NURS 211: Exam3 Questions and Answers 100% Pass

NURS 211: Exam3 Questions and Answers 100% Pass Cognition - the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses. Delirium def - state of disturbed consciousness and altered cognition with a rapid onset occurring over hours or a few days Neurocog disorders (dementia) - Cog impairment not dementia Focal cognitive Intellectual disabilities Learning disabilities Scope of cognition - Cognitive impairment--> Basic Cognitive Functioning --> Higher order cognitive functioning 2 100% Pass Guarantee Katelyn Whitman, All Rights Consequences of Cognitive impairment - -Increased risk for injury -Complicates disease mgmt -Decreased functional ability including capacity for independent living and normal social interaction -Increased need for assistive services -Financial hardship -Caregiver burden Risk factors for cognitive impairment - -Most at risk- aging adult -Individual risk factors --Personal behaviors --Environmental exposures --Congenital or genetic disorder -Health related conditions -Physical disability and reduced mobility 3 100% Pass Guarantee Katelyn Whitman, All Rights Assessment for Cognition - Routine observations (health care providers) Pt self report Report by family or others Cognitive exam Consciousness is FIRST step level of consciousness - Awake→ Drowsy→ Lethargic→ Obtunded→ Stupor→ Coma Cognition interview/health hx - -Speech pattern (difficulty forming words or saying what is meant) -Appropriate responses to questions -Memory, Logic, Judgement 4 100% Pass Guarantee Katelyn Whitman, All Rights -Brain trauma or disease, substance abuse, current medications, exposure to hazards (environmental or occupational) -Headaches, behavior changes, seizures, changes in memory or mental function Cognition: General appearance abnormal - Slumped posture Slow movements while walking Dragging feet Dress not appropriate for weather, age, etc. Poor Hygiene Cognition: Behavior abnormal - Lethargic, obtunded Disoriented (note whether time, place or person) Flat expression Quality of speech Trouble recalling words Blocking 5 100% Pass Guarantee Katelyn Whitman, All Rights Distorted speech Disconnected sentences Loose associations Confabulation MMSE (Mini Mental State Examination)- - A standardized cognitive assessment tool Provides 11 cognitive tasks The lower the score, the more severe the impairm