ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 38 : Neurocognitive Disorders Questions
Question 1 of 5
When assessing a client with dementia, the nurse identifies that the client is experiencing hallucinations. Based on the nurse?s understanding of this disorder, which type of hallucination would the nurse expect as most common?
Correct Answer: B
Rationale: Visual hallucinations (
B) are the most common in dementia, particularly in Alzheimer?s and Lewy body dementia, due to visual processing deficits. Auditory (
A), gustatory (
C), and olfactory (
D) hallucinations are less frequent.
Question 2 of 5
A nurse is talking with the husband of a female client diagnosed with Alzheimer?s disease. During the conversation, the husband tells the nurse that she often begins to scream and curse for no apparent reason. The nurse interprets this as which of the following?
Correct Answer: B
Rationale: Screaming and cursing for no apparent reason in Alzheimer?s is indicative of disinhibition (
B), a loss of impulse control common in the disease. Hypersexuality (
A) involves inappropriate sexual behavior, hypervocalization (
C) is not a standard term, and apathy (
D) involves lack of emotion, not outbursts.
Question 3 of 5
After teaching a group of nursing students about Alzheimer?s disease and appropriate nursing care, the instructor determines that the teaching was successful when the students identify which of the following as the foundation for providing care to the client and family?
Correct Answer: A
Rationale: A therapeutic relationship (
A) is the foundation for Alzheimer?s care, fostering trust and effective communication with the client and family. Medication therapy (
B), injury prevention (
C), and functional independence (
D) are important but secondary to establishing a therapeutic rapport.
Question 4 of 5
A nurse is providing care to a client with Alzheimer?s disease who is exhibiting suspiciousness and delusional thinking. Which of the following would be most important for the nurse to do with this client?
Correct Answer: D
Rationale: Determining the trigger for delusional thinking (
D) is most important, as it helps identify environmental or emotional factors causing distress, allowing for targeted interventions. Telling (
A) or confronting (
B) the client may increase agitation, and correcting (
C) is less effective than addressing the underlying cause.
Question 5 of 5
A client with Alzheimer?s disease is admitted to the acute care facility for treatment of an infection. Assessment reveals that the client is anxious. When developing the client?s plan of care, which of the following would be least appropriate to include?
Correct Answer: A
Rationale: Frequent reality orientation (
A) is least appropriate for an anxious Alzheimer?s patient, as it can increase agitation by highlighting cognitive deficits. Simplifying routines (
B), limiting choices (
C), and establishing predictable routines (
D) reduce anxiety by creating a stable, manageable environment.