geri exam 2: cognition questions

The nurse has received a shift report and entered the room to assess an older adult client. Upon entering the room, the nurse notes that the client will not make eye contact and is unwilling to engage in a discussion. The client states, "I never sleep well, but I'm tired now, so will you let me sleep tonight?" The nurse recognizes this as a common problem experienced by a client of this age? A. Sleep deprivation B. Depression C. Dementia D. Stroke

B. Depression

Which action will help the nurse determine whether a patient's confusion is caused by delirium? A. Ask about family history of Dementia B. The Confusion Assessment Method tool C. Ask the patient their birthday, name and the current president D. Ask the patient when they last took medications

B. The Confusion Assessment Method tool

Which ability should Nurse Rebecca expect from a client in the mild stage of dementia of the Alzheimer's type? A.Remembering the daily schedule B.Recalling past events C.Coping with anxiety D.Solving problems of daily living

B.Recalling past events

Which goal is a priority for a client with a DSM-IV TR diagnosis of delirium and the nursing diagnosis Acute confusion related to recent surgery secondary to traumatic hip fracture? A.The client will complete ADLs B.The client will maintain safety C.The client will remain oriented D.The client will understand communication

B.The client will maintain safety

A 91-year-old female comes into the emergency room with symptoms of delirium. Which of the following would NOT be a possible cause of her condition? A. Urinary tract infection B. Dehydration C. Alzheimer's disease D. Recent anesthesia

C. Alzheimer's disease

An 84-year-old female patient is displaying signs of a delirium episode. To prevent the patient from injury, the most appropriate action by the nurse is to: A. Ask the provider about ordering an antipsychotic medication. B. Have the patient's guardian stay with the patient and give reassurance. C. Assign a staff member to remain with patient and provide frequent reorientation. D. Use a soft chest restraint to secure the patient in bed.

C. Assign a staff member to remain with patient and provide frequent reorientation.

Mrs. Jordan is an elderly client diagnosed with Alzheimer's disease. She becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to: A.Tell the client firmly that it is time to get dressed. B.Obtain assistance to restrain the client for safety C.Remain calm and talk quietly to the client D.Call the doctor and request an order for sedation

C.Remain calm and talk quietly to the client

A nurse suspects her patient may be suffering from delirium. What signs does the nurse observe to support this diagnosis? A) Slurred speech and one sided weakness B) Mask-like face and tremors C) Gradual onset of forgetfulness reported by family members D) Confusion and visual hallucinations

D) Confusion and visual hallucinations