ANSWERS VERIFIED 100% CORRECT|KEISER UNIVERSITY
MENTAL HEALTH EXAM
CHAPTER 22
1. An example of a treatable (reversible) form of NCD is one that is caused by which
of the following? (Select all that apply.)
a. Multiple sclerosis
b. Huntington's disease
c. Electrolyte imbalance
d. HIV disease
e. Folate deficiency
2. A client has been diagnosed with NCD due to Alzheimer's disease. The cause of this
disorder is which of the following?
a. Multiple small brain infarcts
b. Chronic alcohol abuse
c. Cerebral abscess
d. Unknown
3. Which of the following medications has been indicated for improvement in
cognitive functioning in mild to moderate Alzheimer's disease? (Select all that
apply.)
a. Donepezil (Aricept)
b. Rivastigmine (Exelon)
c. Risperidone (Risperdal)
d. Sertraline (Zoloft)
e. Galantamine (Razadyne)
4. Which of the following factors is not associated with an increased incidence of
neurocognitive disorder due to Alzheimer's disease?
a. Multiple small strokes
b. Family history of Alzheimer's disease
c. Head trauma
d. Advanced age
5. In addition to disturbances in cognition and orientation, individuals with
Alzheimer's disease may also show changes in which of the following?
(Select all that apply.)
a. Personality
b. Vision C. Speech
, d. Hearing
e. Mobility
Clinical Judgment Questions
6. A client, who has neurocognitive disorder due to Alzheimer's disease, says to the
nurse, "I have a date tonight. I always have a date on Christmas." Which of the
following is the most appropriate response?
a. "Don't be silly. It's not Christmas, Mrs. G."
b. "Today is Tuesday, October 21, Mrs. G. We will have supper soon, and then
your daughter will come to visit." c. "Who is your date with, Mrs. G.?"
d. "I think you need some more medication, Mrs. G. I'll bring it to you
now."
7. A client who has NCD due to Alzheimer's disease has trouble sleeping and wanders
around at night. Which of the following nursing actions would be best to promote
sleep in this client?
a. Ask the doctor to prescribe flurazepam (Dalmane).
b. Ensure that the client gets an afternoon nap so she will not be
overtired at bedtime.
c. Make the client a cup of tea with honey before bedtime.
d. Ensure that the client gets regular physical exercise during the day.
8. The night nurse finds a client with Alzheimer's disease wandering the hallway at 4
a.m. and trying to open the door to the side yard. Which of the following is the
best initial response by the nurse?
a. "That door leads out to the patio. It's nighttime. You don't want to go
outside now."
b. "You look confused. What is bothering you?"
c. "This is the patio door. Are you looking for the bathroom?"
d. "Are you lonely? Perhaps you'd like to go back to your room and talk
for a while."
9. A client with neurocognitive disease due to Alzheimer's disease is admitted to the
hospital. Which of the following actions by the nurse is a priority?
a. Ensuring that she receives food she likes to prevent hunger
b. Ensuring that the environment is safe to prevent injury
c. Ensuring that she meets the other patients to prevent social isolation
d. Ensuring that she takes care of her own ADLs to prevent
dependence
10. Which of the following interventions is most appropriate in helping a
client with Alzheimer's disease with ADLs? (Select all that apply.)