Test 2b

Question 1

confabulation

Answer 1

the making up of stories or answers to maintain self-esteem when the person does not remember

Question 2

perseveration

Answer 2

reputation of phrases or behavior (intensified during stress)

Question 3

What are the 4 As of cognitive impairment

Answer 3

1. amnesia
2. aphasia
3. apraxia
4. agnosia

Question 4

agnosia

Answer 4

loss of sensory ability to recognize objects (knowing)

Question 5

aphasia

Answer 5

loss of language ability (might forget names, finding the right word => babbling or mutism)

Question 6

apraxia

Answer 6

loss of purposeful movement in the absence of motor or sensory impairment

Question 7

What are the 4 stages of alzheimer’s disease?

Answer 7

1. Mild: Forgetfullness
2. Moderate: Confusion
3. Moderate to Severe: Ambulatory Dementia
4. Late: End Stage

Question 8

agraphia

Answer 8

inability to read or write

Question 9

hyperolality

Answer 9

the need to taste, chew, and put everything in one’s mouth

Question 10

hypermetamophosis

Answer 10

manifested by touching of everything in sight

Question 11

cognition

Answer 11

operation of the mind that includes “the mental faculty of knowing, perceiving, recognizing, conceiving, judging, reasoning, and imagning

Question 12

What is the basic difference between delirium and dementia?

Answer 12

Delirium is acute and reversible; dementia is gradual and permanent

Question 13

delirium

Answer 13

develops quickly and usually fluctuates in intensity, which represents a change from the individual’s normal attention and awareness

Question 14

dementia

Answer 14

impairment in memory w/o impairment in consciousness

Question 15

sundown syndrome

Answer 15

symptoms and problem behaviors become more pronounced in the evening

Question 16

illusions

Answer 16

errors in perception of sensory stimuli

Question 17

hallucinations

Answer 17

false sensory stimuli

Question 18

hypervigilance

Answer 18

extraordinarily alert and their eyes constantly scan the room

Question 19

addicition/dependence

Answer 19

habitual psychological and physiological dependence on the substance or practice beyond one’s voluntary control

Question 20

tolerance

Answer 20

adaptation to the substance with gradual increasing amounts of the substance needed to reproduce original effects with lessor amounts of the substance

Question 21

What are the 3 Cs

Answer 21

1. CRAVING (compulsive use)
2. CONTINUED use
3. loss of CONTROL

Question 22

temperament

Answer 22

the style of behavior habitually used to cope with demands of the environment. It can be modified by the parent-infant relationship

Question 23

agraphia

Answer 23

inability to read or write

Question 24

hyperorality

Answer 24

the need to taste, chew, and put everything in one’s mouth

Question 25

hypermetamorphosis

Answer 25

manifested by touching everything in sight

Question 26

abuse

Answer 26

habitual use of a substance that falls outside of medical necessity or social acceptance, with the single purpose of altering one's mood, emotion, or state of consciousness- resulting in an adverse affect to the abuser and/or others

Question 27

addiction/dependence

Answer 27

habitual psychological and physiological dependence on the substance or practice beyond one's voluntary control

Question 28

tolerance

Answer 28

adaption to the substance with gradual increasing amounts of the substance needed to reproduce original effects with lessor amounts of the substance

Question 29

withdrawal

Answer 29

stopping or reducing use results in specific PHYSICAL and.or PSYCHOLOGICAL signs and symptoms

Question 30

amotivational syndrome

Answer 30

(can be caused by marijuana) characterized by apathy, loss of achievement motivation, decrease productivity, difficulty with learning and memory, impaired concentration, lack of personal hygiene, and preoccupation with the drug

Question 31

What percentage of __ year old or older NURSING HOME RESIDENTS experience DELIRIUM?

Answer 31

60%; 75 year old

Question 32

What percentage of people with terminal illness develop DELIRIUM near death?

Answer 32

75-85%

Question 33

AD accounts for what percentage of all dementias in the US?

Answer 33

60-80%

Question 34

What is the lifetime prevalence of AD in those 65 and older?

Answer 34

12.5%

Question 35

What are the different types of primary dementia?

Answer 35

- AD - Picks Disease - Huntingtons - Lewy Body - Creutzfeldt-Jakob Disease - Parkinsons

Question 36

What percentage of people with MCI develop dementia w/n 1 year?

Answer 36

12%

Question 37

What are the 3 categories of assessment for delirium?

Answer 37

1. cognitive/perceptional disturbances 2. physical needs 3. Moods and Physcial Behaviors

Question 38

What are the 4 UNCONSCIOUS DEFENSE behaviors for dementia that the nurse might notice on assessment?

Answer 38

1. confabulation 2. denial 3. preservation 4. avoiding questions

Question 39

Genetics accounts for what percentage of a persons vulnerability to addiction?

Answer 39

40-60%

Question 40

What makes assessing for addictions and compulsions complex?

Answer 40

- poly drug abuse - coexisting psychiatric disorders - coexisting physical disorders - multicultural issues

Question 41

What are the 6 parts of the brief neurocognitive Mental Status Exam?

Answer 41

1. behavioral observation 2. orientation 3. recent memory 4. calculations 5. reproduction of cross and cube 6. thinking/speech

Question 42

What are the 9 parts of a child and adolescent mental status assessment?

Answer 42

1. General appearance 2. Activity level 3. Speech 4. Coordination of motor function 5. Affect 6. Relating, manner of 7. Intellectual functions 8. Thought Processes and content 9. Characteristics of child's play