Chapter 24: Delirium, Dementia, and Nursing Care
Strategies UPDATED ACTUAL Questions and
CORRECT Answers
What is cognition? - CORRECT ANSWER -The brain's ability to process, retain, and use information.
What are cognitive abilities? - CORRECT ANSWER -Reasoning, judgment, perception, attention, comprehension,
and memory.
What are neurocognitive disorders (NCDs)? - CORRECT ANSWER -Disorders that include delirium, major NCD,
mild NCD, and various subtypes such as dementia.
What characterizes delirium? - CORRECT ANSWER -A syndrome involving disturbance of consciousness with
changes in cognition, usually developing over a short period.
What are common causes of delirium? - CORRECT ANSWER -Identifiable physiological, metabolic, or cerebral
disturbances, or drug intoxication or withdrawal.
What is the treatment for delirium? - CORRECT ANSWER -It is a transient condition that clears with treatment of
the underlying cause, often involving sedation or antipsychotic medication.
What are key assessment areas for delirium? - CORRECT ANSWER -Medical history, general appearance, mood
and affect, thought process, sensorium, judgment, self-concept, and physiological self-care.
What are common outcomes for delirium treatment? - CORRECT ANSWER -Freedom from injury, increased
orientation, balance of activity and rest, and adequate nutrition and fluid balance.
What is dementia? - CORRECT ANSWER -A progressive cognitive impairment characterized by multiple
cognitive deficits, initially affecting memory.
What are the stages of dementia? - CORRECT ANSWER -Mild, moderate, and severe stages.
What are some types of dementia? - CORRECT ANSWER -Alzheimer's disease, Lewy body dementia, vascular
dementia, frontotemporal lobar degeneration, prion diseases, and dementia related to HIV.
What is the importance of identifying the underlying cause of dementia? - CORRECT ANSWER -It is crucial for
treatment and understanding the prognosis, as progressive types lead to deterioration until death.
What medications are commonly used for degenerative dementias? - CORRECT ANSWER -Cholinesterase
inhibitors and symptomatic treatments such as antidepressants and antipsychotics.
What are key assessment areas for dementia? - CORRECT ANSWER -Mental status examination, general
appearance, mood and affect, thought process, sensorium, judgment, self-concept, and physiological self-care.
What are common priorities in dementia care? - CORRECT ANSWER -Risk for injury, disturbed sleep,
dehydration, inadequate food and fluid intake, and chronic confusion.
What actions can be taken to promote safety in dementia patients? - CORRECT ANSWER -Promoting adequate
sleep, nutrition, hygiene, activity, and structuring the environment.
What is the role of caregivers in dementia care? - CORRECT ANSWER -Caregivers, often women, need
education, emotional support, respite care, and assistance from agencies.
What are some risk factors for dementia? - CORRECT ANSWER -Elevated plasma homocysteine levels and lack
of engagement in brain-stimulating activities.
Strategies UPDATED ACTUAL Questions and
CORRECT Answers
What is cognition? - CORRECT ANSWER -The brain's ability to process, retain, and use information.
What are cognitive abilities? - CORRECT ANSWER -Reasoning, judgment, perception, attention, comprehension,
and memory.
What are neurocognitive disorders (NCDs)? - CORRECT ANSWER -Disorders that include delirium, major NCD,
mild NCD, and various subtypes such as dementia.
What characterizes delirium? - CORRECT ANSWER -A syndrome involving disturbance of consciousness with
changes in cognition, usually developing over a short period.
What are common causes of delirium? - CORRECT ANSWER -Identifiable physiological, metabolic, or cerebral
disturbances, or drug intoxication or withdrawal.
What is the treatment for delirium? - CORRECT ANSWER -It is a transient condition that clears with treatment of
the underlying cause, often involving sedation or antipsychotic medication.
What are key assessment areas for delirium? - CORRECT ANSWER -Medical history, general appearance, mood
and affect, thought process, sensorium, judgment, self-concept, and physiological self-care.
What are common outcomes for delirium treatment? - CORRECT ANSWER -Freedom from injury, increased
orientation, balance of activity and rest, and adequate nutrition and fluid balance.
What is dementia? - CORRECT ANSWER -A progressive cognitive impairment characterized by multiple
cognitive deficits, initially affecting memory.
What are the stages of dementia? - CORRECT ANSWER -Mild, moderate, and severe stages.
What are some types of dementia? - CORRECT ANSWER -Alzheimer's disease, Lewy body dementia, vascular
dementia, frontotemporal lobar degeneration, prion diseases, and dementia related to HIV.
What is the importance of identifying the underlying cause of dementia? - CORRECT ANSWER -It is crucial for
treatment and understanding the prognosis, as progressive types lead to deterioration until death.
What medications are commonly used for degenerative dementias? - CORRECT ANSWER -Cholinesterase
inhibitors and symptomatic treatments such as antidepressants and antipsychotics.
What are key assessment areas for dementia? - CORRECT ANSWER -Mental status examination, general
appearance, mood and affect, thought process, sensorium, judgment, self-concept, and physiological self-care.
What are common priorities in dementia care? - CORRECT ANSWER -Risk for injury, disturbed sleep,
dehydration, inadequate food and fluid intake, and chronic confusion.
What actions can be taken to promote safety in dementia patients? - CORRECT ANSWER -Promoting adequate
sleep, nutrition, hygiene, activity, and structuring the environment.
What is the role of caregivers in dementia care? - CORRECT ANSWER -Caregivers, often women, need
education, emotional support, respite care, and assistance from agencies.
What are some risk factors for dementia? - CORRECT ANSWER -Elevated plasma homocysteine levels and lack
of engagement in brain-stimulating activities.
