MARYVILLE NURS 623 EXAM 4 FULL SOLUTION
STUDY GUIDE
◉ Define delirium.
Answer: Underlying acute cause, abrupt onset, hours to days,
reversible, hallucinations, incoherent speech, confusion
◉ Define Dementia.
Answer: Various causes, gradual change with mental status, months
to years, progressive to irreversible (speech, memory, mood,
judgment)
◉ An older adult with delirium would present with what type of
behaviors?.
Answer: Agitation and restlessness
◉ At the onset of alzheimers, what category of medications should
be initiated?.
Answer: Cholinesterase inhibitors
◉ what factors contribute to a patient being high risk for falls?.
Answer: History of falls
, medications
vision impairment
heart rate/rhythm abnormalities
footwear issues
home environment
gait/mobility issues
poor reflexes
◉ What is the primary reason people have long term effects after a
Stroke.
Answer: living at home and calling PCP instead of 911 leads to
prolonged stroke symptoms and long term effects
◉ S/S of an Absense Seizure.
Answer: Blank stare (upward rotation of eye)
◉ Red Flags of back/neck pain.
Answer: Incontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
STUDY GUIDE
◉ Define delirium.
Answer: Underlying acute cause, abrupt onset, hours to days,
reversible, hallucinations, incoherent speech, confusion
◉ Define Dementia.
Answer: Various causes, gradual change with mental status, months
to years, progressive to irreversible (speech, memory, mood,
judgment)
◉ An older adult with delirium would present with what type of
behaviors?.
Answer: Agitation and restlessness
◉ At the onset of alzheimers, what category of medications should
be initiated?.
Answer: Cholinesterase inhibitors
◉ what factors contribute to a patient being high risk for falls?.
Answer: History of falls
, medications
vision impairment
heart rate/rhythm abnormalities
footwear issues
home environment
gait/mobility issues
poor reflexes
◉ What is the primary reason people have long term effects after a
Stroke.
Answer: living at home and calling PCP instead of 911 leads to
prolonged stroke symptoms and long term effects
◉ S/S of an Absense Seizure.
Answer: Blank stare (upward rotation of eye)
◉ Red Flags of back/neck pain.
Answer: Incontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
