Quiz 31: Cognition

Concepts For Nursing Practice

Nursing
9
Questions
0
True/False
8
Choices
1
Essay
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Questions

Q1
Free

A nurse working in a pediatric clinic recognizes that which child is most at risk for cognitive impairment?

Multiple Choice
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A) An infant who is being fed reconstituted powdered formula
B) A toddler living in an older home that is being remodeled
C) A preschooler who attends a play group 3 days a week
D) A school-age child who rides a school bus 5 days a week
Answer:
B) A toddler living in an older home that is being remodeled

Explanation:
Older homes frequently have lead-based paint; paint chips generated by remodeling put toddlers, who often put foreign objects in their mouths, at risk for exposure to lead which is a known toxic substance that can affect cognitive function. Powdered formulas, attendance at play groups, or riding on a school bus are not known to impair cognitive development.
Q2
Free

The nurse is reviewing new medication orders for several patients in a long-term care facility. Which patient does the nurse recognize as being at the highest risk for having cognitive impairment related to prescribed medications?

Multiple Choice
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A) The patient prescribed an antibiotic for a urinary tract infection
B) The patient prescribed a cholinesterase inhibitor for early Alzheimers disease
C) The patient prescribed a beta-blocker for hypertension
D) The patient prescribed a bisphosphonate for osteoporosis
Answer:
C) The patient prescribed a beta-blocker for hypertension

Explanation:
Anti-hypertensives such as the beta-blockers can cause adverse changes in cognition. While an infection can affect cognition, antibiotics do not generally cause cognitive changes. The cholinesterase inhibitors are prescribed to slow the progression in cognitive decline for patients diagnosed with Alzheimers disease. Bisphosphonates are used for osteoporosis and are not generally a risk for altered cognition.
Q3
Free

The nurse is developing a care plan for a patient newly admitted to a unit that cares for patients with cognitive impairment. What is an important component of care for the patients on this unit?

Multiple Choice
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A) Allow food selections from a menu with several choices.
B) Schedule frequent field trips off the unit for cognitive stimulation.
C) Plan for attendance at activities with several other patients on the unit.
D) Plan for a structured daily routine of events and caregivers.
Answer:
D) Plan for a structured daily routine of events and caregivers.

Explanation:
Patients with a cognitive impairment benefit from a predictable routine and consistent caregivers. Trips off of the unit may confuse the patient and disrupt their normal routine. Offering too many selections causes confusion and can lead to agitation. Being in large groups for activities can overstimulate the patient and lead to agitation and fear.
Q4

A patient who is dehydrated has been experiencing confusion. The daughter is concerned about taking the patient home in a confused state. What statement by the nurse is correct?

Multiple Choice
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A) Dont worry; the patient should be fine once they are in a familiar environment.
B) I can make a referral for a home health aide to assist with the patient.
C) Once the dehydration is corrected, the patients confusion should improve.
D) I can show you how to care for the patient once you return home.
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Q5

An older adult who is cognitively impaired is admitted to the hospital with pneumonia. Which signs and symptoms would the nurse expect to be exhibited by the patient?

Multiple Choice
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A) Severe headache
B) Flank pain
C) Increased confusion
D) Decreased blood glucose
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Q6

The nurse is sitting with the family of a patient who has just received the diagnosis of dementia. The family asks for information on what treatment will be needed to cure the condition. How does the nurse respond?

Multiple Choice
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A) Hormone therapy will reverse the condition.
B) Vitamin C and zinc will reverse the condition.
C) There is no treatment that reverses dementia.
D) Dementia can be reversed with diet, exercise, and medications.
Answer:

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Q7

A cognitively impaired patient newly admitted to the hospital is experiencing signs of sundown syndrome. Which intervention is best for the nurse to implement?

Multiple Choice
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A) Leave a night light on in the room at all times.
B) Leave the television on at night with the volume up.
C) Restrain the patient to maintain safety during the confusion.
D) Administer a sleeping medication to help the patient sleep.
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Q8

An 82-year-old patient who is in the hospital awakens from sleep disoriented to where she is. The nurse reorients the patient to her surroundings and helps the patient return to sleep. What data does the nurse consider as a probable cause of the patients confusion?

Multiple Choice
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A) Pain medication received earlier in the night
B) The death of the patients spouse 2 years ago
C) The patients history of diabetes
D) The age of the patient
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Q9

[Multiple Response] The nurse is teaching primary prevention of cognitive impairment at a community health fair. Which topics would be included in the presentation? (Select all that apply.)
a. Do not use substances such as cannabis (marijuana) and alcohol.
b. Wear helmets when riding bicycles and motorcycles.
c. Complete a Mini Mental Status Exam (MMSE) yearly.
d. Correct acid-base imbalances related to underlying disease processes.
e. Wear a seat belt whenever riding in a motorized vehicle.
f. Complete a Confusion Assessment Method (CAM) scale yearly.

Essay
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