NSG300 / NSG 300 Exam 4
Student Exam 4 Blueprint
Foundations of Nursing - GCU
100% Guarantee Pass
TOPICS FEATURED
Topic 10: Cognition and Self-Concept, Sexuality,
Spirituality, and Cultural Awareness
Topic 11: Health Promotion and Disease Prevention
Topic 12: Crisis Issues and End-of-Life-Care
Foundations of Nursing at Grand Canyon University
, Student Blueprint for NSG 300 Exam #4
Topic 10: Cognition and Self-Concept, Sexuality, Spirituality, and Cultural Awareness 22%
Chapter 9: Cultural Competence
Chapter 14: Older Adults, p. 181-182 (being at Cognitive Changes, review Table 14.2, Dementia,
Depression, and Box 14.5, stop at Psychosocial Changes)
Chapter 33: Self-Concept
Chapter 34: Sexuality
Chapter 35: Spiritual Health
10.1 Discuss the effects of cognitive impairments on a client’s independence and self-care 1
Cognitive changes in the aging adult
Standard assessment forms for determining a patient’s mental status:
● The Mini-Mental State Exam-2 (MMSE-2)
● The Mini-Cog
● The Clock Drawing Test
Cognitive changes (p. 182)
● Forgetfulness as an expected consequence of aging is a myth
● Structural/physiological changes within the brain:
○ Reduced # of brain cells
○ Reduced deposition of lipofuscin and amyloid in cells
○ Change in neurotransmitter levels
● Not normal symptoms of cognitive impairment
○ Disorientation
○ Poor judgment
○ Loss of ability to calculate
● 3 common conditions affecting cognition (Review Table 14.2, p. 181):
○ Delirium [usually reversible/medical emergency and requires prompt assessment and intervention]
■ Physiological factors
● Electrolyte imbalances, untreated pain, infection, cerebral anoxia, hypoglycemia,
medication effects, tumors, subdural hematomas, and CV
■ Environmental factors
● Sensory deprivation or overstimulation, unfamiliar surroundings, or sleep
deprivation or psychosocial factors such as emotional distress.
■ New onset should trigger a nurse to assess pneumonia and UTI.
■ Clinical features: calling out repeatedly with same phrase, duration is hours to less than 1
month, attention is impaired and fluctuates
○ Dementia
■ Most common type is Alzheimer’s disease
■ Cognitive function deterioration leads to decline in the ability to perform basic ADLs and
IADLs.
■ Characterized by a gradual, progressive, and irreversible decline in cerebral function
Student Exam 4 Blueprint
Foundations of Nursing - GCU
100% Guarantee Pass
TOPICS FEATURED
Topic 10: Cognition and Self-Concept, Sexuality,
Spirituality, and Cultural Awareness
Topic 11: Health Promotion and Disease Prevention
Topic 12: Crisis Issues and End-of-Life-Care
Foundations of Nursing at Grand Canyon University
, Student Blueprint for NSG 300 Exam #4
Topic 10: Cognition and Self-Concept, Sexuality, Spirituality, and Cultural Awareness 22%
Chapter 9: Cultural Competence
Chapter 14: Older Adults, p. 181-182 (being at Cognitive Changes, review Table 14.2, Dementia,
Depression, and Box 14.5, stop at Psychosocial Changes)
Chapter 33: Self-Concept
Chapter 34: Sexuality
Chapter 35: Spiritual Health
10.1 Discuss the effects of cognitive impairments on a client’s independence and self-care 1
Cognitive changes in the aging adult
Standard assessment forms for determining a patient’s mental status:
● The Mini-Mental State Exam-2 (MMSE-2)
● The Mini-Cog
● The Clock Drawing Test
Cognitive changes (p. 182)
● Forgetfulness as an expected consequence of aging is a myth
● Structural/physiological changes within the brain:
○ Reduced # of brain cells
○ Reduced deposition of lipofuscin and amyloid in cells
○ Change in neurotransmitter levels
● Not normal symptoms of cognitive impairment
○ Disorientation
○ Poor judgment
○ Loss of ability to calculate
● 3 common conditions affecting cognition (Review Table 14.2, p. 181):
○ Delirium [usually reversible/medical emergency and requires prompt assessment and intervention]
■ Physiological factors
● Electrolyte imbalances, untreated pain, infection, cerebral anoxia, hypoglycemia,
medication effects, tumors, subdural hematomas, and CV
■ Environmental factors
● Sensory deprivation or overstimulation, unfamiliar surroundings, or sleep
deprivation or psychosocial factors such as emotional distress.
■ New onset should trigger a nurse to assess pneumonia and UTI.
■ Clinical features: calling out repeatedly with same phrase, duration is hours to less than 1
month, attention is impaired and fluctuates
○ Dementia
■ Most common type is Alzheimer’s disease
■ Cognitive function deterioration leads to decline in the ability to perform basic ADLs and
IADLs.
■ Characterized by a gradual, progressive, and irreversible decline in cerebral function
