Nurs 3613 Dementia and Delirium

Which score range on the Mini-Cog test indicates a positive screen for dementia? 0 to 2 3 to 4 5 to 6 Greater than 6

0 to 2

For the patient with multiple sclerosis, which action would the nurse classify as a priority intervention when developing the patient's plan of care? 1 Refer the patient for genetic counseling. 2 Teach the patient about medications used during acute exacerbations. 3 Assist the patient in identifying the factors that precipitate exacerbations. 4 Instruct the patient in the proper technique for self-administration of an enema.

Assist the patient in identifying the factors that precipitate exacerbations.

Which medication overdose may lead to paradoxical intoxication in a patient with parkinsonism? Levodopa (L-dopa) 2 Biperiden (Akineton) 3 Trihexyphenidyl (Artane) 4 Diphenhydramine (Benadryl)

Levodopa (L-dopa)

Which intervention may be beneficial to a patient in the early stages of Alzheimer's disease (AD)? Admission to an AD unit Respite care once a week Use of antipsychotic drugs Memory aids such as calendars

Memory aids such as calendars

For which major complication would the nurse monitor development in a patient experiencing a myasthenic crisis? 1 Speech alteration 2 Difficulty chewing 3 Impaired facial mobility 4 Respiratory insufficiency

Respiratory insufficiency

Which diagnostic test would be prescribed to diagnose vascular dementia (VaD)? Lipid panel CT scan of the brain Pituitary hormone levels Partial thromboplastin time

CT scan

Which rationale is accurate for why a patient who is demonstrating signs of delirium is scheduled for a CT scan of the brain? An undiagnosed infection is occurring. Alzheimer's disease is being ruled out. Trauma to the spinal cord has occurred. Potential head injury is causing the symptoms.

Potential head injury is causing the symptoms.

In a patient who had a change in mental status, which factors would be assessed as a possible cause for delirium? Select all that apply. Employment history Previous health history Serum electrolyte values Current living arrangements Medications routinely taken

Previous health history Serum electrolyte values Medications routinely taken

Which patient's dementia is caused by a neurodegenerative disorder? 1 The patient with alcoholism 2 The patient with multiple sclerosis 3 The patient with Alzheimer's disease 4 The patient with uremic encephalopathy

The patient with Alzheimer's disease

A patient with disorganized, distorted thinking and slow or accelerated incoherent speech is demonstrating which cognitive problem?

delirium

The adult child of an older patient states, "Since the discharge from the hospital two days ago, my parent won't eat and is confused." Which issue would the nurse suspect is occurring with the patient? 1 Delirium 2 Infection 3 Dementia 4 Psychosis

delirium

Which disorder can cause dementia and is considered ventricular? 1 Head injury 2 Brain tumor 3 Hydrocephalus 4 Hepatic encephalopathy

hydrocephalus

Which medication would be prescribed for a patient with delirium related to alcohol withdrawal?

lorazepam

In the mnemonic "DELIRIUM," the M represents which cause of delirium? medication malnutrition memory loss metabolic disorders

metabolic disorders

Which is a key characteristic of delirium?

occurs abruptly

The nurse would assess a patient with Alzheimer's disease who has increased vocalization and agitation for which issue? Pain Glaucoma Lack of sleep Schizophrenia

pain

The nurse identifies that a patient with delirium is at risk for injury. Which interventions would be included in the patient's plan of care to address the safety concerns? Select all that apply. Place a calendar within view. Obtain a prescription for restraints. Make sure the television is on at all times. Keep the overhead lights on during the day. Reorient the patient to person, place, and time as necessary.

place calendar within view Reorient the patient to person, place, and time as necessary.

Which reported behavior by a patient supports the diagnosis of memory loss associated with Alzheimer's disease (AD)?

placing keys in freezer

When planning the care for a patient with multiple sclerosis who has an exacerbation of sensory deficits, for which patient problem would the nurse develop nursing interventions? 1 Risk for injury 2 Acute confusion 3 Fluid volume deficit 4 Ineffective thermoregulation

risk for injury

Which medication helps to improve memory and cognition in patients with Alzheimer's disease?

rivastigmine