Chapter 60 Nursing Management Alzheimers Disease And...

Chapter 60: Nursing Management: Alzheimers Disease, Dementia, and Delirium Test Bank MULTIPLE CHOICE 1. A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than dementia? a. The patient was oriented and alert when admitted. b. The patient’s speech is fragmented and incoherent. c. The patient is oriented to person but disoriented to place and time. d. The patient has a history of increasing confusion over several years. ANS: A The onset of delirium occurs acutely. The degree of disorientation does not differentiate between delirium and dementia. Increasing confusion for several years is consistent with†¦show more content†¦MCI does not interfere with activities of daily living, acetylcholinesterase drugs are not used for MCI, and an assisted living facility is not indicated for MCI. DIF: Cognitive Level: Apply (application) REF: 1450 TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity 6. The nurse is administering a mental status examination to a 48-year-old patient who has hypertension. The nurse suspects depression when the patient responds to the nurse’s questions with a. â€Å"Is that right?† b. â€Å"I don’t know.† c. â€Å"Wait, let me think about that.† d. â€Å"Who are those people over there?† ANS: B Answers such as â€Å"I don’t know† are more typical of depression than dementia. The response â€Å"Who are those people over there?† is more typical of the distraction seen in a patient with delirium. The remaining two answers are more typical of a patient with mild to moderate dementia. DIF: Cognitive Level: Apply (application) REF: USTESTBANK.COM 1445 TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 7. A 68-year-old patient is diagnosed with moderate dementia after multiple strokes. During assessment of the patient, the nurse would expect to find a. excessive nighttime sleepiness. b. difficulty eating and swallowing. c. loss of recent and long-term memory. d. fluctuating ability to perform simple tasks. ANS: C Loss of both recent and long-term memory is characteristic of moderate dementia. Patients with dementia have