Unit Two: Cognition

Question 1

Cognition

Answer 1

set of mental activities through which individuals acquire, process, store, retrieve, and use information

Question 2

Cognition involves

Answer 2

Awareness, remembering, reasoning, decision making, understanding, using language

Question 3

Cognitive skills become _____________ complex advancing from child hood to adulthood.

Answer 3

Increasingly

Question 4

Confusion

Answer 4

Increased difficulty thinking clearly, making good judgements, focusing attention.

Question 5

Confusion is usually ________________________.

Answer 5

A symptom of another disorder

Question 6

Delirium and dementia are both forms of:

Answer 6

Confusion

Question 7

Delirium is _________ confusion

Answer 7

Acute

Question 8

Demetria is ____________ confusion.

Answer 8

Chronic

Question 9

Delirium is:

Answer 9

An acute cognitive disorder
Onset is severe is sudden
“Acute confusion”
Reversible

Question 10

Symptoms of Delirum

Answer 10

Fluctuations in alertness
Inattentive, easily distracted, difficulty shifting attention focus, disoriented to time and place, inability to recall times and places

Question 11

Delirium usually goes away when:

Answer 11

Underlying cause is found

Question 12

Diagnostic tests for Delirium:

Answer 12

Detailed neurological exams
Drug and alcohol screening
Blood an Urine labs
Test for infection
Screening for depression and other psychological needs

Question 13

How to apply the nursing process assessment:

Answer 13

Assess level of orientation
Confusion assessment method (CAM)
Medication History should be taken
Are there manifestations of pain, infection, impaired mobility, and dehydration.

Question 14

Dx ABE Delirium

Answer 14

Insomnia
Disturbed sleep pattern
Self care deficit
Acute or chronic confusion
Wandering
Risk for injury
Impaired memory
Impaired verbal communication
Caregiver role strain may be considered for family or support system

Question 15

Planning for Delirium

Answer 15

Plan your outcome on clients needs i.e.
Remain free from injury
Return to baseline cognition
Obtain adequate sleep and rest
Be able to preform ADL’s
Communicate in a clear logical manner

Question 16

Implementation for Delirium Dx

Answer 16

Provide therapeutic environment
Adequate sleep
Communicate clearly

Question 17

Evaluation of a pt with Delirium Dx

Answer 17

Decreasing occurrences of delirium for the pt

Question 18

The nurse is caring for a 10-year-old who has meningitis and is delirious. Which of the following is a priority nursing diagnosis for this client?
A. Anxiety
B. Risk for Injury
C. Ineffective Airway clearance
D. Activity intolerance

Answer 18

B

Question 19

Dementia

Answer 19

Gradual, chronic, not reversible.
Progressive loss of cognitive function
Not a normal part of aging

Question 20

Most common cause of Dementia

Answer 20

Alzheimer’s

Question 21

Causes of Dementia

Answer 21

Huntington’s disease
HIV
Parkinson’s Disease

Question 22

The spouse of a client who is experiencing confusion from dehydration is concerned about taking the client home in a confused state. The nurse would respond with which correct statement?
A. “Oh it won’t be so bad; the client is harmless.”
B. “Once the dehydration is corrected the client should no longer be confused.
C. “I’ll teach you how to make your home safe.”
D. “We’ll be ordering a home health aide to help you.”

Answer 22

B

Question 23

An 83-year-old client is in the ED and is acting in a bizarre manner. The client is being treated for otitis media (ear infection). Which of the following will the nurse recognize as signs that the client is delirious?
A. Memory impairment
B. Gradual onset symptoms
C. Impaired attention
D. Impaired judgement

Answer 23

C.