Nursing 252 Final Exam Questions and Correct Answers
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Course
NUR 252
Institution
NUR 252
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...
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
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
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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