TEST BANK For Advanced Practice Nursing in the Care of Older
Adults, 2nd Edition by Laurie Kennedy-Malone, Verified
Chapters 1 - 19, Complete Newest Version
What are the 3 forms of delirium? - ANSWER:Hyperactive, hypoactive, and mixed.
Why does the hypoactive form of dementia have the highest mortality rate? -
ANSWER:The symptoms are not as problematic.
True or false? Patients with delirium often recover with no issues. - ANSWER:False.
Patients with delirium have high rates of death in months following discharge.
What are predisposing factors of delirium? - ANSWER:Vulnerabilities patients have
before they come to the hospital that make them susceptible to developing delirium.
What are precipitating factors of delirium? - ANSWER:Events or conditions that occur
to a patient during hospitalization that trigger delirium
What medications contribute to delirium in older adults? - ANSWER:Antihistamines,
anticholinergics, analgesics, anxiolytics, muscle relaxants, sedative-hypnotics.
What symptoms are the first warning signs of delirium? - ANSWER:Agitation, anxiety,
distractability.
Differences between dementia and delirium are: - ANSWER:Dementia: Irreversible,
insidious onset, course is a steady decline, no change in level of consciousness,
orientation is impaired.
Delirium: Reversible, acute onset, fluctuating course, person has difficulty with
attention, orientation varies throughout the day.
What is the most common test used to determine improvement or decline in
delirium patients? - ANSWER:Clock drawing test (CDT)
What is the most effective medication for patients with delirium? - ANSWER:Haldol
(0.5-1mg po or IM)
What has historically been the gold standard test for assessing dementia? -
ANSWER:Mini Mental State Examination (MMSE)
On the MMSE, what score constitutes dementia? - ANSWER:9.7 or below
On the MMSE, what score indicates a normal elder adult? - ANSWER:27.6 or above
On MMSE, what score indicates depression? - ANSWER:25
, On MMSE, what score indicates depression with cognitive impairment? - ANSWER:19
What are the 5 major types of dementia? - ANSWER:Alzheimer's-related dementia
Lewy Body Dementia
Vascular Dementia
Frontotemporal Dementia
Chronic Traumatic Encephalopathy
What other disease process presents like someone with Lewy Body Dementia? -
ANSWER:Parkinson's Disease (TRAP, tremor, rigidity, akinesia, postural instability)
Vascular dementia is the result of... - ANSWER:Multiple transient ischemic attacks
What does aphasia mean? - ANSWER:Loss of ability to understand or express speech
What does agnosia mean? - ANSWER:Inability to interpret sensations
What type of dementia does agnosia and aphasia present in? -
ANSWER:Frontotemporal dementia
What population is susceptible to chronic traumatic encephalopathy? - ANSWER:See
in football/hockey players (those who suffer frequent concussions)
True or false? Asking open ended questions to someone with dementia is the best
way to acquire information from them. - ANSWER:False. Use closed ended questions
to eliminate confusion and stress.
Agitation is commonly caused by what mental illness process? - ANSWER:Anxiety
(treat w/ setraline or citalopram)
What percentage of people with dementia show improvement after taking
cholinesterase inhibitors? - ANSWER:25-30%
When would the nurse give a dementia patient Memantine? - ANSWER:If they have
moderate-severe dementia (an MMSE score below 16)
What percentage of late stage dementia patients have eating problems? -
ANSWER:86%
What percentage of late stage dementia patient acquire pneumonia? - ANSWER:41%
What percentage of late stage dementia patients have difficulty breathing? -
ANSWER:46%
What percentage of late stage dementia patient experience pain? - ANSWER:39%
Adults, 2nd Edition by Laurie Kennedy-Malone, Verified
Chapters 1 - 19, Complete Newest Version
What are the 3 forms of delirium? - ANSWER:Hyperactive, hypoactive, and mixed.
Why does the hypoactive form of dementia have the highest mortality rate? -
ANSWER:The symptoms are not as problematic.
True or false? Patients with delirium often recover with no issues. - ANSWER:False.
Patients with delirium have high rates of death in months following discharge.
What are predisposing factors of delirium? - ANSWER:Vulnerabilities patients have
before they come to the hospital that make them susceptible to developing delirium.
What are precipitating factors of delirium? - ANSWER:Events or conditions that occur
to a patient during hospitalization that trigger delirium
What medications contribute to delirium in older adults? - ANSWER:Antihistamines,
anticholinergics, analgesics, anxiolytics, muscle relaxants, sedative-hypnotics.
What symptoms are the first warning signs of delirium? - ANSWER:Agitation, anxiety,
distractability.
Differences between dementia and delirium are: - ANSWER:Dementia: Irreversible,
insidious onset, course is a steady decline, no change in level of consciousness,
orientation is impaired.
Delirium: Reversible, acute onset, fluctuating course, person has difficulty with
attention, orientation varies throughout the day.
What is the most common test used to determine improvement or decline in
delirium patients? - ANSWER:Clock drawing test (CDT)
What is the most effective medication for patients with delirium? - ANSWER:Haldol
(0.5-1mg po or IM)
What has historically been the gold standard test for assessing dementia? -
ANSWER:Mini Mental State Examination (MMSE)
On the MMSE, what score constitutes dementia? - ANSWER:9.7 or below
On the MMSE, what score indicates a normal elder adult? - ANSWER:27.6 or above
On MMSE, what score indicates depression? - ANSWER:25
, On MMSE, what score indicates depression with cognitive impairment? - ANSWER:19
What are the 5 major types of dementia? - ANSWER:Alzheimer's-related dementia
Lewy Body Dementia
Vascular Dementia
Frontotemporal Dementia
Chronic Traumatic Encephalopathy
What other disease process presents like someone with Lewy Body Dementia? -
ANSWER:Parkinson's Disease (TRAP, tremor, rigidity, akinesia, postural instability)
Vascular dementia is the result of... - ANSWER:Multiple transient ischemic attacks
What does aphasia mean? - ANSWER:Loss of ability to understand or express speech
What does agnosia mean? - ANSWER:Inability to interpret sensations
What type of dementia does agnosia and aphasia present in? -
ANSWER:Frontotemporal dementia
What population is susceptible to chronic traumatic encephalopathy? - ANSWER:See
in football/hockey players (those who suffer frequent concussions)
True or false? Asking open ended questions to someone with dementia is the best
way to acquire information from them. - ANSWER:False. Use closed ended questions
to eliminate confusion and stress.
Agitation is commonly caused by what mental illness process? - ANSWER:Anxiety
(treat w/ setraline or citalopram)
What percentage of people with dementia show improvement after taking
cholinesterase inhibitors? - ANSWER:25-30%
When would the nurse give a dementia patient Memantine? - ANSWER:If they have
moderate-severe dementia (an MMSE score below 16)
What percentage of late stage dementia patients have eating problems? -
ANSWER:86%
What percentage of late stage dementia patient acquire pneumonia? - ANSWER:41%
What percentage of late stage dementia patients have difficulty breathing? -
ANSWER:46%
What percentage of late stage dementia patient experience pain? - ANSWER:39%
