The nurse is asking a client in the psychiatric crisis unit specific questions about recent substance use. Which assessment finding could indicate to the nurse that the client is experiencing mild to moderate delirium?

A delirious client is shouting for someone to get the bugs off her. Which response by the nurse is the most appropriate?

As a nurse enters a client’s room, the client says, “They’re crawling on my sheets! Get them off my bed!” The nurse interprets this assessment finding as:

A client who has experienced cerebral hypoxia demonstrates sensoryperceptual alterations. Which environment would the nurse create for this client?

A newly admitted client diagnosed with delirium has a history of hypertension and anxiety. The client had been taking digoxin, furosemide (Lasix), and diazepam (Valium) for anxiety. The nurse suspects that this client’s impairment may be the result of which of the following?

The nurse is teaching a group of caregivers who live with family members that have mild to moderate changes in their cognitive functioning. Which goal will the nurse identify as a priority of care for the clients?

Which nursing diagnosis is most appropriate for an elderly client experiencing visual and auditory hallucinations?

A home care nurse visits a married couple’s extended family, composed of children in elementary school and high school, grandparents, and an unmarried adult brother. Which age group is at high risk for developing a state of delirium?

The client’s grandson, a biology major in college, asks the nurse what pathological change occurs in the brain and causes Alzheimer’s disease. What is the best response by the nurse?

A progression of symptoms that occurs in steps rather than a gradual deterioration indicates which type of dementia?

The spouse of a client diagnosed with vascular dementia asks the nurse how this disorder differs from Alzheimer’s disease. Which response from the nurse is most appropriate?

The family of a client recently admitted with vascular dementia asks the nurse about the cause of the client’s condition. Which of the following would be the most accurate response by the nurse?

The nurse is teaching the client and his family about cognitive vascular impairment that occurs when a person has vascular dementia. Which comment by a family member would indicate the need for additional teaching?

The client states, “Just because I get a little confused at times, my doctor told my wife that I have the beginnings of Alzheimer’s disease!” Which response by the nurse would be most appropriate?

A nurse is teaching the family of a client with dementia. Which of the following explanations of dementia by the nurse would be most appropriate?

During an interaction with the spouse of a client with Alzheimer’s disease, the nurse is asked the following question: “What exactly is Alzheimer’s disease?” Which is the correct explanation for the nurse to tell the spouse?

The home health nurse notices that the elderly, diabetic client she sees every week is starting to demonstrate some difficulty answering questions about her chronic disease strategies and self-management activities. Which action would the nurse take to validate her suspicion of the client having cognitive changes and possibly the beginning stages of dementia?

A nurse is caring for a client with delirium. Which nursing intervention has the highest priority?

The nurse notices that a client with dementia about to eat his dinner picks up his spoon, looks at it, puts it down, and then picks up his fork, looks at it, and puts it back on the table. He sits staring at the utensils and his dinner. How does the nurse interpret this behavior?

The nurse has taught a family about the medication donepezil (Aricept). The nurse determines that teaching was successful when the family makes which statement?

While interacting with a client who is suspected of having a dementia disorder, the nurse asks the client what was on his tray for breakfast. This question allows the nurse to assess which area?

Which nursing intervention is the most important in caring for a client diagnosed with Alzheimer’s disease?

Which nursing intervention will help a client with progressive memory deficit function in his environment?

An elderly client has experienced memory and attention deficits that developed over a 3-day period. The nurse is aware that these symptoms are characteristic of which disorder?

Which intervention is a priority action of the nurse providing care to a client diagnosed with Alzheimer’s disease?

A client diagnosed with Alzheimer’s disease tells the nurse that today she has a luncheon date with her daughter, who is not visiting that day. Which response by the nurse would be most appropriate?

The home health nurse is speaking to the spouse caregiver of a client with Alzheimer’s disease. The client has been taking donepezil (Aricept). The nurse is most concerned when the caregiver makes which statement?

Which intervention should help a client diagnosed with Alzheimer’s disease perform activities of daily living?

A 65-year-old man recovering from a mild stroke questions the nurse about his risk for vascular dementia. What is the best response by the nurse?

During a visit to the outpatient clinic, a spouse asks the nurse if she needs to be concerned about her 80-year-old husband consistently referring to items as “whatchamacallits.” What is the best response by the nurse?