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Cognition Exam 1
Cognition Exam 1
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1
Aphasia is:
inability to understand or produce language
blindness
inability to understand math
memory loss
2
Communication is . . .
Avoiding eye contact
ability to receive, interpret & express communication
speech and language
essential cognitive function
3
What are the possible therapy for dementia?
no possible treatment options to relieve comfort
antidepressants
SSRIS
medication for comfort measures
4
Cognitive Disorder is also known as
neuropathy
intellectual disorder
neurological disorder
neurocognitive disorder
5
Cognitive Disorders affect the following:
Thinking
Learning
Perception
Memory
6
When a nurse asks orientation to a time, a patient can..
being aware of your own self
having awareness of one’s own identity in relation to others
a patient can correctly identify time, season, and/or date
being aware of ones location
7
Within the nursing process, a nurses plan is primarily to...
ensure the patient will remain free from injury
maintain cognitive baseline
keep the patient healthy
8
What are nursing interventions that can be applied that are environmental?
Assess Hunger
Sensory Aides
Bed Alarms (when needed)
Reduce Noise
Development of routine
Avoid clutter
9
Dementia is
most commonly
caused by which of the following:
Vascular Dementia
Depression
Alzheimer's
10
Are there medical assessments available to test a patient's cognitive disorders?
False
True
11
Dementia can be catorgized as
day and night reversed
Gradual Onset/ Chronic
Delusions and hallucinations
Psychomotor – initially hyperactive, then decreased motor function
Level of consciousness is normal
Impaired judgement, word finding
12
What are the possible drug therapy options for patients with delirium?
no possible treatment options
Antipsychotics such ashaloperidol (Haldol)
Benzodiazepines such as lorazepam (Ativan
SSRIs
13
What are nursing interventions that can be applied that are
not
environmental?
encourage mobility
Bed alarms
Monitor vital signs
Staff consistency
Reorient
Sensory aides
14
Perception is
the way we perceive the world around us
how our brain processes
interpretation of stimuli that takes place in the brain
the information we take in through our senses
15
What are the displayed s/s of dementia in stage 1?
forgetfulness
decreased verbal skills
personality change
verbal skill or judgement is not impacted
16
When a nurse asks orientation to a person, a patient can..
identify one's name correctly
being aware of your own self
being aware of ones location
being aware of todays date
17
What are common behaviors of dementia?
delusions
agitations
resisting care
calm and collected
alert and oriented x3
repetitiveness
18
CAN A PATIENT HAVE DEMENTIA, DELIRIUM, AND DEPRESSION CONCURRENTLY?
False
True
19
When a nurse asks orientation to a situation, a patient can..
having an awareness of one's own identity
awareness of the current date, month, day of the week, and year
the patient can describe the global circumstances surrounding an event
awareness of one's location
20
Executive function is
complex motor skills in executing a plan
intellectual functions
ability to retain, store, and retrieve information
mental skills involved in planning & executing complex tasks
21
Within the Nursing Process, what does Assesement entail?
Cognitive Mental status
patient interview
Identifying cultural barriers
functional and behavioral status
phyiscal examination
22
What are communication methods a nurse can take when speaking to a patient with a cognitive disorder?
allow time for the patient to respond
Avoid saying “No” or “Don’t you remember?”
use slang
use short sentences
23
Reverse Isolation requires what PPE?
Mask, gloves, gown
Gloves only
PPE is not required
Mask, goggles
24
Orientation is
person, place, time, situation
basic cognition elements
basic motor elements
part of normal perception
25
Sundowner's Syndrome is and affects
the ability to eat during the evening hours
nocturnal confusion
the ability to shower during the evening hours
the ability to think logically during evening hours
the ability to see the sun go down during the evening hours
26
Attention is...
a form of memory
a motor control
Ability to remain alert and focused on a stimulus
a physiological control
27
Motor coordination is
ability to make sense of what you see
planning, organizing and executing complex motor tasks
ability to integrate visual and motor abilities
degree to which visual perception and finger-hand mvts are well coordinated
28
Cognition is
an individual can acquire store, retrieve and utilize information
a complex set of physiological processes
a complex set of motor skills
complex set of mental processes
29
As a nurse, who can you connect for the multidisciplinaryteam to assist with a patient with a cognitive disorder?
psychologist
physical therapist
dietitan
patient family
30
When it comes to any cognitive disorder, what is a nurse's
main concern
?
health
orientation
cognition
safety
31
Basic forms of Cognition
Survive and adapt
ability to engage in meaningful activities
ability to function effectively in society
motor skills competency
32
What is reverse isolation?
The patient is being protected from the hospital
hospital it being protected from the patient
33
When a nurse asks orientation to a place, a patient can..
being aware of your role in other peoples lives
being aware of what day it is
a patient has the ability to identify where they are currently located
34
What are therapy options available for patients with a cognitive disorder?
Reality Orientation
All of the above
Art & Music Therapy
Reminiscence Therapy
Validation Therapy
35
What s/s are displayed in stage 3 of dementia?
total incontinence
inability to communicate
Total physical dependency
weight loss
all of the above
36
What are the 3 subtypes for Delirium?
hypoactive
mixed
hyperactive
none of the above
37
What is ataxia?
Inability to move the tongue
Loss of voluntary coordination of muscle movements
Inability to swallow
Inability to speak
38
what are three categories of adaptive behavior?
social, work, safety
conceptual, social, practical skills
abstract, work, home
sleep, play, eat
39
What can not be asked when assessing a patient's orientation?
yes or no questions
situation
health concerns
place
40
Memory is ...
interpretation of stimuli that takes place in the brain
ability to retain, store, &retrieve information gained from past experience
Ability to remain alert and focused on a stimulus
adaptive behavior
41
Delirium can be catorgized by:
disturbed sleeping patterns
Disorganized thinking, incoherent speech
Hypoactive or hyperactive
Fluctuating stability and altered level of consciousness
Delusions and hallucinations
Abrupt Onset/days-weeks
42
What can cause a rapid onset of delirium?
dehydration
UTI
electrolyte imbalances
medication
lack of sleep
infections
