Mental Health, Dementia, Piaget's Adaptive Quizzing
What are the "four As" for which nurses should assess clients with suspected Alzheimer disease?
Amnesia, apraxia, agnosia, aphasia
Donepezil is prescribed for a senior client who has mild dementia of the Alzheimer type. What information does the nurse include when discussing this medication with the client and family?
Blood tests that reflect liver function will be performed routinely.
According to Erikson, what will happen to an individual who fails to master the maturational crisis of adolescence?
Role confusion
During the first month in a nursing home, an older client with dementia demonstrates numerous disruptive behaviors related to disorientation and cognitive impairment. What should the nurse take into consideration when planning care?
Stressors that appear to precipitate the client's disruptive behavior
A client with a diagnosis of dementia of the Alzheimer type has been taking donepezil 10 mg/day for 3 months. The client's partner calls the clinic and reports that the client has increasing restlessness and agitation accompanied by nausea. What does the nurse advise the partner to do
Bring the partner to the clinic for testing and a physical examination.
A 70-year-old retired man has difficulty remembering his daily schedule and finding the right words to express himself. He is found to have dementia of the Alzheimer type. What does the nurse know about symptoms of this disorder?
Demonstrate a progression of disintegration
Which cognitive development is seen in early adolescence?
Exploring a newfound ability for limited abstract thoughts
What should the nurse include when planning activities for an older nursing home resident with a diagnosis of dementia?
Familiar activities that the resident can complete successfully
While caring for a client on phenelzine, the nurse finds an excess elevation of the client's temperature. Which other medication currently being taken by the client may be responsible for this condition?
Meperidine
A child has been hospitalized repeatedly for illnesses of unknown origin. Finally the primary healthcare provider makes the diagnosis of Munchausen syndrome by proxy. What is the most therapeutic approach by the nurse to the involved parent?
Open communication
The student nurse is learning about cognitive development in preschoolers. Which is characteristic of cognition in 4-year-olds?
Phase of intuitive thought
Which stage of Piaget's theory of cognitive development does the nurse observe in a preschooler?
Preoperational
A nurse is documenting the assessment findings of four preschool children with the help of a chart. Which child does the nurse identify to have a lack of adequate cognitive development?
Preschooler D unable to imitate
The nurse is admitting a confused 80-year-old client to the mental health unit. Which is one factor associated with the aging process?
Slowing of responses
During a peer review, the chief operational officer of a healthcare unit understands that the newly appointed nurse excels in reminiscence theory. What statement of the nurse confirms this understanding?
The nurse builds self-esteem by asking about a client's previous achievements.
According to Erikson's theory of psychosocial development, which attribute plays an important role in the development of a healthy personality from birth to 1 year of age?
Trust s msitrust
An older adult resident of a nursing home who has the diagnosis of dementia of the Alzheimer type frequently talks about the good old days at the ranch. What is the most appropriate action by the nurse?
Allowing the resident to reminisce about the past and listening with interest
The nurse is assessing four clients in the emergency department. Which client requires least priority according to the Glasgow Coma Scale?
Client D
A client after a trauma has difficulty opening his or her eyes to pain, has abnormal flexion motor response, and speaks inappropriate words. What is the status of the client utilizing the Glasgow Coma Scale? Record your answer using a whole number.
8
Which information is correct about the cognitive changes of a teenager?
A teenager considers an infinite variety of causes and solutions.
Which belief should a nurse expect a preschooler to hold regarding the concept of death? <p>Which belief should a nurse expect a preschooler to hold regarding the concept of death?</p>
A temporary condition
A client with a history of atrial fibrillation has a stroke, and vascular dementia (multiinfarct dementia) is diagnosed. In a comparison of assessment findings in clients with vascular dementia and dementia of the Alzheimer type, which factor is unique to vascular dementia?
Abrupt onset of symptoms
A hospitalized psychiatric client with the diagnosis of histrionic personality disorder demands a sleeping pill before going to bed. After being refused the sleeping pill, the client throws a book at the nurse. What does the nurse recognize this behavior to be?
Acting out
The nurse is caring for a 75-year-old client who had radical head and neck surgery. Thirty minutes after awakening from anesthesia, the client becomes agitated, disoriented, and confused. What should the nurse do?
Administer the prescribed oxygen.
A nurse caring for a client with dementia notes that the primary healthcare provider has prescribed an experimental course of treatment. What important factor should the nurse keep in mind regarding the procurement of informed consent?
