Psychiatric nursing- Cognitive impairment disorders

In the clients with cognitive impairment disorder, a phenomenon increased confusion in the early evening hours is called Aphasia Agnosia Sun downing Confabulation

Sun downing

A eighty-two-year-old man is admitted to the medical- surgical unit for diagnostic confirmation and management of probable delirium. Which of the following statements by the client's daughter best supports the diagnosis. "Maybe it's just caused by aging, this usually happens by the 82" "The changes in his behavior came on so quickly! I wasn't sure what was happening" "Dad just didn't seem to know what he was doing; he would forget what he had for breakfast" "Dad has always been so independent. He's lived alone for year since Mom died"

"The changes in his behavior came on so quickly! I wasn't sure what was happening"

An eighty-year-old man is accompanied to the clinic by his son. The son tells the nurse that the constant confusion, incoherence and tendency to wonder are intolerable. The client has a diagnosed chronic cognitive impairment disorder. The nursing diagnosis appropriate for the son would be Risk for violence Sleep pattern disturbance Caregiver role strain Social isolation

Caregiver role strain

Which of the following outcome criteria is appropriate for the client with dementia? Client will return to adequate level of self-functions Client will learn new coping mechanism to handle anxiety Client will seek out resources in the community for support Client will follow established schedule for ADL'

Client will follow established schedule for ADL'

Aseventy-five-year-old client had dementia, Alzheimer's type, and confabulates. The nurse understands that the client. Denies confusing by being jovial Pretends to be someone else Rationalizes various behaviors Fills in the memory gaps with fantasy

Fills in the memory gaps with fantasy

Which of the following best describes dementia? Memory loss occurring as a part of natural consequence of aging Difficulty coping with physical and psychological changes Sevre cognitive impartment that happens rapidly Loss of cognitive abilities, impairing ability to perform ADL.

Loss of cognitive abilities, impairing ability to perform ADL.

Which of the following is not included in a care plan for a client with moderate cognitive impairment from dementia Alzheimer's type? Daily structured schedule Positive reinforcement for performing ADL Stimulating environment Use of validation techniques

Stimulating environment

A nurse asked a client with a cognitive impairment disorder what day of the week it is, what the date, moth, and year are, where the client is. The nurse is attempting to assess Confabulation Delerium Orientation Preservation

Orientation

A family expresses concern to a nurse about behavioral changes in an elderly relative. Which would cause the nurse to suspect a cognitive impairment disorder? Decrease interest in activities that were once enjoyed Fearfulness of being alone at night Increased complaints of alignments Problems with preparing a meal of balancing a checkbook

Problems with preparing a meal of balancing a checkbook

Which of the following abilities should a nurse expect from a client in the mild stage of dementia, Alzheimer's type? Remembering the daily schedule Recalling events of the past Coping with anxiety Solving problems of daily living

Recalling events of the past

Which one of the following will nurse use when communication with a client who has a cognitive impairment? Complete explanations with multiple details Pictures or gestures instead of words Stimulation words and phrases to capture the client's attention Short words and simple sentences

Short words and simple sentences

Which of the following goals is a priority for a client with DSM-5 diagnosis of the delirium and the nursing diagnosis of acute confusion related to recent surgery secondary to the traumatic hip fracture? The client will complete the ADL The client will maintain safety The client remains orientated The client will understand the communication

The client will maintain safety

An elderly client with Alzheimer's disease becomes agitate and combative when a nurse approaches to help with the morning care, the most appropriate nursing intervention would be To tell the client firmly that it is time to get dressed To obtain assistance to restrain client for safety To remain calm and talk quietly to the client To call the physician and request order for sedation

To remain calm and talk quietly to the client

A nurse that a caregiver for a client with dementia persistence in correcting the client' s misinterpretations of reality, even when the client becomes upset and anxious. Which of the following interventions would the nurse teach the caregiver? Anxiety-reducing measures Positive reinforcement Reality orientation techniques Validation techniques

Validation techniques