CH. 23

Which statement made by a family member tends to sup-
port a diagnosis of delirium rather than dementia?
A. "She was fine last night but this morning she was confused?"
B. "Dad doesn't seem to recognize us anymore."
C. "She's convinced that snakes come into her room at
night."
D. "He can't remember when to take his pills or whether
he's bathed."
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Which statement made by a family member tends to sup-
port a diagnosis of delirium rather than dementia?
A. "She was fine last night but this morning she was confused?"
B. "Dad doesn't seem to recognize us anymore."
C. "She's convinced that snakes come into her room at
night."
D. "He can't remember when to take his pills or whether
he's bathed."
A. "She was fine last night but this morning she was confused?"
1. Which statement made by the primary caregiver of a
person with dementia demonstrates an accurate under-
standing of providing the person with a safe environ-
ment?
A. "The local police know that he has wandered off before?
B. "I keep the noise level low in the house"
C. "We've installed locks on all the outside doors"
D. "Our telephone number is always attached to the inside
of his shirt pocket."
C. "We've installed locks on all the outside doors"
In terms of the pathophysiology responsible for both
delirium and dementia, which intervention would be appropriate
for delirium specifically?
A. Assisting with needs related to nutrition, elimination,
hydration, and personal hygiene
B. Monitoring neurological status on an ongoing basis
C. Placing an identification bracelet on patient
D. Giving one simple direction at a time in a respectful tone
of voice
B. Monitoring neurological status on an ongoing basis
What side effects should the nurse monitor for while
caring for a patient taking donepezil (Aricept)? Select all that
apply.
A. Insomnia
B. Constipation
C. Bradycardia
D. Signs of dizziness
E. Reports of headache
A. Insomnia
C. Bradycardia
D. Signs of dizziness,
E. Reports of headache
What is the rationale for providing a patient diagnosed with
dementia easily accessible finger foods throughout the day?
A. It increases input throughout the day
B. The person may be anorexic
C. It helps with the monitoring of food intake
D. It helps to prevent constipation
A. It increases input throughout the day
. Ophelia, a 69-year-old retired nurse, attends a reunion of her
former coworkers. Ophelia is concerned because she usually
Knows everyone, and she cannot recognize faces today. À
registered nurse colleague recognizes Ophelia's distress and
"introduces" Ophelia to those attending. The nurse practitioner understands that Ophelia seems to have a deficit in her:
A. Lower-level cognitive domain
B. Delirium threshold
C. Executive function
D. Social cognition ability
D. Social cognition ability
After talking with her 85-year-old mother, Nancy became
concerned enough to drive to her home and check on her.
Her mother's appearance was disheveled, her words were
nonsensical, she smelled strongly of urine, and there was a
stain on her dressing gown. Because she is a nurse, Nancy
recognizes that her mother's condition is likely due to:
A. Early-onset dementia
B. A mild cognitive disorder
C. A urinary tract infection
D. Having skipped breakfast
C. A urinary tract infection
8. Lucia, 70 years old, recently underwent a major orthopedic
surgical procedure. On postoperative day 3, she responds
to the nurse who has been caring for her with affection. At
other times, however, she tells the nurse to leave because
she does not recognize her and asks to have another nurse
care for her, specifically naming the nurse as the "nice one"
The most likely reason for Lucia's behavior is that she is:
A. Attention-seeking and manipulative
B. Showing signs of early dementia
C. Experiencing an acute delirium
D. Playing one staff member off against another
C. Experiencing an acute delirium
Since his wife's death 2 months earlier, Aaron, 90 years of
age and in good health, has begun to pay less attention to his
hygiene and seems less alert to his surroundings. He complains
of difficulty concentrating, disrupted sleep, and lacks energy.
His family has to remind and encourage him to shower, take
his medications, and eat, all of which he then does. Which of
the following responses would be most appropriate?

A. Reorient Mr. Smith by pointing out the day and date
each time you have occasion to interact with him.
B. Meet with the family and support them to accept, anticipate
and prepare for the progression of his stage 2
dementia.
C. Avoid touch and proximity. These are likely to be
uncomfortable for Mr. Smith and may provoke aggression
when he is disoriented
D. Arrange for an appointment with a mental health
professional for the evaluation and treatment of suspected
major depressive disorder.
D. Arrange for an appointment with a mental health
professional for the evaluation and treatment of suspected major depressive disorder.
Nurses caring for patients who have neurocognitive dis-
orders are exposed to stress on many levels. Specialized
skills training and continuing education are helpful to dif-
fuse stress, as well as which of the following? Select all that
apply.
A. Expressing emotions by journaling
B. Describing stressful events on Facebook
C. Engaging in exercise and relaxation activities
D. Having realistic patient expectations
E. Participating in a happy hour after work to blow off
steam
A. Expressing emotions by journaling
C. Engaging in exercise and relaxation activities
D. Having realistic patient expectations