NSG 3050 Critical and Objective
Assessment Exam Questions and
verified and correct Marking Scheme,
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Two kinds of NCD - correct answer Alzehimers, Vascular
Vascular NCDis due to - correct answer small strokes in the
brain that lead to cognitive impairment
Which NCD is more common - correct answer Alzheimers,
gradual deterioration, progression downward.
Vascular progression is - correct answer more variable, steps
rather than gradual decline like alzheimers
Stage 1 of Alzhiemers - correct answer No apparant sx
Stage 2 of Alzhiemers - correct answer Forgetfulness, short
term loss, anxiety
- "I forget sometimes"
Stage 3 - correct answer mild decline, may become lost.
-We 3 are lost
,Stage 4 - correct answer mild-moderate, forgets important
dates, unable to perform tasks, Confabulation
- conFOURbulation
Stage 5 - correct answer moderate, unable to perform ADLs,
forgets names of family
stage 6 - correct answer mod-severe, disoriented to time and
place, incontinent, agitated, wandering, insomnia, sundowning
- sixdowning
stage 7 - correct answer severe, unable to recognize family,
bedfast and aphasic
Etiology for NCD - correct answer Acetylcholine decreased by
an increase in acetylcholineesterase
Plaques and tangles
Head trauma and genetic factors
Acteylcholine alteration is fixed by these meds - correct answer
Donepezil, Rivastigamine, Galantamine
(Memantine for severe. NMDA)
- inhibit acetylcholineesterase
NSG Cx for pt with NCD - correct answer protection,
orientation, minimize confusion, maintaining dignity, fulfill basic
needs.
, Validation therapy - correct answer validates feelings and
emotions, integrates REDIRECTION, agree and steer them.
meds for cognitive disorders - correct answer Donzepel
(aricept), Rivasigamine (exelon), galantamine (razadyne) (mod-
severe, use memantine namenda)
first line for depression - correct answer ssri
anxiety, short term meds - correct answer librium, alprazolam
(xanax), ativan (lorazepam), serax, diazepam (valium)
sleep disturbances - correct answer dalmane, restoril halcion,
ambien, sonata, rozarm, lunesta, desyrel, remeron
DDRRALDSH
Elderly people need these four things - correct answer purpose,
safety, dignity, respect
Meet these two needs for elderly - correct answer physiological
and psychoscial
Reminiscence therapy - correct answer thinking about the past
and reflecting on it. Increases self-esteem. Both + and -
SDD definition - correct answer physical symptoms suggesting
medical disease