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Neurocognitive Disorders

Question: 1 of 5
CORRECT
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• Time Elapsed: 00:01:17
Pause Remaining: 08:20:00

PAUSE
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A nurse is providing discharge teaching with the caregiver of a client who has Alzheimer's
disease and has a new prescription for memantine
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Constipation is an adverse effect of memantine
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The nurse should instruct the caregiver to monitor the
client for constipation
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Anemia can occur while taking memantine, but an increased risk for infection is not an
adverse effect of this medication
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Provide extra assistance during ambulation to prevent falls
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The caregiver should take extra care to prevent falls,
such as providing assistance with ambulation
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Panic attacks are not adverse effects of memantine
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The nurse should
instruct the caregiver to report increased confusion and other behavioral concerns to the
provider
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Which of the following interventions should the nurse include in the care plan?
Have the client wear hospital gowns during the daytime
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If client is incontinent at times, check the client frequently and change clothing as
needed
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The nurse should encourage the client to talk about her past and the happy times in her life
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Frequently add new activities into the client's usual routine
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Stay within two arm lengths of the client when talking to her
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Question: 3 of 5
CORRECT
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• Time Elapsed: 00:11:43
Pause Remaining: 08:20:00

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A nurse is teaching about home safety with the adult daughter of a client who has Alzheimer's
disease and has recently started wandering around the house at night
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The client's room should be dimly lit at night to prevent falls in case of wandering
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"I will make sure my father knows his address in case he wanders outside and gets lost
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Instead, nonremovable permanent identification bracelets can assist in identifying the client if he
wanders outside the house
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"I will place loose wrist restraints on my father at night to remind him not to get out of bed
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There is a high risk for injury due to falls if the client who has dementia is
unable to get out of bed easily
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"I will have new locks installed at the tops of our outside doors
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In moderate to late stages of dementia, the ability to look and reach
upward is lost
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Which of the following findings should indicate to the nurse that the client is
experiencing delirium?
The client is experiencing rapid mood swings
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Causes of delirium can include medical
conditions such as infection, acute alcohol withdrawal, and postoperative complications
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The client who has dementia is generally alert and able to be easily roused when sleeping
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The client's confusion began 5 months ago
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The onset of dementia occurs slowly over months or
years
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One cause of delirium is head trauma, which causes increased intracranial pressure and
pupil changes
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Question: 5 of 5
CORRECT

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• Time Elapsed: 00:12:59
Pause Remaining: 08:20:00

PAUSE
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A nurse is walking in the hallway with a client who has dementia
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" Which of the following
replies by the nurse illustrates the use of validation therapy?
"No, I'm sorry
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Clients who have neurocognitive disorders often have difficulty with perception of their
environment and can easily become agitated
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The nurse should not argue with the client or tell her that her illusion is not
real
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Tell me about him
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Validation therapy calms
and redirects the client rather than increasing anxiety and agitation
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You probably saw something white, but it was not a dog
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"Your little dog would be very old by now
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This reply by the nurse belittles the client's ideas, rather than validating the client's
perceptions, and could agitate her further

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