PN Neurocognitive Disorders Assessment

Complete the following sentence by using the list of options. The nurse is prioritizing a plan of care for this client. The highest priority is the client's ________, followed by _________. .

-Wandering Self-administration of medication

A nurse is providing teaching to the caregiver of a client who is in the moderate stage of Alzheimer's disease. Which of the following client findings should the nurse inform the caregiver to expect at this stage?

Difficulty getting dressed

A nurse is planning a music therapy activity for a group of clients who have dementia. Which of the following should the nurse identify as the purpose for this activity?

Improve appetite

A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should indicate to the nurse the client is in the mild stage of the disease?

Difficulty planning

A nurse working in an urgent care clinic is obtaining a history from a client who is experiencing delirium. Which of the following should the nurse identify as a cause of this disorder?

Vitamin deficiencies

A nurse is caring for a client who has been diagnosed with "mad cow disease." The nurse should identify that the client has which of the following types of dementia?

Creutzfeldt-Jakob disease (CJD)

A nurse is caring for a client who is experiencing delirium. Which of the following manifestations should the nurse expect?

Hallucinations

Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

Increased temperature Urinary incontinence

A home health nurse is determining the needs of a client who lives at home and has dementia. Which of the following is the priority for the nurse to assess?

Supervision

A nurse is providing teaching to a client who has been newly diagnosed with Huntington's disease dementia. Which of the following information should the nurse include in the teaching?

"You will experience involuntary jerking motions."

A nurse is preparing a presentation on Huntington's disease dementia to a group of staff members. Which of the following should the nurse identify as the etiology of this disorder?

A gene located on chromosome 4

A nurse is caring for a client who has dementia. The client had a CT scan of the head that indicates amyloid plaques. The nurse should identify that the client has which of the following types of dementia?

Alzheimer's disease

A nurse is reviewing the medical records of a group of clients. Which of the following clients should the nurse identify as at risk for developing delirium?

An 85-year-old client who has a urinary tract infection

A nurse is caring for a client and the provider suspects the client might have frontotemporal lobar degeneration dementia. Which of the following tests should the nurse anticipate the provider to prescribe to confirm this diagnosis?

Computed tomography

For each potential finding, click to specify if the finding is consistent with delirium, dementia, or depression. Each finding may support more than one disease process.

Delirium: impaired memory and judgment, restlessness, mood swings, incoherent speech, agitation, anxiety, and altered level of consciousness, which can also be an adverse effect of lorazepam. Dementia: manifestations of impaired memory, agitation, incoherent speech, and agnosia (the inability to recognize certain objects). Depression: manifests with difficulty concentrating and anxiety.

A charge nurse is teaching a newly licensed nurse about the use of music therapy for clients who have Alzheimer's disease. Which of the following information should the nurse identify as the purpose of music therapy?

Evokes memories

A nurse is caring for a client who has Huntington's disease dementia. Which of the following manifestations should the nurse expect

Impulsive behaviors

A nurse is caring for an older adult client who has dementia. Which of the following findings should the nurse expect?

Inability to manage finances

A nurse is speaking with the caregiver of a client who has dementia about including omega-3 fatty acids in the client's diet. Which of the following foods should the nurse recommend?

Leafy vegetables

A nurse is selecting a dietary plan for a client who has a family history of Alzheimer's disease. Which of the following plans should the nurse select to promote the client's cognitive function?

MIND diet

A nurse is caring for a client who is confused and unable to remember the time of year. The provider suspects the client has dementia. Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client's condition?

MRI scan

A nurse is caring for a client who has Alzheimer's disease and requires assistance with bathing and getting dressed in the morning. The nurse should identify that the client is in which of the following stages of the disease?

Moderate

A nurse at a community center is providing an in-service to a group of residents about decreasing the risk of Alzheimer's disease by consuming foods high in flavanol. Which of the following foods should the nurse include in the teaching?

Oranges

A nurse is caring for a client and the provider suspects the client has Alzheimer's disease. Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client's condition?

Positron emission tomography

A nurse is caring for a client who is experiencing delirium. Which of the following findings should the nurse expect?

Tremors