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