Neurocognitive Disorders

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Questions Bank

Practicing the Science and Art of Psychiatric Nursing
Mental Health and Mental Illness
Theories and Therapies
Biological Basis for Understanding Psychopharmacology
Settings for Psychiatric Care
Legal and Ethical Basis for Practice
Nursing Process and QSEN: The Foundation for Safe and Effective Care
Communication Skills: Medium for All Nursing Practice
Therapeutic Relationships and the Clinical Interview
Trauma and Stress-Related Disorders
Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders
Somatic Symptom Disorders and Dissociative Disorders
Personality Disorders
Eating Disorders
Mood Disorders: Depression
Bipolar Spectrum Disorders
Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Neurocognitive Disorders
Substance-Related and Addictive Disorders
Crisis and Mass Disaster
Child, Partner, and Elder Violence
Sexual Violence
Suicidal Thoughts and Behavior
Anger, Aggression, and Violence
Care for the Dying and Those Who Grieve
Children and Adolescents
Adults
Older Adults

All Questions

Question 1

Free

Multiple Choice

An older adult takes digoxin and hydrochlorothiazide daily, as well as lorazepam (Ativan) as needed for anxiety. Over 2 days, this adult developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. These findings are most characteristic of:

Choose correct answer/s

delirium.

dementia.

amnestic syndrome.

Alzheimer disease.

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Question 2

Free

Multiple Choice

A patient experiencing fluctuating levels of awareness, confusion, and disturbed orientation shouts, "Bugs are crawling on my legs! Get them off!" Which problem is the patient experiencing?

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Aphasia

Dystonia

Tactile hallucinations

Mnemonic disturbance

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Question 3

Free

Multiple Choice

A patient experiencing fluctuating levels of consciousness, disturbed orientation, and perceptual alteration begs, "Someone get these bugs off me." What is the nurse's best response?

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"There are no bugs on your legs. Your imagination is playing tricks on you."

"Try to relax. The crawling sensation will go away sooner if you can relax."

"Don't worry. I will have someone stay here and brush off the bugs for you."

"I don't see any bugs, but I know you are frightened so I will stay with you."

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Question 4

Free

Multiple Choice

What is the priority nursing diagnosis for a patient experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?

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Bathing/hygiene self-care deficit related to altered cerebral function as evidenced by confusion and inability to perform personal hygiene tasks

Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait

Disturbed thought processes related to medication intoxication as evidenced by confusion, disorientation, and hallucinations

Fear related to sensory perceptual alterations as evidenced by hiding from imagined ferocious dogs

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Question 5

Free

Multiple Choice

What is the priority nursing intervention for a patient diagnosed with delirium who has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations?

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Avoidance of physical contact

High level of sensory stimulation

Careful observation and supervision

Application of wrist and ankle restraints

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Question 6

Multiple Choice

Which environmental adjustment should the nurse make for a patient experiencing delirium with perceptual alterations?

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Keep the patient by the nurse's desk while the patient is awake. Provide rest periods in a room with a television on.

Light the room brightly, day and night. Awaken the patient hourly to assess mental status.

Maintain soft lighting day and night. Keep a radio on low volume continuously.

Provide a well-lit room without glare or shadows. Limit noise and stimulation.

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Question 7

Multiple Choice

Which description best applies to a hallucination? A patient:

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looks at shadows on a wall and says, "I see scary faces."

states, "I feel bugs crawling on my legs and biting me."

becomes anxious when the nurse leaves his or her bedside.

tries to hit the nurse when vital signs are taken.

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Question 8

Multiple Choice

Consider these health problems: Lewy body disease, Pick disease, and Korsakoff syndrome. Which term unifies these problems?

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Intoxication

Dementia

Delirium

Amnesia

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Question 9

Multiple Choice

When used for treatment of patients diagnosed with Alzheimer disease, which medication would be expected to antagonize N-methyl-D-aspartate (NMDA) channels rather than cholinesterase?

