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PMHNP ancc Chapter 12 Neurocognitive?? Questions & Answers $12.99   Add to cart

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PMHNP ancc Chapter 12 Neurocognitive?? Questions & Answers

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when do cognitive disorders occur - ANSWERany age. the very young and very old often have multiple health needs older adults usually have more than one chronic illness and psy. disorders can be co-morbid Answeretiology of cognitive disorders - ANSWERa condition resulting in changes in multiple ...

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  • September 19, 2024
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PMHNP ancc Chapter 12
Neurocognitive?? Questions & Answers
when do cognitive disorders occur - ANSWERany age. the very young and very old
often have multiple health needs older adults usually have more than one chronic illness
and psy. disorders can be co-morbid

Answeretiology of cognitive disorders - ANSWERa condition resulting in changes in
multiple domains including memory, interpersonal relationships, and behavior.

Answercauses of cognitive disorders - ANSWERinjury, medical condition, substance
abuse, reaction to a medication, other injected agents or a combination of these

AnswerDelirium is a - ANSWERsyndrome, not a disease

AnswerSubtypes of delirium - ANSWERhyperactive, agitated
hypoactive, lethargic slowed
mixed, cycles between hyperactive and hypoactive

Answeretiology of delerium - ANSWERgeneral medical condition
substance induced
physical health problems
medication
sleep deprived

Answerincidence of delirium - ANSWERhighest in hospitalized older adults
70-87% older adults in ICU
80% terminally ill nearing death

Answerscreening for delirium - ANSWERConfusion Assessment Method (CAM)
Delirium Index (DI)
NEECHAM Confusion Scale
Mini-Cog

Answerpresentation of delrium - ANSWERacute change from baseline, waxs and
wanes

Answerlength of delirium - ANSWERcan last 3-6 months

Answerphysical exam finding for delirium - ANSWERtremors.. poor coordination,
urinary incontinence, myoclonus, nystagmus. asterixis (flapping of the wrist), increase
muscle tone and reflex

, Answerdiagnositc work-up for delerium - ANSWERserum chemistry, CBC, thyroid
function, syphilis, HIV, urinalysis. chest x-ray, UDS
EEG

AnswerPharmacological Treatment for delerium - ANSWERsymptomatic tx.
agitation and psychosis -Haldol, atypical antipsychotic, anxiolytic,

Answerdelerium mnemonic - ANSWERDrugs
Electrolyte abnormality
Low o2 saturation
Infection
Reduced sensory
Intracranial
Urinary or renal retention
Myocardial

Answernon-Pharmacological Treatment for delerium - ANSWERmonitor for safety
needs,
orientation frequently,
care for basic needs -hydration, nutrition.
the client should neither by sensory deprived or overstimulated
helpful to have familiar things in the room

AnswerChildren are suspectable to delerium - ANSWERdue to immature brains
often mistaken for uncooperative behavior
if a child is not soothed by common methods -suspect delirium
most common if febrile states
medication is known to affect cognition (anticholinergics)

AnswerDementia are catagorized by 3 areas of the brain what are they -
ANSWERcortical= involves the crotex & frontal lobe
subcortical= (below) thalmus basil ganglia brain stem
Bothe

Answerif it is a cortical Dementia what s/s - ANSWERMemory, language,
vision ,judgement,
Apraxia agnosia

AnswerName of the cortical dementias - ANSWERAlzheimers
Picks
Creutzfeldt-Jakob Disorder
frontotempora;
d/t subdural's

AnswerDementia if the Alzheimers type charateristics - ANSWERmost common
gradual onset and progressive decline without neurofocal deficits

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