NUR 211 Exam 3 Exam Study
Questions with Elaborate Answers
Already Graded A+
1. The nurse is reviewing the needs of a patient with cognitive impairment.
What is the priority concern that the nurse should address for this patient?
a. promoting at least 6 hours of sleep a night
b. encouraging an oral intake of 1200 cal/day
c. managing the patient's pain from arthritis
d. supervising medication administration - ANSWER d. supervising
medication administration
Safety is the priority concern for the cognitively impaired pt; safely taking
medication addresses safety needs for the pt. Sleep, nutrition, and management
of pain are important components of the pt's care and can affect over health, but
safety is the highest priority.
2. Define and describe cognitive impairment - ANSWER the mental action or
process of acquiring knowledge and understanding through thought,
experience, and the senses.
3. Explain the components of a basic assessment of cognition and differentiate
normal from abnormal findings
GENERAL APPEARANCE - ANSWER Normal: erect or relaxed posture,
coordinated, smooth gait, dress is appropriate for weather, age, gender, well
groomed, clean hygiene
,Abnormal: slumped posture, slow movements while walking, dragging feet,
dress not appropriate for weather age, poor hygiene
4. what is the mini- mental status tool for cognitive impairment? - ANSWER
Provides 11 cognitive tasks
The lower the score, the more severe the impairment
Below 27 should be sent for further evaluation
See handout for an example
Drawback: At times the MMSE can be an intimidating test for the patient
because it highlights the person's cognitive impairment. In these cases, clock
drawing can be a quick test of cognitive ability.
5. what is the first step of the health history? - ANSWER consciousness
6. Loss of ability to learn and recall new information on an ongoing basis -
ANSWER Memory: Anterograde Amnesia
7. impaired ability to retrieve information from the past - ANSWER Memory:
Retrograde Amnesia
8. Language impairment at the conceptual level; may have difficulty with
production or comprehension of language or both - ANSWER language
aphasia
,9. Impaired ability to name places or objects; may have difficulty with sentence
repetition, although comprehension and expression abilities are basically
intact - ANSWER language anomia
10.Glasgow Coma Scale - ANSWER Glasgow Coma Scale
Eye Opening Response
• Spontaneous--open with blinking at baseline 4 points
• To verbal stimuli, command, speech 3 points
• To pain only (not applied to face) 2 points
• No response 1 point
Verbal Response
• Oriented 5 points
• Confused conversation, but able to answer questions 4 points
• Inappropriate words 3 points
• Incomprehensible speech 2 points
, • No response 1 point
Motor Response
• Obeys commands for movement 6 points
• Purposeful movement to painful stimulus 5 points
• Withdraws in response to pain 4 points
• Flexion in response to pain (decorticate posturing) 3 points
• Extension response in response to pain (decerebrate
posturing) 2 points
• No response 1 point
11.assessment tools for cognition - ANSWER MMSE
Mini-Cog
CAM
12.what is the CAM test usually used for and what does it measure? -
ANSWER delrium
measures: mental status
attention
disorganized thinking
Questions with Elaborate Answers
Already Graded A+
1. The nurse is reviewing the needs of a patient with cognitive impairment.
What is the priority concern that the nurse should address for this patient?
a. promoting at least 6 hours of sleep a night
b. encouraging an oral intake of 1200 cal/day
c. managing the patient's pain from arthritis
d. supervising medication administration - ANSWER d. supervising
medication administration
Safety is the priority concern for the cognitively impaired pt; safely taking
medication addresses safety needs for the pt. Sleep, nutrition, and management
of pain are important components of the pt's care and can affect over health, but
safety is the highest priority.
2. Define and describe cognitive impairment - ANSWER the mental action or
process of acquiring knowledge and understanding through thought,
experience, and the senses.
3. Explain the components of a basic assessment of cognition and differentiate
normal from abnormal findings
GENERAL APPEARANCE - ANSWER Normal: erect or relaxed posture,
coordinated, smooth gait, dress is appropriate for weather, age, gender, well
groomed, clean hygiene
,Abnormal: slumped posture, slow movements while walking, dragging feet,
dress not appropriate for weather age, poor hygiene
4. what is the mini- mental status tool for cognitive impairment? - ANSWER
Provides 11 cognitive tasks
The lower the score, the more severe the impairment
Below 27 should be sent for further evaluation
See handout for an example
Drawback: At times the MMSE can be an intimidating test for the patient
because it highlights the person's cognitive impairment. In these cases, clock
drawing can be a quick test of cognitive ability.
5. what is the first step of the health history? - ANSWER consciousness
6. Loss of ability to learn and recall new information on an ongoing basis -
ANSWER Memory: Anterograde Amnesia
7. impaired ability to retrieve information from the past - ANSWER Memory:
Retrograde Amnesia
8. Language impairment at the conceptual level; may have difficulty with
production or comprehension of language or both - ANSWER language
aphasia
,9. Impaired ability to name places or objects; may have difficulty with sentence
repetition, although comprehension and expression abilities are basically
intact - ANSWER language anomia
10.Glasgow Coma Scale - ANSWER Glasgow Coma Scale
Eye Opening Response
• Spontaneous--open with blinking at baseline 4 points
• To verbal stimuli, command, speech 3 points
• To pain only (not applied to face) 2 points
• No response 1 point
Verbal Response
• Oriented 5 points
• Confused conversation, but able to answer questions 4 points
• Inappropriate words 3 points
• Incomprehensible speech 2 points
, • No response 1 point
Motor Response
• Obeys commands for movement 6 points
• Purposeful movement to painful stimulus 5 points
• Withdraws in response to pain 4 points
• Flexion in response to pain (decorticate posturing) 3 points
• Extension response in response to pain (decerebrate
posturing) 2 points
• No response 1 point
11.assessment tools for cognition - ANSWER MMSE
Mini-Cog
CAM
12.what is the CAM test usually used for and what does it measure? -
ANSWER delrium
measures: mental status
attention
disorganized thinking
