PP2 COGNITION

The nurse is supporting cognitive ability in clients with Alzheimer disease. Which actions will the nurse take? Select all that apply.

Encouraging caregivers to support safe independence Using calendars, clocks, and pictures to support memory Providing a limited number of choices to support decision-making

While assessing an elderly client, a nurse infers cognitive impairment. Which statements made by the client confirm the nurse's conclusion?

"I have difficulty judging things." "I am unable to do financial calculations." "I am unable to recall words during conversations with my family."

The registered nurse is teaching a nursing student about nursing care principles for cognitively impaired older adults. Which statement made by the nursing student indicates a need for further education?

"I should provide conditional positive support.

A registered nurse is teaching a nursing student about how to communicate with a client who is cognitively impaired. Which statements made by the nursing student indicate a need for further education? Select all that apply.

"I should use visual cues." "I should speak in a normal tone of voice." "I should face the client so that he or she can see my mouth."

Which action would the nurse take for an older adult resident with Alzheimer disease who often talks about the "good old days" at the ranch?

*Allowing the resident to reminisce about the past and listening with interest

A registered nurse is teaching a nursing student about how to communicate with a client who is cognitively impaired. Which statements made by the nursing student indicate a need for further education? Select all that apply.

A. Slurred speech D. Visual or tactile hallucinations F. A fluctuating level of consciousness

Which factors are unique to delirium?

A. Slurred speech D. Visual or tactile hallucinations F. A fluctuating level of consciousness

A nurse is assessing a client with dementia. Which clinical manifestations are expected? (SATA)

1. restlessness 3. short attention span 4. disordered reasoning 5. impaired motor activities

The nurse is preparing discharge instructions for a client who has begun to demonstrate signs of early Alzheimer's dementia. The client lives alone. The client's adult children live nearby. According to the prescribed medication regimen the client is to take medications six times throughout the day. What is priority nursing intervention to assist the client with compliance with medication-taking?

3.Contact the primary healthcare provider and discuss the possibility of simplifying the medication regimen.

Four clients who sustained head injuries are presented below. Which client has the least score on the Glasgow coma scale?

Client C

A client with mild Alzheimer disease has been taking galantamine, and the primary healthcare provider prescribes paroxetine for depression. For what effect will a nurse assess the client when these medications are taken concurrently?

Additive

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?

Agnoisa

A client with stage 1 Alzheimer begins to demonstrate aphasia. Which intervention will the nurse use?

Allow extra time for client to verbalize needs and thoughts.

which signs and symptoms are the 4 A's of Alzheimer's disease?

Amnesia, Apraxia, Agnosia, Aphasia

Based on the assessment data in the client's chart, which need is the priority for a cognitively impaired older adult who has a cut on the forehead?

Assessment for possible physical neglect

An older client with the diagnosis of dementia of the Alzheimer type is admitted to a long-term care facility. What should the nurse keep in mind regarding confusion when planning care for this client?

Confusion occurs with a transfer to new surroundings.

The nurse is performing a neurologic assessment on a client and is completing the Glasgow Coma Scale (GCS). What components make up this assessment tool?

Best verbal response Best motor response Best eye-opening response

A nurse identifies that a client with dementia seems anxious, frequently paces about, and exhibits deteriorating hygiene. How can the nurse address these behaviors?

By directing staff members to reinforce reality with each client contact

To keep the client with Alzheimer disease who has hyperorality safe, which parameter would the nurse have the staff closely monitor?

For attempts at eating inedible objects.

Which finding would indicate that a client needs to be evaluated by the health care provider for Alzheimer disease (AD)

Forgets home address

Family members of a client who had a brain attack (cerebrovascular accident, CVA) ask why the client cries easily and without provocation. How does the nurse explain the client's behavior?

Has little control over this behavior

A client with dementia is trying to open the door and says, "I want to leave now." Which intervention would the nurse use?

Invite the client to attend an activity program that she or he enjoys.

Which description is correct for Alzheimer disease?

Is a slow, relentless deterioration of the mind

Which action would the nurse take for an older client with Alzheimer disease who sleeps very little and becomes more disoriented from sleep deprivation?

Leave a dim light on in the client's room at night.

An older client is diagnosed with Alzheimer disease. For which clinical manifestations should the nurse assess the client?

Loss of recent memory Perceptual disturbances Difficulty learning something new

What is the priority nursing intervention for a forgetful, disoriented client with the diagnosis of dementia of the Alzheimer type

Managing the client's unsafe behaviors.

The healthcare provider prescribes donepezil 5 mg by mouth once a day for a client exhibiting initial signs of dementia of the Alzheimer type. The client is already taking digoxin 0.125 mg in the morning and alprazolam 0.5 mg twice a day. What will the nurse teach the client's spouse to do?

Prefill a weekly drug box with the medications for the spouse to self-administer.

Which approach would the nurse use for an older adult client with Alzheimer disease who frequently switches from being pleasant and happy to being hostile and unhappy without apparent external cause?

Providing nursing care when the client is receptive

Which topic addressed by a new nurse when talking with a client who has neurocognitive disorder due to Lewy bodies would cause the charge nurse to follow-up?

Recent days

Which guidelines would the nurse consider when planning care for a hospitalized older client with Alzeimer disease?

Routines provide stability for clients with neurocognitive disorders.

The nurse is caring for an older adult client with dementia. Which client need would the nurse prioritize while providing care?

Safety

Which priority parameter would the nurse assess when caring for an older adult client with a neurocognitive disorder who demonstrates disorientation and numerous unmanageable behaviors?

Stressors that appear to precipitate the client's disruptive behavior

Which description of symptoms is consistent with dementia of the Alzheimer Type?

Symptoms reflect progressive disintegration

An older client who is usually cheerful and cooperative demonstrates irritability and restlessness during morning hygiene. Which assessment would the nurse perform first.

b)changes in mental status and cognition

Four clients who sustained head injuries are presented below. Which client has the least score on the Glasgow coma scale?

client c

which nursing intervention with the nurse classify as the highest priority for a client with delirium

creating a calm and safe environment

the nurse is caring for a client with a brain injury who is often disoriented and agitated which interventions would the nurse include in the plan of care to decrease the risk for staff injury

daily routine reality orientation calendar and clocks antipsychotic medication

which characteristics are unique to vascular dementia?

focal neurological signs episodic progression of symptoms

Which strategy would the nurse include in a plan of care for a client with Alzheimer disease?

maintain a daily routine of living

which benefit does a client gain from confabulating?

protects self-esteem

Which topic addressed by a new nurse when talking with a client who has neurocognitive disorder due to Lewy bodies would cause the charge nurse to follow-up?

recent days

which strategy would the nurse include in a plan of care for a client with Alzheimer disease?

structure the environment for safety