Dementia and Delirium Flashcards

Also includes Alzheimer's

1
Q

Dementia is defined in the Lewis book as a:

a. syndrome that results only in memory loss.
b. disease associated with abrupt changes in behavior.
c. disease that is always due to reduced blood flow to the brain.
d. syndrome characterized by cognitive dysfunction and loss of memory.

A

D

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2
Q

Vascular dementia is associated with:

a. transient ischemic attacks.
b. bacterial or viral infection of neuronal tissue.
c. cognitive changes secondary to cerebral ischemia.
d. abrupt changes in cognitive function that are irreversible.

A

C

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3
Q

Dementia with Lewy bodies (DLB) is characterized by:

a. remissions and exacerbations over many years.
b. memory impairment, muscle jerks, and blindness.
c. parkinsonian symptoms, including muscle rigidity.
d. increased intracranial pressure from decreased CSF drainage.

A

C

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4
Q

Which statement(s) accurately describe(s) mild cognitive impairment? (select all that apply):

a. Cannot be detected by screening tests
b. The person may appear normal to the casual observer
c. Family members may see changes in the patient’s abilities
d. Problems that the person is experiencing interfere with daily activities
e. The person is usually aware that there is a problem with his or her memory

A

B, C, E

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5
Q

The clinical diagnosis of dementia is based on:

a. CT or MRS.
b. brain biopsy.
c. electroencephalogram.
d. patient history and cognitive assessment.

A

D

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6
Q

A priority goal of treatment for the patient with Alzheimer’s disease is to:

a. maintain patient safety.
b. maintain or increase body weight.
c. return to a higher level of self-care.
d. enhance functional ability over time.

A

A

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7
Q

Which patient is most at risk for developing delirium?

a. A 50-yr-old woman with cholecystitis
b. A 19-yr-old man with a fractured femur
c. A 42-yr-old woman having an elective total hysterectomy
d. A 78-yr-old man admitted to the medical unit with complications of heart failure

A

D

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