PrepU: Cognition post-quiz

A nurse is communicating with a client who has aphasia after having a stroke. Which action should the nurse take? a. Keep the television on while she speaks. b. Face the client and establish eye contact. c. Talk in a louder than normal voice. d. Use one long sentence to say everything that needs to be said.

b. Face the client and establish eye contact.

The nurse is caring for a patient with dementia in the long-term care facility when the patient has a change in cognitive function. What should the nurse suspect this patient may be experiencing? a. A UTI b. A stroke c. An aneurysm d. Fecal impaction

a. A UTI

A geriatric nurse practitioner is assessing older adults. The nurse practitioner knows that older adults sometimes have difficulty following directions during a neurologic examination or diagnostic procedure. What strategies can the nurse practitioner use to examine older clients? a. Provide brief instructions, one step at a time b. Suggest a nurse or an examiner who is of their age c. Offer incentives such as sweets d. Spread the examination over 2 or 3 days

a. Provide brief instructions, one step at a time

A nurse on a rehabilitation unit is caring for a client with a head injury resulting from a motor vehicle collision. The nurse notes the client is restless and agitated during therapy. Previous documentation describes the client as cooperative during therapy sessions. What is the priority action by the nurse? a. Notify the client's family, and ask them to sit with the client during therapy. b. Assess the client, and notify the healthcare provider of the change in status. c. Call the healthcare provider to request additional pain medication for the client. d. Encourage the client to participate cooperatively during therapy.

b. Assess the client, and notify the healthcare provider of the change in status.

A client is diagnosed with dementia that has progressed significantly. Which would be the priority for this client? a. Education b. Safety c. Cognitive interventions d. Support

b. Safety

A nurse is planning hygiene for a client with dementia. The nurse understands the need to provide an environment that will aid her in the care of this client. Which action will she perform? a. Ask several staff to be in the room for safety since the client is sometimes agitated. b. Delegate this task to someone else since it's not the nurse's responsibility to perform hygiene for clients. c. Create a calming environment with little stimuli. d. Refuse to bathe the client because the nurse and client have not established a rapport.

c. Create a calming environment with little stimuli.

Which situation would lead the client's family to suspect onset of dementia? a. The client has experienced confusion with two new medications. b. The client has not attended church services in a month. c. The client has increasingly experienced disorientation to familiar surroundings. d. The client's air-conditioning is broken and he has not reported it.

c. The client has increasingly experienced disorientation to familiar surroundings.

A health care team is involved in caring for a client with advanced Alzheimer's disease. During a team conference, a newly hired nurse indicates that she has never cared for a client with advanced Alzheimer's disease. Which key point about the disease should the charge nurse include when teaching this nurse? a. Alzheimer's disease affects memory so the client doesn't need an explanation before procedures are performed. b. The nursing staff should rely on the family to assist with care because family members know the client best. c. As long as the client receives the ordered medication, special care measures aren't necessary. d. Clients with Alzheimer's disease are at high risk for injury because of their impaired memory and poor judgment.

d. Clients with Alzheimer's disease are at high risk for injury because of their impaired memory and poor judgment.

When the mental health nurse asks the client, "Do you recall what month and year this is?" the nurse is assessing which part of the mental status examination? a. Judgment b. Insight c. Abstract reasoning d. Orientation

d. Orientation

Since normal aging results in changes in cognition, how should the nurse teach an elderly patient to administer insulin? a. Speed up the demonstration because the patient will tire easily. b. The elderly patient is not capable of learning self-administration and someone else should be instructed. c. Present all the information at one time so that the patient is not confused by pieces of information. d. Repeat the information frequently for reinforcement.

d. Repeat the information frequently for reinforcement.