NUR 2459 EXAM LATEST ACTUAL EXAM MENTAL HEALTH AND BEHAVIORAL HEALTH NURSING EXAM 3 COMPLATE 70 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 Kahoots, Me
m m m m m m m m m


tal health nursing Exam 2, NUR 2459 Mental Health Exam 2 Module 4-
m m m m m m m m m m m m


6 TERMS ONLY, Exam 2- Mental Health
m m m m m m


Studymonlinematmhttps://quizlet.com/_bkrnuh

1. A geriatric nurse is teaching the client's family about the possible cause of
m m m m m m m m m m m m m


delirium. Which statement by the nurse is most accurate?
m m m m m m m m


1. "Taking multiple medications may lead to adverse interactions or toxicity."
m m m m m m m m m


2. "Age-related cognitive changes may lead to alterations in mental status."
m m m m m m m m m


3. "Lack of rigorous exercise may lead to decreased cerebral blood flow."
m m m m m m m m m m


4. "Decreased social interaction may lead to profound isolation and psy-
m m m m m m m m m


m chosis.": ANS: 1 m m


The nurse should identify that taking multiple medications that may lead to adverse
m m m m m m m m m m m m m


reactions or toxicity is a risk factor for the development of delirium in older adults.
m m m m m m m m m m m m m m


2. A client diagnosed with vascular neurocognitive disorder (NCD) is dis-
m m m m m m m m m m


m charged to home under the care of his wife. Which information should caus
m m m m m m m m m m m m


e the nurse to question the client's safety?
m m m m m m m


1. His wife works from home in telecommunication.
m m m m m m


2. The client has worked the nightshift his entire career.
m m m m m m m m


3. His wife has minimal family support.
m m m m m


4. The client smokes one pack of cigarettes per day.: ANS: 4
m m m m m m m m m m


The nurse should question the client's safety at home if the client smokes cigarettes.
m m m m m m m m m m m m m


m Patients with this disorder become confused and are at risk for injury.
m m m m m m m m m m m


3. A client diagnosed with Alzheimer's disease (AD) can no longer ambulate,
m m m m m m m m m m m


m does not recognize family members, and communicates with agitated behav
m m m m m m m m m


-
m iors and incoherent verbalizations. The nurse recognizes these symptoms a
m m m m m m m m m


s indicative of which stage of the illness?
m m m m m m m


1. Stage 4: Mild-to-Moderate Cognitive Decline
m m m m


2. Stage 5: Moderate Cognitive Decline
m m m m


3. Stage 6: Moderate-to-Severe Cognitive Decline
m m m m


4. Stage 7: Severe Cognitive Decline: ANS: 4
m m m m m m


The nurse should recognize that a client exhibiting these symptoms is in the severe
m m m m m m m m m m m m m m


cognitive decline, seventh stage, of AD.
m m m m m


4. A client is diagnosed in stage 7 of AD. To address the client's symptoms,
m m m m m m m m m m m m m m m


which nursing intervention should take priority?
m m m m m


1. Improve cognitive status by encouraging involvement in social activities.
m m m m m m m m


2. Decrease social isolation by providing group therapies.
m m m m m m


3. Promote dignity by providing comfort, safety, and self-care measures.
m m m m m m m m


4. Facilitate communication by providing assistive devices.: ANS: 3
m m m m m m m


The most appropriate intervention in the seventh stage of AD is to promote the clie
m m m m m m m m m m m m m m


nt's dignity by providing comfort, safety, and self-care measures. Stage 7 is
m m m m m m m m m m m



1
m/m56

, Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 Kahoots, Me
m m m m m m m m m


tal health nursing Exam 2, NUR 2459 Mental Health Exam 2 Module 4-
m m m m m m m m m m m m


6 TERMS ONLY, Exam 2- Mental Health
m m m m m m


Studymonlinematmhttps://quizlet.com/_bkrnuh

characterized by severe cognitive decline in which the client is unable to recognize
m m m m m m m m m m m m


family members and is most commonly bedfast and aphasic.
m m m m m m m m


5. Which is the reason for the proliferation of the diagnosis of NCDs?
m m m m m m m m m m m m


1. Increased numbers of neurotransmitters have been implicated in the prolif-
m m m m m m m m m


meration of NCD. m m


2. Similar symptoms of NCD and depression lead to misdiagnoses, increasing
m m m m m m m m m


mnumbers of NCD. m m


3. Societal stress contributes to the increase in this diagnosis.
m m m m m m m m


4. More people now survive into the high-risk period for neurocognitive disor-
m m m m m m m m m m


mders.: ANS: 4 m m


The proliferation of NCD has occurred because more people now survive into th
m m m m m m m m m m m m


e high-
m


risk period for neurocognitive disorder, which is middle age and beyond. Previou
m m m m m m m m m m m


sly, many more people died in their 50s, 60s, and early 70s.
m m m m m m m m m m m


6. A client diagnosed recently with AD is prescribed donepezil (Aricept). The
m m m m m m m m m m m


mclient's spouse inquires, "How does this work? Will this cure him?" Which i
m m m m m m m m m m m m


s the appropriate nursing response?
m m m m


1. "This medication delays the destruction of acetylcholine, a chemical in the
m m m m m m m m m m


mbrain necessary for memory processes. Although most effective in the early
m m m m m m m m m m


mstages, it serves to delay, but not stop, the progression of the disease."
m m m m m m m m m m m m


