ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 24 Questions
Question 1 of 5
During the change of shift report in the intensive care unit, the nurse learns that a client has developed signs of delirium over the past 8 hours. Which behavior documented in the nursing notes would be consistent with delirium?
Correct Answer: D
Rationale: Delirium is characterized by sudden onset and disorientation, such as to person, unlike dementia, which involves agnosia, apraxia, or aphasia.
Question 2 of 5
A nurse working in an assisted living facility is holding an in-service for the nursing assistants. The nurse reviews common behaviors associated with cognitive deterioration associated with dementia. Which would cause the nurse to know that the assistants correctly understood if it were expressed during a postsets?
Correct Answer: B
Rationale: Dementia involves agnosia, leading to failure to recognize familiar people, unlike intact executive functioning or independent ADLs.
Question 3 of 5
Which is believed to be a risk factor specific to the development of delirium?
Correct Answer: A
Rationale: Increased severity of physical illness is a primary trigger for delirium, unlike gradual decline, which is characteristic of dementia.
Question 4 of 5
Which patient is most likely suffering from dementia?
Correct Answer: A
Rationale: Dementia involves progressive memory impairment starting with forgetfulness, unlike delirium or amnestic disorders seen in the other cases.
Question 5 of 5
A client with dementia is unable to recognize ordinary objects, such as a pen or notebook. Which would this be a symptom of?
Correct Answer: A
Rationale: Agnosia is the inability to recognize familiar objects, a hallmark of dementia, distinct from memory loss (amnesia), motor impairment (apraxia), or language deterioration (aphasia).