Exam (elaborations)
17 Cognitive Impairment, Alzheimer-s Disease, and Dementia
- Course
- Mental health
- Institution
- University Of Arizona College Of Nursing
17 Cognitive Impairment, Alzheimer-s Disease, and Dementia
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Chapter 17: Cognitive Impairment, Alzheimer's Disease, and DementiaTest Bank
MULTIPLE CHOICE
1. A 75-year-old male client is brought to the clinic by his son. The son states, ―Ever since Mom
died, Dad hasn’t been the same. At first he just seemed sad, but now he seems to get mixed up
about everything.ǁ The nurse is aware that based on the client’s history, the source of
confusion is most likely:
a. Dementia
b. Depression from the loss of his wife
c. Hypoxia of the brain
d. Delirium from medications
ANS: B
Depression in the elderly population is often a cause of confusion. The son’s description of the
behaviors of his father since his wife’s death indicate that he became depressed, which has
been followed by confusion. Dementia is a gradual onset of confusion, hypoxia is the result of
brain injury, and delirium is sudden. Even though it appears that the confusion is caused by
the depression, a thorough examination is warranted to confirm the cause.
DIF: Cognitive Level: Application REF: p. 190 OBJ: 2
TOP: The Five ―Dsǁ of Confusion KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
2. Vascular dementia is more common in individuals living in:
a. The United States
b. Japan
c. France
d. Australia
ANS: B
The incidence of vascular dementia is more common in Japan for unknown reasons. Japanese
citizens who move to the United States have been found to have a decreased rate of vascular
dementia.
DIF: Cognitive Level: Knowledge REF: p. 193 OBJ: 5
TOP: Causes of Dementia KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
3. A newly admitted elderly client seems to become confused and agitated every evening after
dinner. This client most likely is suffering from:
a. Alzheimer’s disease
b. Acute dementia
c. Sundown syndrome
d. Delirium
ANS: C
https://www.coursehero.com/file/13027643/c17/
, Sundown syndrome typically occurs during the late afternoon, evening, or night when an
elderly person is in unfamiliar surroundings. The other three options occur at any time of day,
evening, or night. The symptoms often disappear when the client is back in familiar
surroundings.
DIF: Cognitive Level: Comprehension REF: p. 193 OBJ: 5
TOP: Symptoms of Dementia KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
4. The elderly spouse of a 74-year-old male client states that she has noticed that her husband
―doesn’t remember as well as he used to.ǁ She explains that he has been putting on his coat
before his shirt, and that he can never get their checkbook to balance as it did in the past. The
client is exhibiting signs and symptoms typical of:
a. Vascular dementia
b. Alzheimer’s disease
c. Acute delirium
d. Aging
ANS: B
The person with Alzheimer’s disease commonly shows deficits in familiar tasks. Vascular
dementia and acute delirium relate more to confused states, and dementia symptoms should
not be assumed to be part of normal aging.
DIF: Cognitive Level: Comprehension REF: p. 195 OBJ: 6
TOP: Alzheimer’s Disease KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
5. The affective losses of Alzheimer’s disease refer to losses noticed in the individual’s:
a. Personality
b. Thought processes
c. Ability to make and carry out plans
d. Self-care
ANS: A
Affective losses result in personality changes in the individual with Alzheimer’s disease.
Thought processes and self-care do not relate to the individual’s personality, and the ability to
make and carry out plans is referred to as cognitive loss.
DIF: Cognitive Level: Comprehension REF: p. 194 OBJ: 6
TOP: Symptoms and Course of Alzheimer's Disease
KEY: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity
6. The average time that a person with Alzheimer’s disease lives after diagnosis is years.
a. 2
b. 8
c. 10
d. 20
ANS: B
Eight years is the average, with the life span ranging from 2 to 20 years after diagnosis of the
disease.
https://www.coursehero.com/file/13027643/c17/
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