NR 601 Combined Final Exams
Questions with Complete Solutions
100% Correct
_________ is an acute onset of memory deficit, disorientation, attention issues with
fluctuation in status based on situation and IS reversible - Correct Answer-delirium
__________ is insidious in onset with progressive decline in cognition - Correct Answer-
dementia
What is the Mini-Cog? - Correct Answer-a routine screening tool that test pt's executive
function, ability to plan, manage time, organize activities, manage working memory
what are the parts of the mini cog - Correct Answer-3 word recall and draw a clock
what are the total points of the mini cog test and what does the score mean - Correct
Answer-out of 5 ; less than 4 - screen further, les than 3 - suspicious for dementia
symptoms in delirium (11) - Correct Answer-acute mental change
fluctuating
attention issue
memory issue
orientation issue
perceptual issues
though issue
sleep issue
consciousness issue
speech issue
psychomotor issue
potential contributing factors to delirium development - Correct Answer-medications,
alcohol, infxn, hypoxia, surgery, sleep disturbances
what particular medication class is strongly associated with delirium in older adults -
Correct Answer-anticholinergics
why are antihistamines like benadryl and hydroxyzine not recommended for older adults
- Correct Answer-anticholinergic activity - promotes delirium
labs that should be checked in patient with delirium (7) - Correct Answer-UA
Creatinine
sodium
,potassium
calcium
glucose
CBC
sedative agent considered okay to use in patient with delirium while being treated -
Correct Answer-haloperidol (or ativan if alcohol related)
opiates to avoid in older adults due to delirium concerns - Correct Answer-tramadol
meperidine / demerol
codeine
sleep aid safe for older adults (less concern for delirium) - Correct Answer-trazadone
what are the biomarkers associated with neurocognitive disorder (5) - Correct Answer-
amyloid beta 42
phosphorylated / total tau
APOE4
Brain derived neurotrophic factor
ubiquitin
what tool is used to detect delirium reliably in under 5 minutes ? - Correct Answer-
CAM / confusion assessment model
What is the Confusion Assessment Method (CAM)? - Correct Answer--Standardized
assessment tool used to quickly identify delirium in a hospitalized patient
what is on the CAM - Correct Answer-squeeze hand when letter A is said, disorganized
thinking questions, hold up fingers
what is mild cognitive impairment - Correct Answer-patient or family may report decline
in memory or other cognition but function is preserved.
types of MCI - Correct Answer-amnestic and dysexecutive
what is amnestic MCI - Correct Answer-primarily relating to memory
what is dysexecutive cognitive impairment - Correct Answer-emotional, motivational,
behavioral symptoms
type of MCI that more often progresses to alzheimers / dementiaa - Correct Answer-
amnestic
what is the clinical dementia rating CDR scale / what do scores mean - Correct Answer-
rating device that rates based on memory, orientation, judgement, problem solving, etc.
score is 0 to 3, 0 being no dementia 3 being severe impairment
, what is the mini mental state exam MMSE - Correct Answer-a screening tool used to
monitor changes in cognition
11 questions / includes orientation, registration, calculation, etc.
max score is 30 with < 23 being indicative of cognitive decline
mild dementia CDR score / MMSE score - Correct Answer-MMSE 20 to 26
CDR 1
moderate dementia CDR score and MMSE score - Correct Answer-CDR 2
MMSE 12 to 19
severe dementia CDR and MMSE scores - Correct Answer-CDR 3
MMSE <12
forgetting key events, repeat questioning, misplacing objects, issues with bill pay are
associated with what level of dementia - Correct Answer-mild
loss of communication, sleep dysregulation, loss of motor fxn, weight loss, mobility loss
are associated with what stage of dementia - Correct Answer-severe
issues with reading and writing, communication change, irritation and irritability,
impulsivity are associated with which stage of dementia - Correct Answer-moderate
what is anosognosia - Correct Answer-Patient does not recognize the presence or
severity of his illness
what is a hallmark of dementia - Correct Answer-anosognosia
at which dementia stage does the person begin to lose ability to complete ADLs -
Correct Answer-moderate
2/3 of all dementia cases are from.... - Correct Answer-alzheimers
hallmark pathologic changes of AD (alzeimer dementia) - Correct Answer-amyloid beta
plaques
tau / neurofibrillary tangles
nonmodifyable risks for AD - Correct Answer-genetics, age
which 3 genes are mutated in early onset alzheimers - Correct Answer-amyloid
precursor protein (APP), presenlinin 1 (PSEN1) and presenilin 2 (PSEN2)
