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Questions and Answers
An example of a treatable (reversible) form of NCD is one that is caused by which of the following? (Select all that apply.)
An example of a treatable (reversible) form of NCD is one that is caused by which of the following? (Select all that apply.)
A client has been diagnosed with NCD due to Alzheimer's disease. The cause of this disorder is which of the following?
A client has been diagnosed with NCD due to Alzheimer's disease. The cause of this disorder is which of the following?
Unknown
Which of the following medications has been indicated for improvement in cognitive functioning in mild to moderate Alzheimer's disease? (Select all that apply.)
Which of the following medications has been indicated for improvement in cognitive functioning in mild to moderate Alzheimer's disease? (Select all that apply.)
Which of the following factors is not associated with an increased incidence of neurocognitive disorder due to Alzheimer's disease?
Which of the following factors is not associated with an increased incidence of neurocognitive disorder due to Alzheimer's disease?
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In addition to disturbances in cognition and orientation, individuals with Alzheimer's disease may also show changes in which of the following? (Select all that apply.)
In addition to disturbances in cognition and orientation, individuals with Alzheimer's disease may also show changes in which of the following? (Select all that apply.)
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A client, who has neurocognitive disorder due to Alzheimer's disease, says to the nurse, "I have a date tonight. I always have a date on Christmas." Which of the following is the most appropriate response?
A client, who has neurocognitive disorder due to Alzheimer's disease, says to the nurse, "I have a date tonight. I always have a date on Christmas." Which of the following is the most appropriate response?
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A client who has NCD due to Alzheimer's disease has trouble sleeping and wanders around at night. Which of the following nursing actions would be best to promote sleep in this client?
A client who has NCD due to Alzheimer's disease has trouble sleeping and wanders around at night. Which of the following nursing actions would be best to promote sleep in this client?
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The night nurse finds a client with Alzheimer's disease wandering the hallway at 4 a.m. and trying to open the door to the side yard. Which of the following is the best initial response by the nurse?
The night nurse finds a client with Alzheimer's disease wandering the hallway at 4 a.m. and trying to open the door to the side yard. Which of the following is the best initial response by the nurse?
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A client with neurocognitive disease due to Alzheimer's disease is admitted to the hospital. Which of the following actions by the nurse is a priority?
A client with neurocognitive disease due to Alzheimer's disease is admitted to the hospital. Which of the following actions by the nurse is a priority?
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Which of the following interventions is most appropriate in helping a client with Alzheimer's disease with ADLs? (Select all that apply.)
Which of the following interventions is most appropriate in helping a client with Alzheimer's disease with ADLs? (Select all that apply.)
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A client is admitted to the hospital after an extended period of binge alcohol drinking. His wife reports that he has been a heavy drinker for several years. Laboratory reports reveal he has a blood alcohol level of 250 mg/dL. He is placed on the chemical addiction unit for detoxification. When would the first signs of alcohol withdrawal symptoms be expected to occur?
A client is admitted to the hospital after an extended period of binge alcohol drinking. His wife reports that he has been a heavy drinker for several years. Laboratory reports reveal he has a blood alcohol level of 250 mg/dL. He is placed on the chemical addiction unit for detoxification. When would the first signs of alcohol withdrawal symptoms be expected to occur?
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Symptoms of alcohol withdrawal include:
Symptoms of alcohol withdrawal include:
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Which of the following medications is the physician most likely to order for a client experiencing alcohol withdrawal syndrome?
Which of the following medications is the physician most likely to order for a client experiencing alcohol withdrawal syndrome?
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A client who has been admitted to the chemical dependence treatment unit after being disciplined for drinking on the job states to the nurse, "I don't have a problem with alcohol. I can handle my booze better than anyone I know." Which defense mechanism is the client using?
A client who has been admitted to the chemical dependence treatment unit after being disciplined for drinking on the job states to the nurse, "I don't have a problem with alcohol. I can handle my booze better than anyone I know." Which defense mechanism is the client using?
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A client who has been admitted to the alcohol rehabilitation unit after being fired for drinking on the job states to the nurse, "I don't have a problem with alcohol. My boss is a jerk! I haven't missed any more days than my coworkers." What is the nurse's best response?
A client who has been admitted to the alcohol rehabilitation unit after being fired for drinking on the job states to the nurse, "I don't have a problem with alcohol. My boss is a jerk! I haven't missed any more days than my coworkers." What is the nurse's best response?
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A client who has been admitted to intensive outpatient treatment for substance use disorder arrives for group therapy and appears groggy with constricted pupils. The client denies using substances. Which of the following would be the best intervention at this time?
A client who has been admitted to intensive outpatient treatment for substance use disorder arrives for group therapy and appears groggy with constricted pupils. The client denies using substances. Which of the following would be the best intervention at this time?
