Altered Cognitive Function- Chap 39 Flashcards

1
Q

acute abnormal state of cognition that includes inattention, disorganized thinking, and altered level of consciousness.

A

delirium

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2
Q

(fixed false beliefs)

A

delusions

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3
Q

a clinical syndrome involving progressive impairment of intellectual function and memory.

A

dementia

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4
Q

a clinical syndrome involving progressive impairment of intellectual function and memory.

A

Dementia (there are different types)

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5
Q

progressive disease in which there is cerebral atrophy or shrinking of the cortex.

A

Alzheimers Dementia

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6
Q

Type of dementia that refers to cognitive impairment caused by arterial brain lesions/ plaque build up in brain

A

Vascular Dementia

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7
Q

specific type of dementia with clumps of protein aggregating that cause neurodegeneration over time.

A

Lewey Body/ Parkinson Disease Dementia 1 yr after parkinson disease

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8
Q

Type of dementia that manifests as nerve cell loss and impairment of the frontal and anterior temporal lobes. Mainly effects LANGUAGE and BEHAVIOR

A

Frontotemporal dementia

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9
Q

happens w/ delirium + older adults being taken out their environment

A

Acute Hospital Psychosis

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10
Q

Levels of reaction to incoming stimuli

A

Alert
Lethargic (sleepy, but arouable)
Obtunded (lethargic, confused upon awaken)
Coma

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11
Q

increased confusion and restlessness in ppl w/ delirium or some form of dementia from later afternoon into the night

A

sundown syndrome

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12
Q

S&S of stroke

A

Facial droop
motor weakness
pronator drift
ataxia
speech dysfuntions

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13
Q

occurs when one arm and palm turn inward and downward

A

pronator drift

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14
Q

a neurological sign that indicates a lack of voluntary muscle coordination; staggering gait

A

ataxia

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15
Q

S&S of seizures

A

staring spells
eye deviation/unresponsiveness
periods of loss of consciousness
muscle twitching
Periods of stuttering

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16
Q

Stroke is caused by

A

decreased oxygenation to the brain

17
Q

complete or partial loss of language abilities including understanding speech

A

aphasia

18
Q

understands what is said but cannot express

A

expressive aphasia (Broca)

19
Q

problems w/ word retrieval

A

anomia

20
Q

cannot understand what is said, although they can express fluent in speech, but its nonsensical.

A

receptive aphasia (Wernicke)

21
Q

damage to all language areas (Broca and Wernicke), and cannot express or understand speech

A

Global aphasia

22
Q

speech disorders that result from a disturbance of motor control, weakness, paralysis, or incoordination of the oral musculature.

A

Dysarthia

23
Q

How do we assess pt cognitive function?

A

Nurse MUST determine pt’s baseline of cognition (normal pattern identification)
determine pt ability to function safely/ risk identification
Identify pt dysfunctions

24
Q

A nurse is allowed to play along with client’s altered cognition. T or F

A

False. Nurse must always reorient pt to reality

25
Q

Professional that evaluates Patients w/ altered communication

A

speech pathologists

26
Q

Physiologic tests for cause of confusion

A

ABG
Electrolytes
GLucose
TOxic Drug Levels

27
Q

Interventions for cognitive impariments

A

KEEP BRAIN ACTIVE
Orient pt to surrounding
Music/ Radio/ TVs- CUrrent Events
Diet, FLuid Intake/ Nutrition
Reality Orientation