C. CH 39 Cognitive Process Flashcards
The nurse is caring for a client who is difficult to arouse and when aroused is confused. The nurse would document the clients condition as: A) lethargic. B) obtunded. C) somnolent. D) depressed.
B) obtunded.
A nurse is caring for a client with schizophrenia. The nurse understands that patients suffering from schizophrenia have problems in which of the following areas? Select all that apply. A) Processing information B) Inappropriate social behavior C) Communication D) Memory E) Decision making
A) Processing information B) Inappropriate social behavior C) Communication D) Memory E) Decision making
The nurse is caring for a patient with altered cognitive function who has recently been admitted to the hospital from a long-term care facility. Which of the following interventions would address the clients safety? Select all that apply.
A) Place the client in a room close to the nurses station.
B) Keep the bed in the lowest position possible.
C) Use a night light in the patients room.
D) Keep the patients door closed to reduce noise.
E) Leave the television on at all times.
A) Place the client in a room close to the nurses station.
B) Keep the bed in the lowest position possible.
C) Use a night light in the patients room.
The nurse is working with a patient experiencing minimal memory problems. The nurse is teaching the patient about memory training programs. Which statement by the patient would indicate a need for further education?
A) I will do a crossword puzzle every day.
B) I will start making lists of things I need to remember.
C) I will not try to learn any new hobbies.
D) I will take a nap every day.
C) I will not try to learn any new hobbies.
The nurse is caring for a client who has had a stroke. Since the stroke, the client has trouble saying words correctly and his speech seems slurred. The nurse documents this speech pattern as: A) dysarthria. B) anomic aphasia. C) dysphasia. D) expressive aphasia.
A) dysarthria.
The nursing instructor has completed a presentation regarding ways to help clients with cognitive deficits to remain oriented. What statement by a student would indicate a need for further education?
A) I will place clocks and calendars in the clients rooms.
B) I will change the activity schedule on a daily basis.
C) I will be consistent when making nursing care assignments.
D) I will provide frequent orientation reminders for the clients.
B) I will change the activity schedule on a daily basis.
The nurse is caring for a client who has suffered a stroke. The client is now unable to speak, read, or write. She is also unable to understand spoken language. The nurse would document this as:
A) anomic aphasia.
B) expressive aphasia.
C) receptive aphasia.
D) global aphasia.
D) global aphasia.
A nurse is caring for a client who had difficulty finding the correct names for particular objects. The nurse would document this as: A) anomic aphasia. B) receptive aphasia. C) expressive aphasia. D) global aphasia.
A) anomic aphasia.
The nurse is caring for a client recently diagnosed with Alzheimers dementia. Which assessment finding would cause the client to question this diagnosis? A) Sudden onset of confusion B) Short term memory loss C) Increased agitation at sundown D) Inattention to ADLs
A) Sudden onset of confusion
The most appropriate diagnosis for the elderly client with Alzheimers disease who requires bathing is
a) Chronic confusion related to disease process as evidenced by the inability to manage activities of daily living
b) Chronic confusion related to dementia and biochemical imbalances as evidenced by hallucination
c) Altered thought processes related to confusion, biochemical imbalances, and Alzheimers disease
d) Confusion as evidenced by inability to remain oriented to place and time resulting from Alzheimers disease
a) Chronic confusion related to disease process as evidenced by the inability to manage activities of daily living
To assess a newly admitted adult clients perception of reality, the nurse asks the client about
a) Person, place, and time
b) Family history
c) Memory ability
d) Confusional state
a) Person, place, and time
The nurse recognizes that the client diagnosed with global aphasia will
Have difficulty with grammar and articulation
Demonstrate unintelligible speech
Express comments that do not make sense
Be unable to speak, read, or write
Be unable to speak, read, or write
Which of the following types of aphasia occurs in the brain-injured person and results in limited speech that is slow and halting, is completed with great effort, and is poorly articulated?
A) Brocas
B) Receptive
C) Global
D) Anomic
A) Brocas
When an elderly client is alert and calm during the day but becomes confused and agitated every night, the nurse recognizes that the client is experiencing A) Hallucinations B) Delirium C) Sundown syndrome D) Delusions
C) Sundown syndrome
Which of the following statements accurately characterizes dementia? The disease is
A) Equivalent to organic brain syndrome
B) A result of the normal aging process
C) Reversible with early diagnosis and treatment
D) Irreversible with gradual cognitive decline
D) Irreversible with gradual cognitive decline
The most common form of dementia is A) Organic brain syndrome B) Senile dementia C) Delirium tremens D) Alzheimers type
D) Alzheimers type
When a nurse makes a home visit and finds that a previously alert and oriented elderly client is demonstrating early signs of confusion, the nurse suspects that the client may be experiencing the onset of
A) Infection
B) Hyperglycemia
C) Hepatic encephalopathy
D) Hyperkalemia
A) Infection
Which of the following problems is the most likely physical cause of an elderly clients altered cognition? Hypothyroidism Hyperthyroidism Hypopituitarism Hyperparathyroidism
Hypothyroidism
or optimal functioning, the brain requires a large amount of Sodium Magnesium Glucose Vitamin A
Glucose
A 78-year-old client has suffered a cerebrovascular accident. The family inquires about the clients speech. The client has expressive aphasia. The nurse explains the client will require a(n) A) Speech pathologist B) Physical therapist C) Occupational therapist D) Physiatrist
A) Speech pathologist
An elderly male client who has been smoking a pipe and cigar for more than 30 years develops chronic hoarseness. The nurse understands that the client is a risk for which alteration in cognitive function?
Memory
Thinking
Communication
Muscular dysfunction
Communication
When the elderly client seems very forgetful and often fails to dress appropriately, the nurse determines that the client is demonstrating
Normal aging
Confusion
Cognitive impairment
Chronic senile dementia
Cognitive impairment
An adolescent client states, I am tired of everything and I am very bored. The nurse should encourage A) Peer relationships B) Time for prayer C) Ability to think D) Activity therapy
A) Peer relationships
The thinking patterns of a 4-year-old will typically demonstrate A) Categorization B) Abstract thought C) Conservatism D) Egocentrism
D) Egocentrism
The nurse instructs the newly delivered, first-time mother that to enhance the newborns cognitive development, the mother should
A) Teach the infant to hold the bottle
B) Frequently stimulate and interact with him
C) Reinforce the newborns environment with symbols
D) Encourage the neonate to coo and babble
B) Frequently stimulate and interact with him
The process of receiving and interpreting the sensory stimuli that functions as a basis for understanding, knowing, and learning is termed A) Perception B) Attending C) Thinking D) Memory
A) Perception
Sensory receptors that respond to stimuli from deeper tissues such as bone are termed
Neuroreceptors
Interoceptors
Proprioceptors
Exteroceptors
Interoceptors