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A client admitted to the inpatient detoxification program for alcohol withdrawal approaches the nurse complaining of nausea and feeling shaky. The nurse notices that the client has hand tremors and appears diaphoretic. Which of these nursing interventions is a priority?
A client admitted to the inpatient detoxification program for alcohol withdrawal approaches the nurse complaining of nausea and feeling shaky. The nurse notices that the client has hand tremors and appears diaphoretic. Which of these nursing interventions is a priority?
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A client comes into the emergency department stating that they are "crashing" and feel like they would "be better off dead." Which of these nursing interventions is a priority?
A client comes into the emergency department stating that they are "crashing" and feel like they would "be better off dead." Which of these nursing interventions is a priority?
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A client is brought to the emergency department unconscious by a friend who says the individual was injecting heroin. The client is assessed to have a weak pulse. Which of these interventions are priorities?
A client is brought to the emergency department unconscious by a friend who says the individual was injecting heroin. The client is assessed to have a weak pulse. Which of these interventions are priorities?
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A client admitted to the emergency department smells strongly of alcohol, and his wife reports he has been a heavy drinker for the last 25 years. After the nurse completes an assessment, the physician asks if there are any physical signs of long-term chronic alcohol misuse. Which of these findings should the nurse include in reporting to the physician? (Select all that apply.)
A client admitted to the emergency department smells strongly of alcohol, and his wife reports he has been a heavy drinker for the last 25 years. After the nurse completes an assessment, the physician asks if there are any physical signs of long-term chronic alcohol misuse. Which of these findings should the nurse include in reporting to the physician? (Select all that apply.)
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Recent research on the RAISE approach to the treatment of schizophrenia incorporates which of the following elements as important to improving outcomes? (Select all that apply.)
Recent research on the RAISE approach to the treatment of schizophrenia incorporates which of the following elements as important to improving outcomes? (Select all that apply.)
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Which of the following is the primary goal in working with an actively psychotic, suspicious client?
Which of the following is the primary goal in working with an actively psychotic, suspicious client?
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A client with schizophrenia has physician's orders for haloperidol (Haldol) 5 mg IM STAT and then 3 mg PO tid; 2 mg benztropine PO bid pm. Why is benztropine ordered?
A client with schizophrenia has physician's orders for haloperidol (Haldol) 5 mg IM STAT and then 3 mg PO tid; 2 mg benztropine PO bid pm. Why is benztropine ordered?
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A client on the psychiatric unit tells the nurse that the CIA is looking for him and will kill him if they find him. The client's false belief is an example of a:
A client on the psychiatric unit tells the nurse that the CIA is looking for him and will kill him if they find him. The client's false belief is an example of a:
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The primary focus of family therapy for clients with schizophrenia and their families is:
The primary focus of family therapy for clients with schizophrenia and their families is:
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A client recently admitted to the hospital reports to the nurse, "I don't understand why I was brought here. I was simply hanging out in my apartment and the police said I had to come with them." This is an example of what symptom of schizophrenia?
A client recently admitted to the hospital reports to the nurse, "I don't understand why I was brought here. I was simply hanging out in my apartment and the police said I had to come with them." This is an example of what symptom of schizophrenia?
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Which of the following assessments by the nurse would convey a need for PRN benztropine?
Which of the following assessments by the nurse would convey a need for PRN benztropine?
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A client on the psychiatric unit tells the nurse that the CIA has planted a tracking device in their brain to kill them. The most appropriate response by the nurse is:
A client on the psychiatric unit tells the nurse that the CIA has planted a tracking device in their brain to kill them. The most appropriate response by the nurse is:
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The nurse is interviewing a client on the psychiatric unit. The client tilts their head to the side, stops talking in mid sentence and listens intently. Which is the most appropriate follow-up assessment based on this information?
The nurse is interviewing a client on the psychiatric unit. The client tilts their head to the side, stops talking in mid sentence and listens intently. Which is the most appropriate follow-up assessment based on this information?
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A client reports to the nurse that their foot is on fire and they think the demons are trying to burn off their flesh. The priority nursing intervention for this symptom is to:
A client reports to the nurse that their foot is on fire and they think the demons are trying to burn off their flesh. The priority nursing intervention for this symptom is to:
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When a client suddenly becomes aggressive and violent on the unit, which of the following approaches would be best for the nurse to use first?
When a client suddenly becomes aggressive and violent on the unit, which of the following approaches would be best for the nurse to use first?
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A client who is diagnosed with schizophrenia has been socially isolated and hearing voices telling them to kill their parents. The client has been admitted to the psychiatric unit from the emergency department. Which is the most important initial intervention for this client?
