A
Underlying cause is corrected in timely manner, complete recovery occurs. If not, it can lead to death.
What is Delirium?
What assessment/acronym is used for Delirium?
MINDSPACES
Errors in the accurate perception of sensory stimuli and can be explained for the individual.
What is Illusions?
gradual progressive impairment, significant decline in individual's previous cognitive ability.
What is Dementia?
4 Stages of Alzheimer's Disease
Stage 2: Confusion
Stage 3: Ambulatory Dementia
Stage 4: End Stage
symptoms and problems behaviors become more pronounced in evening.
What is Sundown Syndrome?
Explain the difference of Illusions and Hallucinations
Illusions: errors in the accurate perception of sensory stimuli; can be explained for individual. (Window blind is a snake)
Hallucinations: False sensory stimuli like hearing, seeing things that are not there. (John Wick is in the room with me)
What risk factors does Alzheimer's Disease follow? Name 4 of the categories and a brief description of it.
Age/Gender: Incidence double after 65, not a normal part of aging, and 2/3 are women diagnosed with it.
Family Hx: more than one relative= even higher risk
Genetics: Protein like gene have a higher risk of developing it.
Other: Smoking, obesity, impaired glucose.
When someone is coming in for Alcohol Use Disorder, what are the important nutrients you need to give them?
Banana bag or Vitamin B12, Thiamine, Folic Acid.
Abnormal eye movement, unsteady gait is symptoms that can be life threatening to someone who is using alcohol. True or False
TRUE
Medical emergency, autonomic hyperactivity, disorientation, hallucination/illusion, losing consciousness, seizures. These symptoms usually peaks after 48-72 hrs after cessation and can last 2 to 5 days.
Delirium Tremens
Which drug prevents the "high effect" when someone is on opiate withdrawals?
Buprenorphine/naloxone (Suboxone)
Name 4 main categories of Abuse
Emotional, Physical, Sexual Abuse, Neglect.
How can children show their expression that they are being abused as nurses when we are examining them?
Battered partner: does not enjoy the abuse and lives in terror plus feels powerless. They worry about safety and are isolated from support.
Batterer: often raised in a home where they were abused or witnessed it between parents. They do it to feel more powerful.
Explain the purpose of each scale:
CAGE, CIWA, and COW scales.
CIWA is an alcohol/benzos withdrawal protocol.
COWs is an opiate withdrawal protocol
CAGE is an audit used to assess the drinking, annoyance, guilt, and eye openers for them.
Define Sexual assault and what does it result to.
Act of violence, power, control and hate. Can later result to severe and long-term trauma.
What are two resources we have ready in the hospital available for patients who have experienced Sexual Violence?
Sexual Assault Response Team (SART): help survivors cope with the situation and aftermath.
Sexual Assault Nurse Examiners (SANE): forensic nurses who work with the victims and performs a rape kit to provide testimony for the prosecutors office.
Keeping the client safe and preventing them from fleeing and the perpetrator taking them out of the healthcare facility is priority. TRUE OR FALSE
TRUE
What are 3 things that follow in Denial when there is partner violence?
Tension building, Acute Explosion, and Honeymoon
Explain Each stage of Alzheimer's Disease.
Stage 1/Forgetfulness: Short term memory lost, memory aids are used, depression worsens, not diagnosable.
Stage 2/Confusion: Progressive memory loss, isolation shows, ADLs are decreased, denial is common of fearing losing one's mind.
Stage 3/Ambulatory Dementia: Loss of reasoning, wandering, difficulty communicating, ADL deficits like bathing, grooming, clothing.
Stage 4/End Stage: Family recognition may disappear, bed bound, mute, forgets how to eat, incontinence is common.
What are the date drugs that are used against the survivors/victims?
GHB, Rohypnol, and Ketamine
Form of neglect and occurs when the dependent person has monetary resources withheld.
Economic Abuse
Perpetrated by a trusted authority figure that abuses a person less powerful portrays what type of violence?
Domestic Violence
Define Confabulation, Aphasia, Amnesia, Apraxia, Agnosia, and Preservation.
This is regarding to Alzheimer's Disease Assessment section on the power notes.
Confabulation: making up of stories to maintain self-esteem when the person does not remember.
Perseveration: repetition of phrases/behavior and intensifies under stress.
Aphasia: Loss of language ability.
Amnesia: difficulty remembering recent events.
Apraxia: Loss of purposeful movement in the absence of motor/sensory impairment (losing ability to walk)
Agnosia: Loss of sensory ability to recognize objects.