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Simmons NURP 503 Exam 3 > 10: Dementia > Flashcards

Flashcards in 10: Dementia Deck (20)
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1
Q

Who is the major nurse researcher in humanistic approach to care for older adults?

A

Beverly Baldwin

2
Q

What diagnostics are ordered in dementia (5)?

A
  1. CBC
  2. UA
  3. TSH
  4. Chemistry profile
  5. CT/MRI depending on speed of mental status change
3
Q

_____ is effective when dealing with fearful patients.

A

Verbal assurance

4
Q

T/F Reality orientation is not an effective strategy; patients often become more agitated.

A

True

5
Q

Alzheimer’s Consensus Statement calls for research on _____ and promotion of function for those affected.

A

Caregiving

6
Q

Initial differential between AD and other irreversible dementias is often done in consultation with _____.

A

Neurology

7
Q

T/F Memantine (Namenda) studies show improvement in cognition, function, and ADLs as outcomes.

A

True

8
Q

This medication is a cholinesterase inhibitor that forestalls symptoms of AD but doesn’t prevent progression.

A

Aricept (Donepezil). Less hepatotoxicity (than original Tarcine) with enhanced memory. Indicated for moderate to severe AD.

9
Q

What side effects can occur with Aricept?

A

GI (n/v)

10
Q

T/F SSRIs are used in dementia. Antipsychotics, however, are only used after consideration of nonpharm, SSRIs, and antianxiety agents.

A

True. Celexa is the most studied and is well tolerated.

11
Q

This is a new cholinesterase inhibitor that targets glutamatergic neurotransmitter system and reduces glutamate, theoretically slowing neuron death.

A

Memantine (Namenda). Exerts neuroprotective effect. Sometimes used with Aricept to promote more function.

12
Q

T/F Caregivers remaining calm is effective.

A

True

13
Q

Behavioral issues that warrant assessment and intervention (4).

A
  1. Wandering
  2. Agitation and vocalizations
  3. Sexual inappropriateness d/t dysregulation
  4. Resistance to care (bathing, feeding)
14
Q

Functional assessment in dementia includes what 4 things?

A
  1. Mood
  2. Affect
  3. Behavior
  4. ADLs and IADLs
15
Q

Decreased use of haldol and thorazine in elders who have _____ available.

A

Music

16
Q

_____ is a nonpharm intervention based on life span perspective.

A

SimPres (Simulated Presence Therapy)

17
Q

_____ decreases disruptive vocalizations.

A

Music therapy

18
Q

Familiar music reduces _____.

A

Agitation

19
Q

_____ changes always require a workup for reversible etiology.

A

Acute

20
Q

What are some unmet needs of the patient to consider (7)?

A
  1. Personal space
  2. Communication
  3. Self-esteem
  4. Autonomy and identity
  5. Personal time
  6. Comfort
  7. Meaningful activity