Behavioral Health Nursing: Exam 1 Practice Questions With Complete Solutions
Neurological Disorders - (ANSWER)includes conditions in which a clinical deficit in cognition or memory
exists, causing a change from a previous level of functioning.
delirium - (ANSWER)disturbance in attention and awareness and change in cognition that develops
rapidly over a short period. It most commonly occurs in individuals with medical, surgical, or
neurological conditions.
what is the most frequent cause of delirium in older adults - (ANSWER)delirium
importance of telling difference between dementia and delirium - (ANSWER). It is associated with
increased morbidity and can have lasting long-term results, such as permanent cognitive decline.
causes of delirium (11) - (ANSWER)Systematic infections
Febrile illness
Head trauma
Seizures
Migraine headaches
Stroke
Electrolyte imbalance
Post-operative status
Substance withdrawal
Certain medications
Substance intoxication
Febrile illness - (ANSWER)Inflammation of the joints, skin, nervous system, and heart
symptoms of delirium - (ANSWER)disorganized thinking
rambling, irrelevant, pressured, incoherent speech
distractibility
lack of attention
,Behavioral Health Nursing: Exam 1 Practice Questions With Complete Solutions
disorientation
memory impairment
misperceptions of environment
altered awareness
sleep alterations
psychomotor alterations
delirium speech - (ANSWER)rambling, irrelevant, pressured, incoherent
misperceptions of environment in delirium examples - (ANSWER)illusions
hallucinations
awareness of delirium - (ANSWER)hypervigilance to supor
psychomotor activity of delirium - (ANSWER)agitated, purposeless, catatonic stupor
autonomic symptoms of delirium - (ANSWER)Tachycardia
Sweating
Flushed face
Dilated pupils
Elevated blood pressure
(acute with swift onset and duration under a week)
treatment for delirium - (ANSWER)treat the cause
nursing interventions for delirium (6) - (ANSWER)Orient to time and place. This may be in large pictures
and symbols.
Keep the environment as safe as possible to prevent injury.
Assist the client with ambulation and ADL's.
, Behavioral Health Nursing: Exam 1 Practice Questions With Complete Solutions
Remain calm and undemanding and avoid pressing the client when he/she is refusing.
Dance and movement therapy has been shown to reduce anxiety and aggressiveness.
Music of the client's past has also been shown to be calming to the client.
validation theory - (ANSWER)arises from social work and provides for a way to communicate with older
people with dementia, which states to distract rather than confront and make sure person feels heard
and understands frustrations
pharmacological treatment of delirium (3) - (ANSWER)Antipsychotic (low-dose) haloperidol (Haldol)
Benzodiazepine-commonly used if etiology is substance withdrawal. (lorazepam (Ativan) or diazepam
(Valium)
B1 IV for thiamine deficiency
Supplemental oxygen
dementia - (ANSWER)mental disorder involving a functional decline in multiple cognitive areas, including
memory, along with behavioral and psychological symptoms.
Dementias are classified according to the what? - (ANSWER)cause or areas of neurological damage.
Stage 1 of Alzheimer's disease - (ANSWER)No apparent symptoms
Stage 2 Alzheimer's - (ANSWER)Forgetfulness
Losses in short term memory are frequent. The individual begins to lose things or forget names of
people.
Stage 3 Alzheimer's - (ANSWER)Mild cognitive decline
In this stage, there is interference with performance, and this becomes noticeable to others. There is
difficulty recalling names or words. A downturn is noticeable to family and close associates.
Neurological Disorders - (ANSWER)includes conditions in which a clinical deficit in cognition or memory
exists, causing a change from a previous level of functioning.
delirium - (ANSWER)disturbance in attention and awareness and change in cognition that develops
rapidly over a short period. It most commonly occurs in individuals with medical, surgical, or
neurological conditions.
what is the most frequent cause of delirium in older adults - (ANSWER)delirium
importance of telling difference between dementia and delirium - (ANSWER). It is associated with
increased morbidity and can have lasting long-term results, such as permanent cognitive decline.
causes of delirium (11) - (ANSWER)Systematic infections
Febrile illness
Head trauma
Seizures
Migraine headaches
Stroke
Electrolyte imbalance
Post-operative status
Substance withdrawal
Certain medications
Substance intoxication
Febrile illness - (ANSWER)Inflammation of the joints, skin, nervous system, and heart
symptoms of delirium - (ANSWER)disorganized thinking
rambling, irrelevant, pressured, incoherent speech
distractibility
lack of attention
,Behavioral Health Nursing: Exam 1 Practice Questions With Complete Solutions
disorientation
memory impairment
misperceptions of environment
altered awareness
sleep alterations
psychomotor alterations
delirium speech - (ANSWER)rambling, irrelevant, pressured, incoherent
misperceptions of environment in delirium examples - (ANSWER)illusions
hallucinations
awareness of delirium - (ANSWER)hypervigilance to supor
psychomotor activity of delirium - (ANSWER)agitated, purposeless, catatonic stupor
autonomic symptoms of delirium - (ANSWER)Tachycardia
Sweating
Flushed face
Dilated pupils
Elevated blood pressure
(acute with swift onset and duration under a week)
treatment for delirium - (ANSWER)treat the cause
nursing interventions for delirium (6) - (ANSWER)Orient to time and place. This may be in large pictures
and symbols.
Keep the environment as safe as possible to prevent injury.
Assist the client with ambulation and ADL's.
, Behavioral Health Nursing: Exam 1 Practice Questions With Complete Solutions
Remain calm and undemanding and avoid pressing the client when he/she is refusing.
Dance and movement therapy has been shown to reduce anxiety and aggressiveness.
Music of the client's past has also been shown to be calming to the client.
validation theory - (ANSWER)arises from social work and provides for a way to communicate with older
people with dementia, which states to distract rather than confront and make sure person feels heard
and understands frustrations
pharmacological treatment of delirium (3) - (ANSWER)Antipsychotic (low-dose) haloperidol (Haldol)
Benzodiazepine-commonly used if etiology is substance withdrawal. (lorazepam (Ativan) or diazepam
(Valium)
B1 IV for thiamine deficiency
Supplemental oxygen
dementia - (ANSWER)mental disorder involving a functional decline in multiple cognitive areas, including
memory, along with behavioral and psychological symptoms.
Dementias are classified according to the what? - (ANSWER)cause or areas of neurological damage.
Stage 1 of Alzheimer's disease - (ANSWER)No apparent symptoms
Stage 2 Alzheimer's - (ANSWER)Forgetfulness
Losses in short term memory are frequent. The individual begins to lose things or forget names of
people.
Stage 3 Alzheimer's - (ANSWER)Mild cognitive decline
In this stage, there is interference with performance, and this becomes noticeable to others. There is
difficulty recalling names or words. A downturn is noticeable to family and close associates.
