ATI: Quiz #21 Dementia and Losses

In regards to the classification of loss, a sudden death of a loved one would be considered a:

Situational loss

A nurse is caring for an older adult client who has dementia and wanders at night. Which of the following interventions should the nurse take?

Take the client to the bathroom on a regular schedule

A nurse is contributing to the plan of care for a client who has dementia. Which of the following interventions is appropriate to include in the plan of care?

Provide few choices for daily activities

Which findings are likely to be reported by the client experiencing early stages of Alzheimer's?

Recognizing a problem exists with increasing frustration and anger

What is the best nursing action for preventing frustration and agitation when an older client with dementia asks about his or her mother, who is deceased?

Say, "You miss your mother. What was she like?"

Sometimes a person who has lost a loved one can have their feelings or even hallucinations of the loved one being near. Though this can be comforting, it can also lead the person to think they are going crazy. However, this is a normal part of the mourning process and it is referred to as

Sense of presence

Which of the following nursing diagnosis is the best for a geriatric client experiencing visual and auditory hallucinations?

Disturbed Sensory Perception

Which stage of Alzheimer's disease would the client demonstrate isolative behavior, short term memory loss, forgetfulness, and lack of interest in life?

Early

A family member of a client with dementia asks the nurse the difference between delirium and dementia. Which of the following is the most accurate response to this question?

Delirium is an acute confusion which is usually reversible

The nurse is caring for a 72 year old with terminal cancer. The nurse realizes that several signs are observed just prior to death. The nurse observes for which signs of impending death (SATA-4)

1. mouth breathing 2. cheyne-stokes respirations 3. diminished sensory and motor function in the extremities 4. slow, weak, thready pulse

An HIV client has been diagnosed with HIV dementia. As a nurse you know that this disease is characterized by? (SATA-3)

1. poor connection 2. problem solving difficulties 3. rapid progression

Which of the following nursing interventions is particular to a client with Alzheimer's Disease (SATA-3)

1. provide mental stimulation with simple games or activities 2. use calm and reassuring voice 3. maintain regular schedule

What is the average life expectancy of the client following a diagnosis of Alzheimer's

8 years

A nurse is contributing to the plan of care for a client who has dementia. Which of the following interventions is appropriate to include the plan of care?

Limit the client's choices for daily activities

A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

Provide a consistent daily routine

A nurse is caring for a client newly diagnosed with ovarian cancer. Which of the following reactions from the client should the nurse initially expect?

Denial

When a nurse informs a patient's spouse that the patient has died, the spouse states, "You must be mistaken." Which of the Kübler-Ross's stages of dying is the spouse demonstrating?

Denial

A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions. The patient is demonstrating what stage of dying according to Kübler-Ross's stages of dying theory?

Depression

A nurse is caring for a client with Alzheimer's disease. Which of the following will the nurse most likely expect to note when collecting data about the client

Disorientation

The term, _____, refers to impairment of mental function, poor judgement, impaired memory and disorientation

Confusion

____ is an acute brain syndrome, usually temporary with delusions

Delirium

A nurse is assisting with the admission of an older adult who is confused. Which of the following statements by the client's partner indicates that the client may be experiencing delirium?

"Her behavior changed so quickly, I wasn't sure what was happening"

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

"I am hoping this is relive my discomfort"

A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

"I just cant believe that my whole life is going to be ruined by dialysis."

A delirious client is shouting for someone to get the spiders off him. Which of the following responses is most appropriate

"I know you're frightened. I don't see spiders on you, but I'll stay here with you."

A nurse is caring for a school-age child who has a metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?

"Let's talk about it. Tell me more about what you are thinking?"

A nurse is caring for a client whose parent has died. The client asks the nurse, "Why do I feel relief now that my dad is gone?" Which of the following responses should the nurse make?

"Tell me what you are thinking?"

A nurse is reinforcing teaching with the family of a client who has a new diagnosis of dementia. Which of the following information should the nurse include in the teaching?

