TO PASS
1. Delerium onset ACUTE, NEW onset
abrupt over short period from hrs to days (possibly weeks)
2. Delirium timing? confusion fluctuates throughout the day
3. causes of CVA
deliri- um? acute medical condition: distsended bladder or constipation
sensory deprivation (poor eyesight)
fever,
infection
actively
dying
adverse rxcn or withdrawal of medication
stroke
hypoxemia
serotonin
syndrome thyroid
dx
4. S/sx of delerium INATTENTION
sleep-wake cycle
disturbance memory
problems psychomotor
retardation agitation
perceptual disturbance/hallucinatons
language disturbance
5. what is the 6. What is a MMSE? What are the 8 categorie
hall- mark within it?
sign of
delirium?
,Maryville NURS 624 exam 4 CORRECTLY ANSWERED
TO PASS
inattention
Mini-mental state
examination: USE To
INDICATE presence of
cognitive impair- ment (NOT
DIAGNOSIS OF DISEASE)
1. what is the year?
2. where are we?
3. name three objects and
have pt repeat
,Maryville NURS 624 exam 4 CORRECTLY ANSWERED
TO PASS
4. serial 7's, or spell world backwards
5. ask for the same 3 objects earlier
6. name a pencil and wrist
watch repeat "no ifs and or
buts" follow a three stage
command
read and obey: close your eyes, write a sentence, copy design.
7. dementia onset slowly over months to years (deterioration in cognition resultin in behavior
problems and impariment of dialy activities. (a decline in 1 or more than 1
cognitive domaine: memory, language, vision, or frontal executive
function)
8. what are possible
alzheimers
causes of demen-
parkinsons
tia motor neuron disease
? medications
trauma
infection
9. s/sx of dementia aphasia
apraxia (inability to preform purposeful actions)
agnosia (inability to interpret sensations)
impairment of occupation or social functioning
severe: incontinence, inability to perform ADLs, inability to speak, wt loss
10. what drugs Alzheimer's Dis- ease
are used for
demen- tia tx?
11. S/sx of
,Maryville NURS 624 exam 4 CORRECTLY ANSWERED
TO PASS
cholinesterase inhibitors
antipsychotic drugs: haldol,
seroquel, zyprexa, abilify to
help dec agitationa nd
anxiety
slow onset
deteriorating physical and
mental fxns'
-forgetfulness, getting lost,
wording finding, behaviroal
problems (agitation)
sundowning (sxs worse at
night)
decreased brain VOLUME