Chapter 93: Cognitive Impairment in the Aging Adult

Question 1

The inability to recognize objects or persons through auditory, visual, sensory, or tactile sensations is referred to as:

Answer 1

Agnosia.

Question 2

Bayle disease is a type of progressive dementia caused by Tertiary:

Answer 2

Syphilis.

Question 3

AD is characterized by a significant reduction in the brain’s ability to make the vital neurotransmitter:

Answer 3

Acetylcholine.

Question 4

Definite diagnosis of AD can only be made via autopsy or:

Answer 4

Biopsy.

Question 5

A document that indicates the client’s preferences for caregiving procedure, treatment, and life-sustaining measures:

Answer 5

Advanced Directive.

Question 6

Alcohol-related; short-term is most impaired:

Answer 6

Wernicke-Korsakoff Syndrome.

Question 7

Nerve cells are pale and swollen with globules of protein:

Answer 7

Pick Disease.

Question 7

Nerve cells are pale and swollen with globules of protein:

Answer 7

Pick Disease.

Question 8

Caused by a slow virus, considered transmissible:

Answer 8

Creutzfeldt-Jakob Disease.

Question 9

Vascular; progresses in a stepwise fashion.

Answer 9

Multi-infarct Dementia.

Question 10

A nurse is caring for a client with AD who needs assistance with dressing. Which measure should the nurse employ for this client?

Answer 10

Provide clothing with velcro and elastic waistbands.

Question 11

List the correct sequence of the progression of stages of AD:

Question 12

A nurse is assessing a client for progressive dementia. Which of the following should the nurse assess for in this client? (ATA).

Answer 12

-Difficulty with functional skills.
-Loss of language skills.
-Impaired arithmetic calculations.

Question 13

A nurse must assess a client with dementia for signs of paranoid behavior. Which behavior for the client demonstrates paranoia?

Answer 13

Client accuses others of stealing her belongings.

Question 14

A nurse is caring for a client with dementia who is agitated and refuses to take directions. What measures should the nurse employ in this client?

Answer 14

Go away briefly and come back later.

Question 15

A nurse is caring for a client with dementia who needs assistance with daily care. What measures should the nurse employ?

Answer 15

Give pain medication before bathing the client.

Question 16

A nurse is caring for a client with Wernicke-Korsakoff syndrome. The nurse might find it difficult to care for the client for which reason?

Answer 16

Belligerent behavior patterns.

Question 17

A nurse assists the healthcare provider in assessing a client for dementia. Which is part of the assessment during psychometric testing?

Answer 17

Determining judgment and planning ability.

Question 18

A nurse is employed at a long-term facility caring for clients with dementia. Which nursing diagnosis should be included in the nursing care plans for these clients?

Answer 18

Ineffective family coping.

Question 19

The nurse is asked to test a client’s skin turgor. What should the nurse assess for by performing this test?

Answer 19

Signs of dehyration.

Question 20

A nurse is caring for a paranoid client with dementia. The nurse should remove which of the following items from the client’s environment (ATA)?

Answer 20

-Mirrors.
-Lamps.
-Intercoms.