NURS 1016 CARING FOR THE OLDER ADULT: COGNITIVE IMPAIRMENT EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A++

NURS 1016 CARING FOR THE OLDER ADULT: COGNITIVE

IMPAIRMENT EXAM QUESTIONS AND VERIFIED ANSWERS

GRADED A++


psychosis

A syndrome of neurocognitive symptoms that impairs cognitive capacity leading to

deficits of perception, functioning, and social relatedness

cognitive impairment

disturbances in cognitive function

Differentiating the 3 Ds

Onset

Course over 24 hr Consciousness Alertness Psychomotor activity

duration

thinking

attention

perception

orientation

affect

delirium

"acute confusion state"

"acute brain syndrome"

"confusion" "reversible dementia"

, "metabolic encephalopathy"

"toxic psychosis"

delirium

usually has a rapid onset, usually over hours or days.

Delirium distinguishing features

Onset – sudden, abrupt onset.

Course over 24 hr – fluctuates, may be worse at night.

Consciousness – disturbances.

Attention –disordered / fluctuates.

Psychomotor Activity – increased or decreased

Duration – hours to weeks

Thinking – disorganized

Perception – delusional, paranoid (disturbances sleep / wake cycle)

delirium risk factors

= Infection

= Demographics - age & gender

= Hospitalization (change of environment)

= Medication (& taking multiple meds)

= Dehydration

= Restraints

= Losses

= Sensory impairment

= Pain