Neurocognitive Disorder (Alzheimer’s Disease) HESI Case Study – Flashcards
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This exam includes which component
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Judgment
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When the nurse is assessing Mary's cognitive function...
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A. Ask Mary to list three different types of fruits, colors, and animals. E. Give Mary a photo of a circle and ask her to fill in the times of the clock. F. Ask Mary what she would do if she smelled gas in the house.
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Which example represents the forgetfulness of...
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Forgetting to serve dinner after preparing the meal.
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Which response by the nurse is best?
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Changes in behavior and personality often occur in early Alzheimer's disease
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Which question is best to ask Mary and her husband to elicit info about possible risk factors for AD
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Does anyone in your family have AD
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What is the best response by the nurse
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The healthcare provider is looking...
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How should the nurse explain this information to Mary and her husband
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Normal lab test results help rule out other causes of the symptoms
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How should the nurse explain the therapeutic effect of donepezil (Aricept) to the couple?
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Stabilizes cognitive decline
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How should the nurse respond?
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"This medication provides the most benefit to person..."
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What lab test should be scheduled?
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Serum liver enzymes
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Which information indicates the trazodone (Desyrel) is having the desired effect?
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Mary sleeps through the night
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Which information indicates possible serious side effects of trazodone (Desyrel)
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A. Mary is also taking MAOIs B. Mary is complaining of perineal pain E. Mary has a history of cardiac disease
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Which intervention should the nurse include in the client and family teaching?
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Help Mary to recognize the strong emotions that she is feeling
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What is the best response by the nurse?
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You are right to balance her feelings with the need to promote reality
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Which technique is most useful in helping a client with AD recognize the bathroom
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Place a picture of a toilet on the bathroom door
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The nurse's response should be based on which understating about AD
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AD is a chronic disease that can progress with no set sequence and that has a typical lifespan of 5 to 20 years
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Which is the best response by the nurse?
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Every person responds differently to the disease, but it is likely that her ability to function will continuo to decline.
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Which action(s) are most important for Sam to initiate (select all that apply)
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A. Keep a commode at the bedside C. Take Mary to the bathroom every 2 hours E. Establish a toileting schedule at the same time daily.
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Which instruction should be included when teaching Sam some appropriate measures to reduce this problem
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A. provide Mary with a relaxing backrub at bedtime B. Keep some light on in the bedroom at night E. Provide a calm atmosphere during the day
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Which question are most important to ask Sam before developing the plan of care?
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A. how are your children coping with Mary's disease B. What do you find most stressful in your daily life E. What activities do you attend outside your home.
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Which option provides the best respite for Sam
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Adult day care for Mary
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How should the nurse respond to this person's joking behavior
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Encourage all group members to use humor as a coping mechanism
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To promote the well-being of a group of clients with AD, which goals are important of the nurse-mananger of an adult care center to include in the plan of care
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A. Provide forms of moderate sensory stimulation B. Ensure opportunities for physical activity C. Maintain a calm, consistent environment D. Encourage group involvement F. Incorporate pet therapy
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What action should the nurse implement
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Provide a snack that the client can eat
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What action should the nurse implement first?
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Redirect Mary's attention to holding a stuffed animal
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What is the best response by the nurse?
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A."Mary needs to be calmed down immediately. her husband is upset" B. The medication will prevent Mary from harming herself. C. We may not need to administer a medication. let me try to calm her E. Mary says her hip hurts; she has a prescription for pain med.
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How many tablets...
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0.5
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What action should the nurse take?
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Evaluate Mary's vital signs before transferring her to her bed
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After the nurse assists Mary to the bed, which nursing action has the highest priority?
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Educate about arising slowly after sitting
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Which task can be delegated to the licensed LPN
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D. Administer the first scheduled dose of the prescribed oral antibiotic E. Calculate Mary's intake and output for the shift
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Which member of the home care team should be assigned to revise Mary's plan of care to reflect her changing condition?
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The home health nurse who visit every other week.
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Which response is best for the nurse to provide?
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You have many conflicting emotions right now
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What initial intervention should the nurse implement
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Remain seated next to Sam while he is crying
