Essentials of Psychiatric Mental Health Nursing 8th edition Chapter 13

Which instructions does the nurse provide to the wife of a client suffering from severe cognitive decline? Select all that apply. - ANS-"Your husband may not be able to recognize some family members." "Your husband may be more aggressive during late afternoons and evenings." "It is important to provide institutional care for your husband." "Watch out for infections like pneumonia in your husband caused by decreased immunity." Which symptoms does the nurse observe in a 34-year-old client diagnosed with neurocognitive disorder (NCD) due to Huntington's disease? Select all that apply. - ANS-Twitching of limbs Emotional impairment Short-term memory loss The nurse is caring for a client with disorientation and confusion. Which nursing interventions serve as excellent ways to provide orientation to reality for the client? Select all that apply. - ANS-Using reminiscence therapy Allowing the client to view old photographs Which medications are preferred for a client with neurocognitive disorder (NCD) experiencing anxiety? Select all that apply. - ANS-Oxazepam Lorazepam Which medication is useful in treating moderately severe cognitive impairment in a client with a neurocognitive disorder (NCD)? - ANS-Donepezil Which conditions are known to precipitate delirium in a client? Select all that apply. - ANS-Febrile illness Systemic infections Hepatic encephalopathy Which are the causes of secondary neurocognitive disorders (NCDs) in a client? Select all that apply. - ANS-Cerebral trauma Human immunodeficiency virus (HIV) disease Which action does the nurse implement to prevent the risk of accidental trauma while caring for a client with neurocognitive disorder (NCD)? - ANS-Positioning the bed as low as possible Which psychomotor symptoms are observed in a client who is in the severe cognitive decline stage of Alzheimer's disease (AD)? Select all that apply. - ANS-Aggression Wandering Obsessiveness The nurse is teaching a group of student nurses about various forms of neurocognitive disorders (NCDs). Which disorders does the nurse refer to as being reversible? Select all that apply. - ANS-NCD due to folate deficiency NCD due to side effects of medications NCD due to central nervous system infections The blood pressure of a client with a psychiatric illness is found to be 180/100 mm Hg. The brain scan report reveals the presence of cerebral infarcts. Which complication does the nurse suspect in the client based on these findings? - ANS-Vascular neurocognitive disorder (NCD) What is the possible etiology for neurocognitive decline in a client who had a recent fracture of a femur bone? - ANS-Interruption of blood flow The spouse of a boxer says, "My partner is having difficulty speaking." On assessment, the nurse also finds that the client has difficulty picking up objects. Which condition does the nurse suspect in the client? - ANS-Dementia pugilistica Which condition does the nurse suspect in the client with neurocognitive disorder (NCD) who has increased difficulty understanding spoken language? - ANS-Frontotemporal NCD Which medications are beneficial to a client with neurocognitive disorder (NCD) experiencing apathy? Select all that apply. - ANS-Bupropion Amantadine Methylphenidate While caring for a client who is at risk for trauma, the nurse maintains a low level of stimuli in the environment. Which outcome in the client indicates the effectiveness of treatment? - ANS-The client will maintain a calm demeanor with minimal agitated behavior. Which intervention should the nurse implement while caring for a client with neurocognitive disorder (NCD) and diagnosed with wandering behavior? - ANS-Keeping the client on a structured schedule of recreational activities After assessing a client's behaviors, the nurse concludes that the client is in stage 4 of Alzheimer's disease (AD). Which behavior of the client supports the nurse's conclusion? - ANS-The client denies the existence of the problems by covering up memory loss. A client who is in stage 4 of Alzheimer's disease (AD) is undergoing psychotherapy. Which statement of the client's caregiver indicates effective treatment? - ANS-"The client is able to understand and accept problems." A client with Parkinson disease has involuntary muscle movements and rigidity. What is the pathophysiology associated with these symptoms? - ANS-Diminished dopamine activity Which stage of Alzheimer's disease (AD) is characterized by sundowning? - ANSSevere cognitive decline The nurse is caring for a client who has impaired ability to perform his or her own activities. Which nursing intervention may minimize the client's confusion? - ANSProviding consistency in the assignment of daily caregivers Which nursing intervention is effective in an agitated client who is at risk for trauma? - ANS-Maintaining a low level of stimuli in the environment Which is the most significant factor in the etiology of multiple strokes in a client with vascular neurocognitive disorder (NCD)? - ANS-Hypertension A client with neurocognitive disorder (NCD) is diagnosed with risk for trauma. Which nursing interventions require correction while caring for this client? Select all that apply. - ANS-Avoiding night lights in the client's room Storing frequently used items out of the client's reach Keeping bedrails down when the client is in the bed Which psychomotor symptoms are observed in a client who is in the severe cognitive decline stage of Alzheimer's disease (AD)? Select all that apply. - ANS-Aggression Wandering Obsessiveness After assessing the cognitive capacity of a client with Alzheimer's disease (AD), the nurse concludes that the client is in the fourth stage of the disease. Which finding supports the nurse's conclusion? - ANS-The client is unable to understand current news events. The spouse of a boxer says, "My partner is having difficulty speaking." On assessment, the nurse also finds that the client has difficulty picking up objects. Which condition does the nurse suspect in the client? - ANS-Dementia pugilistica The nurse is teaching a group of student nurses about the metabolic disorders that precipitate delirium or neurocognitive disorder (NCD) in a client. Which conditions does the nurse include in the teaching plan? Select all that apply. - ANS-Hypoxia Hypercarbia Hypoglycemia A widowed client is diagnosed with neurocognitive disorder (NCD) due to Alzheimer's disease (AD). On interaction, the client says, "It's my birthday today. I am going out with my husband." What is the best response from the nurse in this situation? - ANS-"Tell me about your husband. What was it like when you were together?" Which medication is used in the treatment of agitation? - ANS-Risperidone The nurse is assessing a client who is diagnosed with Alzheimer's disease (AD) with moderate cognitive decline. Which question does the nurse ask the client to assess the progressive nature of symptoms of the disease to the next stage? - ANS-"Are you able to perform your daily activities independently?" The nurse is caring for a client who has impaired ability to perform his or her own activities. Which nursing intervention may minimize the client's confusion? - ANSProviding consistency in the assignment of daily caregivers The client's spouse says, "My partner is depressed in the morning and is fine in the evening." What does the nurse suspect in the client? - ANS-Pseudodementia Which medication does the nurse expect the primary health-care provider to prescribe for a client with neurocognitive disorder (NCD) who is agitated and aggressive? - ANSOlanzapine Which is the long-term goal for the client with an impaired ability to process verbal communication? - ANS-To increase the client's ability to express his or her needs so they are easily anticipated and fulfilled by caregivers The client's medical history indicates that his or her delirium is caused by substance withdrawal. Which class of medications does the primary health-care provider prescribe to the client in this situation?...