NCLEX Questions On Cognitive Impairment Disorder 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!
Cognitive Impairment Disorder 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 the following:
- A.
Confabulation
- B.
Delirium
- C.
Orientation
- D.
Perseveration
Correct Answer
C. OrientationExplanation
The initial, most basic assessment of a client with cognitive impairment involves determining his level of orientation (awareness of time. place. and person). Options A and D: The nurse may also assess for confabulation and perseverance in a client with cognitive impairment, but the questions in this situation would not elicit a response to the symptoms. Option B: Delirium is a type of cognitive impairment, however. Other symptoms are necessary to establish this diagnosis.Rate this question:
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- 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
Correct Answer
D. Loss of cognitive abilities. impairing ability to perform activities of daily livingExplanation
The impaired ability to perform self-care is an important measure of a client’s dementia progression and loss of cognitive abilities. Difficulty or impaired ability to perform normal activities of daily living. Such as maintaining hygiene and grooming. Toileting. Making meals. And maintaining a household. Are significant indications of dementia. The slowing of processes necessary for information retrieval is a normal consequence of aging. However, the global statement that memory loss occurs as part of natural aging is not true. Option A: Dementia is not normal; it is a disease.Option B: Any client can experience difficulty coping with changes. Not just one with dementia.Option C: The rapid occurrence of cognitive impairment refers to delirium.Rate this question:
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- 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
Correct Answer
D. Short words and simple sentencesExplanation
Short words and simple sentences minimize client confusion and enhance communication.Options A and C: Complete explanations with multiple details and stimulating words and phrases would increase confusion in a client with short attention span and difficulty with comprehension.Option B: Although pictures and gestures may be helpful. they would not substitute for verbal communication.Rate this question:
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- 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
Correct Answer
D. Fills in memory gaps with fantasyExplanation
Confabulation is a communication device used by patients with dementia to compensate for memory gaps.Rate this question:
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- 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
Correct Answer
B. Recalling past eventsExplanation
Recent memory loss is the characteristic sign of cognitive difficulty in early Alzheimer’s disease. The ability to recall past events is usually retained until the later stages of this disorder.Options A. C. and D: Remembering daily schedules. coping with anxiety. and solving problems of daily living are areas that would pose difficulty in the early phase of Alzheimer’s disease.Rate this question:
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- 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.”
Correct Answer
B. “The changes in his behavior came on so quickly! I wasn’t sure what was happening.”Explanation
Delirium is an acute process characterized by abrupt. spontaneous cognitive dysfunction.Option A: Cognitive impairment disorders (dementia or delirium) are not normal consequences of aging.Option C would be characteristic of someone with dementia.Although Option D provides background data about the client. it is unrelated to the current problem of delirium.Rate this question:
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- 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
Correct Answer
C. Remain calm and talk quietly to the clientExplanation
Maintaining a calm approach when intervening with an agitated client is extremely important.Option A: Telling the client firmly that it is time to get dressed may increase his agitation. especially if the nurse touches him.Option B: Restraints are a last resort to ensure client safety and are inappropriate in this situation.Option D: Sedation should be avoided. if possible. because it will interfere with CNS functioning and may contribute to the client’s confusion.Rate this question:
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- 8.
Which goal is a priority for a client with a DSM-IV-TR diagnosis of delirium and the nursing diagnosis of Acute confusion related to recent surgery secondary to a 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.
Correct Answer
B. The client will maintain safety.Explanation
Maintaining safety is the priority goal for an acutely confused client who recently had surgery. All measures to promote physiologic safety and psychosocial well-being would be implemented. Option A: This client would not be able to complete daily living activities, and safety is a priority over these tasks. Options C and D: The goals of remaining oriented and understanding communication would be appropriate only after the client’s acute confusion has resolved.Rate this question:
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- 9.
Which of the following is not included in the care 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
Correct Answer
C. Stimulating environmentExplanation
A stimulating environment is a source of confusion and anxiety for a client with a moderate level of impairment and. therefore. would not be included in the plan of care.Rate this question:
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- 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
Correct Answer
C. SundowningExplanation
Sundowning is a common phenomenon that occurs after daylight hours in a client with a cognitive impairment disorder.Options A. B. and D: The other options are incorrect responses. although all may be seen in this client.Rate this question:
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Mar 21, 2024Quiz Edited by
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Oct 31, 2017Quiz Created by
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