NURS 201 Exam Questions and Answers Practice
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Functional Consequences of Delirium - ANSWER-
Significant distress
High morbidity and mortality
Functional decline
↑ postoperative complications
↑ length of hospital stay and hospital readmissions
↑ services after discharge
Long-term cognitive decline
High rates of institutionalization
Types of delirium - ANSWER-Hyperactive, most common - aggressive,
unpredictable, agitated, yelling, wandering, restless, increased activity,
paranoia
Hypoactive - most easily missed - quiet, calm, slowed movement, saying
little, unresponsive - at high risk of deep vein thrombosis
(DVT)/pulmonary embolism (PE) and associated w/ ↑ risk of death
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Mixed - elements of both
Assessing delirium - ANSWER-
• Acute onset or fluctuating course
• Inattention
• Disorganized thinking
• Altered level of consciousness
Need to know the patient!!!
CAM - ANSWER-Confusion Assessment Method All HCPs should
know how to use this tool and assessment for delirium should be
integrated into routine care.
Nursing Interventions to Address Depression – ANSWER-
• Alleviating risk factors
• Improving psychosocial function
• Promoting health through physical activity and nutrition
• Indiv. and group exercise program
• Provide appetite-stimulating strategies
• Providing education and counselling
• Hospital-based geriatric mental health programs
• Facilitating referrals for counselling
• Teaching about and managing antidepressant medications
• Teaching about complementary and alternative interventions
Common consequences of being a caregiver – ANSWER-
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• Depression
• Sleep disturbances
• Social isolation
• Family conflict
• Career disruptions
• Financial strain
• Self-neglect
• Mental/emotional strain
• Anger, guilt, grief, anxiety, hopelessness, helplessness
Essential Features of Dementia - ANSWER-Memory loss that affects day-
today function
Difficulty performing tasks
Problem with language
Disorientation of time and place
Poor or decreased judgement
Problems with abstract thinking
Misplacing things
Changes in mood or behaviour
Changes in personality
Loss of initiative
Gait disorders
Apraxia - ANSWER-inability to carry out purposeful movements (e.g.
tying shoes), although motor and sensory abilities are intact