Professional Documents
Culture Documents
1. A client with a history of atrial fibrillation has a brain attack, and vascular
dementia (multi-infarct dementia) is diagnosed. When comparing
assessments off clients with vascular dementia and dementia of the
Alzheimer’s type, which factor is unique to a vascular dementia?
a. memory impairment
b. abrupt onset of symptoms
c. difficulty making decisions
d. inability to use words to communicate
ans. a. The signs and symptoms associated with vascular dementia have an
abrupt onset (days to weeks) because of the occlusion of small arteries or
arterioles in the cortex of the brain.
2. A 70 year old retired man has had difficulty remembering his daily
schedule and finding the right words to express himself. He is diagnosed as
having dementia of the Alzheimer’s type. The nurse is aware that symptoms
of this disorder.
a. hoards food
b. tells sexually explicit jokes
c. has delusions and hallucinations
d. reverses day and night activities
ans. a. hoarding food may manifest paranoia, which is related to mood.
4. An 84 year old widow with dementia, who had been living with her
daughter before hospitalization. is being discharged with a referral to the
visiting nurse. When the nurse visits, the client is in bed sleeping at 10 AM.
Her daughter states that she gives her mother sleeping pills to stop her
wandering at night. The nurse should;
ans. b. this action will reduce the need for sleeping pills, which frequently
add to the older client’s.
a. concretism
b. confabulation
c. flight of ideas
d. associative looseness
6. When taking a health history from a client who has a moderate level of
cognitive impairment due to dementia, the nurse would expect to note the
presence of;
a. hypervigilance
b. increased inhibition
c. enhanced intelligence
d. accentuated premorbid traits
ans. d. a moderate level of cognitive impairment due to dementia is
characterized by increasing dependence on environmental and social
structure and by increasing psychologic rigidity with accentuated previous
traits and behaviors.
7. An 84 year old woman is admitted to the hospital with a diagnosis of
dementia of the Alzheimer’s type. The nurse recognizes that this disorder is
a;
a. Loss of memory
b. neglect or personal hygiene
c. I don’t know answers to questions
d. apathetic response to the environment
10. a client with the diagnosis of dementia of the Alzheimer’s type stage 1 is
living at home with a grown daughter to best address the functional and
behavioral changes associated with this stage. The nurse should encourage
the daughter to;
a. place the mother in a long term care facility
b. provide for the mothers basic physical needs
c. post a schedule of the mothers daily activities
d. perform care so that the mother does not need to make decisions
ans. c. in stage 1 clients have a mild cognitive impairment with short term
memory loss establishing a daily routine posting it and adhering to it
provides a concrete structured approach.