1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Chapter 60 Nursing Management: Alzheimer's Disease, Dementia, and Delirium

2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.A 69-year-old patient is admitted to the hospital with a urinary infection and possible bacterial sepsis. The patient is disoriented and has a disturbed sleep-wake cycle. The nurse administers the Confusion Assessment Method (CAM) tool to differentiate among various cognitive disorders, primarily because 1.delirium can be reversed by treating the underlying causes. 2.depression is a common cause of dementia in older adults. 3.nursing care should be based on the cause of the cognitive impairment. 4.drug therapy with antipsychotic agents is indicated in the treatment of dementia.

3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.The daughter of a patient with early familial Alzheimer’s disease (AD) asks how AD can be detected. The nurse describes early warning signs of AD, including 1.forgetting a colleague’s name at a party. 2.repeatedly misplacing car keys or a wallet. 3.leaving a pot on the stove that boils dry and burns. 4.having no memory of preparing a meal and forgetting to serve or eat it.

4 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 3.A patient with Alzheimer’s disease has a nursing diagnosis of impaired memory related to effects of dementia. An appropriate nursing intervention for the patient is to 1.let the patient know what behavior is socially appropriate. 2.assist the patient with all self-care to maintain self-esteem. 3.maintain familiar routines of sleep, meals, drug administration, and activities. 4.at every encounter with the patient, ask the day, time, and place to promote orientation.