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Exam 21: Neurocognitive Disorders

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Question 1

Multiple Choice

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The nurse is caring for a patient with Alzheimer disease and anticipates an order for which medication that may help delay the rate of cognitive decline?

A) Donepezil (Aricept)
B) Quetiapine (Seroquel)
C) Valproic acid (Depakote)
D) Escitalopram (Lexapro)

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Question 2

Multiple Choice

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The nurse is caring for a patient with suspected delirium. In addition to the sudden onset of symptoms, the nurse can expect to find alterations in which functions during the assessment? Select all that apply.

A) Abstract thinking
B) Concrete thinking
C) Memory
D) Concentration
E) Consciousness

Correct Answer

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C,E

Question 3

Multiple Choice

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A 42-year-old patient presents to the health care provider's office complaining of difficulty "remembering things." The patient's spouse adds that the patient has been making "a lot of funny faces and hasn't been himself lately." The nurse anticipates the need to evaluate the patient for which disorder?

The nurse is caring for a patient with moderate Alzheimer disease (AD) . The health care provider has ordered memantine (Namenda) for the collaborative treatment of the patient's disease. What is the nurse's best understanding of this medication's action?

The nurse is caring for a patient with neurocognitive disease who is suspected of having depression. What is true regarding depression and neurocognitive decline? Select all that apply.

The student nurse is caring for a patient with Alzheimer disease. The student asks the nurse preceptor, "What types of medications may be used to treat Alzheimer disease?" What is the nurse's best response? Select all that apply.

The nurse is caring for a patient with Alzheimer disease who is no longer able to make or plan meals and who is having difficulty managing her personal finances. What stage of Alzheimer disease does the nurse suspect the patient has?

An 82-year-old man is admitted to a medical-surgical unit for diagnostic confirmation and management of suspected delirium. Which statement by the patient's daughter best supports the diagnosis?

The nurse is caring for a patient with Alzheimer disease. The nurse notes that the health care provider documented that the patient has neurocognitive disorder instead of documenting dementia. Why would the health care provider document in this manner?

The patient presents at the health care provider's office at the urging of her spouse. Which statements by the spouse suggest to the nurse that the patient is in stage 2 of Alzheimer disease? Select all that apply.

The nursing staff working on the dementia unit of a long-term care facility are informed that the entire unit will be redecorated in the next two weeks. Nursing staff tell the nurse manager that this will be a problem for the patients. What particular patient need is addressed by the staff nurse's concern?

The nurse is caring for an older adult patient with a urinary tract infection (UTI) . The patient points to the smoke alarm inside the room and asks the nurse, "Would you please turn on the radio?" For which alteration will the nurse assess the patient?

Which nursing technique is appropriate for therapeutic interaction with a patient who has been diagnosed with Alzheimer disease?

The nurse is caring for a patient with severe dementia. What nursing intervention best promotes orientation to time and space?

A 70-year-old patient presents to the health care provider's office complaining of tremors and memory problems. The patient says "I just can't get around like I used to. It feels like it takes forever to get started." Which disorder will the nurse suspect?

The nurse is caring for a patient suspected of having Alzheimer disease. The nurse knows that alterations in which areas can occur with Alzheimer disease? Select all that apply.

The nurse is caring for a patient with Alzheimer disease (AD) . A family member of the patient asks the nurse, "Is this disease genetic?" What is the nurse's best response? Select all that apply.

What does the nurse recognize as a risk factor for the development of delirium in older adults?

The nurse is caring for a patient with moderate Alzheimer disease (AD) . The health care provider has ordered donepezil (Aricept) for the collaborative treatment of the patient's disease. What medication teaching will the nurse include to both the patient and patient's family?

The nurse is caring for an older adult patient who presented to the emergency department with delirium. For which conditions will the nurse assess the patient? Select all that apply.