Quiz #22 Dementia and Losses Flashcards
What is confabulation ?
Fabricating details of events or stories.
pt that have aids related dementia they are confused and confusion causes risks for what?
Falls
when we assess the orientation of our client what are the 4 ?
a.person
b.place
c.time/date
d.event/situation
what is the term for acute brain syndrome usually temporary with delusion?
delirium
what is the medication that is used for clients with elderly that is geared to correct behavioral problems?
Haldol (also known as haloperidol) is an antipsychotic medication. In hospice, it is used to treat terminal delirium, severe agitation in end-stage dementia.
The definitive diagnosis of Alzheimer’s disease is made through:
an autopsy
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?
Delirium is acute confusion, and usually reversible.
Delirium begins with confusion /sleep deprived acute (happens suddenly) , reversible.
Which of the following is a type of dementia commonly resulting from cerebrovascular disease and hypertension?
Multi-Infarct Dementia
An HIV client has been diagnosed with HIV dementia. As a nurse you know that this disease is characterized by? (Select all that apply)
- Poor concentration
- Problem solving difficulties
- Rapid progression
an acute brain syndrome, usually temporary with delusions.
Delirium
respite care
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.
What type of dementia is rare and rapidly progressive that is associated with a virus?
Creutzfeldt-Jacobs Disease
*infectious dementia that is considered transmissible.
what is the inability to identify objects called ?
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
dementia
irreversible , chronic, progressive
early stages : forgetfulness
increasing aphasia
problems with language
aphasia: expressive – receptive– mixed
bradykinesia
slow/movement
Providing care to patient with dementia
Monitor the patient on all aspects carefully (physical, mental, emotional)
Term for a person who cannot identify the object
agnosia
Medication that could delay the progression of disease process:
Namenda
Difference between dementia and delirium:
Delirium is acute (and previously referred to as acute brain syndrome), dementia is relentless and irreversible (and progressive)
What is the term for uncoordinated movement?
Apraxia (problems with purposeful movements)
If person with dementia is able to pay bills, can do IADLs, what stage?
Early
Before neurological physical assessment:
Make sure patient is comfortable and well rested
Respite care, temporary relief to caregiver:
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
What is the kind of dementia that results from CVD and hypertension?
Vascular dementia/muti-infarct dementia (MID)
Medication for elderly client for behavioral problem:
Haldol (and Novane, Thorazine + Merllaril could be possible choices for answer)
AIDS related dementia, confusion increase risk for fall, what is the intervention?
Move client closer to the nursing station (or provide sitter – usually expensive)
Patient with dementia frustrated, what is the intervention:
We should not give multiple choices/activities; to prevent sundowning, limit client’s choices for daily activities and provide consistent daily routine
Plan of care of patient dementia:
Provide consistent daily routine
Person with dementia:
Dementia appears first as forgetfulness, loss of function will kick in slowly to memory, progressing gradually to disorientation
- 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?:
Validating the emotions/validation of emotions (You’re missing your mother?); validation of emotion=showing client respect to reality
Appropriate nursing diagnosis for dementia (x3):
a. Risk of falls related to inadequate…due to dementia
b. Impaired verbal communication
c. Self care deficit
d. Knowledge deficit
Delirium vs dementia:
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
Ability of patient to complete ADLs, one of the things to assess:
Functional assessment – dressing, bathing, grooming, toileting, bowel and bladder control, ambulation and transfer, eating, communication skills; gather history
If patient has dementia due to CVA, left-sided weakness, dysphagia, what is one of our measures:
Give thickened fluids
Patient wanders at night, what is our intervention?
Take to the bathroom on a regular basis to decrease the risk of client getting out of bed and falling
HIV client with HIV dementia:
Daily rapid progression of disease, progressing rapidly
Patient with Parkinson’s disease is having bradykinesia, expect that:
Patient has possible slow or slurred speech; the speech is slow, slurred
Patient refuses to take medication, what is nurse’s first action?
Ask client the reason why they are refusing medication(s)
Take the client to bathroom, every how many hours?
2 hours schedule to prevent incontinence
Patient with Alzheimer’s disease is agitated and combative, what is plane of care?
Be calm, ask patient if they would like to listen to music
Nurse is taking care of a patient with dementia, patient is scheduled for a procedure (for example, surgery), can client sign informed consent?
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.
