Nurs 123 final Exam Questions and Correct
Answers
Which statement made by the primary caregiver of a person with dementia
demonstrates an accurate understanding of providing the person with a safe
environment?
✓ ~~~ "We've installed locks on all the outside doors"
Which statement made by a family member tends to support a diagnosis of delirium
rather than dementia?
✓ ~~~ "She was fine last night but this morning she was confused"
In terms of the pathophysiology responsible for both delirium and dementia, which
intervention would be appropriate for delirium specifically?
✓ ~~~ Monitoring neurological status on an ongoing basis
What side effects should the nurse monitor for while caring for a patient taking
donepezil (Aricept)? Select all that apply
✓ ~~~ Insomnia
Bradycardia
Signs of dizziness
Reports of headache
,What is the rationale for providing a patient diagnosed with dementia easily
accessible finger foods throughout the day?
✓ ~~~ It increases input throughout the day
Ophelia, a 69-year-old retired nurse, attends a reunion of her former coworkers.
Ophelia is concerned because she usually knows everyone, and she cannot
recognize faces today. A registered nurse colleague recognizes Ophelia's distress
and "introduces" Ophelia to those attending. The nurse practitioner recognizes that
Ophelia seems to have a deficit in:
✓ ~~~ Social Cognition ability
After talking with her 85 year old mother, Nancy became concerned enough to drive
her to home and check on her. Her mother's appearance was disheveled, her words
were nonsensical, she smelled strongly of urine and there was a stain on her
dressing gown. Because she is a nurse, Nancy recognizes that her mother's
condition is likely due to:
✓ ~~~ Urinary tract infection
Lucia, 70 years old, recently underwent a major orthopedic surgical procedure. On
postop day 3, she responds to the nurse who has been caring for her with affection.
At other time, however, she tells the nurse to leave because she does not recognize
her and asks to have another nurse care for her, specifically naming the nurse as the
"nice one." The most likely reason for Lucia's behavior is that she is
✓ ~~~ Experiencing acute delirium
, Since his wife's death 2 months earlier, Aaron, 90 years of age and in good health,
has begun to pay less attention to his hygiene and seems less alert to his
surroundings. He complains of difficulty concentrating, disrupted sleep, and lacks
energy. His family has to remind and encourage him to shower, take his meds, and
eat, all of which he then does. Which of the following responses would be most
appropriate.
✓ ~~~ Arrange for an appt with a mental health professional for the evaluation and
treatment of suspected major depressive disorder.
Nurses caring for patients who have neurocognitive disorders are exposed to stress
on many levels. Specialized skills training and continuing education are helpful to
diffuse stress, as well as which of the following? Select all that apply
✓ ~~~ -Expressing emotions by journaling
-Engaging in exercise and relaxation activities
-Having realistic patient expectations
Which statement made by the pysch nurse demonstrates an accurate understanding
of the factors that affect an individual's personality?
✓ ~~~ "I'll need to learn more about the patient's cultural beliefs"
When assessing a patient diagnosed with borderline personality disorder, which
statement by the patient warrants immediate action?
✓ ~~~ "i'd really like to hurt her for hurting me"
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