Test Bank For Varcarolis Essentials of Psychiatric Mental
Health Nursing 5th Edition Fosbre ALL Chapters 1-28 /
9780323810302 / / All Chapters with Answers and Rationals
Which instructions does the nurse provide to the wife of a client suffering from severe cognitive
decline? Select all that apply. - ANSWER: "Your husband may not be able to recognize some family
members."
"Your husband may be more aggressive during late afternoons and evenings."
"It is important to provide institutional care for your husband."
"Watch out for infections like pneumonia in your husband caused by decreased immunity."
Which symptoms does the nurse observe in a 34-year-old client diagnosed with neurocognitive
disorder (NCD) due to Huntington's disease? Select all that apply. - ANSWER: Twitching of limbs
Emotional impairment
Short-term memory loss
The nurse is caring for a client with disorientation and confusion. Which nursing interventions serve as
excellent ways to provide orientation to reality for the client? Select all that apply. - ANSWER: Using
reminiscence therapy
Allowing the client to view old photographs
Which medications are preferred for a client with neurocognitive disorder (NCD) experiencing
anxiety? Select all that apply. - ANSWER: Oxazepam
Lorazepam
Which medication is useful in treating moderately severe cognitive impairment in a client with a
neurocognitive disorder (NCD)? - ANSWER: Donepezil
Which conditions are known to precipitate delirium in a client? Select all that apply. - ANSWER:
Febrile illness
Systemic infections
Hepatic encephalopathy
Which are the causes of secondary neurocognitive disorders (NCDs) in a client? Select all that apply. -
ANSWER: Cerebral trauma
Human immunodeficiency virus (HIV) disease
Which action does the nurse implement to prevent the risk of accidental trauma while caring for a
client with neurocognitive disorder (NCD)? - ANSWER: Positioning the bed as low as possible
Which psychomotor symptoms are observed in a client who is in the severe cognitive decline stage of
Alzheimer's disease (AD)? Select all that apply. - ANSWER: Aggression
, Wandering
Obsessiveness
The nurse is teaching a group of student nurses about various forms of neurocognitive disorders
(NCDs). Which disorders does the nurse refer to as being reversible? Select all that apply. - ANSWER:
NCD due to folate deficiency
NCD due to side effects of medications
NCD due to central nervous system infections
The blood pressure of a client with a psychiatric illness is found to be 180/100 mm Hg. The brain scan
report reveals the presence of cerebral infarcts. Which complication does the nurse suspect in the
client based on these findings? - ANSWER: Vascular neurocognitive disorder (NCD)
What is the possible etiology for neurocognitive decline in a client who had a recent fracture of a
femur bone? - ANSWER: Interruption of blood flow
The spouse of a boxer says, "My partner is having difficulty speaking." On assessment, the nurse also
finds that the client has difficulty picking up objects. Which condition does the nurse suspect in the
client? - ANSWER: Dementia pugilistica
Which condition does the nurse suspect in the client with neurocognitive disorder (NCD) who has
increased difficulty understanding spoken language? - ANSWER: Frontotemporal NCD
Which medications are beneficial to a client with neurocognitive disorder (NCD) experiencing apathy?
Select all that apply. - ANSWER: Bupropion
Amantadine
Methylphenidate
While caring for a client who is at risk for trauma, the nurse maintains a low level of stimuli in the
environment. Which outcome in the client indicates the effectiveness of treatment? - ANSWER: The
client will maintain a calm demeanor with minimal agitated behavior.
Which intervention should the nurse implement while caring for a client with neurocognitive disorder
(NCD) and diagnosed with wandering behavior? - ANSWER: Keeping the client on a structured
schedule of recreational activities
After assessing a client's behaviors, the nurse concludes that the client is in stage 4 of Alzheimer's
disease (AD). Which behavior of the client supports the nurse's conclusion? - ANSWER: The client
denies the existence of the problems by covering up memory loss.
A client who is in stage 4 of Alzheimer's disease (AD) is undergoing psychotherapy. Which statement
of the client's caregiver indicates effective treatment? - ANSWER: "The client is able to understand
and accept problems."