Clients with mental illness have the right to refuse treatment.
Which characteristics influence the intrinsic factors that determine motivation? Select all that apply.
Cognitive level Self-confidence Emotional readiness
Which screening report will help the nurse determine skeletal growth in a child?
Radiographs of the hand and wrist
A client with dementia is admitted with a fractured hip after a fall at home. The client's family member witnessed the fall. Four hours after admission, the client's blood pressure increases to a moderately severe hypertensive level. The client pulls on the bedclothes continuously. The client's family member asks for pain medication for the client. What does the nurse concludes?
The client may be in pain and unable to respond appropriately.
at important step should the community nurse take when dealing with older adults with a confusional states problem? Select all that apply.
The nurse should provide a protective environment. The nurse should recommend applicable community resources. The nurse should demonstrate proper hygiene to the primary caretaker.
What does that nurse state that is true about language development in preschoolers?
They start questioning events.
An 80-year-old client with dementia of the Alzheimer type is admitted to a nursing home. A family member visits and remarks how thin and wrinkled the client has become. Which response by the nurse will help the family member most to understand the aging process? <p>An 80-year-old client with dementia of the
"As we age, we lose the tissue that helps puff out the skin."
The nurse is caring for an 84-year-old man admitted with a diagnosis of severe Alzheimer dementia. In the admission assessment, the nurse notes that the client can no longer recognize familiar objects such as his glasses and toothbrush. What is the best term to describe this situation? <p>The nurse i
Agnoisa
A client has a diagnosis of schizoid personality disorder. During the assessment what should the nurse expect of the client's behavior?
Detached and socially distant
A client with dementia and chronic confusion is suspected to have Alzheimer disease. Which imaging technique is specific for Alzheimer disease?
Magnetic resonance spectroscopy (MRS)
A client in a mental health facility is demonstrating manic-type behavior by being demanding and hyperactive. What is the nurse's major objective?
Maintaining a supportive, structured environment
A nurse is caring for a client with vascular dementia. What does the nurse expect of this client's mental status?
Difficulty recalling recent events related to cerebral hypoxia
A nurse is caring for a community-dwelling older adult with dementia. What interventions should the nurse take to ensure the client's well-being? Select all that apply.
Foster human dignity and maintain the best possible functioning, protection, and safety Show the caregiver techniques to dress, feed, and toilet the older adult Protect the client's rights and provide support to maintain the physical and mental health of family members
An older resident in a nursing home who has a diagnosis of dementia hoards leftover food from the meal tray and other seemingly valueless articles and stuffs them into pockets "so the others won't steal them." What should the nurse plan to do?
Give the resident a small bag in which to place selected personal articles and food.
A healthcare provider prescribes oropharyngeal suctioning as needed for a client in a coma. Which assessment made by the nurse indicates the need for suctioning?
Gurgling
The student nurse is learning about the developmental characteristics of vision. Which major developmental characteristics does an infant start exhibiting around age 6 weeks? Select all that apply.
Having peripheral vision to 180 degree Having binocular vision
A client just had a total hip replacement and is experiencing restlessness and changes in mentation. Which complication does the nurse consider the client may be experiencing based on these responses?
Hypovolemic shock
The nurse is implementing measures to reorient a confused client post earthquake and suggests that a family member accompany the client. Which safety consideration is the nurse demonstrating?
Injury prevention for clients
A nurse is assessing a young adult for evidence of achievement of the age-related developmental stage set forth in Erikson's developmental theory. What developmental crisis is associated with this age group?
Intimacy versus isolation
A 55-year-old client who has a long history of drug and alcohol abuse mentions taking ginkgo biloba. The nurse knows that ginkgo biloba is taken to treat what condition?
Memory impairment
An older client's family tells the nurse that the client has suffered some memory loss in the past few years leading to a diagnosis of dementia with Lewy bodies (DLB). When attempting to increase the client's self-esteem, the nurse should try to avoid discussing events that require memory of what part of the client's life?
Recent days
The primary objective of nursing intervention for clients with dementia, delirium, and other cognitive disorders is to maintain what?
Safety
According to Piaget's theory, what are the cognitive or moral developmental changes in children aged 6 to 12 years? Select all that apply.
The child develops logical thinking. The child is in the concrete operations period
The nurse is caring for a client who was just admitted to the hospital with the diagnosis of head trauma. Which clinical indicators should the nurse consider as evidence of increasing intracranial pressure? Select all that apply.
Vomiting Irritability ecreased level of consciousness