A client who is diagnosed with schizophrenia has been socially isolated and hearing voices telling them to kill their parents. The client has been admitted to the psychiatric unit from the emergency department. Which is the most important initial intervention for this client?
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Study Notes
Treatable NCD Causes
- Electrolyte imbalance is a treatable cause of NCD.
- Folate deficiency is a treatable cause of NCD.
Alzheimer's Disease Cause
- The cause of NCD due to Alzheimer's disease is unknown.
Medications for Mild to Moderate Alzheimer's
- Donepezil (Aricept)
- Rivastigmine (Exelon)
- Galantamine (Razadyne) are indicated for mild to moderate Alzheimer's disease.
Increased Alzheimer's Risk Factor
- Multiple small strokes are not associated with an increased incidence of NCD due to Alzheimer's disease.
Alzheimer's Disease Changes
- Personality changes can occur in individuals with Alzheimer's disease.
- Mobility difficulties can also be present.
- Speech changes can occur with Alzheimer's.
Responding to Alzheimer's Client
- A suitable response to an Alzheimer's client's confused statement is focused on the present and providing grounding.
Promoting Sleep in Alzheimer's
- Ensure regular daily physical activity to promote better sleep in Alzheimer's clients.
Responding to Night Wandering
- The most appropriate initial response to a wandering client (at night) is a question focused around orienting them to their surroundings.
Priority in Hospitalization (Alzheimer's)
- Creating a safe environment to prevent injury is paramount for Alzheimer's clients in hospitals.
Interventions for ADLs
- Provide step-by-step guidance, with ample time for independent ADL completion.
Alcohol Withdrawal Signs
- Alcohol withdrawal symptoms manifest several hours after the last drink.
- Symptoms of withdrawal may include excessive sweating (diaphoresis), nausea, vomiting, and tremors.
Medication for Alcohol Withdrawal
- Chlordiazepoxide (Librium) is frequently a prescribed medication for alcohol withdrawal syndrome.
Denial in Substance Use Disorder Clients
- Clients in treatment for substance use disorders sometimes employ the defense mechanism of denial.
Responding to Client Denial
- Responding to denial with clear statements about how the drinking affected their life is appropriate.
Interventions for Substance Use Client with Symptoms
- Drug screening should be conducted promptly for clients with presenting symptoms that suggest opioid use.
Alcohol Withdrawal Nursing Intervention
- Administering PRN benzodiazepines is a priority for a client experiencing withdrawal symptoms.
Priority in Emergency Department (ED) Client
- Assessing for suicide risk is a priority when a client is exhibiting distress and suicidal ideation.
Accidental Opioid Overdose ED Intervention
- Administering naloxone and performing rescue breathing are immediate priorities for an unconscious and opioid-overdosed client.
Long-term Alcohol Misuse Signs
- Signs of chronic alcohol misuse may include weak muscles, unsteady gait, a distended abdomen, reports of coughing up blood, double vision, and potentially a low white blood cell count.
- These signs should be noted during reporting.
RAISE Approach to Schizophrenia
- Early intervention during the first psychosis episode is incorporated in the RAISE approach.
- Support and encouragement for employment and education are key elements.
- Recovery-focused psychotherapy is also important.
Goal in Working with Psychotic Clients
- The primary goal is to reduce anxiety and build trust.
Benztropine Rationale
- Benztropine is prescribed to manage extrapyramidal symptoms often associated with antipsychotics (like haloperidol).
Delusion Description
- A client's belief that the CIA is after them is a delusion of persecution.
Family Therapy Goal
- Family therapy's goal is to improve family dynamics and enhance understanding of the illness.
Schizophrenia Symptom: Anosognosia
- Anosognosia is demonstrated when a client claims they were simply hanging out and the police brought them to the hospital.
Benztropine Assessment Trigger
- Muscle spasms are an indication that a client might require benztropine - medication for extrapyramidal symptoms.
Responding to Delusions
- Responding with acknowledgement and clarifying that the belief is hard to understand but acknowledge the belief is a good strategy.
Hearing Hallucinations Assessment
- The nurse should ask a client if they're hearing sounds other than the nurse's.
Assessing Physical Causes
- Evaluate the client's foot for physical reasons if they report it's on fire—assess for any physical pain.
Initial Intervention for Violent Clients
- Ensuring safety and calling for help/support is a first-response measure for escalating aggression, not individual attempts to resolve the situation.
Schizophrenia Client Assessment
- Assessing the client's safety toward themselves and others is a top initial priority when a schizophrenia client is admitted to a psychiatric unit.
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Description
This quiz examines various aspects of Alzheimer's disease, including its causes, treatment options, and management strategies. Explore the role of medications in treating mild to moderate forms of the disease and understand the importance of addressing patient behavior and mobility. Test your knowledge on how to effectively support individuals with Alzheimer's.
