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A community health nurse is preparing a course on protecting cognitive function. Which
population group should the nurse target for teaching?
1. Older male adults with diabetes
2. Older female adults who are overweight
3. Young adults living in school dormitories
4. Adolescents attending summer camps - 1. Older male adults with diabetes
A 90-year-old patient is admitted to the hospital. Shortly after admission, the family
notices that the patient is exhibiting disorientation and agitation. When questioned about
the behavior by the family, the nurse states that the patient is at risk for developing
which common complication of hospitalization in older adults?
1. Delirium
2. Dementia
3. Alzheimer's disease
4. Sundowner syndrome - 1. Delirium
The nurse is reviewing the needs of a patient with cognitive impairment. What is the
priority concern that the nurse should address for this patient?
1. Promoting at least 6 hours of sleep a night
2. Encouraging an oral intake of 1200 calories per day
3. Managing the patient's pain from arthritis
4. Supervising medication administration - 4. Supervising medication administration
A patient recently admitted to the hospital has been diagnosed with delirium. The family
of the patient asks the nurse to explain what delirium is. How should the nurse respond?
1. Delirium is reversible with treatment of the underlying
cause.
2. Delirium is progressive and has no known cure.
3. Delirium affects a specific area of cognitive functioning.
4. Delirium indicates the onset of a cerebrovascular
accident. - 1. Delirium is reversible with treatment of the underlying
cause.
The nurse is establishing a therapeutic environment for a patient admitted with
dementia and influenza. Which intervention would be important for the nurse to
implement?
1. Keep a radio on all the time to provide sound for the
patient.
2. Decrease patient confusion by limiting verbal
, interactions.
3. Limit family visits to one person for 30 minutes per day.
4. Provide a quiet environment in a private room. - 4. Provide a quiet environment in a
private room.
Which problem is NOT considered a causative agent in delirium?
1. Elevated blood urea nitrogen levels
2 Infection
3 Anticholinergic drugs
4 Antibiotic therapy - 4 Antibiotic therapy
The term "perceptual disturbance" refers to difficulty
1 processing information about one's internal and external
environment.
2 changing one's way of thinking to accommodate new
information.
3 performing purposeful motor movements.
4 formulating words appropriately. - 1 processing information about one's internal and
external
environment.
Which event would a client with early stage 4 Alzheimer's disease have greatest
difficulty remembering?
1 His or her high school graduation
2 The births of his or her children
3 The story of a teenage escapade
4 What he or she ate for breakfast - 4 What he or she ate for breakfast
When a delirious client insists that a vacuum hose is a large, poisonous snake, the
nurse recognizes that this client is
1 hallucinating.
2 experiencing an illusion.
3 hypervigilant.
4 demonstrating agnosia - 2 experiencing an illusion.
What is agnosia - inability to interpret sensations and hence to recognize things,
typically as a result of brain damage.
What is Hypervigilance - refers to the experience of being constantly tense and "on
guard." A person experiencing this symptom of PTSD will be motivated to maintain an
increased awareness of their surrounding environment, sometimes even frequently
scanning their settings to identify potential sources of threat.
What is an illusion - a thing that is or is likely to be wrongly perceived or interpreted by
the senses; a deceptive appearance or impression; a false idea or belief.