NCLEX-RN
NCLEX RN Questions on Neurological Disorders Questions
Extract:
The following scenario applies to the next 1 items
A client arrives at the clinic with his daughter, reporting memory impairments
Item 1 of 1
Nurses' Note
A 71-year-old male arrives with his daughter with concerns about memory loss. The client's daughter reports that he has forgotten key dates, such as birthdays and his wedding anniversary, over the past six months. She emphasized that he would never forget these dates. Further, the client's daughter also reports that driving has become more difficult and that the client has been involved in two minor accidents over the past six months. He has also misplaced three sets of keys. The daughter describes her father's judgment as 'declining' along with his memory. The client's daughter is concerned that her father may have dementia. The client is alert and fully oriented. The client had difficulty with remote memory questioning. Immediate and recent memory was intact. The client denied any pain or physical symptoms,
stating, "I'm here because my daughter insisted."
Question 1 of 5
Click to specify if the clinical feature is consistent with delirium or dementia: The onset of symptoms is months to years
| Clinical Feature | Delirium | Dementia |
|---|---|---|
| The onset of symptoms is months to years | ||
| May be caused by uncontrolled hypertension and diabetes | ||
| Progressively worsens | ||
| Memory impairments | ||
| May be caused by fluid and electrolyte imbalances or infection | ||
| May cause impairments in judgment | ||
| Altered level of consciousness |
Correct Answer: B,B,B,A,A,A,B
Rationale: Dementia has a gradual onset over months to years.
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