Neurocognitive Disorders Chap 23

Question 1

6 strategies to prevent delirium

Answer 1

Stimulate Mind
Moving
Sleeping well
Seeing & hearing (Glasses & hearing aids)
Hydration

Question 2

Apraxia

Answer 2

Difficulty preforming learned task

Speech, buttoning shirt, waving goodbye

Question 3

Agnosia

Answer 3

Loss of the ability to identify objects or people.

Question 4

Does mild dementia affect ADLs

Answer 4

No

Major does

Question 5

The following are S/S of…

Visual hallucinations, or seeing things that are not present. …

Unpredictable changes in concentration, attention, alertness, and wakefulness from day to day and sometimes throughout the day.

Severe loss of thinking abilities that interfere with daily activities.

Answer 5

Dementia with lewy bodies

Question 6

Abnormal proteins found inside of neurons

Answer 6

Lewy bodies

Question 7

Alzheimer’s is most common in

Males / female

Answer 7

Female

Question 8

Amyloid-beta (Aβ) and tau are proteins that are linked to….

Answer 8

Alzheimer’s disease and other neurological conditions

Question 9

How do deaths happen from Alzheimer’s

Answer 9

Aspiration pneumonia

Sepsis

Question 10

1 risk for Alzheimer’s

Answer 10

Age

Also

Family history
Social engagement/ diet
Head injury
Diabetes

Question 11

Describe stage of Alzheimer’s

Duration 7 years

Short-term memory loss

Answer 11

Mild cognitive impairment. NOT Alzheimer’s

Question 12

Describe stage of Alzheimer’s

Duration 2 years

Reading problems
Poor object recognition
Poor sense of direction

Answer 12

Mild Alzheimer’s

Question 13

Describe stage of Alzheimer’s

Duration 2 years

Poor judgment
Impulsive
Short attention span

Answer 13

Moderate Alzheimer’s

Question 14

Describe stage of Alzheimer’s

Duration 3 years

Visual problems

Answer 14

Severe Alzheimer’s

Reaches occipital lobe

Question 15

Perseveration is…

Answer 15

Repetion of words and phrases

Question 16

Hypermetamorphosis….

Answer 16

(compulsion to intensively explore the immediate environment or overreact to visual stimuli)

Question 17

Alzheimer’s starts in this portion of the brain…

Next it moves to…

Then…

Finally…

Answer 17

Hippocampus (Short term memory loss first Sign)

temporal & parietal lobes

Frontal

Occipital

Question 18

Lowering of ______ is associated with Alzheimer’s

Answer 18

Acetylcholine

Question 19

It is important to frequently present reality to Alzheimer’s patients

T or F

Answer 19

F

Going along with what they are saying.

Don’t argue with the disease

Question 20

Donepezil (Aricept)
Rivastigmine (Exelon)
Galantamine (Razadyne)

All help Alzheimer’s how?

Answer 20

Prevent the breakdown of Acetylcholine

Rivastigmine (Exelon) = All stages of Alzheimer’s

Galantamine (Razadyne) = Mild to Moderate Alzheimer’s

Question 21

Describe which stages of Alzheimer’s meds are used for

Rivastigmine (Exelon)

Galantamine (Razadyne)

Answer 21

Rivastigmine (Exelon) = All stages of Alzheimer’s

Galantamine (Razadyne) = Mild to Moderate Alzheimer’s

Question 22

Glutamate levels

Acetylcholine levels

Alzheimer’s

Answer 22

Glutamate levels UP

Acetylcholine levels DOWN

Question 23

Memantine has this affect on Alzheimer’s

Used in moderate to severe

Answer 23

Regulates levels of Glutamate

Glutamate too high in Alzheimer’s

Question 24

Aducanumab is costly, difficult to get approved and his this affect

Answer 24

Mild to no effect

Question 25

Depakote & tegretol have this affect on Alzheimer’s patients

Answer 25

Used as mood stabilizers

Question 26

Antipsychotics have this precaution with Alzheimer’s

Answer 26

Blackbox warning.

Don’t use Increase risk of CVA & Death