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Textbook Ch. 22 and 23
Terms in this set (22)
An example of a treatable (reversible) form of NCD is one that is caused by which of the following? (Select all that apply.)
A. Multiple sclerosis
B. Huntington's disease
C. Electrolyte imbalance
D. HIV disease
E. Folate deficiency
Mrs. G. has been diagnosed with NCD due to Alzheimer's disease. The cause of this disorder is which of the following?
A. Multiple small brain infarcts
B. Chronic alcohol abuse
C. Cerebral abscess
Mrs. G. has been diagnosed with NCD due to Alzheimer's disease. The primary nursing intervention in working with Mrs. G. is which of the following?
A. Ensuring that she receives food she likes to prevent hunger
B. Ensuring that the environment is safe to prevent injury
C. Ensuring that she meets the other patients to prevent social isolation
D. Ensuring that she takes care of her own ADLs to prevent dependence
Which of the following medications have been indicated for improvement in cognitive functioning in mild to moderate Alzheimer's disease? (Select all that apply.)
A. Donepezil (Aricept)
B. Rivastigmine (Exelon)
C. Risperidone (Risperdal)
D. Sertraline (Zoloft)
E. Galantamine (Razadyne)
A, B, E
Mrs. G., who has NCD due to Alzheimer's disease, says to the nurse, "I have a date tonight. I always have a date on Christmas." Which of the following is the most appropriate response?
A. "Don't be silly. It's not Christmas, Mrs. G."
B. "Today is Tuesday, October 21, Mrs. G. We will have supper soon, and then your daughter will come to visit."
C. "Who is your date with, Mrs. G.?"
D. "I think you n
In addition to disturbances in cognition and orientation, individuals with Alzheimer's disease may also show changes in which of the following? (Select all that apply.)
A, C, E
Mrs. G., who has NCD due to Alzheimer's disease, has trouble sleeping and wanders around at night. Which of the following nursing actions would be best to promote sleep in Mrs. G.?
A. Ask the doctor to prescribe flurazepam (Dalmane).
B. Ensure that Mrs. G. gets an afternoon nap so she will not be overtired at bedtime.
C. Make Mrs. G. a cup of tea with honey before bedtime.
D. Ensure that Mrs. G. gets regular physical exercise during the day.
The night nurse finds Mrs. G., a client with Alzheimer's disease, wandering the hallway at 4 a.m. and trying to open the door to the side yard. Which statement by the nurse probably reflects the most accurate assessment of the situation?
A. "That door leads out to the patio, Mrs. G. It's nighttime. You don't want to go outside now."
B. "You look confused, Mrs. G. What is bothering you?"
C. "This is the patio door, Mrs. G. Are you looking for the bathroom?"
D. "Are you lonely? Perhaps you'd like to go back to your room and talk for a while."
Which of the following factors is not associated with increased incidence of NCD due to Alzheimer's disease?
A. Multiple small strokes
B. Family history of Alzheimer's disease
C. Head trauma
D. Advanced age
Mr. Stone is a client in the hospital with a diagnosis of vascular NCD. In explaining this disorder to Mr. Stone's family, which of the following statements by the nurse is correct?
A. "He will probably live longer than if his disorder was of the Alzheimer's type."
B. "Vascular NCD shows stepwise progression. This is why he sometimes seems okay."
C. "Vascular NCD is caused by plaques and tangles that form in the brain."
D. "The cause of vascular NCD is unknown."
Which of the following interventions is most appropriate in helping a client with Alzheimer's disease with her ADLs? (Select all that apply.)
A. Perform ADLs for her while she is in the hospital.
B. Provide her with a written list of activities she is expected to perform.
C. Assist her with step-by-step instructions.
D. Tell her that if her morning care is not completed by 9 a.m., it will be performed for her by the nurse's aide so that she can attend group therapy.
E. Encourage her and give her plenty of time to perform independently as many of her ADLs as possible.
Mr. White is admitted to the hospital after an extended period of binge alcohol drinking. His wife reports that he has been a heavy drinker for a number of years. Laboratory reports reveal he has a blood alcohol level of 250 mg/dL. He is placed on the chemical addiction unit for detoxification. When would the first signs of alcohol withdrawal symptoms be expected to occur?
A. Several hours after the last drink
B. 2 to 3 days after the last drink
C. 4 to 5 days after the last drink
D. 6 to 7 days after the last drink
Symptoms of alcohol withdrawal include:
A. Euphoria, hyperactivity, and insomnia.
B. Depression, suicidal ideation, and hypersomnia.
C. Diaphoresis, nausea and vomiting, and tremors.
D. Unsteady gait, nystagmus, and profound disorientation.
Which of the following medications is the physician most likely to order for a client experiencing alcohol withdrawal syndrome?
A. Haloperidol (Haldol)
B. Chlordiazepoxide (Librium)
C. Methadone (Dolophine)
D. Phenytoin (Dilantin)
Dan, who has been admitted to the alcohol rehabilitation unit after being fired for drinking on the job, states to the nurse, "I don't have a problem with alcohol. I can handle my booze better than anyone I know. My boss is a jerk! I haven't missed any more days than my coworkers." What is the nurse's best response?
A. "Maybe your boss is mistaken, Dan."
B. "You are here because your drinking was interfering with your work, Dan."
C. "Get real, Dan! You're a boozer and you know it!"
D. "Why do you think your boss is a jerk, Dan?"
Dan, who has been admitted to the alcohol rehabilitation unit after being fired for drinking on the job, states to the nurse, "I don't have a problem with alcohol. I can handle my booze better than anyone I know. My boss is a jerk! I haven't missed any more days than my coworkers." Which defense mechanism is Dan using?
Dan has been admitted to the alcohol rehabilitation unit after being fired for drinking on the job. Dan's drinking buddies come for a visit, and when they leave, the nurse smells alcohol on Dan's breath. Which of the following would be the best intervention with Dan at this time?
A. Search his room for evidence.
B. Ask, "Have you been drinking alcohol, Dan?"
C. Send a urine specimen from Dan to the laboratory for drug screening.
D. Tell Dan, "These guys cannot come to the unit to visit you again."
Dan begins attendance at AA meetings. Which of the statements by Dan reflects the purpose of this organization?
A. "They claim they will help me stay sober."
B. "I'll dry out in AA, then I can have a social drink now and then."
C. "AA is only for people who have reached the bottom."
D. "If I lose my job, AA will help me find another."
From which of the following symptoms might the nurse identify in a chronic cocaine user?
A. Clear, constricted pupils
B. Red, irritated nostrils
C. Muscle aches
D. Conjunctival redness
An individual who is addicted to heroin is likely to experience which of the following symptoms of withdrawal?
A. Increased heart rate and blood pressure
B. Tremors, insomnia, and seizures
C. Incoordination and unsteady gait
D. Nausea and vomiting, diarrhea, and diaphoresis
A polysubstance abuser makes the statement, "The green and whites do me good after speed." How might the nurse interpret the statement?
A. The client abuses amphetamines and anxiolytics.
B. The client abuses alcohol and cocaine.
C. The client is psychotic.
D. The client abuses narcotics and marijuana.
A client admitted to the emergency department smells strongly of alcohol, and his wife reports he has been a heavy drinker for the last 25 years. Which of the following assessment findings are consistent with long-term chronic alcohol abuse? (Select all that apply.)
A. The client reports weak leg muscles, and his gait is unsteady.
B. The client's abdomen is distended.
C. The client reports he was coughing up some blood.
D. The client reports he has double vision.
E> Blood tests reveal a low white blood cell count.
A, B, C, D, E
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