(2026-2027 UPDATED) DAVIS ADVANTAGE
FOR PSYCHIATRIC MENTAL HEALTH NURSING
CHAPTER 26, DAVIS ADVANTAGE FOR
PSYCHIATRIC MENTAL HEALTH NURSING
CHAPTER 26, CHAPTER 14:SUBSTANCE USE
AND ADDICTION DISORDERS - COMBINED
(TOWNSEND), PSYCH CH. 32 ISSUES RELATED
TO HUMAN SEXUALIT…
1. Which student statement indicates that learning has occurred regarding risk
factors for the development of delirium in older adults?
1. "Taking multiple medications may lead to adverse interactions or toxicity."
2. "Age-related cognitive changes may lead to alterations in mental status."
3. "Lack of rigorous exercise may lead to decreased cerebral blood flow."
4. "Decreased social interaction may lead to profound isolation and psychosis."
1. This is correct. Taking multiple medications may lead to adverse reactions or
toxicity and put an older adult at risk for the development of delirium. Symptoms
of
delirium include difficulty sustaining and shifting attention, impaired memory, and
confusion (disorientation to time and place).
2. A client diagnosed with vascular dementia is discharged to home under the care
of his
spouse. Which information causes the nurse to question the client's safety?
1. His spouse works from home in telecommunication.
2. The client has worked the night shift his entire career.
3. His spouse has minimal family support.
,4. The client smokes one pack of cigarettes per day.
4. This is correct. Forgetfulness is an early symptom of vascular neurocognitive
disorder (VNCD), and the client is at risk for burns related to forgotten smoking
materials. VNCD is directly related to an interruption of blood flow to the brain.
Symptoms result from death of nerve cells in regions nourished by diseased
vessels.
Hypertension is one of the most significant factors in the etiology.
3. A client diagnosed with a neurocognitive disorder (NCD) due to Alzheimer's
disease
can no longer ambulate, does not recognize family members, and communicates
with
agitated behaviors and incoherent verbalizations. The nurse recognizes that these
symptoms indicate which stage of the illness?
1. Moderate cognitive decline
2. Very mild change
3. Moderately severe cognitive decline
4. Very severe cognitive decline
4. This is correct. The very severe cognitive decline stage is characterized by a
severe
cognitive decline. Speech and language are severely impaired, with greatly
decreased verbal communication. The person may no longer recognize any family
members. Muscles are rigid, contractures may develop, and primitive reflexes may
be present.
4. Which nursing intervention would take priority for a client in the late stage of
,Alzheimer's disease?
1. Improve cognitive status by encouraging involvement in social activities.
2. Decrease social isolation by providing group therapies.
3. Promote dignity by providing comfort, safety, and self-care measures.
4. Facilitate communication by providing assistive devices.
3. This is correct. The nursing priority is to promote dignity. During the late stage,
the
person becomes bedbound and may have very active hands and repetitive
movements, grunting, or other vocalizations. Speech and language are severely
impaired, and the person may no longer recognize any family members. Caregivers
need to complete most ADLs.
5. A client is experiencing progressive changes in memory that have interfered
with
personal, social, and occupational functioning. The client exhibits poor judgment
and
has a short attention span. The nurse recognizes these as classic signs of which
condition?
1. Mania
2. Delirium
3. NCD
4. Parkinsonism
3. This is correct. The client is exhibiting signs of an NCD, which is characterized
by
impairment in abstract thinking, judgment, and impulse control. Behavior may be
uninhibited and inappropriate.
, 6. A nursing instructor is teaching about donepezil. A student asks, "How does this
work? Will this cure Alzheimer's disease?" Which reply by the instructor is
appropriate?
1. "Donepezil delays the destruction of acetylcholine, a chemical in the brain
necessary
for memory processes. Although most effective in the early stages, it serves to
delay, but
not stop, the progression of the disease."
2. "Donepezil encourages production of acetylcholine, a chemical in the brain
necessary
for memory processes. It delays the progression of the disease."
3. "Donepezil delays the destruction of dopamine, a chemical in the brain
necessary for
memory processes. Although most effective in the early stages, it serves to delay,
but
not stop, the progression of the disease."
4. "Donepezil encourages production of dopamine, a chemical in the brain
necessary for
memory processes. It delays the progression of the disease."
