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A student nurse was asked which of the following best describes dementia. Which of the following
best describes the condition?
A. Memory loss occurring as part of the natural consequence of aging
B. Difficulty coping with physical and psychological change
C. Severe cognitive impairment that occurs rapidly
D. Loss of cognitive abilities, impairing ability to perform activities of daily living
D. Short words and simple sentences
Which of the following will Nurse Dory use when communicating with a client who has cognitive
impairment.
A. Complete explanations with multiple details
B. Pictures or gestures instead of words
C. Stimulating words and phrases to capture the client's attention
D. Short words and simple sentences
D. fills in memory gaps with fantasy.
Mrs. Mendoza is a 75-year-old client who has dementia of the Alzheimer's
type and confabulates. The nurse understands that this client:
A. Denies confusion by being jovial.
B. Pretends to be someone else.
C. Rationalizes various
behaviors. D. fills in memory
gaps with fantasy.
B. Recalling past events
Which ability should Nurse Rebecca expect from a client in the mild stage of
NURSING 201 NCM114-RLE-Alzheimers Disease 2
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dementia of the Alzheimer's type?
A. Remembering the daily
schedule B. Recalling past
events
C. Coping the anxiety
D. Solving problems of daily living
B. "The changes in his behavior came on so quickly! I wasn't sure what was
happening."
82-year-old Mr. Robeson together with his daughter arrived at the medical-
surgical unit for diagnostic confirmation and management of probable
delirium. Which statement by the client's daughter best supports the
diagnosis?
A."Maybe it's just caused by aging. This usually happens by age 82."
B."The changes in his behavior came on so quickly! I wasn't sure what was
happening."
C."Dad just didn't seem to know what he was doing. He would forget what he had for
breakfast."
D. "Dad has always been so independent. He's lived alone for years since mom
died."
NURSING 201 NCM114-RLE-Alzheimers Disease 2
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C. Remain calm and talk quietly to the client.
Mrs. Jordan is an elderly client diagnosed with Alzheimer's disease. She
becomes agitated and combative when a nurse approaches to help with
morning care. The most appropriate nursing intervention in this situation
would be to:
A. tell the client firmly that it is time to get dressed.
B. obtain assistance to restrain the client
for safety. C. remain calm and talk
quietly to the client.
D. call the doctor and request an order for sedation.
B. The client will maintain safety.
Which goal is a priority for a client with a DSM-IV-TR diagnosis of delirium and
the nursing diagnosis Acute confusion related to recent surgery secondary to
traumatic hip fracture?
A. The client will complete activities of
daily living. B. The client will maintain
safety.
C. The client will remain oriented.
D. The client will understand communication.
NURSING 201 NCM114-RLE-Alzheimers Disease 2
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C. Stimulating environment
Which of the following is not included in the care of plan of a client with a
moderate cognitive impairment involving dementia of the Alzheimer's type?
A. Daily structured schedule
B. Positive reinforcement for performing activities
of daily living C. Stimulating environment
D. Use of validation techniques
C. Sundowning.
In clients with a cognitive impairment disorder, the phenomenon of increased
confusion in the early evening hours is called:
A.Aphasia.
B.Agnosia.
C.Sundowning.
D. Confabulation.
D. The client will follow an established schedule for activities of daily living.
Which of the following outcome criteria is appropriate for the client with dementia?
A.The client will return to an adequate level of self-functioning.
B.The client will learn new coping mechanisms to handle anxiety.
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