NCLEX Questions On Cognitive Impairment Disorder! Quiz
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- 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.
Questions: 70 | Attempts: 51247 | Last updated: Jul 28, 2020
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