Keltner’s Psychiatric Nursing 9th Edition Test Bank

Table of Contents

• Chapter 01 Me, Meds, Milieu
• Chapter 02 Historical Issues
• Chapter 03 Legal Issues
• Chapter 04 Psychobiologic Bases of Behavior
• Chapter 05 Cultural Issues
• Chapter 06 Spiritual Issues
• Chapter 07 Models for Working with Psychiatric Patients
• Chapter 08 Learning to Communicate Professionally
• Chapter 09 Working With an Individual Patient
• Chapter 10 Working With Groups of Patients
• Chapter 11 Working With the Family
• Chapter 12 Introduction to Psychotropic Drugs
• Chapter 13 Antiparkinsonian Drugs
• Chapter 14 Antipsychotic Drugs
• Chapter 15 Antidepressant Drugs
• Chapter 16 Antimanic Drugs
• Chapter 17 Antianxiety Drugs
• Chapter 18 Antidementia Drugs
• Chapter 19 Alternative Preparations and Over-the-Counter Drugs
• Chapter 20 Introduction to Milieu Management
• Chapter 21 Variables Affecting the Therapeutic Environment: Violence and Suicide
• Chapter 22 Therapeutic Environment in Various Treatment Settings
• Chapter 23 Introduction to Psychopathology
• Chapter 24 Schizophrenia Spectrum and Other Psychotic Disorders
• Chapter 25 Depressive Disorders
• Chapter 26 Bipolar Disorders
• Chapter 27 Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and Dissociative Disorders
• Chapter 28 Neurocognitive Disorders
• Chapter 29 Personality Disorders
• Chapter 30 Sexual Disorders and Gender Dysphoria
• Chapter 31 Substance Use Disorders
• Chapter 32 Eating Disorders
• Chapter 33 Survivors of Violence and Trauma
• Chapter 34 Children and Adolescents
• Chapter 35 Older Adults
• Chapter 36 Soldiers and Veterans

Chapter 28: Neurocognitive Disorders

1. Question: What assessment question best focuses on the foundation of the cognitive process?
   • a. “What would you do if you are cold.”
   • b. “What are the birthdates of your children?”
   • c. “What is the name of this hospital?”
   • d. “What makes you happy?”
   ANS: B Feedback: Cognitive abilities revolve around memory and learning, with memory as foundational for learning. The other functions are dependent on memory and learning, making this question the best focus for assessing the cognitive process.
2. Question: A nurse assesses a newly admitted patient with possible delirium. Which aspect of the history provided by family members contributes to confirmation of the diagnosis?
   • a. “He became confused all of a sudden.”
   • b. “He is always conscious and alert.”
   • c. “He doesn‘t seem to understand jokes anymore.”
   • d. “He is so distrustful of everyone now.”
   ANS: A Feedback: Delirium develops rapidly, as opposed to dementia, which has an insidious onset. Sudden confusion is an important clue in confirming delirium, along with fluctuating consciousness, illogical thoughts, visual hallucinations, and day-night sleep reversal.
3. Question: What is the expected outcome for donepezil therapy prescribed for a client diagnosed with mild-to-moderate Alzheimer disease (AD)?
   • a. Better daily function than without treatment
   • b. Temporary interruption of disease process
   • c. Remissions of varying lengths of time
   • d. Marked decrease in memory impairment
   ANS: A Feedback: Donepezil may help the patient function better in daily activities, but it does not stop the underlying disease process. None of the other options accurately reflect the expected outcome of donepezil therapy in Alzheimer’s disease.