Chapter 60 Nursing Management Alzheimers Disease And Dement
Chapter 60: Nursing Management: Alzheimer's Disease, Dementia, and Delirium
Test Bank
MULTIPLE CHOICE
1. A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days
after admission. Which information indicates that the patient is experiencing delirium rather than dementia?
a. The patient was oriented and alert when admitted.
b. The patient’s speech is fragmented and incoherent.
c. The patient is oriented to person but disoriented to place and time.
d. The patient has a history of increasing confusion over several years.
ANS: A
The onset of delirium occurs acutely. The degree of disorientation does not differentiate between delirium and dementia. Increasing confusion for several years is consistent with dementia. Fragmented and incoherent speech may occur with either delirium or dementia.
DIF: Cognitive Level: Understand (comprehension)
REF: 1459
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. Which intervention will the nurse include in the plan of care for a patient with moderate
dementia who had an appendectomy 2 days ago?
a. Provide complete personal hygiene care for the patient.
b. Remind the patient frequently about being in the hospital.
c. Reposition the patient frequently to avoid skin breakdown.
d. Place suction at the bedside to decrease the risk for aspiration.
ANS: B
The patient with moderate dementia will have problems with short- and long-term memory and will need reminding about the hospitalization. The other interventions would be used for a patient with severe dementia, who would have difficulty with swallowing, self-care, and immobility. DIF: Cognitive Level: Apply (application)
REF:
1453
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
3. When administering a mental status examination to a patient with delirium, the nurse should
a. wait until the patient is well-rested.
b. administer an anxiolytic medication.
c. choose a place without distracting stimuli.
d. reorient
Test Bank
MULTIPLE CHOICE
1. A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days
after admission. Which information indicates that the patient is experiencing delirium rather than dementia?
a. The patient was oriented and alert when admitted.
b. The patient’s speech is fragmented and incoherent.
c. The patient is oriented to person but disoriented to place and time.
d. The patient has a history of increasing confusion over several years.
ANS: A
The onset of delirium occurs acutely. The degree of disorientation does not differentiate between delirium and dementia. Increasing confusion for several years is consistent with dementia. Fragmented and incoherent speech may occur with either delirium or dementia.
DIF: Cognitive Level: Understand (comprehension)
REF: 1459
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. Which intervention will the nurse include in the plan of care for a patient with moderate
dementia who had an appendectomy 2 days ago?
a. Provide complete personal hygiene care for the patient.
b. Remind the patient frequently about being in the hospital.
c. Reposition the patient frequently to avoid skin breakdown.
d. Place suction at the bedside to decrease the risk for aspiration.
ANS: B
The patient with moderate dementia will have problems with short- and long-term memory and will need reminding about the hospitalization. The other interventions would be used for a patient with severe dementia, who would have difficulty with swallowing, self-care, and immobility. DIF: Cognitive Level: Apply (application)
REF:
1453
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
3. When administering a mental status examination to a patient with delirium, the nurse should
a. wait until the patient is well-rested.
b. administer an anxiolytic medication.
c. choose a place without distracting stimuli.
d. reorient