NURS Chapter 40 Flashcards
Cognitive function relates to the following except
a. Memory loss and personality
b. Thinking and reasoning
c. Ability to understand
d. Judgment and behavior
A
A person is confused after surgery. The confusion is likely to be
a. Permanent
b. Temporary
c. Caused by an infection
d. Caused by a brain injury
B
A person is confused. The care plan includes the following. Which should you question?
a. Restrain in bed at night
b. Give clear, simple directions
c. Use touch to communicate
d. Open drapes during the day
A
A person has delusions. A delusion is
a. A false belief
b. An illness caused by changes in the brain
c. Seeing, hearing, or feeling something that is not real
d. Alzheimer disease
A
A person has AD. Which is true?
a. AD occurs only in older persons
b. Diet and medications can cure the disease
c. AD and delirium are the same
d. AD ends in death
D
The following are common in persons with AD except
a. Memory loss, poor judgment, and sleep disturbances
b. Loss of impulse control and loss of the ability to communicate
c. Wandering, delusions, and hallucinations
d. Paralysis, dyspnea, and pain
D
A person leaves the center without staff knowledge. This is called
a. Elopement
b. Wandering
c. Bad behavior
d. Poor judgment
A
Sundowning means that
a. The person becomes sleepy when the sun sets
b. Behaviors become worse in the late afternoon and evening hours
c. Behavior improves at night
d. The person goes to bed when the sun sets
B
A person with AD keeps telling you that someone is stealing things. What should you do?
a. Nothing. You know that the person suffers from paranoia.
b. Tell the nurse. Someone could be abusing the person.
c. Replace missing items.
d. Send other items home with the family.
B
A person has AD. To communicate with this person, you should
a. Give orders
b. Correct the person’s mistakes
c. Ask open-ended questions
d. Limit the person’s choices
D
A person with AD is screaming. You know that this is
a. An agitated reaction
b. A way to communicate
c. Caused by a delusion
d. A repetitive behavior
B
A person with AD is rummaging through a drawer. Which is false?
a. The person may be looking for something
b. The behavior may have no meaning
c. The behavior is allowed if items in the drawer are safe
d. You must distract the person with another activity
D
Which is the best way to approach a person with AD?
a. From the front
b. From the back
c. From the right side
d. From the left side
A
A person with AD tends to wander. You should do the following except
a. Make sure door alarms are turned on
b. Make sure an ID bracelet is worn
c. Assist with exercise as ordered
d. Tell the person where to wander safely
D
Safety is important for the person with AD. Which is false?
a. Safety plugs are placed in electrical outlets
b. Cleaners and medications are kept locked up
c. The person can keep smoking materials
d. Sharp and breakable objects are removed from the person’s setting
C
Which of these can cause delusions in persons with AD?
a. Eyeglasses
b. Hearing aids
c. Mirrors
d. Nightlights
C
You are caring for a person with AD. Which is false?
a. You can reason with the person
b. Touch can calm and reassure the person
c. A calm, quiet setting is important
d. Help is needed with ADL
A
Which helps prevent many of the behaviors and problems of AD?
a. Soothing music
b. Support groups
c. Caffeine
d. Validation therapy
A
AD support groups do the following except
a. Provide care
b. Offer encouragement and care ideas
c. Provide support for the family
d. Promote the sharing of feelings and frustrations
A
A woman with AD tells you her husband is coming soon to pick her up. You know that her husband is no longer living. Which approach is best?
a. Tell her that her husband died years ago
b. Help her get ready to wait for her husband
c. Sit with her and ask her to tell you about her husband
d. Call her daughter and report the confusion
C