2. "This medication encourages production of acetylcholine, a chemical in
m m m m m m m m m


the brain necessary for memory processes. It delays the progression of the
m m m m m m m m m m m


mdisease."
3. "This medication delays the destruction of dopamine, a chemical in the b
m m m m m m m m m m m


rain necessary for memory processes. Although most effective in the early
m m m m m m m m m m m


stages, it serves to delay, but not stop, the progression of the disease."
m m m m m m m m m m m m


4. "This medication encourages production of dopamine, a chemical in the
m m m m m m m m m m


brain necessary for memory processes. It delays the progression of the dis-
m m m m m m m m m m m


mease.": ANS: 1 m m


The most appropriate response by the nurse is to explain that donepezil delays t
m m m m m m m m m m m m m


he destruction of acetylcholine, a chemical in the brain necessary for memory pr
m m m m m m m m m m m m


ocesses. Although most effective in the early stages, it serves to delay, but not st
m m m m m m m m m m m m m m


op, the progression of the AD. Some side effects include dizziness, headache, g
m m m m m m m m m m m m


astrointestinal upset, and elevated transaminase. m m m m


7. A client diagnosed with AD exhibits progressive memory loss, diminished
m m m m m m m m m m


mcognitive functioning, and verbal aggression upon experiencing frustration
m m m m m m m


. Which nursing intervention is most appropriate?
m m m m m m



2
m/m56

, Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 Kahoots, Me
m m m m m m m m m


tal health nursing Exam 2, NUR 2459 Mental Health Exam 2 Module 4-
m m m m m m m m m m m m


6 TERMS ONLY, Exam 2- Mental Health
m m m m m m


Studymonlinematmhttps://quizlet.com/_bkrnuh

1. Organize a group activity to present reality.
m m m m m m




3
m/m56

, Chapter 13: Neurocognitive Disorders, Mental Health Exam 2 Kahoots, Me
m m m m m m m m m


tal health nursing Exam 2, NUR 2459 Mental Health Exam 2 Module 4-
m m m m m m m m m m m m


6 TERMS ONLY, Exam 2- Mental Health
m m m m m m


Studymonlinematmhttps://quizlet.com/_bkrnuh

2. Minimize environmental lighting. m m


3. Schedule structured daily routines. m m m


4. Explain the consequences for aggressive behaviors.: ANS: 3
m m m m m m m


The most appropriate nursing intervention for this client is to schedule structured d
m m m m m m m m m m m m


aily routines. A structured routine will reduce frustration and thereby reduce verbal a
m m m m m m m m m m m m


ggression.
8. After one week of continuous mental confusion, an older African American
m m m m m m m m m m m


mclient is admitted with a preliminary diagnosis of AD. What should cause the
m m m m m m m m m m m m


mnurse to question this diagnosis? m m m m


1. AD does not typically occur in African American clients.
m m m m m m m m


2. The symptoms presented are more indicative of Parkinsonism.
m m m m m m m


3. AD does not develop suddenly.
m m m m


4. There has been no T3- or T4-level evaluation ordered.: ANS: 3
m m m m m m m m m m


The nurse should recognize that AD does not develop suddenly and should question
m m m m m m m m m m m m m


this diagnosis. The onset of AD symptoms is slow and insidious. The disease is gen
m m m m m m m m m m m m m m


erally progressive and deteriorating.
m m m


9. A client diagnosed with AD has impairments of memory and judgment and
m m m m m m m m m m m m


mis incapable of performing activities of daily living. Which nursing interventio
m m m m m m m m m m


n should take priority?
m m m


1. Present evidence of objective reality to improve cognition.
m m m m m m m


2. Design a bulletin board to represent the current season.
m m m m m m m m


3. Label the client's room with name and number.
m m m m m m m


4. Assist with bathing and toileting.: ANS: 4 m m m m m m


The priority nursing intervention for this client is to assist with bathing and toileting.
m m m m m m m m m m m m m m


A client who is incapable of performing activities of daily living requires assistance i
m m m m m m m m m m m m m


n these areas to ensure health and safety.
m m m m m m m


10. A client diagnosed with major NCD is exhibiting behavioral problems on a
m m m m m m m m m m m m


mdaily basis. At change of shift, the client's behavior escalates from pacing t
m m m m m m m m m m m m


o screaming and flailing. Which action should be a nursing priority?
m m m m m m m m m m


1. Consult the psychologist regarding behavior-modification techniques.
m m m m m


2. Medicate the client with prn antianxiety medications. m m m m m m


3. Assess environmental triggers and potential unmet needs.
m m m m m m


4. Anticipate the behavior and restrain when pacing begins.: ANS: 2m m m m m m m m m


The priority nursing action is to first medicate the client to avoid injury to self or oth
m m m m m m m m m m m m m m m m


ers.
11. A client with a history of cerebrovascular accident is brought to an emer-
m m m m m m m m m m m m m


mgency department experiencing memory problems, confusion, and disorienta
m m m m m m m



4
m/m56