Test 2b Flashcards

1
Q

confabulation

A

the making up of stories or answers to maintain self-esteem when the person does not remember

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2
Q

perseveration

A

reputation of phrases or behavior (intensified during stress)

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3
Q

What are the 4 As of cognitive impairment

A
  1. amnesia
  2. aphasia
  3. apraxia
  4. agnosia
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4
Q

agnosia

A

loss of sensory ability to recognize objects (knowing)

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5
Q

aphasia

A

loss of language ability (might forget names, finding the right word => babbling or mutism)

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6
Q

apraxia

A

loss of purposeful movement in the absence of motor or sensory impairment

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7
Q

What are the 4 stages of alzheimer’s disease?

A
  1. Mild: Forgetfullness
  2. Moderate: Confusion
  3. Moderate to Severe: Ambulatory Dementia
  4. Late: End Stage
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8
Q

agraphia

A

inability to read or write

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9
Q

hyperolality

A

the need to taste, chew, and put everything in one’s mouth

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10
Q

hypermetamophosis

A

manifested by touching of everything in sight

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11
Q

cognition

A

operation of the mind that includes “the mental faculty of knowing, perceiving, recognizing, conceiving, judging, reasoning, and imagning

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12
Q

What is the basic difference between delirium and dementia?

A

Delirium is acute and reversible; dementia is gradual and permanent

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13
Q

delirium

A

develops quickly and usually fluctuates in intensity, which represents a change from the individual’s normal attention and awareness

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14
Q

dementia

A

impairment in memory w/o impairment in consciousness

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15
Q

sundown syndrome

A

symptoms and problem behaviors become more pronounced in the evening

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16
Q

illusions

A

errors in perception of sensory stimuli

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17
Q

hallucinations

A

false sensory stimuli

18
Q

hypervigilance

A

extraordinarily alert and their eyes constantly scan the room

19
Q

addicition/dependence

A

habitual psychological and physiological dependence on the substance or practice beyond one’s voluntary control

20
Q

tolerance

A

adaptation to the substance with gradual increasing amounts of the substance needed to reproduce original effects with lessor amounts of the substance

21
Q

What are the 3 Cs

A
  1. CRAVING (compulsive use)
  2. CONTINUED use
  3. loss of CONTROL
22
Q

temperament

A

the style of behavior habitually used to cope with demands of the environment. It can be modified by the parent-infant relationship

23
Q

agraphia

A

inability to read or write

24
Q

hyperorality

A

the need to taste, chew, and put everything in one’s mouth

25
Q

hypermetamorphosis

A

manifested by touching everything in sight

26
Q

abuse

A

habitual use of a substance that falls outside of medical necessity or social acceptance, with the single purpose of altering one’s mood, emotion, or state of consciousness- resulting in an adverse affect to the abuser and/or others

27
Q

addiction/dependence

A

habitual psychological and physiological dependence on the substance or practice beyond one’s voluntary control

28
Q

tolerance

A

adaption to the substance with gradual increasing amounts of the substance needed to reproduce original effects with lessor amounts of the substance

29
Q

withdrawal

A

stopping or reducing use results in specific PHYSICAL and.or PSYCHOLOGICAL signs and symptoms

30
Q

amotivational syndrome

A

(can be caused by marijuana) characterized by apathy, loss of achievement motivation, decrease productivity, difficulty with learning and memory, impaired concentration, lack of personal hygiene, and preoccupation with the drug

31
Q

What percentage of __ year old or older NURSING HOME RESIDENTS experience DELIRIUM?

A

60%; 75 year old

32
Q

What percentage of people with terminal illness develop DELIRIUM near death?

A

75-85%

33
Q

AD accounts for what percentage of all dementias in the US?

A

60-80%

34
Q

What is the lifetime prevalence of AD in those 65 and older?

A

12.5%

35
Q

What are the different types of primary dementia?

A
  • AD
  • Picks Disease
  • Huntingtons
  • Lewy Body
  • Creutzfeldt-Jakob Disease
  • Parkinsons
36
Q

What percentage of people with MCI develop dementia w/n 1 year?

A

12%

37
Q

What are the 3 categories of assessment for delirium?

A
  1. cognitive/perceptional disturbances
  2. physical needs
  3. Moods and Physcial Behaviors
38
Q

What are the 4 UNCONSCIOUS DEFENSE behaviors for dementia that the nurse might notice on assessment?

A
  1. confabulation
  2. denial
  3. preservation
  4. avoiding questions
39
Q

Genetics accounts for what percentage of a persons vulnerability to addiction?

A

40-60%

40
Q

What makes assessing for addictions and compulsions complex?

A
  • poly drug abuse
  • coexisting psychiatric disorders
  • coexisting physical disorders
  • multicultural issues
41
Q

What are the 6 parts of the brief neurocognitive Mental Status Exam?

A
  1. behavioral observation
  2. orientation
  3. recent memory
  4. calculations
  5. reproduction of cross and cube
  6. thinking/speech
42
Q

What are the 9 parts of a child and adolescent mental status assessment?

A
  1. General appearance
  2. Activity level
  3. Speech
  4. Coordination of motor function
  5. Affect
  6. Relating, manner of
  7. Intellectual functions
  8. Thought Processes and content
  9. Characteristics of child’s play