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Nurs 104 > Late Adult Cog > Flashcards

Late Adult Cog Flashcards

0
Q

What is dementia?

A

Irreversible Memory impairment, usually st mem first

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1
Q

How is dementia brought on?

A

Slowly, progressive

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2
Q

What cognitive impairment includes agnosia, aphasia, and apraxia, and executive functioning?

A

Dementia

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3
Q

What is depression?

A

Mood disorder, mental illness

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4
Q

Having impaired motor skills? Ex. Getting dressed

A

Apraxia

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5
Q

Difficulty with speech and written language, comprehension, vague speech, unintelligent speech or muteness and troubles finding words?

A

Aphasia

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6
Q

Aphasia?

A

Difficulty with speech and written language, comprehension, vague speech, unintelligent speech or muteness and troubles finding words?

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7
Q

Someone can’t recognize that keys are for opening doors but instead food? Can’t recognize familiar people?

A

Agnosia

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8
Q

What are the abilities to organize, sequence, abstracting and plan?

A

Executive functions

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9
Q

What kind of dementia includes an abrupt onset, and occurs from infarcts/bleeding in brains?

A

Vascular dementia

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10
Q

Lewy Body Dementia?

A

Subtype of AD, VIVID hallutionations, fluctuating cognition

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11
Q

What kind of dementia includes a younger rapid onset?

A

Frontotemporal dementia

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12
Q

What kind of dementia includes aggression and personality changes?

A

Frontotemporal dementia

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13
Q

What kind of bhvrl disturbances are found with AD?

A 
Self destructive
Non-compliance
Dependency
Aggression
Impulsiveness/disinhibition
Hiding/hoarding
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14
Q

What are ways to investigate AD?

A 
History
Phys exam**
Mmse**[30Q], quick 
Lab tests
Ct/MRI
Autopsy
Evaluation
Everything ruled out
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15
Q

What are symptoms usually found with the first 2-4yrs of AD?

A 
Forgetting
Denial
Confusion
ADL difficulties
Withdrawal
Family awareness
16
Q

Middle stage symptoms of AD?

A

Impaired adls, decrease language, reasoning, planning, disinhibition, aggression, RC

17
Q

Lat stages of dementia?

A

Decrease in environmental engagement, dependent, decrease in motor skills and speech

18
Q

What cognitive impairment includes fluctuating symptoms, altered bhvr and mental status and is reversible?

A

Delirium

19
Q

Which cog impairment has symptoms including: decreased attention span, disorientation, sleep wake disturbances?

A

Delirium

20
Q

Which cog impairment has symptoms including: sensory disturbances, changes in psychomotor activity, anxiety fear, irritability, euphoria, and apathy ?

A

Delirium

21
Q

What is a hyperactive delirium?

A

Agitation, constant motion, no purposeful or repetitive movements

22
Q

What symptoms follow hypo active delirium?

A

Inactive, withdrawn, decreased motor and verbal responses

23
Q

Interventions for delirium?

A 
Interdisciplinary 
Familiar environment
Routine
Sleep at night
Hydration promo
Avoid restraints
Support and educate fam
24
Q

What are the risk factors of delirium?

A 
Dementia
Over 75
Ploypharmacy(many drugs)
Hx of delirium
Chronic illness
Recovery from surgery
Has a UTI or phneumonia
25
Q

Two infections that can onset delirium?

A

UTI

Pneumonia

26
Q

What is depression? And symptoms?

A

2weeks< depressive mood
Loss of pleasure, interest
Change in appetite, weight, sleep, and activity
Guilt worthlessness
Difficulty thinking, decision making
Death/suicidal thoughts more than once
Impairment of social, occupational functioning

27
Q

Risk factors of depression?

A 
Previous episodes
60<
Med/chronic illness and pain
Substance a abuse
Lack of social support
Stressful life events
28
Q

What are interventions for depression?

A 
Improve sleep patterns
Responsibility for self care
Social activity
Encourage verbalizing anxiety and sadness 
Hope finding for future
Environmental supports
Programming supports
Pharmacological supports

Nurs 104 (7 decks)

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