Mental Health - Dementia Practice Questions and Answers latest 2022

1. A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than dementia? The patient was oriented and alert when admitted The patient's speech is fragmented and incoherent. The patient is oriented to person but disoriented to place and time. The patient has a history of increasing confusion over several years. - ANSWER The patient was oriented and alert when admitted. Correct 2. Which intervention will the nurse include in the plan of care for a patient with moderate dementia who had an appendectomy 2 days ago? Provide complete personal hygiene care for the patient. Remind the patient frequently about being in the hospital. Reposition the patient frequently to avoid skin breakdown. Place suction at the bedside to decrease the risk for aspiration. - ANSWER Remind the patient frequently about being in the hospital. Correct 3. When administering a mental status examination to a patient with delirium, the nurse should wait until the patient is well-rested. administer an anxiolytic medication. choose a place without distracting stimuli reorient the patient during the examination. - ANSWER choose a place without distracting stimuli. Correct 4. The nurse is concerned about a postoperative patient's risk for injury during an episode of delirium. The most appropriate action by the nurse is to secure the patient in bed using a soft chest restraint. ask the health care provider to order an antipsychotic drug. instruct family members to remain with the patient and prevent injury. assign unlicensed assistive personnel (UAP) to stay with the patient and offer reorientation. - ANSWER assign unlicensed assistive personnel (UAP) to stay with the patient and offer reorientation. Correct A 56-year-old patient in the outpatient clinic is diagnosed with mild cognitive impairment (MCI).Which action will the nurse include in the plan of care? Suggest a move into an assisted living facility. Schedule the patient for more frequent appointments. Ask family members to supervise the patient's daily activities. Discuss the preventive use of acetylcholinesterase medications. - ANSWER Schedule the patient for more frequent appointments. Correct The nurse is administering a mental status examination to a 48-year-old patient who has hypertension. The nurse suspects depression when the patient responds to the nurse's questions with "Is that right?" "I don't know." "Wait, let me think about that." "Who are those people over there?" - ANSWER "I don't know." A 68-year-old patient is diagnosed with moderate dementia after multiple strokes. During assessment of the patient, the nurse would expect to find excessive nighttime sleepiness. difficulty eating and swallowing. loss of recent and long-term memory. fluctuating ability to perform simple tasks. - ANSWER loss of recent and long-term memory. Correct Which action will help the nurse determine whether a new patient's confusion is caused by dementia or delirium? Administer the Mini-Mental Status Exam. Use the Confusion Assessment Method tool. Correct Determine whether there is a family history of dementia. Obtain a list of the medications that the patient usually takes. - ANSWER Use the Confusion Assessment Method tool. A 72-year-old female patient is brought to the clinic by the patient's spouse, who reports that she is unable to solve common problems around the house. To obtain information about the patient's current mental status, which question should the nurse ask the patient? "Are you sad?" "How is your self-image?"