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Donepezil (Aricept)

Rivastigmine (Exelon)

Memantine (Namenda)

Galantamine (Razadyne)

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Question 10

Multiple Choice

An older adult was stopped by police for driving through a red light. When asked for a driver's license, the adult hands the police officer a pair of sunglasses. What sign of dementia is evident?

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Aphasia

Apraxia

Agnosia

Memory impairment

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Question 11

Multiple Choice

An older adult drove to a nearby store but was unable to remember how to get home or state an address. When police took the person home, the spouse reported frequent wandering into neighbors' homes. Which stage of Alzheimer disease is evident?

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1 (mild)

2 (moderate)

3 (moderate to severe)

4 (late)

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Question 12

Multiple Choice

Consider these problems: apolipoprotein E (apoE) malfunction, neuritic plaques, neurofibrillary tangles, granulovascular degeneration, and brain atrophy. Which condition corresponds to this group?

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Alzheimer disease

Wernicke encephalopathy

Central anticholinergic syndrome

Acquired immunodeficiency syndrome (AIDS)-related dementia

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Question 13

Multiple Choice

A patient diagnosed with stage 1 mild Alzheimer disease tires easily and prefers to stay home rather than attend social activities. The spouse does the grocery shopping because the patient cannot remember what to buy. Which nursing diagnosis applies at this time?

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Complicated grieving

Impaired memory

Self-care deficit

Caregiver role strain

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Question 14

Multiple Choice

A patient has progressive memory deficit associated with dementia. Which nursing intervention would best help the individual function in the environment?

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Assist the patient to perform simple tasks by giving step-by-step directions.

Reduce frustration by performing activities of daily living for the patient.

Stimulate intellectual function by discussing new topics with the patient.

Promote the use of the patient's sense of humor by telling jokes.

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Question 15

Multiple Choice

Two patients in a residential care facility are diagnosed with dementia. One shouts to the other, "Move along, you're blocking the road." The other patient turns, shakes a fist, and shouts, "I know what you're up to; you're trying to steal my car." What is the nurse's best action?

Choose correct answer/s

Administer one dose of an antipsychotic medication to both patients.

Reinforce reality. Say to the patients, "Walk along in the hall. This is not a traffic intersection."

Separate and distract the patients. Take one to the day room and the other to an activities area.

Step between the two patients and say, "Please quiet down. We do not allow violence here."

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Question 16

Multiple Choice

An older adult patient in an intensive care unit is experiencing visual and auditory illusions. Which nursing intervention will be most helpful?

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Place large clocks and calendars on the wall.

Place personally meaningful objects in view.

Use the patient's glasses and hearing aids.

Keep the room brightly lit at all times.

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Question 17

Multiple Choice

A patient diagnosed with stage 2 moderate Alzheimer disease calls the police saying, "An intruder is in my home." Police investigate and discover the patient misinterpreted a reflection in the mirror as an intruder. This phenomenon can be assessed as:

Choose correct answer/s

hyperorality.

aphasia.

apraxia.

agnosia.

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Question 18

Multiple Choice

During morning care, a nursing assistant asks a patient diagnosed with dementia, "How was your night?" The patient replies, "It was lovely. I went out to dinner and a movie with my friend." Which term applies to the patient's response?

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Sundown syndrome

Confabulation

Perseveration

Delirium

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Question 19

Multiple Choice

A patient diagnosed with Alzheimer disease wanders at night. Which action should the nurse recommend for a family to use in the home to enhance safety?

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Place throw rugs on tile or wooden floors.

Place locks at the tops of doors.

Encourage daytime napping.

Obtain a bed with side rails.

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Question 20

Multiple Choice

Goals and desired outcomes for an older adult patient experiencing delirium caused by fever and dehydration will focus on:

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returning to premorbid levels of function.

identifying stressors negatively affecting self.

demonstrating motor responses to noxious stimuli.

exerting control over responses to perceptual distortions.

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