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Neurocognitive Disorders – PMHNP ANCC Chapter 12 | 2025/2026 | 90+ Verified Exam Questions & Answers | Delirium, Dementia, Alzheimer’s, TBI, Pharmacologic & Non-Pharmacologic Management

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This comprehensive study document provides over 90 verified exam questions and correct answers for Chapter 12: Neurocognitive Disorders of the PMHNP ANCC board exam content, specifically for the 2025/2026 academic year. Tailored for Western Governors University PMHNP students, this material covers high-yield topics tested on the ANCC exam with clinical accuracy and clear, concise explanations following each answer. The document encompasses a wide spectrum of neurocognitive disorders, including: Delirium: Etiology, subtypes (hyperactive, hypoactive, mixed), risk factors, assessment tools (CAM, NEECHAM), and both pharmacological and non-pharmacological interventions. Dementia: Classifications (cortical, subcortical), major types (Alzheimer’s, Vascular, Lewy Body, Pick’s, HIV-related, CJD, Huntington’s), diagnostic approach, behavioral symptoms, and progression patterns. Alzheimer’s Disease: First signs, pathophysiology (amyloid plaques, neurofibrillary tangles), pharmacologic treatments (cholinesterase inhibitors like Donepezil and Rivastigmine, and NMDA antagonists like Memantine), and management of comorbid symptoms such as depression and agitation. Traumatic Brain Injury (TBI): Clinical presentation, incidence in combat veterans, diagnostic complexities, suicide risk, treatment options including cognitive enhancers (methylphenidate, amantadine), and psychotherapy strategies. Assessment & Diagnosis: Instruments such as MMSE, MoCA, SLUMS, as well as labs, imaging, and differential diagnoses including B12 deficiency, hypothyroidism, and psychiatric comorbidities. This document is ideally suited for: PMHNP students preparing for the ANCC board exam Graduate-level nursing students specializing in mental health Medical and PA students studying neuropsychiatric conditions Clinicians reviewing for recertification or expanding their psychiatric diagnostic acumen With a focused, exam-relevant approach, this file supports a deep understanding of the pathophysiology, diagnosis, and treatment of neurocognitive disorders in both adult and pediatric populations. Keywords: PMHNP ANCC, neurocognitive disorders, delirium, dementia, Alzheimer's, vascular dementia, Lewy Body dementia, Pick’s disease, CJD, TBI, traumatic brain injury, cognitive impairment, memory loss, cholinesterase inhibitors, NMDA antagonists, Rivastigmine, Memantine, Donepezil, psychopharmacology, psychiatric nursing, suicide risk, MMSE, MoCA, SLUMS, CBT, behavior therapy, WGU nursing, board exam prep

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Uploaded on
September 16, 2025
Number of pages
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Written in
2025/2026
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PMHNP ANCC Chapter 12
Neurocognitive 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



when do cognitive disorders occur - 🧠 ANSWER ✔✔any age. the very

young and very old often have multiple health needs older adults usually

have more than one chronic illness and psy. disorders can be co-morbid


etiology of cognitive disorders - 🧠 ANSWER ✔✔a condition resulting in

changes in multiple domains including memory, interpersonal relationships,

and behavior.


causes of cognitive disorders - 🧠 ANSWER ✔✔injury, medical condition,

substance abuse, reaction to a medication, other injected agents or a

combination of these

,Delirium is a - 🧠 ANSWER ✔✔syndrome, not a disease


Subtypes of delirium - 🧠 ANSWER ✔✔hyperactive, agitated


hypoactive, lethargic slowed

mixed, cycles between hyperactive and hypoactive


etiology of delerium - 🧠 ANSWER ✔✔general medical condition


substance induced

physical health problems

medication

sleep deprived


incidence of delirium - 🧠 ANSWER ✔✔highest in hospitalized older adults


70-87% older adults in ICU

80% terminally ill nearing death


screening for delirium - 🧠 ANSWER ✔✔Confusion Assessment Method

(CAM)

Delirium Index (DI)

NEECHAM Confusion Scale

, Mini-Cog


presentation of delrium - 🧠 ANSWER ✔✔acute change from baseline, waxs

and wanes


length of delirium - 🧠 ANSWER ✔✔can last 3-6 months


physical exam finding for delirium - 🧠 ANSWER ✔✔tremors.. poor

coordination,

urinary incontinence, myoclonus, nystagmus. asterixis (flapping of the

wrist), increase muscle tone and reflex


diagnositc work-up for delerium - 🧠 ANSWER ✔✔serum chemistry, CBC,

thyroid function, syphilis, HIV, urinalysis. chest x-ray, UDS

EEG


Pharmacological Treatment for delerium - 🧠 ANSWER ✔✔symptomatic tx.


agitation and psychosis -Haldol, atypical antipsychotic, anxiolytic,


delerium mnemonic - 🧠 ANSWER ✔✔Drugs


Electrolyte abnormality

Low o2 saturation



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