A nurse is caring for a client who has experienced a stroke and exhibits parkinsonian effects. The client's cognition fluctuates. Which of the following types of dementia should the nurse expect the client to have?

HIV infection

Prion disease

Lewy body disease

Frontotemporal lobar degeneration

Answer and Explanation

The Correct Answer is C

A. HIV infection can cause dementia, but it typically presents with apathy, social withdrawal, and motor dysfunction—not parkinsonian features with fluctuating cognition.
B. Prion disease (such as Creutzfeldt-Jakob disease) presents with rapid progression of dementia, myoclonus, and ataxia, but not typically with parkinsonian features or fluctuating cognition.
C. Lewy body disease is characterized by fluctuating cognition, visual hallucinations, and parkinsonian motor symptoms. These features strongly suggest dementia with Lewy bodies, especially in the context of stroke or neurodegenerative changes.
D. Frontotemporal lobar degeneration primarily affects behavior, personality, and language. Parkinsonian symptoms and fluctuating cognition are not hallmark features.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. While individuals with bulimia nervosa may experience fluctuations in their weight, they are not typically significantly underweight like those with anorexia nervosa. They often maintain a weight within or slightly below the normal range.
B. Dental decay is a common finding in people with bulimia nervosa due to self-induced vomiting, which exposes the teeth to stomach acid. This acid can erode enamel, leading to cavities, tooth decay, and other dental issues.
C. Hyperkalemia is not typically associated with bulimia nervosa. Hypokalemia (low potassium) is more common in bulimia, especially due to vomiting and laxative use, which can lead to significant potassium depletion.
D. Amenorrhea is more common in anorexia nervosa, where extreme malnutrition often leads to the cessation of menstruation. In bulimia nervosa, menstrual irregularities may occur, but complete amenorrhea is not as typical as in anorexia.

A. "If your father doesn't go to these activity groups, he will be at high risk for developing cognitive problems." B. "I'm glad we discussed this. Well excuse him from the activity groups." C. "The groups benefit your father by providing social interaction, sensory stimulation, and reality orientation." D. "The groups are optional. Only clients at high functioning levels would benefit."

Correct Answer is C

Explanation

A. While activity groups can help with cognitive function, it’s not accurate to state that skipping the activities will definitely lead to cognitive problems.
B. Excusing him from the activities without explaining their benefits would not provide the family with the necessary education about why they are important for his well-being.
C. Activity groups in long-term care facilities provide important social interaction, sensory stimulation, and reality orientation, which are beneficial for maintaining cognitive function and overall well-being in older adults.
D. The statement that groups are only for high-functioning clients is inaccurate. Activity groups are designed to benefit all levels of functioning, especially for promoting engagement and quality of life in elderly patients.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has experienced a stroke and exhibits parkinsonian effects. The client's cognition fluctuates. Which of the following types of dementia should the nurse expect the client to have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A family asks why their father is attending activity groups at the long-term care facility. The son states, "My father worked hard all of his life. He just needs some rest at this point." Which is the appropriate nursing response

Correct Answer is C

Explanation

The nurse is teaching a group of young adults regarding nonmodifiable risk factors for the development of type 1 diabetes mellitus. Which attendee statement indicates a need for further instruction? (Select all that apply.)

The nurse recognizes that statistics from the American Cancer Society demonstrate that males are at greater risk for the development of which types of cancer? (Select All that Apply.)

A nurse reads in a client chart that the client is 92 years old. According to the US. Census Bureau, the nurse knows that the client is classified as what stage of older adulthood?

After 1 week of sudden continuous mental confusion, an older African American client is admitted with a preliminary diagnosis of Alzheimer's disease (AD). What should cause the nurse to question this diagnosis?

A nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

A nurse is planning care for a client who has Alzheimer's disease and is in the terminal phase. Which of the following findings should the nurse expect?

An older client who lives with a caregiver is admitted to an emergency department with a fractured arm. The client is soaked in urine and has dried fecal matter on lower extremities. The client is 6 feet tall and weighs 120 pounds. Which condition would the nurse suspect?

A nurse is providing education to a group of clients about the health effects of eating disorders. Which of the following client statements indicates an understanding of the teaching?