Neurocognitive dirsorders Case Study
Questions with Correct Answers
An 86-year-old female presents to her primary care provider, accompanied by her
spouse. The spouse voices concern regarding the patient's behavior, which he began to
notice a few months ago. He reports that she has become more forgetful, frequently
misplacing her purse and keys. She also has forgotten, on multiple occasions, details of
plans they had made with friends or family. She has begun to make more lists due to
her forgetfulness and gets upset with him when he moves items from where she has
placed them in the house. She had been helping with events and functions with the local
school but had told the spouse that she just didn't have the energy to continue to do so
and did not like the newer workers, stating, "They try to teach me these new ways of
doing things and I just can't seem to get my head around them." He reports, "She has
been really moody" in recent months, stating, "Some days she is happy and other
The nurse reviews the history and physical to identify the patient's condition and plan care.
Complete the diagram by dragging from the choices area to specify which condition the
patient is most likely experiencing, two factors that increase the patient's risk for the
condition, and two possible impairments the nurse would discuss with the caregiver for this
condition.
Risk factors: Hypertension, family history of cognitive decline.
Potential conditions: Mild Alzheimer's disease.
Possible Impairments: Confusion in unfamiliar surroundings, poor financial management.
, Patient Data
History and Physical
Post-op day 3
1930: A 71-year-old female fell 4 days ago and is now recovering from a total hip
replacement. The patient's son approaches the nurse, reporting, "Mom is confused; she
doesn't know why she is here and can't remember even falling; she keeps nodding off
mid-sentence." Upon assessing the patient and reviewing previous nursing notes, the
nurse observes an increase in temperature, respiratory rate, and heart rate. It was
noted at 1530 that the patient was awake, alert, and oriented times 4 and following
instructions. The patient is currently lethargic and unable to remember events leading
to her hospitalization. It is additionally noted that the patient has a history of diet-
controlled type 2 diabetes, Parkinson disease being managed medically with levodopa,
and acute depression that resolved 4 years ago. Family history of stroke and dementia.
The patient recently experienc
The nurse compares current patient status with and previous patient status data.
Select the 4 findings that require immediate follow-up.
-3 days post op
-Increase in vital signs.
-Present state of lethargy
-Current cognitive function
Post-op day 3
1930: A 71-year-old female fell 4 days ago and is now recovering from a total hip
replacement. The patient's son approaches the nurse, reporting, "Mom is confused; she
Questions with Correct Answers
An 86-year-old female presents to her primary care provider, accompanied by her
spouse. The spouse voices concern regarding the patient's behavior, which he began to
notice a few months ago. He reports that she has become more forgetful, frequently
misplacing her purse and keys. She also has forgotten, on multiple occasions, details of
plans they had made with friends or family. She has begun to make more lists due to
her forgetfulness and gets upset with him when he moves items from where she has
placed them in the house. She had been helping with events and functions with the local
school but had told the spouse that she just didn't have the energy to continue to do so
and did not like the newer workers, stating, "They try to teach me these new ways of
doing things and I just can't seem to get my head around them." He reports, "She has
been really moody" in recent months, stating, "Some days she is happy and other
The nurse reviews the history and physical to identify the patient's condition and plan care.
Complete the diagram by dragging from the choices area to specify which condition the
patient is most likely experiencing, two factors that increase the patient's risk for the
condition, and two possible impairments the nurse would discuss with the caregiver for this
condition.
Risk factors: Hypertension, family history of cognitive decline.
Potential conditions: Mild Alzheimer's disease.
Possible Impairments: Confusion in unfamiliar surroundings, poor financial management.
, Patient Data
History and Physical
Post-op day 3
1930: A 71-year-old female fell 4 days ago and is now recovering from a total hip
replacement. The patient's son approaches the nurse, reporting, "Mom is confused; she
doesn't know why she is here and can't remember even falling; she keeps nodding off
mid-sentence." Upon assessing the patient and reviewing previous nursing notes, the
nurse observes an increase in temperature, respiratory rate, and heart rate. It was
noted at 1530 that the patient was awake, alert, and oriented times 4 and following
instructions. The patient is currently lethargic and unable to remember events leading
to her hospitalization. It is additionally noted that the patient has a history of diet-
controlled type 2 diabetes, Parkinson disease being managed medically with levodopa,
and acute depression that resolved 4 years ago. Family history of stroke and dementia.
The patient recently experienc
The nurse compares current patient status with and previous patient status data.
Select the 4 findings that require immediate follow-up.
-3 days post op
-Increase in vital signs.
-Present state of lethargy
-Current cognitive function
Post-op day 3
1930: A 71-year-old female fell 4 days ago and is now recovering from a total hip
replacement. The patient's son approaches the nurse, reporting, "Mom is confused; she
