NSG 211 Final 2 Exam Questions And
Answers (Guaranteed A+)
What is the expected outcome for donepezil therapy prescribed for a client diagnosed with
mild-to-moderate Alzheimer disease (AD)?
a. Better daily function than without treatment
b. Temporary interruption of disease process
c. Remissions of varying lengths of time
d. Marked decrease in memory impairment - answer✔A
The patient taking donepezil may function better, but the underlying disease process would
continue. None of the other suggestions results occur.
An older adult patient has fluctuating levels of awareness, anxiety, and appears to be picking
things out of the air. The patient says, "I saw my granddaughter standing at the foot of the bed
last night." The nurse should suspect which disorder?
a. Delirium
b. Dementia
c. Schizophrenia
d. Bipolar disorder - answer✔A
The symptoms presented are consistent with the symptoms of delirium. Fluctuating levels of
consciousness are not characteristic of dementia, schizophrenia, or bipolar disorder.
Effective management of a client diagnosed with Huntington disease is best demonstrated by
which documentation made by the nurse?
a. Bilateral lung sounds clear with no signs of dyspnea.
b. Client denies any visual hallucinations.
c. Disorientation noted only in the evenings.
ALL RIGHTS RESERVED.
d. Client denies any hearing limitations. - answer✔A
Pneumonia is the predominate cause of death among clients diagnosed with Huntington
disease. Neither hearing dysfunctions nor hallucinations are generally associated with this
disorder. Memory loss is generalized and not focused on a particular time of day.
Agnosia - answer✔related to ineffective word identification.
What information should the nurse provide the family of a client diagnosed with normal-
pressure hydrocephalus (NPH)?
a. It eventually develops into Pick disease
b. There is currently no treatment for this condition
c. Few clients regain cognitive abilities
d. The related dementia is potentially reversible - answer✔D
Normal-pressure hydrocephalus and vitamin B12 deficiency are two dementias that are
potentially reversible. None of the other options present accurate information about NPH.
A newly admitted patient diagnosed with Alzheimer disease (AD) has demonstrated apraxia.
The nurse should assist the patient with which activity?
a. Grooming and hygiene
b. Reading written material
c. Word finding
d. Orientation - answer✔A
Apraxia is the inability to carry out motor activities despite intact motor function. The patient
activity that would be altered by lack of motor function is grooming and hygiene. None of the
other options are related to motor activities.
An older adult diagnosed with dementia is documented as demonstrating agnosia. Which client
statements support this documentation? (Select all that apply.)
a. "My hands seem to shake all the time."
b. "I can't hold that cup without spilling the coffee."
c. "I signed my name with that thing that writes."
d. "I don't remember ever meeting you before."
e. "The water came out of that thing you turn." - answer✔C, E
Agnosia is defined as failure to recognize or identify objects despite intact sensory function.
Describing a pencil as "that thing that writes" and a water faucet as "the thing you turn"
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ALL RIGHTS RESERVED.
would be examples of agnosia. Apraxia refers to inability to carry out motor activities as a result
of tremors and shaking. Amnesia refers to learning and recalling information as
demonstrated by not remembering.
Which interventions are appropriate for inclusion into the plan of care for a client diagnosed
with Parkinson disease? (Select all that apply.)
a. Speech therapy for language skills impairment
b. Falls risk precautions
c. Frequent depression screening
d. Monitoring for obsessive-compulsive disorder (OCD) tendencies
e. Education concerning risks associated with prescribed atypical antipsychotic
medication therapy - answer✔B, C, E
Parkinson disease is associated with postural instability, depression and anxiety, and visual and
auditory hallucinations. Language skills are usually maintained and OCD behaviors are
not generally observed.
Which nursing interventions are appropriate for the management of a client demonstrating the
behaviors associated with dementia-related "sundowning"? (Select all that apply.)
a. Staff is trained to de-escalate an agitated client.
b. Frequent reorientation to time and place helps minimize the effects of sundowning.
c. Client is closely monitored during the late afternoon and evening hours.
d. The client is provided with a safe place to pace.
e. The client's family is educated to the fact that this behavior is a result of
overstimulation. - answer✔A, C, D
The sundown syndrome is the name given to behavior that occurs late in the afternoon or early
evening when a patient with dementia becomes more confused, restless, and agitated.
No definitive cause or specific treatment has been found for sundowning or to diminish its
effects.
What assessment data suggest that a client is at risk for the development of vascular dementia?
(Select all that apply.)
a. History of type 2 diabetes
b. Currently prescribed antihypertensive medication
ALL RIGHTS RESERVED.
c. Presents early signs/symptoms of Parkinson disease
d. Being treated for atrial fibrillation
e. 2 pack a day cigarette habit - answer✔A, B, D, E
The diagnosis of vascular dementia is determined by the presence of cerebrovascular disease
and conditions that affect the vascular system. The major risk factors for vascular dementia are
hypertension, diabetes mellitus, previous stroke, cardiac arrhythmias, coronary artery disease,
tobacco use, and alcohol or substance abuse. Parkinson disease is not associated with this
disorder since it is a neurologic not vascular in origin.
The nurse is establishing treatment goals for a person who was a victim of mind control and
physical abuse. What is the initially focus goal for this individual?
a. Making independent personal decisions
b. Repressing emotions experienced during the abuse
c. Re-establishing relationships with support persons
d. Using desensitization strategies to restore equilibrium - answer✔C
Relationships with family and former friends are invariably disrupted based on the victim's
inability to trust. Re-establishing relationships would be the first step toward reorganization.
Later, the victim will be able to make independent decisions for herself. Repression and
desensitization are not the initial desirable outcomes since the client needs to work on
reintegrating into the world.
A nurse plans care for a client who in the recoil phase of trauma recovery. What assessment
question addresses a common focus of this phase?
a. "Are you having nightmares about the trauma you experienced?"
b. "Does it feel like the abuse happen to someone else?"
c. "Is there anyone you blame for putting you in that situation?"
d. "What are your fantasies about getting revenge on your abuser?" - answer✔D
The nurse is preparing a care plan for a client who experienced abuse by a domestic partner. It
is most important to include a long-term outcome that addresses what client need?
a. Moving from the individual from victim to survivor status
b. Providing a support groups for emotional assistance
c. Using empathy to establish rapport and build trust
d. Shifting blame for the incident from patient to perpetrator - answer✔A
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