A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?
Prion disease
Lewy body disease
HIV infection
Traumatic brain injury
The Correct Answer is B
B. Fluctuating cognition and visual hallucinations are characteristic features of Lewy body dementia (LBD). LBD is a type of dementia that involves abnormal protein deposits called Lewy bodies in the brain. These deposits can cause fluctuations in cognitive abilities, leading to periods of clarity alternating with confusion or disorientation. Visual hallucinations are also common in LBD, often involving seeing people, animals, or objects that are not present.
A. Prion diseases are not commonly associated with fluctuating cognitive function.
C. HIV infection can cause a range of neurological complications, but they usually manifest differently from the symptoms described in the scenario.
D. Symptoms of TBI-related dementia would depend on the severity and location of the brain injury, but they often involve cognitive deficits consistent with the area of brain damage
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Vulnerability genes are genetic variants or factors that increase an individual's susceptibility or predisposition to developing a particular mental illness or disorder. These genes do not directly cause the illness but can increase the likelihood of its development when combined with environmental factors or stressors.
B. Resilience genes are genetic variations that confer resilience or the ability to adapt and cope effectively with stress, adversity, or traumatic experiences.
C. The effect of vulnerability genes is influenced by various factors, including environmental influences, lifestyle factors, and gene-environment interactions.
D. Vulnerability genes are associated with an increased risk of developing a specific mental illness rather than determining an individual's likelihood of recovering from mental illness.
Correct Answer is C
Explanation
C. This statement suggests that the adolescent client lacks a supportive network or resources to discuss their problems, which can be concerning given their history of depression and suicidal ideation. It indicates a potential lack of social support, which is crucial for individuals struggling with mental health issues.
A. This statement indicates a positive behavior change, as the client has refrained from using drugs for a significant period.
B. Engaging in recreational activities and social interactions, such as participating in a dance program, can be beneficial for mental health and well-being.
D. This statement suggests that the client may be experiencing academic difficulties or stress related to missing classes. While missing classes can be concerning, the client's acknowledgment of the situation and intention to catch up may indicate a proactive approach to addressing academic challenges.
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