Alzheimer’s, Delirium, & Dementia Nursing Care Management NCLEX Challenge Exam (Quiz #12: 35 Questions)

Nurse Isabelle enters the room of a client with a cognitive impairment disorder and asks what day of the week it is; what the date, month, and year are; and where the client is. The nurse is attempting to assess:

A student nurse was asked which of the following best describes dementia. Which of the following best describes the condition?

Which of the following will Nurse Dory use when communicating with a client who has cognitive impairment?

Mrs. Mendoza is a 75-year-old client who has dementia of the Alzheimer’s type and confabulates. The nurse understands that this client:

Which ability should Nurse Rebecca expect from a client in the mild stage of dementia of the Alzheimer’s type?

82-year-old Mr. Robeson together with his daughter arrived at the medical-surgical unit for diagnostic confirmation and management of probable delirium. Which statement by the client’s daughter best supports the diagnosis?

Mrs. Jordan is an elderly client diagnosed with Alzheimer’s disease. She becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to:

Which goal is a priority for a client with a DSM-IV-TR diagnosis of delirium and the nursing diagnosis acute confusion related to recent surgery secondary to traumatic hip fracture?

Which of the following is not included in the care plan of a client with a moderate cognitive impairment involving dementia of the Alzheimer’s type?

In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called:

80-year-old Mr. Stevens is accompanied to the clinic by his son, who tells the nurse that the client’s constant confusion, incontinence, and tendency to wander are intolerable. The client was diagnosed with chronic cognitive impairment disorder. Which nursing diagnosis is most appropriate for the client’s son?

Which of the following outcome criteria is appropriate for the client with dementia?

A family member expresses concern to a nurse about behavioral changes in an elderly aunt. Which would cause the nurse to suspect a cognitive impairment disorder?

During the home visit of a client with dementia, the nurse notes that an adult daughter persistently corrects her father’s misperceptions of reality, even when the father becomes upset and anxious. Which intervention should the nurse teach the caregiver?

Mr. Lim who is diagnosed with moderate dementia has frequent catastrophic reactions during shower time. Which of the following interventions should be implemented in the plan of care? Select all that apply.

Francis who is addicted to cocaine withdraws from the drug. Nurse Ron should expect to observe:

Nurse John is aware that a serious effect of inhaling cocaine is?

A tentative diagnosis of opiate addiction, Nurse Candy should assess a recently hospitalized client for signs of opiate withdrawal. These signs would include:

A 48-year-old male client is brought to the psychiatric emergency room after attempting to jump off a bridge. The client’s wife states that he lost his job several months ago and has been unable to find another job. The primary nursing intervention at this time would be to assess for:

Before helping a male client who has been sexually assaulted, nurse Maureen should recognize that the rapist is motivated by feelings of:

When working with children who have been sexually abused by a family member it is important for the nurse to understand that these victims usually are overwhelmed with feelings of:

Joy who has just experienced her second spontaneous abortion expresses anger towards her physician, the hospital and the “rotten nursing care”. When assessing the situation, the nurse recognizes that the client may be using the coping mechanism of:

The most critical factor for nurse Linda to determine during crisis intervention would be the client’s:

Nurse Trish suggests a crisis intervention group to a client experiencing a developmental crisis. These groups are successful because the:

Nurse Ronald could evaluate that the staff’s approach to setting limits for a demanding, angry client was effective if the client:

Nurse John is aware that the therapy that has the highest success rate for people with phobias would be:

When nurse Hazel considers a client’s placement on the continuum of anxiety, a key in determining the degree of anxiety being experienced is the client’s:

In the diagnosis of a possible pervasive developmental autistic disorder. The nurse would find it most unusual for a 3-year-old child to demonstrate:

Malou with schizophrenia tells Nurse Melinda, “My intestines are rotted from worms chewing on them.” This statement indicates a:

Andy is admitted to the psychiatric unit with a diagnosis of borderline personality disorder. Nurse Hilary should expect the assessment to reveal:

Propanolol (Inderal) is used in the mental health setting to manage which of the following conditions?

Which medication can control the extrapyramidal effects associated with antipsychotic agents?

Which of the following statements should be included when teaching clients about monoamine oxidase inhibitor (MAOI) antidepressants?

Kris periodically has acute panic attacks. These attacks are unpredictable and have no apparent association with a specific object or situation. During an acute panic attack, Kris may experience:

Initial interventions for Marco with acute anxiety include all except which of the following?