NCLEX Questions On Cognitive Impairment Disorder! Quiz

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NCLEX Questions On Cognitive Impairment Disorder! Quiz - Quiz

What is cognitive impairment? Proceed with these NCLEX quiz questions and answers based on cognitive impairment disorder and put your knowledge to the test. Cognitive impairment disorders are mental health disorders and range from mild to severe. These disorders affect a person's learning, concentration, and decision-making abilities, including Alzheimer's disease, Dementia, Attention deficit disorder, etc. Do you know how to deal with clients suffering from such disorders? Shall we begin the quiz, then? Wish you the best of luck!


Questions and Answers
  • 1. 
    Nurse Isabelle enters the room of a client with a cognitive impairment disorder and asks what day of the week it is; what the date. month. and year are; and where the client is. The nurse is attempting to assess:
    • A. 

      Confabulation

    • B. 

      Delirium

    • C. 

      Orientation

    • D. 

      Perseveration

  • 2. 
    A student nurse was asked which of the following best describes dementia. Which of the following best describes the condition?
    • A. 

      Memory loss occurring as part of the natural consequence of aging

    • B. 

      Difficulty coping with physical and psychological change

    • C. 

      Severe cognitive impairment that occurs rapidly

    • D. 

      Loss of cognitive abilities. impairing ability to perform activities of daily living

  • 3. 
    Which of the following will Nurse Dory use when communicating with a client who has cognitive impairment.
    • A. 

      Complete explanations with multiple details

    • B. 

      Pictures or gestures instead of words

    • C. 

      Stimulating words and phrases to capture the client’s attention

    • D. 

      Short words and simple sentences

  • 4. 
    Mrs. Mendoza is a 75-year-old client who has dementia of the Alzheimer’s type and confabulates. The nurse understands that this client:
    • A. 

      Denies confusion by being jovial

    • B. 

      Pretends to be someone else

    • C. 

      Rationalizes various behaviors

    • D. 

      Fills in memory gaps with fantasy

  • 5. 
    Which ability should Nurse Rebecca expect from a client in the mild stage of dementia of the Alzheimer’s type?
    • A. 

      Remembering the daily schedule

    • B. 

      Recalling past events

    • C. 

      Coping the anxiety

    • D. 

      Solving problems of daily living

  • 6. 
    82-year-old Mr. Robeson together with his daughter arrived at the medical-surgical unit for diagnostic confirmation and management of probable delirium. Which statement by the client’s daughter best supports the diagnosis?
    • A. 

      “Maybe it’s just caused by aging. This usually happens by age 82.”

    • B. 

      “The changes in his behavior came on so quickly! I wasn’t sure what was happening.”

    • C. 

      “Dad just didn’t seem to know what he was doing. He would forget what he had for breakfast.”

    • D. 

      “Dad has always been so independent. He’s lived alone for years since mom died.”

  • 7. 
    Mrs. Jordan is an elderly client diagnosed with Alzheimer’s disease. She becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to:
    • A. 

      Tell the client firmly that it is time to get dressed

    • B. 

      Obtain assistance to restrain the client for safety

    • C. 

      Remain calm and talk quietly to the client

    • D. 

      Call the doctor and request an order for sedation

  • 8. 
    Which goal is a priority for a client with a DSM-IV-TR diagnosis of delirium and the nursing diagnosis Acute confusion related to recent surgery secondary to traumatic hip fracture?
    • A. 

      The client will complete activities of daily living.

    • B. 

      The client will maintain safety.

    • C. 

      The client will remain oriented.

    • D. 

      The client will understand communication.

  • 9. 
    Which of the following is not included in the care of plan of a client with a moderate cognitive impairment involving dementia of the Alzheimer’s type?
    • A. 

      Daily structured schedule

    • B. 

      Positive reinforcement for performing activities of daily living

    • C. 

      Stimulating environment

    • D. 

      Use of validation techniques

  • 10. 
    In clients with a cognitive impairment disorder. the phenomenon of increased confusion in the early evening hours is called:
    • A. 

      Aphasia

    • B. 

      Agnosia

    • C. 

      Sundowning

    • D. 

      Confabulation

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