NUR 520 EXAM #2 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NUR 520 EXAM #2 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. The most common type of dementia over the age of 65 caused by microscopic changes of the brain
including neurofibrillary tangles, neuritic plaques, beta amyloid, and neurotransmitter abnormalities.
Answer:
Alzheimer's

Question:
2. Chronic confusion state that affects ability to learn NEW information; impairs language, judgement, &
behaviors.
Answer:
Dementia

Question:
3. Caused by strokes or other vascular disorders that decrease blood flow which damages brain cells in the
brain which creates a chronic confusion state the affects memory an cognition.
Answer:
Vascular Dementia

Question:
4. A patient ask you how someone gets Alzheimer's, what do you tell them?
Answer:
There is no exact cause of the disease and no proven way to prevent it but women are more likely to
develop Alzheimer's

Question:
5. Which stage of Alzheimer's would include: Independent in ADLs, has short-term memory loss and
difficulty recalling new info, unable to travel alone to new destinations.
Answer:
Early Stage of Alzheimer's

Question:
6. Which stage of Alzheimer's would include: Has visuospatial deficits, difficulty driving and gets lost,
incontinent of urine and stool, has episodes of wandering; trouble sleeping.
Answer:
Moderate Stage of Alzheimer's

Question:
7. Which stage of Alzheimer's would include: Completely incapacitated; bedridden, totally dependent in
ADLs, forgets how to move.
Answer:
Late Stage of Alzheimer's

,Question:
8. What is the Inability to use words/objects correctly.
Answer:
Apraxia

Question:
9. What is the Inability to find words.
Answer:
Anomia

Question:
10. What is the Inability to speak/understand.
Answer:
Aphasia

Question:
11. What is the Loss of sensory comprehension (not recognizing faces).
Answer:
Agnosia

Question:
12. Chemical imbalances, environmental agents, down syndrome, ethnicity/race are all risk factors for
which disease?
Answer:
Risk Factors for Alzheimer's

Question:
13. Short term memory loss is the first symptom for which Cognitive disease?
Answer:
First Symptom of Alzheimer's

Question:
14. How do you manage the disease of Alzheimer's?
Answer:
Prevent falls, cholinesterase inhibitors, ADL and mobility assistance.

Question:
15. How do you get a definitive diagnoses of Azheimers?
Answer:
The only way to get a definitive diagnosis is to examine brain tissue at autopsy.

Question:
16. What is a caregiver respite care and the uses of them?

, Answer:
It's a Facility (community) that allows Primary caregivers to have a break from their duties; there are
places that the patient can be taken too for hours a day or longer or some organizations can come into the
home and care for them at home,

Question:
17. Which of the following assessment findings would demonstrate the client has progressed to the
moderate stages of Alzheimers?
Answer:
Unable to fully dress self, incontinent of urine and stool, unable to balance a checkbook, unable to handle
finances.

Question:
18. What is the priority Action for a patient who is frightened while they are at the dining table?
Answer:
Assess surroundings for sensory stimuli.

Question:
19. What are some risk factors for Vascular Dementia?
Answer:
Male, 65 years old with a history of diabetes, high cholesterol, myocardial infarction, hypertension,
smoking, obesity.

Question:
20. How would you manage Vascular Dementia?
Answer:
Identify risk factors pertaining to vascular issues, low fat diet, smoking cessation, weight loss

Question:
21. How would you explain to a p/t the pathology to Multiple Sclerosis (MS)?
Answer:
Affects myelin and nerve fibers of brain and spinal cord, chronic disease characterized by demyelination

Question:
22. What are the different types of MS?
Answer:
Clinical isolated syndrome, relapsing-remitting (most cases), primary progressive, secondary progressive

Question:
23. You are teaching your patient's family the most common reasons someone gets MS like their family
member who was just diagnosed. What would you tell them?
Answer:
Changes in immunity are the most likely etiology, colder climates

Question:
24. What is the most common ages to develop MS?