Chapter 14 Post Test.Morgan

Chapter 14 Post Test.Morgan - Chapter 14 Post Test...

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Chapter 14 Post Test Mathison, Morgan Submitted : 4/25/2011 7:16:28 PM Grade: 95.8% Attempt Number: 1 Questions Attempted: 24/24 1. The nurse at a long-term care facility is listening to the unlicensed personnel’s concerns about confused client behavior that occurs regularly during the afternoon shift on the dementia care unit. An increase in agitated and disoriented behavior is probably due to: a. Psyc hosi s. b. Anxi ety. c. Sun dow ner synd rome . d. Deliri um. Grade: 1 User Responses: c.Sundowner syndrome. Feedback: a. Rationale: Sundowner syndrome or sundowning is understood as confused behavior when environmental stimulation is low. It is seen in clients with delirium and dementia. The client can become increasingly agitated, disoriented, or even aggressive/paranoid or impulsive and emotional later in the day and at night. Delirium is a transient cognitive disorder. Psychosis is a symptom of both dementia and deirium. Anxiety is an emotional reaction to stress. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity 1
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Chapter 14 Post Test Mathison, Morgan Submitted : 4/25/2011 7:16:28 PM Grade: 95.8% Attempt Number: 1 Questions Attempted: 24/24 2. The nurse is admitting a client with a diagnosis of dementia of the Alzheimer’s type. Which symptom would the nurse expect to find in the assessment? a. Conf abul ation b. Extr eme s of psyc hom otor activi ty c. Fluct uatin g cons ciou snes s d. Distu rbed slee p– wak e cycle Grade: 1 User Responses: a.Confabulation Feedback: a. Rationale: Confabulation is a common defense used by clients with dementia who cannot remember required information and use fantasy to fill in the memory gaps. Extremes of psychomotor activity, disturbed sleep- wake cycle, and fluctuating consciousness are all symptoms of delirium. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity 2
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Chapter 14 Post Test Mathison, Morgan Submitted : 4/25/2011 7:16:28 PM Grade: 95.8% Attempt Number: 1 Questions Attempted: 24/24 3. Which of the following abilities should a nurse expect from a client in stage 2 of dementia of the Alzheimer’s type? a. Abilit y to follo w a sche dule b. Rem inisc ence activi ties c. Orie ntati on to pers on, plac e, and time d. Lear ning new mate rial Grade: 1 User Responses: b.Reminiscence activities Feedback: a. Rationale: Reminiscence activities are familiar and pleasurable and may support memory functions that are still intact. Learning new material, following a schedule, and orientation are not possible for a person in stage 2 of dementia of the Alzheimer's type. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity 3
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Chapter 14 Post Test Mathison, Morgan Submitted : 4/25/2011 7:16:28 PM Grade: 95.8% Attempt Number: 1 Questions Attempted: 24/24 4. A nurse asks the client with a cognitive disorder what day of the week it is, what the date, month, and year are, and where the client is currently located. The nurse is attempting to
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Chapter 14 Post Test.Morgan - Chapter 14 Post Test...

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