Sensorimotor Flashcards

0
Q

Three most common cognitive problems in adults

A

Dementia
Delirium
Depression

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1
Q

Nursing concerns delirium/dementia/Alzheimer’s/Parkinson’s

A

Safety
Nutrition
Communication
Support system/caregiver

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2
Q

What is depression often associated with

A

Dementia and delirium

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3
Q

What is known as acute confusion

A

Delirium

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4
Q

Delirium effects about ____% of people who are critically ill

A

80%

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5
Q

Can delirium be both hypoactive and hyperactive

A

Yes!

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6
Q

Common infection that causes delirium

A

UTI

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7
Q

The patho of delirium has something to do with…

A

Acetylcholine

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8
Q

What is a condition that has been linked to delirium

A

Chronic stress

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9
Q

Who is more likely to experience delirium men or women

A

Men

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10
Q

Nurses role with delirium

A

Prevention
Early recognition
Treatment
Protection and safety

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11
Q

How can you focus on eliminating precipitating factors of delirium

A

Protect patient from harm

Encourage family members to stay at bedside or may need a sitter

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12
Q

What are two things used in all patients with delirium

A

Reorientation and behavioral interventions

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13
Q

A patient who is experiencing delirium is also at risk for what two things

A

Immobility

Skin breakdown

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14
Q

Is delirium preventable?

A

Yes it is usually preventable

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15
Q

When do you use Drug Therapy for somebody with Delirium

A

Reserved for those patients with severe agitation. This is because it interferes with needed meds and puts pt at increased risk for falls

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16
Q

What drugs are used to treat Delirium

A

Low dose antipsychotics

Ex- Haldol

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17
Q

What is Dementia characterized by

A

Syndrome characterized by dysfunction or loss of
MEMORY and at least one of the others:
-orientation, attitude, language, judgement, reasoning

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18
Q

What are some behavioral problems with dementia

A

Agitation, delusions, hallucinations

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19
Q

When do physicians usually diagnose Dementia

A

When 2 or more brain functions are significantly impaired

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20
Q

Problems that dementia can disrupt

A

Work
Social responsibilities
Family responsibilities

21
Q

Two most common causes of dementia

A
  • neurodegenerative conditions

- vascular disorders

22
Q

Important risk factors of Dementia

A

Advanced age

Family history

23
Q

What infectious diseases can result in vascular and neurodegenerative changes that can lead to dementia

A

Bacterial meningitis

Viral encephalitis

24
What is loss of cognitive function d/t brain lesions caused by cardiovascular disease called
Vascular dementia
25
How does vascular dementia happen
Decreased blood supply from narrowing and blocking or arteries that supply brain
26
What type of dementia tends to be abrupt
Vascular dementia
27
Type of dementia that tends to be gradual and progressive over time
Insidious and gradual
28
3 classifications of dementia
Mild Moderate Severe
29
Examples of mild dementia
Forgetfulness beyond what is seen in a normal person, short-term memory impairment, geographic disorientation
30
Examples of moderate dementia
Impaired ability to recognize close friends and family, wandering, getting lost, forgets how to do simple task, delusions, hallucinations
31
Examples of late stage dementia
Little memory, unable to process information, difficulty eating and swallowing, cannot understand words, incontinence
32
What can dementia and depression occurring together cause
Extreme intellectual deterioration
33
True or false: depression is often mistaken for dementia
True!! | Vice versa also
34
Manifestations of depression..especially seen in older adults
Sadness and difficulty thinking and concentrating
35
What should you screen for during the physical exam to rule out other medical conditions
Cobalamin (vitamin B 12) deficiencies Hypothyroidism Possibly neurosyphilis
36
What is the most common tool used to assess cognitive function
Mini-Mental State Examination
37
Diagnostic studies for dementia
CT MRI To monitor changes : SPECT and PET
38
Chronic, progressive, degenerative disease of the brain
Alzheimer's Disease
39
How long do most people live after the diagnosis of Alzheimer's
8-10 years
40
Who is more likely to develop Alzheimer's?
- women because of longer life expectancy | - African and Hispanic Americans
41
What are characteristics of familial Alzheimer's disease
Earlier onset, occurs around age of 50 | More rapid disease course
42
What comes first with Alzheimer's pathological or clinical manifestations? By what amount of time ?
Pathological first by 5 to 20 years. Something is going on long before you see symptoms
43
What are clinical manifestations in Alzheimer's disease that has progressed?
Dysphasia, apraxia, visual agnosia, dysgraphia, some long term memory loss, wandering, aggression
44
What are 3 things you could see in late stages of Alzheimer's disease
- unable to communicate - cannot perform ADL - pt may be unresponsive and incontinent, requiring total care
45
Ways to decrease risk of Alzheimer's disease
Reading, crossword puzzles, learning a new language, regular physical activity
46
Parkinson's is a disease of the ________.
Basal ganglia (gray matter within each cerebral hemisphere)
47
4 characteristics of Parkinson's disease
1. Slowness in the initiation and execution of movement (bradykinesia) 2. Increased muscle tone (rigidity) 3. Tremor at rest 4. Impaired postural reflexes
48
When do symptoms of Parkinson's disease occur
When 80% of the neurons are lost
49
Goal of Parkinson's disease
1. Maximize neurological functions 2. Maintain independence 3. Optimize psychosocial well-being 4. Keep safe from falls
50
Diagnostic study for Parkinson's disease
Positive response to antiparkinsonian drugs