"The manifestations of dementia are progressive and irreversible"

Which of the following nursing interventions is particular to a client with Alzheimer's Disease? (SATA-3)

1. assist with conflict resolution through reminiscence 2. use a calm and reassuring voice 3. maintain a regular schedule or routine

1. is defined as a common depressed reaction to the dealt of a loved one, whereas 2. is the reaction activated by a person to assist in overcoming the personal loss

1. bereavement 2. mourning

Which are possible causes of delirium? (SATA-5)

1. fever 2. brain trauma 3. electrolyte balance 4. medication 5. sleep deprivation

When assessing the client for orientation status, the nurse asks the client:

1. his or her name 2. place where they currently are 3. states the date and time 4. describes the current situation

When assessing the client for orientation status, the nurse asks the client (SATA-4)

1. his/her name 2. place where he/she currently is 3. state date/time 4. describe his current situation

The pathophysiology of Alzheimer's disease includes (SATA-3)

1. loss of cortical neurons 2. neurofibrillary tangles 3. enlarged ventricles

How does a perceived loss differ from an actual loss?

A perceived loss can be easily overlooked

The term dementia refers to:

A progressive loss of intellectual function most commonly related to Alzheimer's disease

Which of the following would the nurse assess when completing a functional assessment of a client with dementia?

Ability to complete activities of daily living (ADLs)

A nurse places an object in the hand of a client with Alzheimer's disease and asks the client to identify the object. Which of the following terms represents the client's inability to name the object?

Agnosia

The nurse reminds the family that the most common cause of dementia is:

Alzheimer's

____ is a form of dementia that is a progressive disorder in which the brain atrophies. The cause is not understood

Alzheimer's Disease

What is the most common cause of dementia?

Alzheimer's disease

_____ is a form of dementia that is a progressive disorder in which the brain atrophies. The cause is not understood

Alzheimer's disease

The definitive diagnosis of Alzheimer's disease is made through

An autopsy

A family member of a client with dementia asks the nurse the difference between delirium and dementia. Which of the following is the most accurate response to this question

Delirium is acute confusion, and usually reversible

_____ is an impaired ability to coordinate movement.

Ataxia

As a new LPN, you are given an assignment that includes a patient that is actively dying. What is the best way to prepare you as you begin to care for the patient and their family?

Being aware of your own thoughts and feelings towards death

This type of complicated grief is characterized by normal grief reaction that does not decrease but persists for long periods of times.

Chronic

A 70-year-old gentleman who was recently diagnosed with Alzheimer's disease. He pays his bills on time and lives independently. He experiences mild forgetfulness; however, it has not compromised his safety. He has lost interest in attending family functions. What stage of the disorder is this patient experiencing?

Early stage

A nurse needs to perform a neurologic assessment on a newly admitted client. Which of the following nursing actions will assist in obtaining accurate results?

Ensure client is comfortable and well rested prior to assessment

What approach is best when managing the care of a client with dementia who insists on always carrying a purse?

Ensure the client has her purse at all times

____ is a pattern of physical and emotional responses to bereavement, separation or loss

Grief

A nurse is caring for an older adult client who expresses feelings of grief for his earlier life. Which of the following actions is should the nurse take to help the client cope with his feelings of loss?

Listen attentively when he talks of the past

In which stage of Alzheimer's will the clients experience difficulty with language, object recognition and difficulty with judgement?

Middle stage

Which of the following is a type of dementia commonly resulting from cerebrovascular disease and hypertension?

Multi infarct dementia

______ is a type of dementia, commonly resulting from cerebrovascular disease and hypertension?

Multi-Infarct Dementia

What type of care allows a patient to make more informed choices, achieve better alleviation of symptoms, and have more opportunity to work on issues, such as closure?

Palliative Care

What is the termination of tube feedings to a dying patient considered?

Passive euthanasia

Why is the nursing role significant in promoting psychosocial wellness in the older adult

The nursing process can uncover many problems that the nurse can respond to

Which of the following would lead the home health nurse to make a patient problem of unresolved grief for a patient who was widowed 5 months ago?

The pt says tearfully, "I can't believe he is gone."