Question 1

Which of the following best describes the domain of 'executive function' in cognitive functioning?

Accepted Answer

The mental skills involved in planning, organizing, and executing complex tasks.

Question 2

A patient is unable to button their shirt due to difficulty planning and organizing the sequence of movements required. Which cognitive domain is most likely impaired?

Accepted Answer

Executive Function

Question 3

Which of the following is an example of a perceptual alteration?

Accepted Answer

Seeing objects that are not present (visual hallucinations)

Question 4

A nurse is caring for a patient who believes their food is being poisoned despite evidence to the contrary. This is best described as:

Accepted Answer

Delusion

Question 5

Which of the following safety hazards is most likely to increase the risk of falls in a patient with cognitive impairment?

Accepted Answer

Throw rugs on the floor

Question 6

A patient with dementia is repeatedly asking to go home, even though they are already at home. Which nursing intervention is most appropriate?

Accepted Answer

Use validation therapy to explore the patient's feelings and needs.

Question 7

Which of the following is a distinguishing feature of delirium compared to dementia?

Accepted Answer

Acute onset and fluctuating levels of consciousness

Question 8

A patient is unable to understand spoken language but can still speak fluently, although their words do not make sense. This is best described as:

Accepted Answer

Aphasia

Question 9

Which of the following is a recommended communication strategy for nurses caring for confused or combative patients?

Accepted Answer

Give directions one step at a time and use concrete language.

Question 10

A nurse is using the Confusion Assessment Method (CAM) to assess a patient. Which combination of features is required for a diagnosis of delirium?

Accepted Answer

Features 1 and 2, and either 3 or 4

Question 11

Which of the following is an example of a practical skill within adaptive behavior?

Accepted Answer

Engaging in activities of daily living (ADLs)

Question 12

A patient with Alzheimer’s disease is at increased risk for which of the following complications due to decreased mobility and poor hygiene?

Accepted Answer

Urinary tract infections and pneumonia

Question 13

Which of the following best describes the purpose of reminiscence therapy in patients with dementia?

Accepted Answer

To encourage reflection on past events and support long-term memory

Question 14

A patient is unable to recognize their own name or identify their location. Which aspect of cognitive function is most affected?

Accepted Answer

Orientation

Question 15

Which of the following is a common cause of delirium in hospitalized older adults?

Accepted Answer

Urinary tract infection

Question 16

A nurse observes a patient with dementia repeatedly hoarding objects and resisting care. What is the most appropriate nursing priority?

Accepted Answer

Focus on safety and maintaining independence

Question 17

Which of the following best illustrates the concept of perception in cognitive functioning?

Accepted Answer

The interpretation of sensory stimuli, such as seeing a duck or a rabbit in an ambiguous image

Question 18

A patient with cognitive impairment is unable to perform instrumental activities of daily living (IADLs) such as managing finances or cooking. Which assessment area does this most directly impact?

Accepted Answer

Functional status

Question 19

Which of the following is a key nursing intervention to prevent infection in patients with advanced dementia?

Accepted Answer

Encourage frequent handwashing and monitor for signs of urinary tract infection

Question 20

A nurse is assessing a patient using the Mini Mental State Examination (MMSE). What is the primary purpose of this tool?

Accepted Answer

To assess cognitive status and screen for cognitive impairment

Alterations in Cognition: Medical Terminology and Clinical Concepts

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