Cognition Mastery Quiz prepU quiz

The spouse of a client states to the nurse, "I am worried that my spouse is beginning to have dementia symptoms. How will I be able to tell for sure?" Which is the best response by the nurse?

"Forgetfulness is one of the earliest signs of dementia, but we should rule out other causes."

A client in an inpatient setting has a delusion that there are a multitude of undetectable noxious gases in circulation that have the potential to poison the client and others. WHich of the nurse's responses is most therapeutic?

"I can assure you that you are actually very safe here."

An older adult client with Alzheimer disease is prescribed donepezil. After providing education for the primary caregiver, which statment by the caregiver indicates that the education provided is effective?

"The drug won't cure the client's Alzhemier, but it has the potential to slow down the progression of the disease"

A nurse is caring for a client with dementia. A familt member of the client asks what the most common cause of dementia is. Which response by the nurse is most appropriate?

"The most common cause of dementia in the elderly is Alzheimer's disease."

WHich client statment indicates the msot insight into his or her issue with auditory hallucinations?

"The voiced aren't real but it's hard to ignore them."

A client has just been started on opioid analgesia for pain control. The nurse assesses the client's level of sedation using a sedation scale and notes that the client is somewhat drowsy but is easily aroused by voice. The nurse would assign which rating?

2

The nurse is assessing a child with a suspected head injury. The child opens the eyes only in response to the nurse placing pressure in the child's nail bed. What score on the Glasgow coma scale for eye opening should the nurse assign based on this assessment finding?

2

A nurse suggests that the client explores new ideas about a particular problem and consider other possibilties to reflect:

A cognative intervention

The nurse is caring for a client in the intensive care unit who has been unable to sleep well for days. Which symptoms may be associated with sleep deprivation? Select all that apply.

Anxiety Irritability Inability to concentrate

The client has Alzheimer disease and is a new admission to the nurse home. The client was transferred from the hospital. When first meeting the client, what technique(s) will the nurse use to facilitate communication with this client? Select all that apply

Approach the client from the front of the client Call the client by the client's preferred name Use simple words and short sentences when talking with the client

The nurse is providing preoperative care for a 7-year-old boy with a brain tumor, as well as his parents. Which intervention is a priority?

Assessing the child's level of consciousness

Cognitive techniques focus on the client's patterns of which type of thinking?

Automatic

A client has vascular neurocognitive disorder. When teaching the family about the cause of this disorder, which would the nurse expect to integrate into the explanation?

Blood flow in the vessels to the brain are blocked

The nurse is preparing a psychosocial assessment for use with clients with various mental health conditions. For which group of clients should the nurse include mostly closed-ended questions?

Clients with adult attention deficit heyperactivity disorder

A nurse is assessing a hospitalized client who is hearing voices due to psychosis. The client is easily distracted, and this is creating a barrier to completing the assessment. What is the most effective way for the nurse to proceed?

Complete the assessment in several short interactions

A nurse is assessing an elderly client with senile dementia. Which neurotransmitter condition most likely to contribute to this client's cognitive changes?

Decreased acetylcholine level

An older adult cient may be experiencing symptoms of tertiary syphilis. Which characteristic would the nurse associate with tertiary syphilis years after the initial infection?

Dementia

The diagnosis of dementia is based on assessment of the presenting problem. The American Academy of Neurology practice parameters recommend screening for which disorder when assessing a client for dementia?

Depression

What are the most common mental health problems in the United States? Select all that apply.

Depression Anxiety Substance abuse

The nurse is conducting an admission assessment with a 45-year-old client who has been demonstrating signs of bipolar. While conducting the assent, the client starts speaking in illogical rhymes and using word associations. WHat is th name for this thought pattern?

Flight of ideas

Which psychotherapy pioneer introduced the term parataxis?

Harry Stack Sullivan

The nurse is caring for a 12-month-old with autism spectrum disorder (ASD). What description would you expect to elicit form his mother on history-taking?

He stares at a rotating wheel on his crib mobile

Catatonia as seen in clients with schizophrenia is unique in the extstence of which feature?

Immobility like being in a trance

The major difference between somatoform disorders and factitious disorders is what?

