RNSG 1533 EXAM 1- COGNITION AND COPING
QUESTIONS AND ANSWERS
Dementia is defined as a:
a. syndrome that results only in memory loss.
b. disease associated with abrupt changes in behavior.
c. disease that is always due to reduced blood flow to the brain.
d. syndrome characterized by cognitive dysfunction and loss of memory. - Answers - d)
syndrome characterized by cognitive dysfunction and loss of memory.
Vascular dementia is associated with:
a. transient ischemic attacks.
b. viral infection of nerve tissue.
c. cognitive changes from cerebral ischemia.
d. abrupt changes in cognitive function that are irreversible. - Answers - c) cognitive
changes from cerebral ischemia.
Assessment findings in patients with dementia with Lewy bodies (DLB) include:
a. remissions and exacerbations over many years.
b. memory impairment, muscle jerks, and blindness.
c. parkinsonian symptoms, including muscle rigidity.
d. increased intracranial pressure from decreased CSF drainage. - Answers - c)
parkinsonian symptoms, including muscle rigidity.
"The person may appear normal to the casual observer."
"Family members may see changes in the patient's abilities."
"The person is usually aware that there is a problem with their memory."
These statements all accurately describe: - Answers - mild cognitive impairment
A patient with cognitive impairment would receive a clinical diagnosis of dementia based
on:
a. CT or MRI.
b. brain biopsy.
c. electroencephalogram.
d. history and cognitive assessment. - Answers - d) history and cognitive assessment.
A priority goal of treatment for the patient with Alzheimer disease is to:
a. maintain patient safety.
b. maintain or increase body weight.
c. return to a higher level of self-care.
d. enhance functional ability over time. - Answers - a) maintain patient safety.
Which patient is at the highest risk for developing delirium:
, A) A 50 year old woman with cholecystitis.
B) A 19 year old man with a fractured femur.
c) A 42 year old woman having an elective total hysterectomy.
D) A 78 year old man admitted to the medical unit with complications of heart failure. -
Answers - D) A 78 year old man admitted to the medical unit with complications of heart
failure.
When admitting a patient, the nurse must assess the patient for substance use based
on the knowledge that long term use of addictive substances leads to:
a. the development of coexisting psychiatric illnesses.
b. a higher risk for complications from underlying health problems.
c. potentiation of effects of similar drugs taken when the person is drug-free.
d. increased availability of dopamine, resulting in decreased sleep requirements. -
Answers - b) a higher risk for complications from underlying health problems.
The nurse would suspect cocaine toxicity in the patient who is experiencing:
a. agitation, confusion, and seizures.
b. diarrhea, nausea and vomiting, and confusion.
c. blurred vision, constricted pupils, and paranoia.
d. slow, shallow respirations; bradycardia; and hypotension. - Answers - a) agitation,
confusion and seizures.
The MOST appropriate nursing intervention for a patient who is being treated for an
exacerbation of emphysema and is not interested in quitting in smoking is to:
a. accept the patient's decision and not intervene until the patient expresses a desire to
quit.
b. realize that some smokers never quit, and trying to assist them increases the
patient's frustration.
c. ask the patient to identify the risks and benefits of quitting and what barriers to
quitting are present.
d. motivate the patient to quit by describing how continued smoking will worsen the
breathing problems. - Answers - c) ask the patient to identify the risks and benefits of
quitting and what barriers to quitting are present.
Monitor neurologic status on a routine basis.
Pad side rails and place suction equipment at the bedside.
Orient the patient to the environment and person with each contact.
Give antiseizure drugs and sedatives to relieve withdrawal symptoms.
The above are appropriate nursing interventions for a patient experiencing: - Answers -
alcohol withdrawal.
A patient admitted for scheduled surgery has a positive brief screening test for alcohol
use disorder. Which initial action is MOST appropriate?
a. Notify the health care provider.
b. Complete a detailed alcohol use assessment.
QUESTIONS AND ANSWERS
Dementia is defined as a:
a. syndrome that results only in memory loss.
b. disease associated with abrupt changes in behavior.
c. disease that is always due to reduced blood flow to the brain.
d. syndrome characterized by cognitive dysfunction and loss of memory. - Answers - d)
syndrome characterized by cognitive dysfunction and loss of memory.
Vascular dementia is associated with:
a. transient ischemic attacks.
b. viral infection of nerve tissue.
c. cognitive changes from cerebral ischemia.
d. abrupt changes in cognitive function that are irreversible. - Answers - c) cognitive
changes from cerebral ischemia.
Assessment findings in patients with dementia with Lewy bodies (DLB) include:
a. remissions and exacerbations over many years.
b. memory impairment, muscle jerks, and blindness.
c. parkinsonian symptoms, including muscle rigidity.
d. increased intracranial pressure from decreased CSF drainage. - Answers - c)
parkinsonian symptoms, including muscle rigidity.
"The person may appear normal to the casual observer."
"Family members may see changes in the patient's abilities."
"The person is usually aware that there is a problem with their memory."
These statements all accurately describe: - Answers - mild cognitive impairment
A patient with cognitive impairment would receive a clinical diagnosis of dementia based
on:
a. CT or MRI.
b. brain biopsy.
c. electroencephalogram.
d. history and cognitive assessment. - Answers - d) history and cognitive assessment.
A priority goal of treatment for the patient with Alzheimer disease is to:
a. maintain patient safety.
b. maintain or increase body weight.
c. return to a higher level of self-care.
d. enhance functional ability over time. - Answers - a) maintain patient safety.
Which patient is at the highest risk for developing delirium:
, A) A 50 year old woman with cholecystitis.
B) A 19 year old man with a fractured femur.
c) A 42 year old woman having an elective total hysterectomy.
D) A 78 year old man admitted to the medical unit with complications of heart failure. -
Answers - D) A 78 year old man admitted to the medical unit with complications of heart
failure.
When admitting a patient, the nurse must assess the patient for substance use based
on the knowledge that long term use of addictive substances leads to:
a. the development of coexisting psychiatric illnesses.
b. a higher risk for complications from underlying health problems.
c. potentiation of effects of similar drugs taken when the person is drug-free.
d. increased availability of dopamine, resulting in decreased sleep requirements. -
Answers - b) a higher risk for complications from underlying health problems.
The nurse would suspect cocaine toxicity in the patient who is experiencing:
a. agitation, confusion, and seizures.
b. diarrhea, nausea and vomiting, and confusion.
c. blurred vision, constricted pupils, and paranoia.
d. slow, shallow respirations; bradycardia; and hypotension. - Answers - a) agitation,
confusion and seizures.
The MOST appropriate nursing intervention for a patient who is being treated for an
exacerbation of emphysema and is not interested in quitting in smoking is to:
a. accept the patient's decision and not intervene until the patient expresses a desire to
quit.
b. realize that some smokers never quit, and trying to assist them increases the
patient's frustration.
c. ask the patient to identify the risks and benefits of quitting and what barriers to
quitting are present.
d. motivate the patient to quit by describing how continued smoking will worsen the
breathing problems. - Answers - c) ask the patient to identify the risks and benefits of
quitting and what barriers to quitting are present.
Monitor neurologic status on a routine basis.
Pad side rails and place suction equipment at the bedside.
Orient the patient to the environment and person with each contact.
Give antiseizure drugs and sedatives to relieve withdrawal symptoms.
The above are appropriate nursing interventions for a patient experiencing: - Answers -
alcohol withdrawal.
A patient admitted for scheduled surgery has a positive brief screening test for alcohol
use disorder. Which initial action is MOST appropriate?
a. Notify the health care provider.
b. Complete a detailed alcohol use assessment.
