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Nurs 172 Exam 2: Questions & Precise Answers
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Nurs 172 Exam 2: Questions & Precise AnswersDuration of the disorder is commonly brief Right Ans - delirium
Client with this disorder uses confabulation to hide cognitive deficits Right
Ans - neurocognitive disorder
Symptoms of this disorder may be confused with depression Right Ans -
neurocognitive disorder
Can be caused by a series of small strokes Right Ans - neurocognitive
Is commonly reversible Right Ans - delirium
Can occur as the result of a seizure Right Ans - delirium
Level of awareness is affected Right Ans - delirium
Reversibility occurs only in a small percentage of cases Right Ans -
neurocognitive disorder
Severe migraine headache can lead to this condition Right Ans - delirium
Personality change is common symptoms Right Ans - neurocognitive
disorder
Illusions and hallucinations are common symptoms Right Ans - delirium
Symptoms can occur as a result of alcohol withdraw Right Ans - delirium
Symptoms can occur as a result of cocaine intoxication Right Ans - delirium
Can result from head trauma Right Ans - delirium and neurocognitive
disorder
Disturbance of memory is commonly the first symptom Right Ans -
neurocognitive disorder
,delirium Right Ans - characterized by a disturbance in a level of awareness
and a change in cognition. develops rapidly over a period of time.
symptoms of delirium Right Ans - difficulty sustaining and shifting
attention, extreme distractibility, disorganized thinking, speech that is
rambling, disoriented time and place, impaired reasoning ability, illusions and
hallucinations, disturbance in level of consciousness, emotionally unstable,
elevated bp, dilated pupils, tachycardia, abrupt onset, slower onset if
underlying etiology illness or metabolic imbalance.
general medical conditions that may cause delirium Right Ans - infections,
febrile illness, metabolic disorders, head trauma, seizures, migraine
headaches, brain abscess, stroke, electrolyte imbalance
primary NCD Right Ans - disorder itself is the major sign of some organic
brain disease not directly related to any other organic illness (ex: Alzheimer's
disease)
secondary NCD Right Ans - caused by or related to another disease or
condition (ex: HIV disease or cerebral trauma)
symptoms of NCD Right Ans - -impairment exists in abstract thinking,
judgement, and impulse control
- conventional rules of social conduct are disregarded,
-personal appearance and hygiene are neglected
- language may or may not be affected
- personality change is common
NCD may result from Right Ans - stroke
depression
side effects of meds
nutritional deficiencies
metabolic disorders
alzheminers accounts for __________% of all cases of NCD Right Ans - 50-60
AD stages Right Ans - 1. no apparent symptoms
2. forgetfulness
3. mild cognitive decline
, 4. mild-to-moderate cognitive decline
5. moderate cognitive decline
6. moderate-to-severe cognitive decline
7. severe cognitive decline
NCD due to Alzheimers Right Ans - onset is slow and insidious
course of the disorder is generally progressive and deteriorating
etiologies may include:
plaques and tangles
acetylcholine alterations
head trauma
genetic factors
vascular NCD Right Ans - result of significant cerebrovascular disease
there is a more abrupt onset than seen in association to alzheimer's disease,
course is more variable
etiologies may include:
hypertension
cerebral emboli
cerebral thrombosis
frontotemporal NCD Right Ans - occurs as a result of shrinking frontal and
temporal lobes of the brain
exact cause is unknown but generics appear to be a factor
NCD due to traumatic brain injury Right Ans - amnesia is most common
neurobehavioral problem
repeated head traumas results in dementia pugilistrica: emotional labitity,
dysarthria, ataxia, impulsivity
NCD due to Lewy body disease Right Ans - similar to alzheimer's, but
progresses more rapidly
appearance of lewy bodies in the cerebral cortex and brainstem
progressive and irreversible
may account for 25 % off all NCD cases
NCD due to Parkinson's disease Right Ans - caused by loss of nerve cells
located in the substantia nigra and a decrease in dopamine activity
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