In somatoform disorders, clients are not consciously aware that they are meeting needs through physical complaints.

Which conditions occur in clients who are experiencing the effects of sensory deprivation? Select all that apply.

Inaccurate perception of sights, sounds, tastes, and smells Inability to control direction of thought content Difficulty with memory, problem solving, and task performance

As a consequene of long-standing lung disease, a client is in chronic state of hypoxia. Which phenomena would the client's care team be most justified in anticipating? Select all that apply

Increased erythropoietin production Hyperventilation Personality changes

The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. WHich room assignment will the nurse make?

Into a private room

The structure of the brain associated with emotional control, memory, and learning is what?

Limbic system

Which medication is not known to cause delirium?

Loop diuretics

A client with psychosis who was recently admitted to a psychiatric unit says to the nurse, "The car is red. Are you ready for lunch? My head is hurting. Dogs bark loud. "The client is exhibiting which type of speech?

Loose associations

The nurse assesses a client with renal faliure encephalopthy caused by uremia. Which clinical manifesation will the nursde likely find?

Loss of recent memory and inattention

Rebleeding may occur from a peptic ulcer and often warrants surgical interventions. Signs of bleeding include which of the following?

Mental confusion

The nurse is caring for a client with asterisks. WHich assessment should the nurse make to help a diagnosis of hepatic encephalopathy

Mental status

A school nirse is performing an otoscopic examinaton on an elementary student who states ear pressure. If the nurse suspects a potential diagnosis of otitis media, at which location would the nurse confirm the diagnosis?

Middle of the ear

A client with a history of alcohol use disorder has presented to the emergency department with hallucinations and relays being followed by the police. Which action will the nurse take given this information?

Monitor for Korsakoff syndrome from long-term effects of alcohol use.

What kind of behavior does the nurse anticipate observing when treating a client obsessed with blasphemous thoughts?

Praying repeatedly

An older adult client with severe dementia has been experiencing repeated vomiting. What antiemetic drug has a black box warning against use in a client of this age?

Prochlorperaziine

A 6-year-old child with cognative disabilities presents to the emergency department with the parents, having fallen and hit the head. How will the nurse need to modify care, based on the disabilities?

Provide clear instructions on what the nurse is going to do

WHich attrbute is correct about Creutzfeldt-Jakob disease (CJD)?

Rare, rapidly progressife form of dementia

While caring for a hospitalized client diagnosed with schizophrenia, a nurse observes that the client is listening to the radio. The client tells the nurse that the radio commentator is speaking directly to the client. The nurse interprets this finding as which type of thinking?

Referential

A care aide has ruug the call light for assistance while providing a client's twice-weekly bath because the client became agitated and aggressive while being undressed. Knowing that the client has a diagnosis of dementia of Alzheimer's type and is prone to agitation, which measure may help in preventing this client's agitation?

Reminding the client multiple times that he or she will be soon having a bath

Based on the theory of transference, if a client's childhood experiences teach the client to mistrust authority figures, the client will do what as an adult?

Resist advice given by the mental health care professionals

A parent brought her 8-year-old child to the emergent care center to be examined following a fall off a playground set, resulting in a head injury. On discharge, the nurse explains to the parent that some symptoms may continue, including the inability to remember what happened before nthe fall. Which term best describes the diagnosis?

Retrograde amnesia

The nurse is caring for a confused older adult client who requires surgery for a broken hip. What steps does the nurse take to determine if the client has a durable power of attorney for health care and how to contact that person?

Review the medical chart for a copy of a durable power of attorney for health care or permission for disclosure contact

A nurse is planning the care of a client who has been diagnosed with schizophrenia and who will begin treatment witha typical antipsychotic. The nurse should identify what nursing diagnosis?

Risk for injury related to central nervous system depression

A nurse is caring for a client diagnosed with schizophreniform disorder. The nurse demonstrates understanding of this disorder when identifying that the client is at risk for developing what?

Schizophrenia

A client has been taking neuroleptic medications for many years as a treatment for schizophrenia. The client is exhibiting tongue protrusion, facial grimacing, and excessive blinking. These manifestations are characteristics of which side effect?

