TEST BANK FOR VARCAROLIS CANADIAN PSYCHIATRIC MENTAL HEALTH NURSING, 3RD EDITION ACTUAL QUESTIONS AND COMPLETE 100% VERIFIED CORRECT AND WELL EXPLAINED ANSWERS WITH RATIONALES GRADED A+ BY EXPERTS LATEST VERSION 2025 WITH GUARANTEED SUCCESS AFTER DOWNLOAD

TEST BANK FOR VARCAROLIS CANADIAN PSYCHIATRIC MENTAL HEALTH NURSING, 3RD EDITION ACTUAL QUESTIONS AND COMPLETE 100% VERIFIED CORRECT AND WELL EXPLAINED ANSWERS WITH RATIONALES GRADED A+ BY EXPERTS LATEST VERSION 2025 WITH GUARANTEED SUCCESS AFTER DOWNLOAD ALREADYPASSED!!!!!!! (PROVEN ITS ALL YOU NEED TO EXCEL IN YOUR EXAMS Nursing Process: Implementation MSC: NCLEX: Physiological Integrity 10. An older adult was stopped by police for driving through a red light. When asked for a drivers license, the adult hands the police officer a pair of sunglasses. What sign of dementia is evident? Aphasia Apraxia Agnosia Memory impairment ANS: C Agnosia refers to the loss of sensory ability to recognize objects. Aphasia refers to the loss of language ability. Apraxia refers to the loss of purposeful movement. No evidence of memory loss is revealed in this scenario. DIF: Cognitive Level: Comprehension (Understanding) REF: 282 TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 11. An older adult drove to a nearby store but was unable to remember how to get home or state an address. When police took the person home, the spouse reported frequent wandering into neighbors homes. Alzheimer disease was subsequently diagnosed. Which stage of Alzheimer disease is evident? 1 (mild) 2 (moderate) 3 (moderate to severe) 4 (late) ANS: B   In stage 2 (moderate), deterioration is evident. Memory loss may include the inability to remember addresses or the date. Activities such as driving may become hazardous, and frustration by the increasing difficulty of performing ordinary tasks may be experienced. Hygiene may begin to deteriorate. Stage 3 (moderate to severe) finds the individual unable to identify familiar objects or people and needing direction for the simplest of tasks. In stage 4 (late), the ability to talk and walk are eventually lost, and stupor evolves. Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 145 DIF: Cognitive Level: Analysis (Analyzing) REF: 282 TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 12. Consider these problems: apolipoprotein E (apoE) malfunction, neuritic plaques, neurofibrillary tangles, granulovascular degeneration, and brain atrophy. Which condition corresponds to this group? Alzheimer disease Wernicke encephalopathy Central anticholinergic syndrome Acquired immunodeficiency syndrome (AIDS)related dementia ANS: A The problems are all aspects of the pathophysiologic characteristics of Alzheimer disease. DIF: Cognitive Level: Analysis (Analyzing) REF: 281 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 13. A patient diagnosed with stage 1 Alzheimer disease tires easily and prefers to stay home rather than attend social activities. The spouse does the grocery shopping because the patient cannot remember what to buy. Which nursing diagnosis applies at this time? Risk for injury Impaired memory Self-care deficit Caregiver role strain ANS: B   Memory impairment is present and expected in stage 1 Alzheimer disease. Patients diagnosed with early Alzheimer disease often have difficulty remembering names, so socialization is minimized. Data are not present to support the other diagnoses. DIF: Cognitive Level: Application (Applying) REF: 282 TOP: Nursing Process: Diagnosis| Nursing Process: Analysis MSC: NCLEX: Psychosocial Integrity 14. A patient has progressive memory deficit associated with dementia. Which nursing intervention would best help the individual function in the environment? Assist the patient to perform simple tasks by giving step-by-step directions. Reduce frustration by performing activities of daily living for the patient. Stimulate intellectual function by discussing new topics with the patient. Promote the use of the patients sense of humor by telling jokes. ANS: A Patients with a cognitive impairment should perform all tasks of which they are capable. When simple directions are given in a systematic fashion, the patient is better able to process information and perform simple tasks. Stimulating intellectual functioning by discussing new topics is likely to prove frustrating for the patient. Patients with cognitive deficits may lose their sense of humor and find jokes meaningless. DIF: Cognitive Level: Application (Applying) REF: 287 TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance 15. Two patients in a residential care facility are diagnosed with dementia. One shouts to the other, Move along, youre blocking the road. The other patient turns, shakes a fist, and shouts, I know what youre up to; youre trying to steal my car. What is the nurses best action? Administer one dose of an antipsychotic medication to both patients. Reinforce reality. Say to the patients, Walk along in the hall. This is not a traffic intersection. Separate and distract the patients. Take one to the day room and the other to an activities area. Step between the two patients and say, Please quiet down. We do not allow violence here.   ANS: C Separating and distracting prevents escalation from verbal to physical acting out. Neither patient loses self- Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 146