What is this?
What is that?
Nursing Care
Nursing Care 2
Safety
100

Memory loss that is more than ordinary forgetfulness

What is the first sign of dementia?

100

Syndrome involving disturbance of consciousness with change in cognition

What is delirium?

100

Regular participation in brain-stimulating activities, leisure-time physical activity during midlife, and large social network

What are measures to decrease risk for Alzheimer disease

100

Client may be unable to provide accurate history and general appearance and motor behavior include aphasia, apraxia, and uninhibited behavior.

What are assessment findings of delirium?

100

A client is confused. What is the best therapeutic action?

What is reassurance

200

Difficulty with language, difficulty with reasoning, inability to learn new things, agitation, anxiety, wandering, repetitive statements/questions, hallucinations, delusions, paranoia, irritability

What are signs and symptoms of moderate dementia?

200

Failure to concentrate, irritability, insomnia, no appetite, restlessness, confusion, and sometimes agitation, misperception, and hallucinations

What are signs and symptoms of delirium?

200
Measures acute onset of fluctuating course, inattention, disorganized thinking, and altered level of consciousness
What is the Confusion Assessment Method (CAM) test?
200
Tools to assess for dementia?
What is the Mini-Cog test or the Mental Status Assessment?
200

A client is combative. The nurse would do which action?

What is find out why.

300

Neurodegenetive conditions and vascular disorders

What are the two most common causes of dementia?

300

Trauma to the central nervous system (CNS), drug toxicity or withdrawal, and metabolic disturbances related to organ failure.

What are causes of deliruim?

300
Potential delirium nursing diagnoses
What is risk for trauma, disturbed thought process, or self care deficit?
300

Chronic confusion related to neurological dysfunction, functional urinary incontinence r/t neuromuscular impairment, self neglect r/t cognitive impairment, self-care deficit r/t psychological impairment, risk for falls r/t diminished mental status, risk for injury r/t confusion, risk for Impaired skin integrity r/t immobility

What are nursing diagnoses related to dementia?

300

A client with  ETOH-withdrawal delirium is increasingly anxious. This scale is used to administer the correct dose of medication?

What is the CIWA-R?

400

4 types of dementia

What are Lewy Body, frontal Lobe, frontal temporal, and vascular dementia?

400

 The group most frequently diagnosed with delirium?

Who are the elderly.

400

Pharmacotherapy for dementia

What are Cholinesterase Inhibitors (CEIs), N-methyl-D-aspartate receptor antagonists, Serotonin reuptake inhibitors, and Antipsychotics?

400

Promote client safety, manage client's confusion using orienting cues, speak in a low, clear voice. Avoid sensory overload. Promote sleep and property nutrition.

What are nursing interventions of delirium?

400

The nurse has a client with dementia and one with delirium. Of those two, this client should be closest to the nurses station.

What is the client with delirium?

500

Change that interferes with social and occupational function, gradual onset, continuing decline, no other condition causing syptoms, impaired short or long term memory.

What is the criteria to diagnose dementia?

500

Neurological disorders that increase the risk for delirium

What are strokes, dementia, CNS infections, and Parkinson’s disease?

500
Pharmalogical methods for delirium
What are low dose antipsychotics and short acting benzodiazepines?
500

Maintaining a comfortable room temperature, avoiding throw rugs, keeping a clear pathway to the bathroom, write name and date to orient the patient, and providing adequate lighting.

What are nursing interventions for dementia that can be applied to the patient's room

500

This therapeutic action may be used, but if the confused client is becoming more anxious, the nurse should stop doing this.

What is reality-testing?

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