Nursing Care of the Older Adult FINAL Exam Correctly Solved Latest

Nursing Care of the Older Adult FINAL Exam Correctly Solved Latest 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 -25On 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 Encephalopath