Altered Thought Processes

Question 1

• increased reaction & response time
• individualized
• mild short term memory loss
• decline in problem solving
• long term memory usually remains intact

Answer 1

Normal Cognitive Changes

Question 2

the ability to think
the ability to process and store information
the ability to solve problems

Answer 2

Cognition

Question 3

What does cognition involve?

Answer 3

Cognition involves the mental processing of information. Memory and thought combine to store, retrieve and manipulate this information

Question 4

A problem or lack of one or more of the three elements.

Answer 4

Cognitive Disorder

Question 5

Conditions of a cognitive disorder

Answer 5

Delirium, Dementia, Amnesia/Amnestic disorder= forgetfulness

Question 6

measures alertness, stuperious, comatose

Answer 6

Level of Consciousness (LOC)

Question 7

An acute change in a person’s level of cognition and level of cognition, LOC that occurs over a short period of time–hours to days

Answer 7

Delirium

Question 8

A progressive, irreversible decline in mental function. Not a part of normal aging, often not noticed at first. Decline in physical and cognitive function and personality changes.

Answer 8

Dementia

Question 9

Progression of Dementia

Answer 9

slowly to very obvious

Question 10

Acute change in mental status from baseline; disorientation mixed with lucidity

Answer 10

Confusion

Question 11

Changes in Level of Consciousness can range from…

Answer 11

Stupor to Hyperactivity

Question 12

unable to reason, disjointed, slurred speech

Answer 12

Disorganized thought/speech

Question 13

have difficulty focusing

Answer 13

Decreased attention span

Question 14

cannot form, store, or retrieve information

Answer 14

Impaired Memory

Question 15

Apprehensive/bewildered

Answer 15

Fear

Question 16

vague, uneasy feeling of discomfort or dread; source is non-specific or unknown

Answer 16

Anxiety

Question 17

if persists over 1 week could be a symptom of schizophrenia

Answer 17

Paranoia

Question 18

take brief naps day and night

Answer 18

Sleep-wake disturbances

Question 19

oriented during the day, confused at night

Answer 19

Sundowner’s Syndrome

Question 20

inaccurate perception of sensory stimulation. Stimulus is a real object. Iv line is a snake, garbage can is a dog. Can be explained and clarified

Answer 20

Illusions

Question 21

a false belief held with conviction despite overwhelming evidence o the contrary. Belief of being poisoned–will not eat; delusion of persecution, delusions of grandeur.

Answer 21

Delusions

Question 22

increased mental and physical activity. Especially physical–usually non-purposeful activity like pacing

Answer 22

Agitation

Question 23

false sensory stimulation. See or feel things (bugs/rats) that others do not see.

Answer 23

Hallucinations

Question 24

3 Most Common Types of Dementia

Answer 24

1) Dementia with lewy bodies

2) Vascular dementia or multi-infarct dementia 3)Alzheimer’s Disease

Question 25

2nd most common late onset dementia

Answer 25

Dementia w/ Lewy Bodies

Question 26

abnormal protein levels within the nerves, develop cognitive changes and then develop musculoskeletal changes

Answer 26

Dementia w/ Lewy Bodies

Question 27

Fluctuating confusion, impaired alertness and attention, visual hallucinations, increased muscle tone, gait disorders, falling, syncope, LOC. delusions

Answer 27

Dementia w/ Lewy Bodies

Question 28

Affects 60-75 years old
Affects more men than women
Abrupt onset with multiple remissions
Progressive step-wise decline in person’s mental functioning.

Answer 28

Vascular Dementia Multi-Infarct or Ischemic Vascular Dementia

Question 29

Memory problems; forgetfulness; dizziness; leg or arm weakness; lack of concentration; moving with rapid shuffling steps; loss of bladder or bowel control.

Answer 29

Vascular Dementia Multi-Infarct or Ischemic Vascular Dementia

Question 30

slurred speech; language problems; abnormal behavior; wandering or getting lost in familiar surroundings; laughing or crying inappropriately; difficulty following instructions; problems handling money.

Answer 30

Vascular Dementia Multi-Infarct or Ischemic Vascular Dementia

Question 31

Can be late or early onset

Answer 31

Alzheimer’s Disease