NCLEX Questions On Cognitive Impairment Disorder! Quiz

10 Questions | Total Attempts: 3269

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NCLEX Questions On Cognitive Impairment Disorder! Quiz

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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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