Quiz #22 Dementia and Losses

Question 1

What is confabulation ?

Answer 1

Fabricating details of events or stories.

Question 2

pt that have aids related dementia they are confused and confusion causes risks for what?

Answer 2

Falls

Question 3

when we assess the orientation of our client what are the 4 ?

Answer 3

a.person
b.place
c.time/date
d.event/situation

Question 4

what is the term for acute brain syndrome usually temporary with delusion?

Answer 4

delirium

Question 5

what is the medication that is used for clients with elderly that is geared to correct behavioral problems?

Answer 5

Haldol (also known as haloperidol) is an antipsychotic medication. In hospice, it is used to treat terminal delirium, severe agitation in end-stage dementia.

Question 6

The definitive diagnosis of Alzheimer’s disease is made through:

Answer 6

an autopsy

Question 7

A family member of a client with dementia asks the nurse the difference between delirium and dementia. Which of the following is the most accurate response to this question?

Answer 7

Delirium is acute confusion, and usually reversible.
Delirium begins with confusion /sleep deprived acute (happens suddenly) , reversible.

Question 8

Which of the following is a type of dementia commonly resulting from cerebrovascular disease and hypertension?

Answer 8

Multi-Infarct Dementia

Question 9

An HIV client has been diagnosed with HIV dementia. As a nurse you know that this disease is characterized by? (Select all that apply)

Answer 9

• Poor concentration
• Problem solving difficulties
• Rapid progression

Question 10

an acute brain syndrome, usually temporary with delusions.

Answer 10

Delirium

Question 11

respite care

Answer 11

temporary care
*comes in different forms:
- The family member can be in a facility for a short period of time
-community resources that give support or provide opportunities for care giver or provide services to care giver to run errands or spend time w/ family.
-(sandwich generation) caregiver may have caregiver role strain.

Question 12

What type of dementia is rare and rapidly progressive that is associated with a virus?

Answer 12

Creutzfeldt-Jacobs Disease

*infectious dementia that is considered transmissible.

Question 13

what is the inability to identify objects called ?

Answer 13

Agnosia
(also known as primary visual agnosia, monomodal visual amnesia, and visual amnesia) is a neurological disorder characterized by an inability to recognize and identify objects or persons using one or more of the senses

Question 14

dementia

Answer 14

irreversible , chronic, progressive
early stages : forgetfulness

Question 15

increasing aphasia

Answer 15

problems with language
aphasia: expressive – receptive– mixed

Question 16

bradykinesia

Answer 16

slow/movement

Question 17

Providing care to patient with dementia

Answer 17

Monitor the patient on all aspects carefully (physical, mental, emotional)

Question 18

Term for a person who cannot identify the object

Answer 18

agnosia

Question 19

Medication that could delay the progression of disease process:

Answer 19

Namenda

Question 20

Difference between dementia and delirium:

Answer 20

Delirium is acute (and previously referred to as acute brain syndrome), dementia is relentless and irreversible (and progressive)

Question 21

What is the term for uncoordinated movement?

Answer 21

Apraxia (problems with purposeful movements)

Question 22

If person with dementia is able to pay bills, can do IADLs, what stage?

Answer 22

Early

Question 23

Before neurological physical assessment:

Answer 23

Make sure patient is comfortable and well rested

Question 24

Respite care, temporary relief to caregiver:

Answer 24

Community resources that give/provide services to the caregiver (takes care of the older adult) so that the caregiver can spend time with her family

Question 25

What is the kind of dementia that results from CVD and hypertension?

Answer 25

Vascular dementia/muti-infarct dementia (MID)

Question 26

Medication for elderly client for behavioral problem:

Answer 26

Haldol (and Novane, Thorazine + Merllaril could be possible choices for answer)

Question 27

AIDS related dementia, confusion increase risk for fall, what is the intervention?

Answer 27

Move client closer to the nursing station (or provide sitter – usually expensive)

Question 28

Patient with dementia frustrated, what is the intervention:

Answer 28

We should not give multiple choices/activities; to prevent sundowning, limit client’s choices for daily activities and provide consistent daily routine

Question 29

Plan of care of patient dementia:

Answer 29

Provide consistent daily routine

Question 30

Person with dementia:

Answer 30

Dementia appears first as forgetfulness, loss of function will kick in slowly to memory, progressing gradually to disorientation

Question 31

19. Therapeutic communication: client is missing mother, what type of communication will you use; for example: 85 year old verbalized that she is missing her mother, what will your response to the patient?:

Answer 31

Validating the emotions/validation of emotions (You’re missing your mother?); validation of emotion=showing client respect to reality

Question 32

Appropriate nursing diagnosis for dementia (x3):

Answer 32

a. Risk of falls related to inadequate…due to dementia
b. Impaired verbal communication
c. Self care deficit
d. Knowledge deficit

Question 33

Delirium vs dementia:

Answer 33

Delirium – behavior quick, acute = delirium, usually temporary with delusion.
Dementia is relentless, meds slow the progress not do not totally heal, irreversible especially if cause is organic, progressive

Question 34

Ability of patient to complete ADLs, one of the things to assess:

Answer 34

Functional assessment – dressing, bathing, grooming, toileting, bowel and bladder control, ambulation and transfer, eating, communication skills; gather history

Question 35

If patient has dementia due to CVA, left-sided weakness, dysphagia, what is one of our measures:

Answer 35

Give thickened fluids

Question 36

Patient wanders at night, what is our intervention?

Answer 36

Take to the bathroom on a regular basis to decrease the risk of client getting out of bed and falling

Question 37

HIV client with HIV dementia:

Answer 37

Daily rapid progression of disease, progressing rapidly

Question 38

Patient with Parkinson’s disease is having bradykinesia, expect that:

Answer 38

Patient has possible slow or slurred speech; the speech is slow, slurred

Question 39

Patient refuses to take medication, what is nurse’s first action?

Answer 39

Ask client the reason why they are refusing medication(s)

Question 40

Take the client to bathroom, every how many hours?

Answer 40

2 hours schedule to prevent incontinence

Question 41

Patient with Alzheimer’s disease is agitated and combative, what is plane of care?

Answer 41

Be calm, ask patient if they would like to listen to music

Question 42

Nurse is taking care of a patient with dementia, patient is scheduled for a procedure (for example, surgery), can client sign informed consent?

Answer 42

No, who can sign: it can be signed by Durable Power of Attorney (DPOA), the person who was appointed by the client to make medical decisions for the client when client is incapable of making them himself or herself.