Chapter 16: Neurocognitive Disorders: Delirium and Dementia

Chapter 16: Neurocognitive Disorders: Delirium and Dementia

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Your patient with advanced Alzheimer’s disease keeps searching the unit for her mother who died many years ago. How should you respond?

A.	“Your mother isn’t here—she died long ago.”
B.	“Let’s go to the activity room and see what’s going on.”
C.	“You must be upset that you can’t find her.”
D.	“What makes you keep looking for your mother?”

 

 

____     2.   Your patient is diagnosed with delirium. He is awake most of the night and becomes increasingly confused. Which is the best initial intervention?

A.	Keep the television on to provide stimulation.
B.	Give him a sleeping pill.
C.	Keep a night light on in the room and turn off the television.
D.	Keep the lights on in the room.

 

 

____     3.   Your patient is on donepezil HCL. This tells you your patient has which disorder?

A.	Dementia
B.	Obsessive-compulsive disorder
C.	Major depression
D.	Delirium

 

 

____     4.   Team members working with patients who have dementia need to have a common, unified approach because this type of patient requires:

A.	Sameness and consistency in their lives.
B.	Strict rules and regulations.
C.	Behavior modification at all times.
D.	Staff who cannot be manipulated.

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  B

With advanced Alzheimer’s disease, reorientation is often ineffective because the patient will not remember. Open-ended questions are also less effective. Response B uses distraction to refocus the patient’s attention on the here and now.

 

PTS:   1

REF:   Chapter 16: Neurocognitive Disorders: Delirium and Dementia; General Nursing Interventions; page 254-255

KEY:  Integrated Processes: Implementation | Content Area: Mental Health: Cognitive disorder | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication

 

2. ANS:  C

Reducing stimulating sounds and providing some light to keep him oriented to his surroundings is the best initial intervention. A sleeping pill can add to confusion.

 

PTS:   1

REF:   Chapter 16: Neurocognitive Disorders: Delirium and Dementia; General Nursing Interventions; page 254

KEY:  Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Cognitive disorder | Cognitive Level: Application | Client Need: Psychosocial Integrity: Sensory/perceptual alterations

 

3. ANS:  A

This drug is Aricept and is a major treatment for dementia.

 

PTS:   1

REF:   Chapter 16: Neurocognitive Disorders: Delirium and Dementia; Table 16-4 Cholinesterase Inhibitors; page 252

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Geriatrics: Pharmacology | Cognitive Level: Comprehension | Client Need: Physiological Integrity: Pharmacological and parenteral therapies: Medication administration

 

4. ANS:  A

Consistency is important when short-term memory is limited. The patient can count on that approach even when he or she can’t remember details. Strict rules and behavior modification aren’t useful when the short-term memory is impaired. These patients are not using manipulation, again, due to poor memory.

 

PTS:   1

REF:   Chapter 16: Neurocognitive Disorders: Delirium and Dementia; Nursing Care of Patients With Delirium and Dementia; page 254

KEY:  Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Cognitive disorder | Cognitive Level: Application | Client Need: Psychosocial Integrity: Mental health concepts: Therapeutic environment