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NURS 383 - Psychiatric Mental Health Nursing - Test 1 Questions and Answers
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NURS 383 - Psychiatric Mental HealthNursing - Test 1 Questions and Answers
mental state characterized by a disturbance of cognition, which is manifested by
confusion, excitement, disorientation, and a clouding of conscious- ness. Hallucinations
and illusions are common. - ✔ Delirium
Delirium most commonly occurs in individuals with serious medical, surgical, or
neurological conditions.
Such as... - ✔ ■ Systemic infections
■ Febrile illness
■ Metabolic disorders, such as hypoxia, hypercarbia, or hypoglycemia
■ Hepatic encephalopathy
■ Head trauma
■ Seizures
■ Migraine headaches
■ Brain abscess
■ Stroke
■ Postoperative states
■ Electrolyte imbalance
term that is used to describe cognitive functions closely linked to particular areas of the
brain that have to do with thinking, reasoning, memory, learning, and speaking - ✔
Neurocognitive
Neurocognitive disorders (NCDs) can be classified as either primary or secondary.
Primary NCDs are those, such as ________ _________, in which the NCD itself is the
major sign of some organic brain disease not directly related to any other organic
illness.
Secondary NCDs are caused by or related to another disease or condition, such as HIV
disease or a __________ trauma. - ✔ Alzheimer's disease
cerebral
In most clients, NCD runs a ___________, ___________ course. - ✔ progressive,
irreversible
inability to carry out motor activities despite intact motor function - ✔ apraxia
creating imaginary events to fill in memory gaps - ✔ confabulation
A decrease in the neurotransmitter ___________ has been implicated in the etiology of
Alzheimer's disease - ✔ acetylcholine
, Patient won't speak at all - ✔ aphasia
A client is newly diagnosed with the second stage of Alzheimer's disease. Which
cognitive change would a nurse observe?
1) Memory disturbance
2) Confabulation
3) Apraxia
4) Inability to plan or organize - ✔ 1) Memory disturbance
A patient is diagnosed with major neurocognitive disorder, and the family has asked the
nurse what that means. Which of the following teaching points are accurate descriptors
to share with this family? Select all that apply.
1) These are disorders in which there is persistent difficulty with intellectual functions.
2) Several functions such as memory, language, visuospatial skills, emotions, and
personality are compromised.
3) The symptoms appear rapidly and are often reversible.
4) Major neurocognitive disorder is always the result of cerebrovascular disease.
5) Major neurocognitive disorder is defined as a disorder in which there are changes in
level of consciousness and the symptoms are worse in the morning but improve as the
day progresses. - ✔ 1) These are disorders in which there is persistent difficulty with
intellectual functions.
2) Several functions such as memory, language, visuospatial skills, emotions, and
personality are compromised.
When teaching a family about Alzheimer's disease, what information should the nurse
include?
1) Alzheimer's disease is self-limiting and will resolve over time.
2) Alzheimer's disease has an abrupt onset and runs a variable course.
3) Alzheimer's disease has a slow, insidious onset.
4) Alzheimer's disease causes a rapid functional and cognitive decline - ✔ 3)
Alzheimer's disease has a slow, insidious onset.
Elderly patients are at risk for being diagnosed with neurocognitive disorder when, in
fact, they may be suffering from depression. Which of the following features differentiate
neurocognitive disorder from depression? Select all that apply.
1) Deficits in memory are progressive in neurocognitive disorder.
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