NUR 108 Chapter 17 - Dad hasn't been the same. At first he just seem...

NUR 108 Chapter 17

• A 75 y/o male client is brought to the clinic by his son.The son states, "Ever since Mom died,

Dad hasn't been the same. At first he just seemed sad, but now he seems to get mixed up about everything." The nurse is aware that based on the client's history, the source of confusion is most likely

• Dementia
• Depression of the brain
• Hypoxia of the brain
• Delirium from medications

Answer Depression from the loss of his wife

• An elderly female client on the mental unit suddenly becomes upset be- cause she can't

remember where she is and she says, " I can think straight." The staff has never witnessed this behavior in the client, and this type of complaint is not documented in the nursing history. What is the client most likely experiencing?

• Hallucinations
• Dementia
• Delusions
• Delirium

Answer Delirium

• Vascular dementia is more common in individuals living in
• The United States
• Japan
• France
• Australia

Answer Japan

• A 91 y/o female client with dementia is being seen by the home health nurse. Both she and

her husband, who is 92 y/o, were very active until her dementia became debilitating, Since that time, the client does not recognize her husband or children, forgets how to eat and dress, and wanders about the house day and night. Her husband wants to keep her at home to care for her, but the nurse notices that he is increasingly tired with each visit. What is the nurse's priority intervention for the nursing diagnosis of caregiver role strain? 1 / 2

• Discuss strategies to coordinate care and other responsibilities
• Encourage involvement in support groups
• Identify resources to include financial, legal, and respite care
• Stress the importance of self-nurturing

Answer Discuss strategies to coordinate care and other responsibilities

• A newly admitted elderly client seems to become confused and agitated every evening after

dinner. This client most likely is suffering form

• Alzheimer's disease
• Acute dementia
• Sundown syndrome
• Delirium

Answer Sundown syndrome

• The elderly spouse of a 74 y/o male client states that she has noticed that her husband

"doesn't remember as well as he used to." She explains that he has been putting on his coat before his shirt, and that he can never get their checkbook to balance as it did in the past. The client is exhibiting signs and symptoms typical of

• Vascular dementia
• Alzheimer's disease
• Acute delirium
• Aging

Answer Alzheimer's disease

• The affective losses of Alzheimer's disease refer to losses noticed in the individual's
• Personality
• Thought process
• Ability to make and carry out plans
• Self-care

Answer Personality

• The early stage of Alzheimer's disease is characterized by
• Loss of recent memory
• / 2