Mental Health ATI: ch 17 neurocognitive disorders ||
WELL-ENLIGHTENED QUESTIONS WITH
ACTUAL SOLUTIONS!!
What are neurocognitive disorders characterized by? correct answers disruption of thinking,
memory, processing, and problem solving
DSM-5 recognizes these cognitive disorders: correct answers Delirium
Mild neurocognitive disorder (NCD)
Major neurocognitive disorder
What is major neurocognitive disorder commonly known as? correct answers Dementia
NCD subtypes correct answers NCD due to Alzheimer's
NCD due to Parkinson's
NCD due to Huntington's
Alzheimer's Disease (AD) correct answers Neurocognitive
results in a gradual impairment of cognitive function
Most common type of major NCD correct answers AD
Why is it important to distinguish between a cognitive disorder and other mental health
disorders? correct answers Some can have similar manifestations
Risk factors for delirium correct answers neurological changes
metabolic changes
CV and respiratory disease
infections (HIV, AIDS)
surgery
substance use/withdrawal
Best way to prevent and manage delirium correct answers minimize risk factors and promote
early detection.
*timely recognition is essential*
Risk factors for neurocognitive disorder and AD correct answers advanced age
prior head trauma
lifestyle factors
family hx of AD
Clients who have NCD can also develop.. correct answers delirium
Stages of AD correct answers Mild Alzheimer's (early stage)
Moderate Alzheimer's (middle stage)
Severe Alzheimer's (late stage)
, Manifestations of Mild Alzheimer's correct answers memory lapses
losing or misplacing items
difficulty concentrating and organizing
unable to remember material just read
still able to perform ADLs
short term memory loss noticeable to close relations
Manifestations of Moderate Alzheimer's correct answers forgetting events of one's own
history
difficulty performing tasks such as paying bills and managing money
difficulty with complex mental arithmetic
personality and behavioral changes
changes in sleep patterns
can wander and get lost
can be incontinent
clinical findings are noticeable to others
Manifestations of Severe Alzheimer's correct answers losing ability to converse with others
assistance required for ADLs
incontinence
losing awareness of one's environment
progressing difficulty with physical abilities
eventually loses all ability to move
can develop stupor and coma
death frequently related to choking or infection
Defense mechanisms used by pt to preserve self-esteem and to compensate when cognitive
changes are progressive correct answers Denial
Confabulation
Perseveration
Denial correct answers both the client and family can refuse to believe that changes, such as
loss of memory, are taking place even when changes are obvious
Confabulation correct answers client can make up stories when questioned about events or
activities that she does not remember
-not considered lying
-unconscious attempt to save self-esteem
Perseveration correct answers client avoids answering questions by repeating phrases or
behavior
-unconscious attempt to maintain self-esteem
Delirium correct answers rapid
over a short period of time (hours or days)
What does delirium impair? correct answers memory
judgement
ability to focus
ability to calculate
WELL-ENLIGHTENED QUESTIONS WITH
ACTUAL SOLUTIONS!!
What are neurocognitive disorders characterized by? correct answers disruption of thinking,
memory, processing, and problem solving
DSM-5 recognizes these cognitive disorders: correct answers Delirium
Mild neurocognitive disorder (NCD)
Major neurocognitive disorder
What is major neurocognitive disorder commonly known as? correct answers Dementia
NCD subtypes correct answers NCD due to Alzheimer's
NCD due to Parkinson's
NCD due to Huntington's
Alzheimer's Disease (AD) correct answers Neurocognitive
results in a gradual impairment of cognitive function
Most common type of major NCD correct answers AD
Why is it important to distinguish between a cognitive disorder and other mental health
disorders? correct answers Some can have similar manifestations
Risk factors for delirium correct answers neurological changes
metabolic changes
CV and respiratory disease
infections (HIV, AIDS)
surgery
substance use/withdrawal
Best way to prevent and manage delirium correct answers minimize risk factors and promote
early detection.
*timely recognition is essential*
Risk factors for neurocognitive disorder and AD correct answers advanced age
prior head trauma
lifestyle factors
family hx of AD
Clients who have NCD can also develop.. correct answers delirium
Stages of AD correct answers Mild Alzheimer's (early stage)
Moderate Alzheimer's (middle stage)
Severe Alzheimer's (late stage)
, Manifestations of Mild Alzheimer's correct answers memory lapses
losing or misplacing items
difficulty concentrating and organizing
unable to remember material just read
still able to perform ADLs
short term memory loss noticeable to close relations
Manifestations of Moderate Alzheimer's correct answers forgetting events of one's own
history
difficulty performing tasks such as paying bills and managing money
difficulty with complex mental arithmetic
personality and behavioral changes
changes in sleep patterns
can wander and get lost
can be incontinent
clinical findings are noticeable to others
Manifestations of Severe Alzheimer's correct answers losing ability to converse with others
assistance required for ADLs
incontinence
losing awareness of one's environment
progressing difficulty with physical abilities
eventually loses all ability to move
can develop stupor and coma
death frequently related to choking or infection
Defense mechanisms used by pt to preserve self-esteem and to compensate when cognitive
changes are progressive correct answers Denial
Confabulation
Perseveration
Denial correct answers both the client and family can refuse to believe that changes, such as
loss of memory, are taking place even when changes are obvious
Confabulation correct answers client can make up stories when questioned about events or
activities that she does not remember
-not considered lying
-unconscious attempt to save self-esteem
Perseveration correct answers client avoids answering questions by repeating phrases or
behavior
-unconscious attempt to maintain self-esteem
Delirium correct answers rapid
over a short period of time (hours or days)
What does delirium impair? correct answers memory
judgement
ability to focus
ability to calculate
