Chapter 13 Neurocognitive Disorders

Chapter 13  Neurocognitive Disorders

Complete Chapter Questions And Answers
 

Sample Questions

____ 1. A geriatric nurse is teaching the client’s family about the possible cause of delirium. Which statement by the nurse is most accurate?
1.
“Taking multiple medications may lead to adverse interactions or toxicity.”
2.
“Age-related cognitive changes may lead to alterations in mental status.”
3.
“Lack of rigorous exercise may lead to decreased cerebral blood flow.”
4.
“Decreased social interaction may lead to profound isolation and psychosis.”

____ 2. A client diagnosed with vascular neurocognitive disorder (NCD) is discharged to home under the care of his wife. Which information should cause the nurse to question the client’s safety?
1.
His wife works from home in telecommunication.
2.
The client has worked the nightshift his entire career.
3.
His wife has minimal family support.
4.
The client smokes one pack of cigarettes per day.

____ 3. A client diagnosed with Alzheimer’s disease (AD) can no longer ambulate, does not recognize family members, and communicates with agitated behaviors and incoherent verbalizations. The nurse recognizes these symptoms as indicative of which stage of the illness?
1.
Stage 4: Mild-to-Moderate Cognitive Decline
2.
Stage 5: Moderate Cognitive Decline
3.
Stage 6: Moderate-to-Severe Cognitive Decline
4.
Stage 7: Severe Cognitive Decline

____ 4. A client is diagnosed in stage 7 of AD. To address the client’s symptoms, which nursing intervention should take priority?
1.
Improve cognitive status by encouraging involvement in social activities.
2.
Decrease social isolation by providing group therapies.
3.
Promote dignity by providing comfort, safety, and self-care measures.
4.
Facilitate communication by providing assistive devices.

Answer Section

MULTIPLE CHOICE

1. ANS: 1
Chapter: Chapter 13, Neurocognitive Disorders
Objective: Discuss predisposing factors implicated in the etiology of NCDs.
Page: 249
Heading: Predisposing Factors
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
The nurse should identify that taking multiple medications that may lead to adverse reactions or toxicity is a risk factor for the development of delirium in older adults.
2
Age-related cognitive changes do not lead to delirium.
3
Lack of vigorous exercise does not lead to delirium.
4
Decreased social interaction does not lead to delirium.

PTS: 1 CON: Cognition

2. ANS: 4
Chapter: Chapter 13, Neurocognitive Disorders
Objective: Identify topics for client and family teaching relevant to NCDs.
Page: 267
Heading: Client/Family Education
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Collaboration
Difficulty: Moderate

Feedback
1
Working from home does not suggest that the client could be injured.
2
Working the night shift does not suggest that the client could be injured.
3
Minimal family support does not suggest that the client could be injured.
4
The nurse should question the client’s safety at home if the client smokes cigarettes. Patients with this disorder become confused and are at risk for injury.

PTS: 1 CON: Collaboration

3. ANS: 4
Chapter: Chapter 13, Neurocognitive Disorders
Objective: Describe clinical symptoms and use the information to assess clients with NCDs.
Page: 252–253
Heading: Clinical Findings, Epidemiology, and Course
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Nursing
Difficulty: Moderate

Feedback
1
The client’s symptoms do not indicate stage 4 of the illness.
2
The client’s symptoms do not indicate stage 5 of the illness.
3
The client’s symptoms do not indicate stage 6 of the illness.
4
The nurse should recognize that a client exhibiting these symptoms is in the severe cognitive decline, seventh stage, of AD.

PTS: 1 CON: Nursing

4. ANS: 3
Chapter: Chapter 13, Neurocognitive Disorders
Objective: Describe clinical symptoms and use the information to assess clients with NCDs.
Page: 253
Heading: Clinical Findings, Epidemiology, and Course
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Nursing
Difficulty: Moderate

Feedback
1
Encouraging involvement in social activities does not address the client’s symptoms.
2
Decreasing social isolation does not address the client’s symptoms.
3
The most appropriate intervention in the seventh stage of AD is to promote the client’s dignity by providing comfort, safety, and self-care measures. Stage 7 is characterized by severe cognitive decline in which the client is unable to recognize family members and is most commonly bedfast and aphasic.
4
Facilitating communication does not address the client’s symptoms.

PTS: 1 CON: Nursing