PN120 PrepU Chapter 24 Exam Questions With Correct Answers
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Course
PN120
Institution
PN120
PN120 PrepU Chapter 24 Exam Questions
With Correct Answers
Which nursing diagnosis would be the priority for the client experiencing acute delirium? -
answerRisk for injury related to confusion and cognitive deficits
Which term is used to describe the inability to execute motor functioning, des...
PN120 PrepU Chapter 24 Exam Questions
With Correct Answers
Which nursing diagnosis would be the priority for the client experiencing acute delirium? -
answer✔✔Risk for injury related to confusion and cognitive deficits
Which term is used to describe the inability to execute motor functioning, despite intact motor
abilities? - answer✔✔Apraxia
What is the primary sign of delirium? - answer✔✔An altered level of consciousness
An 80-year-old is brought to the clinic by the client's spouse. The client has a history of
peripheral vascular disease and type 2 diabetes. The spouse states that the client hasn't seemed to
be normal for the preceding few days, noting that the client has been lethargic and mildly
confused at times and has been incontinent of urine. The spouse reports that the client's blood
glucose levels have been elevated. The nurse considers which as the most likely explanation for
the client's change in mental status? - answer✔✔Delirium related to underlying medical problem
The client is an 84-year-old suffering from delirium. The client has been in a nursing home for
the past 2 years but recently is becoming combative and has become a threat to staff. Which
medication would the client most likely receive for these symptoms? - answer✔✔Haloperidol
The client is 42 years old, married, and has two children, ages 16 and 18. The client is also
caring for the client's parent, who is in the late stages of Alzheimer's disease. The nurse would
want to assess the client for what? - answer✔✔Signs of stress
A client was admitted to an inpatient unit with a diagnosis of dementia. A nursing assessment
and interview of the client would include what? - answer✔✔Intellectual ability, health history,
and self-care ability
An 82-year-old client with a diagnosis of vascular dementia has been admitted to the geriatric
psychiatry unit of the hospital. In planning the care of this client, which outcome should the
nurse prioritize? - answer✔✔The client will remain free from injury.
A client diagnosed with Alzheimer's disease has an alteration in language ability. This alteration
would be documented as what? - answer✔✔Aphasia
The nurse is assessing a client who has received a tentative diagnosis of delirium. The nurse is
explaining to the family about the major cause of the client's condition. Which statement by the
nurse would be most appropriate? - answer✔✔"The client's diagnosis is primarily based on the
rapid onset of the change in consciousness."
A nurse is assessing a client diagnosed with Alzheimer's disease. As part of the assessment, the
nurse asks the client to identify common objects. The nurse is assessing for what? -
answer✔✔Agnosia
A nurse is caring for a client with delirium. The client sees a thermometer on the nurse's table
and shouts, "Don't stab me!" and cowers. Which feature of delirium is this client exhibiting? -
answer✔✔Illusion
A client with dementia becomes extremely agitated shortly after being admitted to the
psychiatric unit. The nurse is reluctant to use physical restraints to control the client. What is a
likely reason the nurse has this reluctance? - answer✔✔Physical restraints may increase the
client's agitation.
A group of friends have arrived at the hospital to visit a client recently diagnosed with delirium.
The nurse tells the friends they can visit with the client one at a time. What is the likely reason
for the nurse to give this instruction? - answer✔✔The nurse wants to prevent increasing the
client's confusion.
The nurse is caring for a client with dementia. The client's brain images show atrophy of cerebral
neurons and enlargement of the third and fourth ventricles. What is the cause of dementia in this
client? - answer✔✔Alzheimer's disease
A nurse's aide has rung the call light for assistance while providing a client's twice-weekly bath
because the client became agitated and aggressive while being undressed. Knowing that the
client has a diagnosis of Alzheimer's disease and is prone to agitation, which measure may help
in preventing this client's agitation? - answer✔✔Reminding the client multiple times that he or
she will be soon having a bath
A client has vascular neurocognitive disorder. When teaching the family about the cause of this
disorder, which would the nurse expect to integrate into the explanation? - answer✔✔Blood flow
in the vessels to the brain are blocked.
A client is diagnosed with Alzheimer's disease. While assessing the client, the nurse notes that
the client has trouble identifying objects such as a key and spoon. The nurse would document
this as what? - answer✔✔Agnosia
What is the greatest benefit support groups provide to the caregivers of clients diagnosed with
dementia? - answer✔✔provides interaction with those with similar concerns
The nurse should consider the intervention referred to as "going along with" when managing the
care of which client? - answer✔✔the older widower who is worried about his wife not being able
to visit because of the snow
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