A client with Parkinson disease has involuntary muscle movements and rigidity. What is the
pathophysiology associated with these symptoms? - ANSWER: Diminished dopamine activity
Which stage of Alzheimer's disease (AD) is characterized by sundowning? - ANSWER: Severe cognitive
decline
Health Nursing 5th Edition Fosbre ALL Chapters 1-28 /
9780323810302 / / All Chapters with Answers and Rationals
Which instructions does the nurse provide to the wife of a client suffering from severe cognitive
decline? Select all that apply. - ANSWER: "Your husband may not be able to recognize some family
members."
"Your husband may be more aggressive during late afternoons and evenings."
"It is important to provide institutional care for your husband."
"Watch out for infections like pneumonia in your husband caused by decreased immunity."
Which symptoms does the nurse observe in a 34-year-old client diagnosed with neurocognitive
disorder (NCD) due to Huntington's disease? Select all that apply. - ANSWER: Twitching of limbs
Emotional impairment
Short-term memory loss
The nurse is caring for a client with disorientation and confusion. Which nursing interventions serve as
excellent ways to provide orientation to reality for the client? Select all that apply. - ANSWER: Using
reminiscence therapy
Allowing the client to view old photographs
Which medications are preferred for a client with neurocognitive disorder (NCD) experiencing
anxiety? Select all that apply. - ANSWER: Oxazepam
Lorazepam
Which medication is useful in treating moderately severe cognitive impairment in a client with a
neurocognitive disorder (NCD)? - ANSWER: Donepezil
Which conditions are known to precipitate delirium in a client? Select all that apply. - ANSWER:
Febrile illness
Systemic infections
Hepatic encephalopathy
Which are the causes of secondary neurocognitive disorders (NCDs) in a client? Select all that apply. -
ANSWER: Cerebral trauma
Human immunodeficiency virus (HIV) disease
Which action does the nurse implement to prevent the risk of accidental trauma while caring for a
client with neurocognitive disorder (NCD)? - ANSWER: Positioning the bed as low as possible
Which psychomotor symptoms are observed in a client who is in the severe cognitive decline stage of
Alzheimer's disease (AD)? Select all that apply. - ANSWER: Aggression
, Wandering
Obsessiveness
The nurse is teaching a group of student nurses about various forms of neurocognitive disorders
(NCDs). Which disorders does the nurse refer to as being reversible? Select all that apply. - ANSWER:
NCD due to folate deficiency
NCD due to side effects of medications
NCD due to central nervous system infections
The blood pressure of a client with a psychiatric illness is found to be 180/100 mm Hg. The brain scan
report reveals the presence of cerebral infarcts. Which complication does the nurse suspect in the
client based on these findings? - ANSWER: Vascular neurocognitive disorder (NCD)
What is the possible etiology for neurocognitive decline in a client who had a recent fracture of a
femur bone? - ANSWER: Interruption of blood flow
The spouse of a boxer says, "My partner is having difficulty speaking." On assessment, the nurse also
finds that the client has difficulty picking up objects. Which condition does the nurse suspect in the
client? - ANSWER: Dementia pugilistica
Which condition does the nurse suspect in the client with neurocognitive disorder (NCD) who has
increased difficulty understanding spoken language? - ANSWER: Frontotemporal NCD
Which medications are beneficial to a client with neurocognitive disorder (NCD) experiencing apathy?
Select all that apply. - ANSWER: Bupropion
Amantadine
Methylphenidate
While caring for a client who is at risk for trauma, the nurse maintains a low level of stimuli in the
environment. Which outcome in the client indicates the effectiveness of treatment? - ANSWER: The
client will maintain a calm demeanor with minimal agitated behavior.
Which intervention should the nurse implement while caring for a client with neurocognitive disorder
(NCD) and diagnosed with wandering behavior? - ANSWER: Keeping the client on a structured
schedule of recreational activities
After assessing a client's behaviors, the nurse concludes that the client is in stage 4 of Alzheimer's
disease (AD). Which behavior of the client supports the nurse's conclusion? - ANSWER: The client
denies the existence of the problems by covering up memory loss.
A client who is in stage 4 of Alzheimer's disease (AD) is undergoing psychotherapy. Which statement
of the client's caregiver indicates effective treatment? - ANSWER: "The client is able to understand
and accept problems."
A client with Parkinson disease has involuntary muscle movements and rigidity. What is the
pathophysiology associated with these symptoms? - ANSWER: Diminished dopamine activity
Which stage of Alzheimer's disease (AD) is characterized by sundowning? - ANSWER: Severe cognitive
decline
