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Nursing 252 Final Exam Questions and Correct Answers
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Three D's of Cognitive Impairment dementia, delirium, depression Delirium an acutely disturbed state of mind that occurs in fever, intoxication, and other disorders and is characterized by restlessness, illusions, and incoherence of thought and speech. Etiology of Delirium underlying cognitive im...

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  • September 5, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nursing 252 final exam questions and correct answe
  • three ds of cognitive impairment dementia delir
  • delirium an acutely disturbed state of mind that

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  • NUR 252
  • NUR 252

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Nursing 252 Final Exam Questions and
Correct Answers
Three D's of Cognitive Impairment ✅dementia, delirium, depression

Delirium ✅an acutely disturbed state of mind that occurs in fever, intoxication, and
other disorders and is characterized by restlessness, illusions, and incoherence of
thought and speech.

Etiology of Delirium ✅underlying cognitive impairment

functional impairment

depression

acute illness

sensory impairment

Precipitating factors of Delirium ✅medications
procedures
restraints
iatrogenic events
sleep deprivation
bladder catheter
pain
environmental factors

What percentage of adults develop delirium during their hospital stay? ✅11-42%

Is delirium a medical emergency? ✅Yes. It requires prompt assessment and
intervention.

What drugs can contribute to delirium ✅narcotics

Clinical Subtypes of Delirium ✅hyperactive, hypoactive, mixed

Recognizing Delirium ✅agitiation
might only know self
pull on tubes
hallucinations

, Consequences of Delirium ✅secondary complications: DVT

can take up to 6 months to return to baseline

Assessment for Delirium ✅Mini-Mental Examination

Confusion Assessment Method

NEECHAM Confusion Scale

Delirium Interventions ✅quiet room with lights on
avoid excessive stimuli but provide soft music/TV
orientation cues
eye glasses, hearing aids
encourage family presence
have familiar objects from home
monitor PO intake

HELP program ✅6 risk factors for delirium

1. cognitive impairment
2. sleep changes
3. immobility
4.visual impairment
5. hearing impairment
6. dehydration

Goals for clients with NCD ✅maintain stability and function

compensate for losses associated with dx

maintain quality of life

want to nurture the person hood of the client

Assessment for clients with NCD ✅should be ongoing

include both client and family

end of life/advanced directives should be discussed

Person-centered care ✅a type of care that places the emphasis on the person needing
care and his or her individuality and capabilities

Five common care concerns for clients with major NCD ✅1. communication

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