Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 questions
with verified solutions A+ rated
ANS: 1
1. A geriatric nurse is teach-
The nurse should identify that taking multiple medications that
ing the client's family about
may lead to adverse reactions or toxicity is a risk factor for the
the possible cause of deliri-
um. Which statement by the development of delirium in older adults.
nurse is most accurate?
1. "Taking multiple medica-
tions may lead to adverse in-
teractions or toxicity."
2. "Age-related cognitive
changes may lead to alter-
ations in mental status."
3. "Lack of rigorous exercise
may lead to decreased cere-
bral blood flow."
4. "Decreased social interac-
tion may lead to profound
isolation and psychosis."
2. A client diagnosed with vas- 3. His wife has minimal fam-
cular neurocognitive disor-
der (NCD) is discharged to
home under the care of
his wife. Which information
should cause the nurse to
question the client's safety?
1. His wife works from home
in telecommunication.
2. The client has worked the
nightshift his entire career.
, Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 questions
with verified solutions A+ rated
ANS: 4
The nurse should question the client's safety at
home if the client smokes cigarettes. Patients
with this disorder become confused and are at
risk for injury.
, Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 questions
with verified solutions A+ rated
ily support.
4. The client smokes one
pack of cigarettes per day.
3. A client diagnosed with ANS: 4
Alzheimer's disease (AD) The nurse should recognize that a client exhibiting these symp-
can no longer ambulate, toms is in the severe cognitive decline, seventh stage, of AD.
does not recognize fami-
ly members, and communi-
cates with agitated behav-
iors and incoherent verbal-
izations. The nurse recog-
nizes these symptoms as in-
dicative of which stage of
the illness?
1. Stage 4: Mild-to-Moderate
Cognitive Decline
2. Stage 5: Moderate Cogni-
tive Decline
3. Stage 6: Moderate-to-Se-
vere Cognitive Decline
4. Stage 7: Severe Cognitive
Decline
4. A client is diagnosed in ANS: 3
stage 7 of AD. To ad- The most appropriate intervention in the seventh stage of AD is
dress the client's symptoms, to promote the client's dignity by providing comfort, safety, and
which nursing intervention self-care measures. Stage 7 is characterized by severe cognitive
should take priority? decline in which the client is unable to recognize family members
1. Improve cognitive sta- and is most commonly bedfast and aphasic.
, Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 questions
with verified solutions A+ rated
tus by encouraging involve-
ment in social activities.
2. Decrease social isolation
by providing group thera-
pies.
3. Promote dignity by pro-
viding comfort, safety, and
self-care measures.
4. Facilitate communication
by providing assistive de-
vices.
5. Which is the reason for the ANS: 4
proliferation of the diagno- The proliferation of NCD has occurred because more people
sis of NCDs? now survive into the high-risk period for neurocognitive disorder,
1. Increased numbers which is middle age and beyond. Previously, many more people
of neurotransmitters have died in their 50s, 60s, and early 70s.
been implicated in the pro-
liferation of NCD.
2. Similar symptoms of NCD
and depression lead to mis-
diagnoses, increasing num-
bers of NCD.
3. Societal stress contributes
to the increase in this diag-
nosis.
4. More people now survive
into the high-risk period for
neurocognitive disorders.
with verified solutions A+ rated
ANS: 1
1. A geriatric nurse is teach-
The nurse should identify that taking multiple medications that
ing the client's family about
may lead to adverse reactions or toxicity is a risk factor for the
the possible cause of deliri-
um. Which statement by the development of delirium in older adults.
nurse is most accurate?
1. "Taking multiple medica-
tions may lead to adverse in-
teractions or toxicity."
2. "Age-related cognitive
changes may lead to alter-
ations in mental status."
3. "Lack of rigorous exercise
may lead to decreased cere-
bral blood flow."
4. "Decreased social interac-
tion may lead to profound
isolation and psychosis."
2. A client diagnosed with vas- 3. His wife has minimal fam-
cular neurocognitive disor-
der (NCD) is discharged to
home under the care of
his wife. Which information
should cause the nurse to
question the client's safety?
1. His wife works from home
in telecommunication.
2. The client has worked the
nightshift his entire career.
, Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 questions
with verified solutions A+ rated
ANS: 4
The nurse should question the client's safety at
home if the client smokes cigarettes. Patients
with this disorder become confused and are at
risk for injury.
, Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 questions
with verified solutions A+ rated
ily support.
4. The client smokes one
pack of cigarettes per day.
3. A client diagnosed with ANS: 4
Alzheimer's disease (AD) The nurse should recognize that a client exhibiting these symp-
can no longer ambulate, toms is in the severe cognitive decline, seventh stage, of AD.
does not recognize fami-
ly members, and communi-
cates with agitated behav-
iors and incoherent verbal-
izations. The nurse recog-
nizes these symptoms as in-
dicative of which stage of
the illness?
1. Stage 4: Mild-to-Moderate
Cognitive Decline
2. Stage 5: Moderate Cogni-
tive Decline
3. Stage 6: Moderate-to-Se-
vere Cognitive Decline
4. Stage 7: Severe Cognitive
Decline
4. A client is diagnosed in ANS: 3
stage 7 of AD. To ad- The most appropriate intervention in the seventh stage of AD is
dress the client's symptoms, to promote the client's dignity by providing comfort, safety, and
which nursing intervention self-care measures. Stage 7 is characterized by severe cognitive
should take priority? decline in which the client is unable to recognize family members
1. Improve cognitive sta- and is most commonly bedfast and aphasic.
, Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 questions
with verified solutions A+ rated
tus by encouraging involve-
ment in social activities.
2. Decrease social isolation
by providing group thera-
pies.
3. Promote dignity by pro-
viding comfort, safety, and
self-care measures.
4. Facilitate communication
by providing assistive de-
vices.
5. Which is the reason for the ANS: 4
proliferation of the diagno- The proliferation of NCD has occurred because more people
sis of NCDs? now survive into the high-risk period for neurocognitive disorder,
1. Increased numbers which is middle age and beyond. Previously, many more people
of neurotransmitters have died in their 50s, 60s, and early 70s.
been implicated in the pro-
liferation of NCD.
2. Similar symptoms of NCD
and depression lead to mis-
diagnoses, increasing num-
bers of NCD.
3. Societal stress contributes
to the increase in this diag-
nosis.
4. More people now survive
into the high-risk period for
neurocognitive disorders.
