Chapter 14- Impaired Cognitive Function- Delirium and Dementia

Origin: Chapter 14- Impaired Cognitive Function- Delirium and Dementia, 1 1.Which of the following is a priority nursing intervention for the management of delirium? A) Giving the client low-dose oxygenation and maintaining his or her fluid and electrolyte balance B) Reducing noise and placing familiar objects in the client's environment C) Giving the client a clock, a watch, and calendars to provide the client with temporal orientation D) Providing psychological support through cognitive and social stimulation Ans: A Feedback: Priority questions address physiologic integrity. The client needs to be stabilized before the other interventions can be implemented. Origin: Chapter 14- Impaired Cognitive Function- Delirium and Dementia, 2 2.A nurse is conducting a class at a senior citizens' center on factors that protect against dementia. Which of the following statements by an older adult in the class indicates a need for further teaching by the nurse? A) "No healthy lifestyle is going to ward off dementia." B) "Eating food high in omega-3 fatty acids will help preserve my thinking processes." C) "Engaging in social activities will help prevent dementia." D) "Engaging in an organized exercise program will help prevent symptoms of dementia." Ans: A Feedback: Engaging in regular exercise has a positive effect on preventing cognitive decline. Omega-3 fatty acids are nutritional interventions that help preserve cognition. There is evidence that engaging in stimulating and meaningful activities also has a positive effect on preventing cognitive decline. Adopting a healthy lifestyle may help ward off dementia just as it does other diseases. Origin: Chapter 14- Impaired Cognitive Function- Delirium and Dementia, 3 3.A nurse teaches a client and care partner about cholinesterase inhibitors. Which of the following statements should the nurse include in the teaching? A) "Rivastigmine (Exelon) has a high chance of interacting with other medications." B) "Nausea, vomiting, diarrhea, and loss of appetite can be prevented or reduced by starting with a low dose." C) "Rivastigmine is only for treatment of mild Alzheimer's disease and will be discontinued as the disease progresses." D) "You should have a 'drug holiday' monthly to improve the medication's functioning." Ans: B Feedback: When administering medications to older adults, it is imperative to start with lower doses and increase the doses slowly. Exelon is less likely to interact with other drugs and may Page 1 This study source was downloaded by from CourseH on 12-01-2022 05:26:13 GMT -06:00 be safer and better tolerated in people. It will continue and other medications may be added. The effectiveness of cholinesterase inhibitors is diminished significantly if it is stopped and then restarted. Origin: Chapter 14- Impaired Cognitive Function- Delirium and Dementia, 4 4.Which of the following are examples of appropriate communication techniques for dealing effectively with people with dementia? A) Ask open-ended questions so the person feels he or she can make choices. B) For people in the later stages of Alzheimer disease, talk as you would to a child. C) Maintain good eye contact and use a relaxed and smiling approach. D) When the person forgets something, remind him or her not to forget next time. Ans: C Feedback: To facilitate communication with people who have dementia, the nurse uses a relaxed and smiling approach. The nurse should avoid infantilization of the older adult and not emphasize the person's memory or cognitive deficits. Origin: Chapter 14- Impaired Cognitive Function- Delirium and Dementia, 5 5.A nurse develops a plan to addressing dementia-related behaviors in an older adult with deme