Nurse Isabelle enters the room of a client with a cognitive impairment disorder and asks what day of the week it is; what the date, month, and year are; and where the client is. The nurse is attempting to assess: A. Confabulation. B. Delirium. C. Orientation. D. Perseveration. … Read More »
In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called: A. Aphasia. B. Agnosia. C. Sundowning. D. Confabulation. Correct Answer: C. Sundowning. Sundowning is a common phenomenon that occurs after daylight hours in a client with a cognitive… Read More »
80-year-old Mr. Stevens is accompanied to the clinic by his son, who tells the nurse that the client’s constant confusion, incontinence, and tendency to wander are intolerable. The client was diagnosed with chronic cognitive impairment disorder. Which nursing diagnosis is most appropriate for the client’s son? A. Risk for other-directed violence. B. Disturbed sleep pattern.… Read More »
Which of the following outcome criteria is appropriate for the client with dementia? A. The client will return to an adequate level of self-functioning. B. The client will learn new coping mechanisms to handle anxiety. C. The client will seek out resources in the community for support. D. The client will… Read More »
A family member expresses concern to a nurse about behavioral changes in an elderly aunt. Which would cause the nurse to suspect a cognitive impairment disorder? A. Decreased interest in activities that she once enjoyed. B. Fearfulness of being alone at night. C. Increased complaints of physical ailments. D. Problems with… Read More »
During the home visit of a client with dementia, the nurse notes that an adult daughter persistently corrects her father’s misperceptions of reality, even when the father becomes upset and anxious. Which intervention should the nurse teach the caregiver? A. Anxiety-reducing measures B. Positive reinforcement C. Reality orientation techniques D. Validation… Read More »
Mr. Lim who is diagnosed with moderate dementia has frequent catastrophic reactions during shower time. Which of the following interventions should be implemented in the plan of care? Select all that apply. A. Assign consistent staff members to assist the client. B. Accomplish the task quickly, with several staff members assisting. C. Schedule… Read More »
Francis who is addicted to cocaine withdraws from the drug. Nurse Ron should expect to observe: A. Hyperactivity B. Depression C. Suspicion D. Delirium Correct Answer: B. Depression There is no set of symptoms associated with cocaine withdrawal, only the depression that follows the high caused by… Read More »
Nurse John is aware that a serious effect of inhaling cocaine is? A. Deterioration of nasal septum. B. Acute fluid and electrolyte imbalances. C. Extrapyramidal tract symptoms. D. Esophageal varices. Correct Answer: A. Deterioration of nasal septum Cocaine is a chemical that when inhaled, causes destruction of… Read More »
A tentative diagnosis of opiate addiction, Nurse Candy should assess a recently hospitalized client for signs of opiate withdrawal. These signs would include: A. Rhinorrhea, convulsions, subnormal temperature B. Nausea, dilated pupils, constipation C. Lacrimation, vomiting, drowsiness D. Muscle aches, papillary constriction, yawning Correct Answer: D. Muscle… Read More »