A 62-year-old woman presents to the PMHNP for an evaluation. She is concerned she is developing dementia due to her significant family history. Which of the following would help the PMHNP make a diagnosis of pseudodementia rather than dementia?
Patients with pseudodementia are more likely to say "I don't know" when uncertain.
In patients with dementia, attention and concentration are variable.
Patients with true dementia are less likely to have language impairment and to confabulate.
In patients with pseudodementia, intellectual performance is usually global, and impairment is consistently poor.
The Correct Answer is A
Choice A reason: Individuals with pseudodementia, often related to depression, tend to respond to cognitive testing with "I don’t know" when uncertain, showing awareness of deficits. This contrasts with true dementia, where patients often confabulate or attempt to answer despite impaired memory.
Choice B reason: In dementia, attention and concentration are consistently impaired, not highly variable. This makes the statement inaccurate for distinguishing pseudodementia.
Choice C reason: True dementia commonly involves language impairment and confabulation. The statement is incorrect in suggesting the opposite.
Choice D reason: In pseudodementia, intellectual performance is typically intact outside of depressive episodes, and deficits are inconsistent, making the statement inaccurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Shenjing Shuairuo is a culture-bound syndrome in Chinese populations characterized by fatigue, somatic complaints, sleep disturbances, and difficulty concentrating in response to stress, which aligns with this patient’s presentation.
Choice B reason: Susto is a Latin American syndrome associated with fright or trauma causing soul loss, often accompanied by somatic symptoms, which is not culturally consistent with this patient.
Choice C reason: Kufungisisa is a Zimbabwean culture-bound syndrome involving excessive thinking leading to somatic complaints, which does not align with the patient’s cultural background.
Choice D reason: Khayal is a Southeast Asian culture-bound syndrome linked to anxiety and somatic symptoms, but it is not typical in Chinese populations.
Correct Answer is B
Explanation
Choice A reason: Sam-e is primarily used for depression and joint pain. While it may have mild anticoagulant effects, it is not as significant in potentiating warfarin’s effects as omega-3 fatty acids.
Choice B reason: This choice is correct because omega-3 fatty acids have antiplatelet properties and can increase the risk of bleeding when combined with warfarin. Patients on anticoagulants are typically advised to limit or discontinue omega-3 supplementation.
Choice C reason: Melatonin is a sleep-regulating supplement and does not significantly affect coagulation or interact with warfarin to increase bleeding risk.
Choice D reason: Tryptophan is an amino acid precursor to serotonin used for sleep or mood regulation. It does not have a clinically significant interaction with warfarin.
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