Exam (elaborations)
Chapter 22. Neurocognitive Disorders
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 22. Neurocognitive Disorders
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TownsendPMHN, 10e
Chapter 22 - ETB
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Chapter 22. Neurocognitive Disorders
MULTIPLE CHOICE
1. Which student statement indicates that learning has occurred regarding risk factors for
the development of delirium in older adults?
1. “Taking multiple medications may lead to adverse interactions or toxicity.”
2. “Age-related cognitive changes may lead to alterations in mental status.”
3. “Lack of rigorous exercise may lead to decreased cerebral blood flow.”
4. “Decreased social interaction may lead to profound isolation aanbdirbp.csoymc/thesotsis.”
ANS: 1
Chapter: Chapter 22, Neurocognitive Disorders
Objective: Define and differentiate among various NCDs.
Page: 349
Heading: Delirium > Medication-Inducted Delirium
Integrated Processes: Teaching and Learning
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Evaluation [Evaluating]
Concept: Cognition
Difficulty: Moderate
Feedback abirb.com/test
1. This is correct. Taking multiple medications may lead to adverse reactions or
toxicity and put an older adult at risk for the development of delirium. Symptoms of
delirium include difficulty sustaining and shifting attention, impaired memory, and
confusion (disorientation to time and place). abirb.com/test
2. This is incorrect. Age-related cognitive changes do not lead to delirium.
3. This is incorrect. Lack of rigorous exercise does not lead to a decrease in cerebral
blood flow. abirb.com/test
4. This is incorrect. Decreased social isolation does not lead to profound isolation and
psychosis; an increase in isolation does this.
CON: Cognition
2. A client diagnosed with vascular dementia is discharged to home under the care of his
spouse. Which information causes the nurse to question the client’s safety?
1. His spouse works from home in telecommunication.
2. The client has worked the night shift his entire career.
abirb.com/test
,Townsend
PMHN, 10e
Chapter 22 - ETB
abirb.com/test
3. His spouse has minimal family support.
4. The client smokes one pack of cigarettes per day.
ANS: 4
Chapter: Chapter 22, Neurocognitive Disorders
Objective: Describe clinical symptoms and use the information to assess clients with
NCDs.
Page: 350
Heading: Neurocognitive Disorder > Vascular Neurocognitive Disorder
Integrated Processes: Nursing Process: Assessment
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Safety
Difficulty: Difficult
Feedback
1. This is incorrect. The spouse working at home would not laebairdb.tchome /tneustrse to
question the client’s safety.
2. This is incorrect. A history of working nights does not place the client at risk for
vascular dementia.
3. This is incorrect. A lack of family support for the spouse isabnirob.tcoamc/taeustse of
concern
for the nurse. There are community resources to which the nurse can refer the
family.
4. This is correct. Forgetfulness is an early symptom of vascualbairrb.ncoemu/rteosct
ognitive disorder (VNCD), and the client is at risk for burns related to forgotten
smoking
materials. VNCD is directly related to an interruption of blood flow to the brain.
Symptoms result from death of nerve cells in regions nourished by diseased vessels.
CON: Hypertension
Safety is one of the most significant factors in the eatiboirlbo.cgomy./test
3. A client diagnosed with a neurocognitive disorder (NCD) due to Alzheimer’s disease
can no longer ambulate, does not recognize family members,
andabcirobm.com/utensticates with agitated behaviors and incoherent verbalizations. The
nurse recognizes that these symptoms indicate which stage of the illness?
1. Moderate cognitive decline
2. Very mild change
3. Moderately severe cognitive decline
4. Very severe cognitive decline
ANS: 4
Chapter: Chapter 22, Neurocognitive Disorders
Objective: Describe clinical symptoms and use the information toabairbs.sceosms/tecsltients with
NCDs.
abirb.com/test
, Townsend
PMHN, 10e
Chapter 22 - ETB
abirb.com/test
Page: 350
Heading: Neurocognitive Disorder > Clinical Findings, Epidemiology, and Course >
Stage 7. Very Severe Cognitive Decline
Integrated Processes: Nursing Process
Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Cognition
Difficulty: Moderate
Feedback
1. This is incorrect. At the moderate cognitive decline stage, the individual may forget
major events in personal history, experience a declining ability to perform tasks
(e.g., managing finances), or be unable to understand curreanbtirbn.ceowms/teesvt ents.
2. This is incorrect. During the very mild change stage, the individual begins to lose
things or forget names of people. Losses in short-term memory are common.
3. This is incorrect. During the moderately severe cognitive daebcirbli.cnoems/tteasgt e,
individuals lose the ability to independently perform some activities of daily living
(ADLs) and require some assistance to manage them. They may forget addresses,
phone
numbers, and names of close relatives and become disoriented about place and time;
abirb.com/test
4. however,
This they maintain
is correct. The veryknowledge about themself.
severe cognitive decline stage is characterized by a severe
cognitive decline. Speech and language are severely impaired, with greatly
decreased verbal communication. The person may no longaebrirrbe.ccoomg/tnesitze
any family members. Muscles are rigid, contractures may develop, and primitive
reflexes may be present.
CON: Cognition
4. Which nursing intervention would take priority for a client in the late stage of
Alzheimer’s disease?
1. Improve cognitive status by encouraging involvement in social activities.
2. Decrease social isolation by providing group therapies.
3. Promote dignity by providing comfort, safety, and self-care measures.
4. Facilitate communication by providing assistive devices.
ANS: 3
Chapter: Chapter 22, Neurocognitive Disorders
Objective: Discuss criteria for evaluating nursing care of clients with NCDs.
Page: 350
Heading: Neurocognitive Disorder > Clinical Findings, Epidemiology, and Course >
Stage 7. Severe Cognitive Decline
Integrated Processes: Nursing Process
Nursing Process: Implementation
abirb.com/test
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