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Exam 4: neurocognitive disorders Flashcards | StudBud
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Exam 4: neurocognitive disorders
Exam 4: neurocognitive disorders
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Based off of slides from NURS-122A at Black Hawk College
Flashcards
67 cards
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Practice quiz
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Host live
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Questions
67
Answers
1
All medications are used for depression but what?
SSRI's
Tricylics
Beta blockers
Dopaminergic agents
2
How many stages are there in Alzheimers disease?
8
7
9
6
3
On bed fast, aphasic, and unable to recognize family in this stage:
5
6
4
7
4
Predisposing factors- cerebro vascular disease or small stroke may cause:
frontotemporal NCD
Traumatic brain injury
Parkinson's disease
vascular NCD
5
All are medications that may cause delerium but what?
antineoplastic agents
antihypertensives
anticontraceptives
anesthetics
6
All are common outcomes for an individual with a NCD but what?
maintain reality orientation to the best of their ability
discuss positive things about self and life
performs ADLs independently
not experienced physical injury
7
Fifth stage of Alzheimers disease:
moderate cognitive decline
moderate-severe cognitive decline
forgetfulness
severe cognitive decline
8
Pt. become lost and has difficulty concentrating. Also called lost stage:
3
2
6
1
9
All are predisposing factors for delirium but what?
medications
intoxication or withdrawls
never medical conditions
toxins
10
Sixth stage of Alzheimers disease:
severe cognititve decline
moderate cognitive decline
death
moderate-severe cognitive decline
11
All are things that can occur as NCD progress but what?
apraxia
wandering
incontinence
closer relationships
12
Second stage of Alzheimers disease:
mild cognitive decline
moderate cognitive decline
forgetfulness
mild-moderate cognitive decline
13
Forth stage of Alzheimers disease:
mild-moderate cognitive decline
moderate cognitive decline
severe cognitive decline
moderate-severe cognitive decline
14
A care plan for an individual with NCD involves all but what?
fulfil basic needs
protection of self and others
relearn all ADLs until independent in tasks
assist and educate caregivers
15
All are common nursing dx with NCD but what?
situational low self esteem
impaired nutrition
grieving
self-care deficit
16
Forget important dates, current events, can't perform tasks, an may use confabulation in stage:
6
4
5
3
17
T or F: all antipsychotics have a black box warning and is concerned most about the elderly
true
false
18
All are medications used for sleep disturbances but what?
Eszopiclone (Lunesta)
Trazodone (Desyrel)
Sertraline(Zoloft
Mirtazapine (Remeron)
19
Unable to perform ADLs, need helps, may forget names of close relatives in this stage:
5
3
4
6
20
All are toxins that may cause delirium but what?
heavy metal(lead/mercury)
organic solvents
carbon monoxide
spoiled dairy
21
Predisposing factors- certain bodies of eosinophils found in the brainstem and cerebral cortex
HIV infection
Lewy body disease
prion disease
Parkinson's disease
22
All are medications used for anxiety but what?
Oxazepam (Serax)
Alprazolam ( Xanax)
Temazepam (Restoril)
Chlordiazepoxide (Librium)
23
What lab work should be checked with NCD?
blood work
all of the above
uranalysis
none of the above
24
How is delirium treated?
treat the underlying cause
correct the pt. until symptoms subside
none of the above
wait it out until it subsides
25
All is history that should be explored with NCD but what?
catastrophic emotional reactions
any travel outside the US in the past 30 days
cardiomyopathy
occupational job
26
Why are more individuals getting neurocognitive disorders?
higher risk activity(eg: motorcycle accidents)
individuals being born with more intellectual disabilities
more individuals surviving over the age of 65
none of the above
27
All are medications for cognitive impairment but what?
Galantamine (Razadyne)
Memantine (Namenda)
Rivastigmine (Exelon)
Olanzapine (Zyprexa)
28
Predisposing factors- damage from areas of the basal ganglia and the cerebral cortex:
Huntingtons disease
Traumatic brain injury
HIV infection
Prion disease
29
All is history that should be explored with NCD but what?
cognitive changes
peristalsis
changes in mood(mood swings)
past and current use of substances/medications
30
Donepezil(Aricept) delays destruction of aceylcholine which helps:
Parkinson's
alzehimers
delerium
traumatic brain injury
31
All are physical changes that should be looked for with NCD but what?
behavioral changes
decreased changes in taste and smell
loss of memory
diseases of various organ systems
32
All are medications used for sleep disturbances but what?
