Test 2: Blueprint (1) Flashcards
What is a mental state characterized by a disturbance of cognition, which is manifested as confusion, excitement, disorientation, and a clouding of consciousness.
delirium
Is delirium acute or chronic?
acute
What is meant by “sundowning”?
symptoms become worse in late afternoon and evening
ex/ pts will wander around
What are some predisposing factors of delirium?
- systemic infections
- febrile illness
- metabolic disorders (hypoxia, hypercarbia, hypoglycemia)
- hepatic encephalopathy
- head trauma
- seizures
- migraines
- brain abscess
- stroke
- postoperative states
- electrolyte imbalance
How should delirium be managed?
1) determine and correct the cause
2) Medications
What meds are commonly used to relieve delirium symptoms?
- benzos for substance withdrawal
- neuroleptics (antipsychotics) for agitation, aggression, hallucinations, illusions
What is a syndrome of chronic and possibly progressive intellectual and functional impairment involving memory, language, emotion, cognition, and changes in the personality?.
neurocognitive disorder
Is neurocognitive disorder associated with alzheimer’s primary or secondary?
Primary
Is neurocognitive disorder associated with HIV, depression, or nutritional deficiency primary or secondary.
Secondary
These things CAUSE NCD.
How is neurocognitive disorder assessed?
- History
- Physical and cognitive assessments
- Blood and urine lab work
- Chest x-ray
- PET, CT, or MRI of brain
- EEG
- Lumbar puncture
What are 7 common nursing diagnoses associated with NCD?
1) Risk for trauma
2) Disturbed/altered thought processes
3) Disturbed sensory perception
4) Risk for other directed violence
5) Impaired verbal communication
6) Self-care deficit
7) Situational low self-esteem or grieving
Name the nursing diagnosis:
Falls, wandering, confusion, poor coordination
Risk for trauma
Name the nursing diagnosis:
Disorientation, confusion, memory deficits, paranoia
Disturbed/altered thought processes
Name the nursing diagnosis:
Experiencing hallucinations
Disturbed sensory perception
Name the nursing diagnosis:
Aggressiveness
Risk for other directed violence