NR607 FINAL EXAM BRAND NEW 110 QUESTIONS AND VERIFIED
ANSWERS ALREADY GRADED A+ 2026-2027.
Symptoms of _______ may be more difficult to detect in clients with dementia as clients with
more advanced dementia may lack insight into their depressive symptoms. Symptoms may
include fatigue and lack of energy, psychomotor agitation or retardation, and increased
difficulty with concentration and decision-making. - .....ANS...depression
What depression screening tool would you use for a patient WHO HAS BEEN DIAGNOSED
WITH DEMENTIA? - .....ANS...The Cornell Scale for Depression in Dementia is an
appropriate screening tool for clients with dementia and provides input from both the
client and the caregiver.
How would you treat a patient who presents with depression related to dementia?
Pharmacological and Non-pharmacological - .....ANS...Treatment of depression with
selective serotonin reuptake inhibitors (SSRIs) may help slow functional decline in clients
with dementia; however, improvement of depressive symptoms is typically minimal, and
,the adverse effects of the medications may be significant for older adults (Leung et al.,
2021; Baruch et al., 2019). Citalopram 10 mg would be great- do not go over 20 mg for
people over 60 years old.
Nonpharmacologic interventions such as animal therapy, cognitive stimulation, CBT and
physical activity have been shown to reduce depressive symptoms in clients with dementia
What depression scale would you use for the geriatric population? - .....ANS...Geriatric
Depression Scale!!!
Between eight and 71% of clients with dementia have ________, which is associated with
reduced quality of life and decreased independence (Tonga et al., 2020). As with
depression, diagnosis of _____ in this population is difficult due to symptom overlap, lack of
insight, and comorbidities. - .....ANS...ANXIETY
How would you treat a patient who presents with anxiety related to dementia?
Pharmacological and Non-pharmacological - .....ANS...Pharmacologic management is NOT
,recommended for clients with mild to moderate anxiety and dementia due to the adverse
effects of most medications;
instead, non-pharmacologic interventions, including cognitive behavioral therapy, music
and art therapy, physical activity, and psychoeducation may be helpful (Tonga et al., 2020).
What are your recommendations for a patient who has dementia along with alterations in
their sleep? s/s: frequent waking, excessive daytime sleepiness, and nighttime wandering -
.....ANS...A personalized approach should be considered to manage sleep issues, including
light therapy, physical activity, and an established bedtime routine (NICE, 2021).
Melatonin has been found to increase quality of sleep in several randomized controlled
studies (Cardinali, 2019).
Orexin antagonist medications have also been found to have sleep benefits with few
adverse effects in clients with dementia
What is Somatic Symptom Disorder characterized by? - .....ANS...An individual's significant
focus on one or more physical symptoms such as pain, fatigue, weakness, or shortness of
breath.
, How long must symptoms persist for a diagnosis of Somatic Symptom Disorder? -
.....ANS...More than 6 months.
What impact do the symptoms of Somatic Symptom Disorder have on an individual? -
.....ANS...They cause major distress and/or disruption of daily life.
________ may occur when a client and provider agree that the client's symptoms meet the
criteria for inpatient hospitalization and that the client may benefit from admission. This is
the preferred way because it gives the patient a sense of control over their life. The client
will sign a consent form agreeing to a hospital stay in a locked unit. Clients who voluntarily
agree to admission may not require a psychiatric hold; however, if the client requests
discharge and the provider determines the client is not yet safe, the provider may initiate
an emergency involuntary hold - .....ANS...A voluntary admission
_______ occurs when a client does NOT agree to hospitalization. Still, an evaluation by a
mental health professional indicates that the client may be at high risk of harming
themselves or others. Other terms denoting an involuntary admission include involuntary
ANSWERS ALREADY GRADED A+ 2026-2027.
Symptoms of _______ may be more difficult to detect in clients with dementia as clients with
more advanced dementia may lack insight into their depressive symptoms. Symptoms may
include fatigue and lack of energy, psychomotor agitation or retardation, and increased
difficulty with concentration and decision-making. - .....ANS...depression
What depression screening tool would you use for a patient WHO HAS BEEN DIAGNOSED
WITH DEMENTIA? - .....ANS...The Cornell Scale for Depression in Dementia is an
appropriate screening tool for clients with dementia and provides input from both the
client and the caregiver.
How would you treat a patient who presents with depression related to dementia?
Pharmacological and Non-pharmacological - .....ANS...Treatment of depression with
selective serotonin reuptake inhibitors (SSRIs) may help slow functional decline in clients
with dementia; however, improvement of depressive symptoms is typically minimal, and
,the adverse effects of the medications may be significant for older adults (Leung et al.,
2021; Baruch et al., 2019). Citalopram 10 mg would be great- do not go over 20 mg for
people over 60 years old.
Nonpharmacologic interventions such as animal therapy, cognitive stimulation, CBT and
physical activity have been shown to reduce depressive symptoms in clients with dementia
What depression scale would you use for the geriatric population? - .....ANS...Geriatric
Depression Scale!!!
Between eight and 71% of clients with dementia have ________, which is associated with
reduced quality of life and decreased independence (Tonga et al., 2020). As with
depression, diagnosis of _____ in this population is difficult due to symptom overlap, lack of
insight, and comorbidities. - .....ANS...ANXIETY
How would you treat a patient who presents with anxiety related to dementia?
Pharmacological and Non-pharmacological - .....ANS...Pharmacologic management is NOT
,recommended for clients with mild to moderate anxiety and dementia due to the adverse
effects of most medications;
instead, non-pharmacologic interventions, including cognitive behavioral therapy, music
and art therapy, physical activity, and psychoeducation may be helpful (Tonga et al., 2020).
What are your recommendations for a patient who has dementia along with alterations in
their sleep? s/s: frequent waking, excessive daytime sleepiness, and nighttime wandering -
.....ANS...A personalized approach should be considered to manage sleep issues, including
light therapy, physical activity, and an established bedtime routine (NICE, 2021).
Melatonin has been found to increase quality of sleep in several randomized controlled
studies (Cardinali, 2019).
Orexin antagonist medications have also been found to have sleep benefits with few
adverse effects in clients with dementia
What is Somatic Symptom Disorder characterized by? - .....ANS...An individual's significant
focus on one or more physical symptoms such as pain, fatigue, weakness, or shortness of
breath.
, How long must symptoms persist for a diagnosis of Somatic Symptom Disorder? -
.....ANS...More than 6 months.
What impact do the symptoms of Somatic Symptom Disorder have on an individual? -
.....ANS...They cause major distress and/or disruption of daily life.
________ may occur when a client and provider agree that the client's symptoms meet the
criteria for inpatient hospitalization and that the client may benefit from admission. This is
the preferred way because it gives the patient a sense of control over their life. The client
will sign a consent form agreeing to a hospital stay in a locked unit. Clients who voluntarily
agree to admission may not require a psychiatric hold; however, if the client requests
discharge and the provider determines the client is not yet safe, the provider may initiate
an emergency involuntary hold - .....ANS...A voluntary admission
_______ occurs when a client does NOT agree to hospitalization. Still, an evaluation by a
mental health professional indicates that the client may be at high risk of harming
themselves or others. Other terms denoting an involuntary admission include involuntary
