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Review Questions

1 .
A newly graduated RN is doing an initial assessment on a sixty-eight-year-old male who has come in with complaints of a decline in his cognitive abilities. What risk factor does she recognize as possibly contributing to the client’s memory issues?
  1. no family history of dementia
  2. healthy weight and BMI
  3. history of skin cancer
  4. history of high blood pressure
2 .
Henry is an eighty-year-old client being followed for mild cognitive disorder. He says to Nurse Sylvia, “I don’t understand why you keep telling me to do crossword puzzles.” What is Nurse Sylvia’s best response?
  1. “Doing crossword puzzles helps to keep the brain healthy by ‘working it.’”
  2. “Doing crossword puzzles will keep you from getting bored.”
  3. “Doing crossword puzzles is an inexpensive way to be entertained.”
  4. “Doing crossword puzzles is what we recommend to all our older clients.”
3 .
Nurse John visits an eighty-eight-year-old male with a history of dementia. When Nurse John arrives at the client’s home, he notes that the client is more confused than normal, agitated, and has been incontinent on his couch. What important next interventions will help determine the cause of this increased confusion? Select all that apply.
  1. drawing labs
  2. taking a set of vital signs
  3. calling the physician
  4. collecting a urine specimen
4 .
A family member of a person with delirium asks the nurse to explain the main difference between delirium and dementia. What statement is correct?
  1. “Dementia resolves quickly once the cause is found.”
  2. “Delirium resolves quickly once the cause is identified and treated.”
  3. “The terms delirium and dementia are interchangeable.”
  4. “Delirium will continue to worsen. There is no cure.”
5 .
What should a nurse working on an inpatient unit for older adults recognize as an appropriate intervention for a ninety-year-old female who is worried about her baby?
  1. Re-orient her to her current age.
  2. Tell her that her baby is all grown up.
  3. Give her a baby doll to hold.
  4. Put her in front of the TV in the day room.
6 .
A nursing instructor is teaching students about neurocognitive disorders. Students are working in groups of four to complete a case study assignment. What statement made by one group indicates that the group needs further instruction?
  1. All older adults end up with dementia.
  2. Major neurocognitive disorder is the newer name for dementia.
  3. Alzheimer disease is the most common form of neurocognitive disorders.
  4. The clock test is a standard assessment for neurocognitive disorders.
7 .
A nurse is planning the care of an eighty-five-year-old male with dementia. The nurse notices that the client is becoming anxious. What would be an appropriate intervention when talking to him does not decrease his anxiety?
  1. taking him to his room for a rest
  2. asking him to join other clients for an afternoon group
  3. offering a distraction or task such as folding towels
  4. calling the doctor to request an order for a tranquilizer

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