Nurs 420 Mental Health Final Exam With
Correct Answers
anosmia
absence of the sense of smell
| | | | |
aphasia
impairment of language, affecting the production or comprehension of speech
| | | | | | | | | |
and the ability to read or write
| | | | | |
ataxia
lack of muscle coordination
| | |
confabulation
- memory disturbance
| |
- distorted or misinterpreted memories about self or the world, no conscious
| | | | | | | | | | | |
intent to deceive just fills in the blanks in their memory
| | | | | | | | | |
dysphagia
,difficulty swallowing
|
Dysarthria
difficulty forming words
| |
Hypersomnolence
excessive sleepiness
|
pseudodementia
- symptoms of depression that mimic dementia
| | | | | |
- treating depression may alleviate cognitive s/s
| | | | | |
Sundowning
- state of confusion at the end of the day and into night which causes confusion
| | | | | | | | | | | | | | |
- anxiety or ignoring directions can lead to pacing and wandering
| | | | | | | | | |
reminiscence therapy |
- encouraging residents to remember and talk about the past
| | | | | | | | |
,- helps people settle
| | |
- psychosocial interventions used with NCDs discussion of past activities, events,
| | | | | | | | | | |
and experiences with a person or group of persons with the aid of tangible
| | | | | | | | | | | | | |
objects such as photographs and music recording
| | | | | |
delirium
- mental disorder marked by confusion
| | | | |
- early detection is important
| | | |
Causes:
- Systemic fever or infections
| | | |
- Metabolic disorders: renal or liver disorders, nutritional deficits, hypoxia,
| | | | | | | | | |
hypercapnia, hypoglycemia, fluid, or electrolyte imbalances
| | | | |
- Neurological disorders: (PD, Huntington's, seizures, brain abscess, migraine
| | | | | | | | |
headaches, stroke) |
- Postoperative states: orthopedic and cardiac surgeries
| | | | | |
- Cardiovascular and respiratory disease
| | | |
, - Medications: anticholinergics, antihypertensive, corticosteroids, anticonvulsants,
| | | | |
|cardiac glycosides, analgesics, antineoplastic agents, anesthetics
| | | | |
- Substance withdrawal/intoxication: alcohol, amphetamines, cannabis, cocaine,
| | | | | | |
etc.
- Toxins such as organic solvents, heavy metals, carbon monoxide, insecticide
| | | | | | | | | |
- Social isolation, emotional stress, physical restraints
| | | | | |
- Usually more than one factor
| | | | |
delirium onset |
develops abruptly or over a short period of time
| | | | | | | |
Delirium duration and outcome
| | |
- symptoms diminish over 3-7 days
| | | | |
- duration usually 1 week up to one month
| | | | | | | |
- usually reversible
| |
- if untreated can shift to a permanent major cognitive disorder
| | | | | | | | | |
Correct Answers
anosmia
absence of the sense of smell
| | | | |
aphasia
impairment of language, affecting the production or comprehension of speech
| | | | | | | | | |
and the ability to read or write
| | | | | |
ataxia
lack of muscle coordination
| | |
confabulation
- memory disturbance
| |
- distorted or misinterpreted memories about self or the world, no conscious
| | | | | | | | | | | |
intent to deceive just fills in the blanks in their memory
| | | | | | | | | |
dysphagia
,difficulty swallowing
|
Dysarthria
difficulty forming words
| |
Hypersomnolence
excessive sleepiness
|
pseudodementia
- symptoms of depression that mimic dementia
| | | | | |
- treating depression may alleviate cognitive s/s
| | | | | |
Sundowning
- state of confusion at the end of the day and into night which causes confusion
| | | | | | | | | | | | | | |
- anxiety or ignoring directions can lead to pacing and wandering
| | | | | | | | | |
reminiscence therapy |
- encouraging residents to remember and talk about the past
| | | | | | | | |
,- helps people settle
| | |
- psychosocial interventions used with NCDs discussion of past activities, events,
| | | | | | | | | | |
and experiences with a person or group of persons with the aid of tangible
| | | | | | | | | | | | | |
objects such as photographs and music recording
| | | | | |
delirium
- mental disorder marked by confusion
| | | | |
- early detection is important
| | | |
Causes:
- Systemic fever or infections
| | | |
- Metabolic disorders: renal or liver disorders, nutritional deficits, hypoxia,
| | | | | | | | | |
hypercapnia, hypoglycemia, fluid, or electrolyte imbalances
| | | | |
- Neurological disorders: (PD, Huntington's, seizures, brain abscess, migraine
| | | | | | | | |
headaches, stroke) |
- Postoperative states: orthopedic and cardiac surgeries
| | | | | |
- Cardiovascular and respiratory disease
| | | |
, - Medications: anticholinergics, antihypertensive, corticosteroids, anticonvulsants,
| | | | |
|cardiac glycosides, analgesics, antineoplastic agents, anesthetics
| | | | |
- Substance withdrawal/intoxication: alcohol, amphetamines, cannabis, cocaine,
| | | | | | |
etc.
- Toxins such as organic solvents, heavy metals, carbon monoxide, insecticide
| | | | | | | | | |
- Social isolation, emotional stress, physical restraints
| | | | | |
- Usually more than one factor
| | | | |
delirium onset |
develops abruptly or over a short period of time
| | | | | | | |
Delirium duration and outcome
| | |
- symptoms diminish over 3-7 days
| | | | |
- duration usually 1 week up to one month
| | | | | | | |
- usually reversible
| |
- if untreated can shift to a permanent major cognitive disorder
| | | | | | | | | |
