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N3511 CH. 17 COGNITIVE DISORDERS ACTUAL COMPLETE EXAM|WITH ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED A

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Cognitive disorders interventions Ans focused on protecting patient dignity, preserving functional status and promoting well-being for cognitively impaired patients. Delirium Ans characterized by a disturbance of consciousness and a change in cognition that develop over a *short period of time* *Delirium* cause or contributing factors Ans hypoglycemia, fever, dehydration, hypotension, infection, other conditions that disrupt body's homestasis. Adverse drug reaction, head injury, change in environment, pain, emotional stress. nervous system disease, systemic disease, and intoxication or withdrawal from a chemical substance *Dementia** cause or contributing factors Ans alzheimers disease, vascular disease, HIV, neurological disease, chronic alcoholism, head trauma *Delirium** cognition Ans impaired memory, judgement, calculations, attention span can fluctuate through the day *Dementia** cognition Ans impaired memory, judgement, calculations, attention span does not fluctuate, problems with abstract thinking, agnosia

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N3511 CH. 17 COGNITIVE DISORDERS ACTUAL COMPLETE
EXAM|WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS|GRADED A
Cognitive disorders interventions Ans✓✓✓ focused on protecting
patient dignity, preserving functional status and promoting well-being
for cognitively impaired patients.


Delirium Ans✓✓✓ characterized by a disturbance of consciousness and
a change in cognition that develop over a *short period of time*


*Delirium* cause or contributing factors Ans✓✓✓ hypoglycemia,
fever, dehydration, hypotension, infection, other conditions that disrupt
body's homestasis. Adverse drug reaction, head injury, change in
environment, pain, emotional stress. nervous system disease, systemic
disease, and intoxication or withdrawal from a chemical substance


*Dementia** cause or contributing factors Ans✓✓✓ alzheimers
disease, vascular disease, HIV, neurological disease, chronic alcoholism,
head trauma


*Delirium** cognition Ans✓✓✓ impaired memory, judgement,
calculations, attention span can fluctuate through the day


*Dementia** cognition Ans✓✓✓ impaired memory, judgement,
calculations, attention span does not fluctuate, problems with abstract
thinking, agnosia

,*Delirium** Risk Factors Ans✓✓✓ existing cognitive impairment, low
functional autonomy, polypharmacy (especially benzos, narcotics, and
anticholinergics), and clinical severity of primary illness


Sundowning Ans✓✓✓ symptoms and problem behaviors become more
pronounced in the evening, may occur in both delirium and dementia


mild delirium Ans✓✓✓ memory deficits are noted only on careful
questioning


severe delirium Ans✓✓✓ memory problems usually take the form of
obvious difficulty in processing and remembering recent events.


Illusions Ans✓✓✓ errors in perception of sensory stimuli. the stimulus
is a real object in the environment, however, it is misinterpreted and
often becomes the object of pts projected fear.


Hallucinations Ans✓✓✓ false sensory stimuli. Visual are common in
delirium, and tactile(feel) may also be present.


*Delirium** cognitive and perceptual disturbances Ans✓✓✓ aware that
something is very wrong. emotional response is often fear and anxiety
and may be manifested by psychomotor agitation

, hypervigilance Ans✓✓✓ patients are extraordinarily alert and their eyes
constantly scan the room


Supervision of Delirium Pt. Ans✓✓✓ Pt in acute phase should never be
left alone! family members can be encouraged to stay w/ pt.


Dementia Ans✓✓✓ progressive deterioration of cognitive functioning
and global impairment of intellect with no change in consciousness.
manifested as difficulty w/ memory, thinking and comprehension.
Irreversible.


Alzheimer's disease (AD) Ans✓✓✓ most common cause of dementia in
older adults, progressive brain disorder marked by impaired memory and
thinking skills.


severe memory loss Ans✓✓✓ *not a normal part of growing older!!*
slight forgetfulness is common of aging, but not memory loss that
interferes with ones ADL's.


Types of Dementia Ans✓✓✓ Alzheimers, vascular dementia, Lewy
body disease, Pick's disease, Huntington's, alcohol related (Korsakoff's
syndrome), creutzfeldt-jakob disease, Parkinson's, AIDS, and head
trauma.


Primary dementia Ans✓✓✓ is irreversible, progressive, and not
secondary to any other disorder EX: alzheimers and vascular dementia

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