discusses the client's risk for delirium with his family members. Which of the following would
the nurse include as placing the client at increased risk? (Select all that apply.) - Answer
Urinary tract infection
Acute Stress
Bone Fractures
Dehydration
The nurse is caring for a client diagnosed with delirium who has been brought for treatment by
his son. While taking the client's history, which question would be most appropriate for the
nurse to ask the client's son? - Answer "Has your father taken any medication recently?"
, sister has been unable to help care for her husband. Which nursing diagnosis would the nurse
identify as the priority? - Answer Caregiver Role Strain related to Alzheimer Diease
A daughter brings her mother, who has Alzheimer disease, to the clinic. The client has been
taking a cholinesterase inhibitor medication for 1 month. When assessing the client, the nurse
would be alert for the possibility of which side effect? - Answer Gastrointestinal Distress
A son brings his mother to the clinic for an evaluation. The son's mother has moderate
Alzheimer disease without delirium. The nurse assesses the client for which of the following as
the priority? - Answer Catastrophic Reactions
A client is admitted to the hospital with dementia related to Parkinson disease. The client is
being treated for a fractured tibia from a recent fall. The nurse should assess the client's history
for use of which type of medication? - Answer Anticholinergics
While the nurse is caring for a hospitalized client in the advanced stages of Alzheimer disease,
the client begins to have a catastrophic reaction to feeding themselves. Which of the following
should the nurse do first? - Answer remain calm and reassuring
While reviewing the medical record of a client with moderate dementia of the Alzheimer type,
the nurse notes that the client has been receiving memantine. The nurse identifies this drug as
which type - Answer NMDA receptor antagonist
A group of nursing students is reviewing information about delirium and dementia. The
students demonstrate a need for additional review when they identify which of the following as
characteristics of dementia? - Answer Fluctuating changes within a 24-hour period
A client is brought to the emergency department by his wife. The wife states that over the past
few hours, the client has become disoriented and confused. "He didn't know where he was and
didn't seem to recognize me or be able to carry on a coherent conversation." The nurse
suspects delirium. When reviewing the client's medication history with the wife, which of the
following medications would alert the nurse to a potential cause? (Select all that apply.) -
Answer Propranolol
Diphenhydramine
Quinidine
A nurse is assessing a client diagnosed with Alzheimer disease. As part of the assessment, the
And All Correct Answers.
While caring for a client age 88 years suspected of having dementia, the nurse assesses the
client for a common delusional thought. Which of the following would the nurse interpret as a
common delusion? - Answer "My roommate keeps stealing my clothes."
The nurse is assessing a client age 78 years who lives alone in their own home. To assess the
client's instrumental activities of daily living, which question would be most appropriate to ask?
- Answer "How often do you go to the store to buy groceries?"
Assessment of an older adult diagnosed with dementia with Lewy bodies reveals that the client
is receiving psychiatric medications. The client states, "I get dizzy periodically and have trouble
walking." Which of the following should the nurse do first? - Answer Assess for development
of orthostatic hypotension.
A group of nursing students is reviewing information about age-related changes occurring in
cognition and intellectual performance. The students demonstrate understanding of the
concepts when they identify which of the following as a cognitive change for a client diagnosed
with delirium? - Answer Inability to recognize familiar objects
The nurse is assessing a client who has received a tentative diagnosis of delirium. The nurse is
explaining to the family about the major cause of the client's condition. Which statement by the
nurse would be most appropriate? - Answer "Their diagnosis is primarily based on the rapid
onset of their change in consciousness."
As part of a follow-up home visit to a client age 80 years who has had surgery, the nurse
discusses the client's risk for delirium with his family members. Which of the following would
the nurse include as placing the client at increased risk? (Select all that apply.) - Answer
Urinary tract infection
Acute Stress
Bone Fractures
Dehydration
The nurse is caring for a client diagnosed with delirium who has been brought for treatment by
his son. While taking the client's history, which question would be most appropriate for the
nurse to ask the client's son? - Answer "Has your father taken any medication recently?"
, sister has been unable to help care for her husband. Which nursing diagnosis would the nurse
identify as the priority? - Answer Caregiver Role Strain related to Alzheimer Diease
A daughter brings her mother, who has Alzheimer disease, to the clinic. The client has been
taking a cholinesterase inhibitor medication for 1 month. When assessing the client, the nurse
would be alert for the possibility of which side effect? - Answer Gastrointestinal Distress
A son brings his mother to the clinic for an evaluation. The son's mother has moderate
Alzheimer disease without delirium. The nurse assesses the client for which of the following as
the priority? - Answer Catastrophic Reactions
A client is admitted to the hospital with dementia related to Parkinson disease. The client is
being treated for a fractured tibia from a recent fall. The nurse should assess the client's history
for use of which type of medication? - Answer Anticholinergics
While the nurse is caring for a hospitalized client in the advanced stages of Alzheimer disease,
the client begins to have a catastrophic reaction to feeding themselves. Which of the following
should the nurse do first? - Answer remain calm and reassuring
While reviewing the medical record of a client with moderate dementia of the Alzheimer type,
the nurse notes that the client has been receiving memantine. The nurse identifies this drug as
which type - Answer NMDA receptor antagonist
A group of nursing students is reviewing information about delirium and dementia. The
students demonstrate a need for additional review when they identify which of the following as
characteristics of dementia? - Answer Fluctuating changes within a 24-hour period
A client is brought to the emergency department by his wife. The wife states that over the past
few hours, the client has become disoriented and confused. "He didn't know where he was and
didn't seem to recognize me or be able to carry on a coherent conversation." The nurse
suspects delirium. When reviewing the client's medication history with the wife, which of the
following medications would alert the nurse to a potential cause? (Select all that apply.) -
Answer Propranolol
Diphenhydramine
Quinidine
A nurse is assessing a client diagnosed with Alzheimer disease. As part of the assessment, the