Triazolam (Halcion)
Memantine (Namenda)
Temazepam (Restoril)
Flurazepam (Dalmane)
33
T or F: individuals with delirium need high stimuli to help facilitate treatment
true
false
34
Seventh stage of Alzheimers disease:
Death
Severe cognitive decline
Moderate cognitive decline
Moderate-severe cognitive decline
35
Tricyclics are often avoided because of what?
anticholenergic effects
none of the above
both of the above
cardiac effects
36
Third stage of Alzheimers disease:
moderate-severe cognitive decline
moderate cognitive decline
mild cognitive decline
mild-moderate cognitive decline
37
What medication is good for pt with insomnia and depression?
Paroxetine (Paxil)
Sertraline(Zoloft)
None of the above
Trazodone (Desyrel)
38
Can't recall major life events, forget name of spouse, incontinent, wander, sundown, etc:
6
4
5
7
39
Anxiety and depression are common during this stage:
1
5
3
2
40
Predisposing factors- Bovine Spongiform encephalopathy:
HIV infection
Huntingtons disease
Lewy body disease
Prion disease
41
First stage of Alzheimers disease:
no apparent symptoms
mild cognitive decline
forgetfulness
mild-moderate cognitive decline
42
Predisposing factors: brain infection with opportunistic organism obtained after developing HIV
prion disease
substance-induced NCD
Huntingtons disease
HIV infection
43
All are signs and symptoms of NCDs but what?
language may be affected
exceeds with ADLs
change in personality
impairment of abstract thinking
44
Major sign of some organic brain disease not directly related to any other organic illness:
Primary NCD
Secondary NCD
None of the above
Tertiary NCD
45
NCD caused by or related to another disease or condition:
primary NCD
None of the above
Tertiary NCG
Secondary NCD
46
Reversible NCD can also be called what?
incurable
chronic
temorary
mild
47
Predisposing factors: shrinking of the frontal and temporal anteriorlobes of the brain:
Lewy Body syndrome
Vascular NCD
frontotemporal NCD
Parkinson's disease
48
Major neurocognitive disorders can also be classified as what according to the DSM?
chronic neurocognitive disorder
dementia
Alzheimers
traumatic brain injury
49
Disturbance in level of awareness/change in cognition. Develops rapidly in short period of time
dementia
delerium
alzheimers
traumatic brain injury
50
Reversible NCD can be a result as what?
depression
metabolic disorders
all of the above
stroke
51
All are signs and symptoms of delirium but what?
thinking is often rapid and organized
impaired reasoning ability
mispeceptions of the enviorment
distortion to time and place
52
Predisposing factors: repeated head traumas that result in dementia
traumatic brain injury
Prion disease
vascular NCD
frontotemporal NCD
53
Disorders with significant deficit in cognition or memory; significant change in functioning:
traumatic brain injuries
neurocognitive disorders
memory imairment disorders
brain disorders
54
Mild neurocognitive disorder is also called what?
dementia
mild cognitive impairment
Alzheimers
moderate neurocognitive impairment
55
What should be possibilities checked when considering NCD?
osteoarthritis
hepatic/renal dysfunction
nutritional deficiency)alcoholism
diabetes(hypoglycemia)
56
All are signs of autonomic changes related to delirium but what?
diaphoresis
dilated pupils
bradycardia
flushed face
57
Predisposing factors- acetylcholine, plaques and tangles may cause this:
Alzhemiers
Frontotemporal NCD
Vascular NCD
Lewy Body Disease
58
What helps treat severe apathy?
Trazodone (Desyrel)
SSRIs
Tricyclic antidepressants
Dopaminergic agents
59
Predisposing factors- reaction to overuse of medications/substance and withdrawal/intoxication
substance-use NCD
NCD due to medical condition
Huntingtons disease
Prion disease
60
All are common nursing dx with NCD but what?
impaired verbal communication
risk for trauma
disturbed sensory perception
risk for impaired skin integrity
61
All medications are used for aggression/hallucination/thought disturbances/wandering but what?
Ziprasidone (Geodon)
Trazodone (Desyrel)
Risperidone (Risperdal)
Haloperidol (Haldol)
62
A care plan for an individual with NCD involves all but what?
minimize confusion
relearn how to walk independently
maintain orientation to reality as best as individual can
assist and educate caregivers
63
All should be included in pt and family education but what?
support services
management of illness
nature of illness
what the family should have done better to prevent it
64
Predisposing factors- hypoparathyroidism, encholitis, vit B3 deficiency, hypothyroidism, etc:
HIV infection
Parkinson's disease
Lewy body disease
NCD due to another medical condition
65
Predisposing factors- loss of nerve cells located in the substantianigra. Decreases dopamine:
Parkinson's disease
Huntington's disease
Alzheimers
HIV infection
66
What condition is most known to cause psuedodementia?
bipolar disorder
depression
schitzophrenia
ADHD
67
All are medications used for sleep disturbances but what?
Ramelteon (Rozerem)
Rivastigmine (Exelon)
Zolpidem (Ambien)
Zaleplon (Sonata)