Questions with Complete Solutions
100% Correct
_________ is an acute onset of memory deficit, disorientation, attention issues with
fluctuation in status based on situation and IS reversible - Correct Answer-delirium
__________ is insidious in onset with progressive decline in cognition - Correct Answer-
dementia
What is the Mini-Cog? - Correct Answer-a routine screening tool that test pt's executive
function, ability to plan, manage time, organize activities, manage working memory
what are the parts of the mini cog - Correct Answer-3 word recall and draw a clock
what are the total points of the mini cog test and what does the score mean - Correct
Answer-out of 5 ; less than 4 - screen further, les than 3 - suspicious for dementia
symptoms in delirium (11) - Correct Answer-acute mental change
fluctuating
attention issue
memory issue
orientation issue
perceptual issues
though issue
sleep issue
consciousness issue
speech issue
psychomotor issue
potential contributing factors to delirium development - Correct Answer-medications,
alcohol, infxn, hypoxia, surgery, sleep disturbances
what particular medication class is strongly associated with delirium in older adults -
Correct Answer-anticholinergics
why are antihistamines like benadryl and hydroxyzine not recommended for older adults
- Correct Answer-anticholinergic activity - promotes delirium
labs that should be checked in patient with delirium (7) - Correct Answer-UA
Creatinine
sodium
,potassium
calcium
glucose
CBC
sedative agent considered okay to use in patient with delirium while being treated -
Correct Answer-haloperidol (or ativan if alcohol related)
opiates to avoid in older adults due to delirium concerns - Correct Answer-tramadol
meperidine / demerol
codeine
sleep aid safe for older adults (less concern for delirium) - Correct Answer-trazadone
what are the biomarkers associated with neurocognitive disorder (5) - Correct Answer-
amyloid beta 42
phosphorylated / total tau
APOE4
Brain derived neurotrophic factor
ubiquitin
what tool is used to detect delirium reliably in under 5 minutes ? - Correct Answer-
CAM / confusion assessment model
What is the Confusion Assessment Method (CAM)? - Correct Answer--Standardized
assessment tool used to quickly identify delirium in a hospitalized patient
what is on the CAM - Correct Answer-squeeze hand when letter A is said, disorganized
thinking questions, hold up fingers
what is mild cognitive impairment - Correct Answer-patient or family may report decline
in memory or other cognition but function is preserved.
types of MCI - Correct Answer-amnestic and dysexecutive
what is amnestic MCI - Correct Answer-primarily relating to memory
what is dysexecutive cognitive impairment - Correct Answer-emotional, motivational,
behavioral symptoms
type of MCI that more often progresses to alzheimers / dementiaa - Correct Answer-
amnestic
what is the clinical dementia rating CDR scale / what do scores mean - Correct Answer-
rating device that rates based on memory, orientation, judgement, problem solving, etc.
score is 0 to 3, 0 being no dementia 3 being severe impairment
, what is the mini mental state exam MMSE - Correct Answer-a screening tool used to
monitor changes in cognition
11 questions / includes orientation, registration, calculation, etc.
max score is 30 with < 23 being indicative of cognitive decline
mild dementia CDR score / MMSE score - Correct Answer-MMSE 20 to 26
CDR 1
moderate dementia CDR score and MMSE score - Correct Answer-CDR 2
MMSE 12 to 19
severe dementia CDR and MMSE scores - Correct Answer-CDR 3
MMSE <12
forgetting key events, repeat questioning, misplacing objects, issues with bill pay are
associated with what level of dementia - Correct Answer-mild
loss of communication, sleep dysregulation, loss of motor fxn, weight loss, mobility loss
are associated with what stage of dementia - Correct Answer-severe
issues with reading and writing, communication change, irritation and irritability,
impulsivity are associated with which stage of dementia - Correct Answer-moderate
what is anosognosia - Correct Answer-Patient does not recognize the presence or
severity of his illness
what is a hallmark of dementia - Correct Answer-anosognosia
at which dementia stage does the person begin to lose ability to complete ADLs -
Correct Answer-moderate
2/3 of all dementia cases are from.... - Correct Answer-alzheimers
hallmark pathologic changes of AD (alzeimer dementia) - Correct Answer-amyloid beta
plaques
tau / neurofibrillary tangles
nonmodifyable risks for AD - Correct Answer-genetics, age
which 3 genes are mutated in early onset alzheimers - Correct Answer-amyloid
precursor protein (APP), presenlinin 1 (PSEN1) and presenilin 2 (PSEN2)