1. This is correct. Donepezil slows the progression of Alzheimer's disease by
inhibiting
acetylcholinesterase, which delays the destruction of the neurotransmitter
acetylcholine, which is necessary for memory processes
FOR PSYCHIATRIC MENTAL HEALTH NURSING
CHAPTER 26, DAVIS ADVANTAGE FOR
PSYCHIATRIC MENTAL HEALTH NURSING
CHAPTER 26, CHAPTER 14:SUBSTANCE USE
AND ADDICTION DISORDERS - COMBINED
(TOWNSEND), PSYCH CH. 32 ISSUES RELATED
TO HUMAN SEXUALIT…
1. Which student statement indicates that learning has occurred regarding risk
factors for the development of delirium in older adults?
1. "Taking multiple medications may lead to adverse interactions or toxicity."
2. "Age-related cognitive changes may lead to alterations in mental status."
3. "Lack of rigorous exercise may lead to decreased cerebral blood flow."
4. "Decreased social interaction may lead to profound isolation and psychosis."
1. This is correct. Taking multiple medications may lead to adverse reactions or
toxicity and put an older adult at risk for the development of delirium. Symptoms
of
delirium include difficulty sustaining and shifting attention, impaired memory, and
confusion (disorientation to time and place).
2. A client diagnosed with vascular dementia is discharged to home under the care
of his
spouse. Which information causes the nurse to question the client's safety?
1. His spouse works from home in telecommunication.
2. The client has worked the night shift his entire career.
3. His spouse has minimal family support.
,4. The client smokes one pack of cigarettes per day.
4. This is correct. Forgetfulness is an early symptom of vascular neurocognitive
disorder (VNCD), and the client is at risk for burns related to forgotten smoking
materials. VNCD is directly related to an interruption of blood flow to the brain.
Symptoms result from death of nerve cells in regions nourished by diseased
vessels.
Hypertension is one of the most significant factors in the etiology.
3. A client diagnosed with a neurocognitive disorder (NCD) due to Alzheimer's
disease
can no longer ambulate, does not recognize family members, and communicates
with
agitated behaviors and incoherent verbalizations. The nurse recognizes that these
symptoms indicate which stage of the illness?
1. Moderate cognitive decline
2. Very mild change
3. Moderately severe cognitive decline
4. Very severe cognitive decline
4. This is correct. The very severe cognitive decline stage is characterized by a
severe
cognitive decline. Speech and language are severely impaired, with greatly
decreased verbal communication. The person may no longer recognize any family
members. Muscles are rigid, contractures may develop, and primitive reflexes may
be present.
4. Which nursing intervention would take priority for a client in the late stage of
,Alzheimer's disease?
1. Improve cognitive status by encouraging involvement in social activities.
2. Decrease social isolation by providing group therapies.
3. Promote dignity by providing comfort, safety, and self-care measures.
4. Facilitate communication by providing assistive devices.
3. This is correct. The nursing priority is to promote dignity. During the late stage,
the
person becomes bedbound and may have very active hands and repetitive
movements, grunting, or other vocalizations. Speech and language are severely
impaired, and the person may no longer recognize any family members. Caregivers
need to complete most ADLs.
5. A client is experiencing progressive changes in memory that have interfered
with
personal, social, and occupational functioning. The client exhibits poor judgment
and
has a short attention span. The nurse recognizes these as classic signs of which
condition?
1. Mania
2. Delirium
3. NCD
4. Parkinsonism
3. This is correct. The client is exhibiting signs of an NCD, which is characterized
by
impairment in abstract thinking, judgment, and impulse control. Behavior may be
uninhibited and inappropriate.
, 6. A nursing instructor is teaching about donepezil. A student asks, "How does this
work? Will this cure Alzheimer's disease?" Which reply by the instructor is
appropriate?
1. "Donepezil delays the destruction of acetylcholine, a chemical in the brain
necessary
for memory processes. Although most effective in the early stages, it serves to
delay, but
not stop, the progression of the disease."
2. "Donepezil encourages production of acetylcholine, a chemical in the brain
necessary
for memory processes. It delays the progression of the disease."
3. "Donepezil delays the destruction of dopamine, a chemical in the brain
necessary for
memory processes. Although most effective in the early stages, it serves to delay,
but
not stop, the progression of the disease."
4. "Donepezil encourages production of dopamine, a chemical in the brain
necessary for
memory processes. It delays the progression of the disease."
1. This is correct. Donepezil slows the progression of Alzheimer's disease by
inhibiting
acetylcholinesterase, which delays the destruction of the neurotransmitter
acetylcholine, which is necessary for memory processes
