Key Terms
What is a syndrome that involves a disturbance of consciousness accompanied by a change in cognition?
Delirium
What is the impaired ability to execute motor functions despite intact motor abilities?
Apraxia
What can the nurse do to keep a client with dementia active?
Offer to participate in physical activities
The nurse is talking with a woman who is worried that her mother has alzhiemer's disease. The nurse knows that the first sign of dementia is
A. Disorientation to person, place, or time
B. Memory loss that is more than ordinary forgetfulness
C. Inability to perform self-care tasks without assistance
D. Variable with different people
B
What are various community programs that provide care?
Adult day care and residential care
What is the ability to think abstractly and to plan, initiate, sequence, monitor, and stop complex behavior?
Executive Functioning
What can lead to dementia and other neurologic problems?
HIV infection
What is the nurses main role in caring for a patient with delirium?
Promoting safety
When the client about memantine (Namenda) the nurse will include which of the following?
A. Lab tests to monitor the client's liver function are needed
B. Namenda can cause elevated blood pressure
C. Taking Namenda will improve the client's cognitive functioning
D. The most common side effect of Namenda is gastrointestinal bleeding
B
Residential Facility
What is it called when a clients make up answers to fill in a memory gap?
Confabulation
Repeated head injury
When managing a client's confusion, it is important to do what?
Speak in a calm manner, allow adequate time for answers and decision making, providing verbal cues, and use supportive touch if appropriate
Which of the following statements by the caregiver of a client newly diagnosed with dementia requires further intervention by the nurse?
A. "I will remind Mother of things she has forgotten."
B. "I will keep Mother busy with favorite activites as long as she can participate."
C. "I will try to find new and different things to do every day."
D. "I will encourage Mother to talk about her friends and family."
C
Clients and family members or caregivers might benefit from what to help them deal with the changes in personality and remaining cognitive or motor deficits?
Support Groups
What is a progressive cognitive impairment and extensive neuropsychiatric symptoms as well as motor symptoms?
Lewy Body Dementia
What disease begins in the late 30's or early 40's and may last 10 to 20 years or more before death?
Huntington's Disease
Why is it important to structure environment and routine for a client with dementia?
Structuring helps eliminate confusion and frustration
When assessing a client with delirium, the nurse will expect to see
A. Aphasia
B. Confusion
C. Impaired level of consciousness
D. Long term memory impairment
E. Mood Fluctuations
F. Rapid Onset of symptoms
B, C, F
How much of all nursing home residents have Alzheimer's disease or some other illness that causes dementia?
At least half
What is the inability to remember or recall bits of information or behavioral skills?
Impaired Memory
What are early signs include personality changes, loss of social skills and inhibitions, emotional blunting, and language abnormalities?
Frontotemporal Lobar Degeneration
Why is it important for the family to be aware of any safety hazards in the house?
Client's judgments is impaired due to delirium
Interventions of clients with dementia that follow the psychosocial model of care include:
A. Asking the clients about the place where they were born
B. Correcting the clients misperceptions or delusion
C. Finding activities that engage the client's attention
D. Introducing new top of discussion at dinner
E. Processing behavioral problems to improve coping
F. Proving unrelated distractions when the client is agitated
A, C, F
The physician, nurse, or who can initiate referrals for community based services?
Family