MH 707 blueprint Questions With Correct Answers!!

Warning signs of Alzheimers - Memory loss that disrupts daily life. Challenges in planning or solving problems. Difficulty completing familiar tasks at home, at work or at leisure Confusion with time or place. Trouble understanding visual images and spatial relationships. New problems with words in speaking or writing. Misplacing things and losing the ability to retrace steps. Decreased or poor judgment. Withdrawal from work or social activities. Changes in mood and personality. Warning Signs of Alzheimer's #2 - *typically present with impairment in memory and learning, then progresses to visuoconstructional/perceptual motor ability and language impairment- and finally social cognition decline late in disease * In mild NCD depression, and apathy are common, *in major NCD psychotic features, irritability, agitation, combativeness, and wandering are common. Late in disease gait disturbance, dysphagia, incontinence, myoclonus and seizures are seen. criteria for major NCD alzheimers - Evidence of significant cognitive decline from pervious in one or more cognitive domains (Complex attention, executive function, learning and memory, language, perceptual-motor, or social cognition) Cognitive deficits interfere with ADL's Does not occur only during delirium. alzheimers onset progress - Insidious onset and gradual progression in one or more cognitive domains Criteria is met for probable Alzheimer's - Probable if: evidence of Alzheimer's genetic mutation from genetic test or family Hx. Criteria is met for possible Alzheimer's - Possible if: no evidence of genetic mutation or family hx but these are present:Evidence in decline in memory and learning Steadily progressive, gradual decline in cognition without plateaus No evidence of mixed etiology. CHaracteristics of delirium - Disorientation usually the FIRST sign to appear (Dr. George Lecture) -sudden onset -disturbance in attention (ability to direct, focus, sustain and shift attention) and awareness (reduced orientation to environment) -decreased ability to respond to stimuli -disorientation -memory problems -intense mood alterations -altered speech -tremors, asterixis, hyperactive -incontinence disturbance of consciousness Tends to fluctuate during the day so would call this a - waxing and waning presentation i.e., fine in the morning but confused at night vice versa r/t reversal of sleep/wake cycle Delirious patients, Hyperactive: - Hyperactive level of psychomotor activity that may be accompanied by mood lability, agitation, and/or refusal to cooperate with medical care. Delerium hypoactive - Hypoactive: Hypoactive level of psychomotor activity that may be accompanied by sluggishness and lethargy that approached stupor. Delierium MIxed - Mixed: Has normal level of psychomotor activity even though attention and awareness are disturbed. Also includes individuals whose activity level rapidly fluctuates. The essential feature of delirium is a disturbance of attention or awareness that is accompanied by a change in baseline cognition that cannot be better explained by a preexisting or evolving NCD. Thedisturbance in attention (Criterion A) is manifested by reduced ability to direct, focus, sustain, and shift attention. - The essential feature of delirium is a disturbance of attention or awareness that is accompanied by a change in baseline cognition that cannot be better explained by a preexisting or evolving NCD. The disturbance in attention (Criterion A) is manifested by reduced ability to direct, focus, sustain, and shift attention