Tardive dyskinesia

Which lobe of the brain performs functions of perception, long-term memory, and recognition of auditory stimuli?

Temporal lobe

A parent of a preschooler brings the child to the health care center for a visit. During the visit, the parent says, "It's just one question after another. Why does this happen? How does it happen? I'm at a loss as to what to say to my child." When providing anticipatory guidance to this parent, which information would the nurse incorporate?

The child is taking the initiative in learning to achieve initiative

The nurse asks the client to restate in their own words; "A stitch in time saves nine." Which sensorium and intellectual process is the nurse attempting to identify?

The client's ability to use abstract thinking

The nurse is caring for a client whith a head injury. Which client goal is most appropriate for the acute phase of a neurological injury?

The client's vital signs will stabilize, returning to normal range.

A geriatric and social worker are facilitating a family meeting for the children and wife of a 79-year-old man who has been diagnosed with Alzehimer disease. What goal of treatment will the clinicians most likely prioritize in theri interactions with the family?

The use of medications such as donepezil and rivastigmine to slow the progression of the disease

A patient is prescribed memantine for the treatment of dementia of Alzhemier's disease. Which adverse reaction should the nurse monitor for in the patient?

confusion

Nursing students are reviewing information about the emotional development of the preschool-age child. They demonstrate understanding of the information when theu identify what task as the task of the preschooler?

initiative

A nurse is evaluating aclient's orientation after he was brought into the ER follwoing a car accident. What is indicated by "Oriented x3"?

oriented to person, place, and time

A psychiatric-mental health nurse is teaching a class about schizophrenia. When describing delusions, which information would the nurse most likely include?

They may include elements of a situation that could occur in real life

Which aspect of the mental status exam refers to information about how the client's thoughts connect to one another?

Thought process

The school-age child develops the ability to recognize that is a block of clay is in a round ball and then is flattened, the shape changes but not the amount of clay. What understanding has this child developed?

conservation

A client with a 5-year history of multiple psychiatric admissions is brought to the emergency deparment by the police. The client was found wandering the streets disheveled, shoeless and confused. The client points to the police offices and states, "That person was sent by the devil to kill me. " Which response by the nurse is best?

"That sounds scary. That person is a police officer and brought you to the hospital"

The nurse assesses a client with renal faliure for encephalopathy caused by uremia. Which clinical manifestation will the nures likely find?

Loss of recent memory and inattention

A client with schizophrenia is exhibiting hallucinations and delusions. The mental health nurse knows that these symptoms are associated with hyperactivity of which neurotransmitter?

Dopamine

A nurse is conducting an in-service education program for a group of nurses transitioning to the pediatric unit o the facility. The nurse is describing the various theorious of growth and development. The nurse determines that the teaching waas successful when the group identifies the stages of cognitive development by Piaget. Place the stages listed below in the correct sequence from first to last that would demonstrate the group's learning.

Sensorimotor Pre-operational Concrete operatonal Formal operational

The nurse is providing care to a client with dementia who has difficulty using utensils. Which approach is most appropriate for the nurse to implement to assist in meeting adequate dietary intake?

Serve meals in small, bite-size pieces and cut before serving

The nurse is assessing an adolescent 1 hour after admission for a head injury. The nurse identifies that there have been changes since the baseline assessment, including apnea, bradycardia, and a widening pulse pressure. What is the primary reason for the nurse to notify the healthcare provider?

The changes suggest that the cleint's intracranial pressure is increasing

The nurse is caring for a client with a head injury. Which client goal is most appropriate for the acute phase of a neurological injury?

The client's vital signs will stabilize, returning to normal range.

An older adult with no significant medical history is admitted to the hospital through the emergency department after hitting the client's head during a fall and fracturing the humerus. The client does no require surgery and will probably be discharged the folloing day. Should the nurse be concerned about delirium?

Yea, becasue of the head injury and medication

The client tells a nurse that "many voices in his heaad are telling him what he should do." The nurse thinks he may be experiencing:

a hallucination

A client woth schizoaffective disorder is prescribed medication therapy. Which type of medications would be most likely be ordered?

atypical antipsychotics