The Long Goodbye
Shake, Rattle, and Roll
The Midnight Mix-Up
Mind Over Matter
Just What the
Provider Ordered
Provider Ordered
100
The most common form of this progressive condition in older adults is Alzheimer's disease.
What is dementia?
100
This cardinal sign is described as a rhythmic "pill-rolling" motion of the hand at rest.
What is a resting tremor?
100
Unlike dementia, this condition has an acute onset and is often reversible once the cause is treated.
What is delirium?
100
Older adults with this condition may experience "late-life" onset, often marked by paranoid delusions.
What is schizophrenia?
100
Order: Donepezil 5mg. Have: 10mg tablets. The nurse will administer this many tablets.
What is 0.5 tab?
200
This symptom involves the inability to recognize familiar objects or people despite intact sensory function.
What is agnosia?
200
To initiate walking and overcome "freezing," nurses should teach patients to visualize doing this.
What is stepping over an imaginary line?
200
A frequent physiological trigger for acute confusion and delirium in the elderly population.
What is a Urinary Tract Infection (UTI)?
200
These "negative" symptoms include a lack of motivation and social withdrawal.
What is avolition or apathy?
200
Order: Benztropine 1mg. Have: 0.5mg tablets. The nurse will administer this many tablets.
What is 2 tablets?
300
A primary nursing goal for patients with mid-to-late stage dementia to prevent agitation.
What is maintaining a consistent routine?
300
Patients taking Levodopa-Carbidopa should be monitored for this "fluctuation" in motor function.
What is the "on-off" phenomenon?
300
This environmental intervention helps reorient a delirious patient without overstimulating them.
What is providing a well-lit room with a clock/calendar?
300
When an older adult hears voices that others do not, they are experiencing this type of hallucination.
What is an auditory hallucination?
300
Order: Memantine 10mg. Have: 5mg tablets. The nurse will administer this many tablets.
What is 2 tablets?
400
This drug class, including Donepezil, is used to slow cognitive decline by increasing neurotransmitter levels.
What are cholinesterase inhibitors?
400
This safety risk is significantly increased due to bradykinesia and postural instability.
What are falls?
400
This assessment tool is commonly used by nurses to quickly screen for the presence of delirium.
What is the Confusion Assessment Method (CAM)?
400
This severe side effect of long-term antipsychotic use causes involuntary movements of the tongue and face.
What is Tardive Dyskinesia?
400
Order: Quetiapine 25mg. Have: 50mg tablets. The nurse will administer this many tablets.
What is 0.5 tabs?
500
The term for increased confusion and restlessness that occurs in the late afternoon or evening.
What is sundowning?
500
This dietary restriction is often recommended when taking Levodopa to ensure maximum absorption.
What is avoiding high-protein meals (at the time of dose)?
500
This category of medications should be avoided in delirious patients as they can worsen confusion.
What are benzodiazepines or anticholinergics?
500
A key nursing intervention when a patient is delusional is to do this, rather than arguing about the reality.
What is acknowledging their feelings (validating) without agreeing with the delusion?
500
Order: Haloperidol 0.5mg. Have: 2mg/mL liquid. The nurse will administer this many mLs.
What is 0.25mLs?
