A nurse is teaching a nursing student about secondary Neurocognitive Disorders. Which of the following are the causes of secondary Neurocognitive Disorders? Select all that apply.

Contracture

Cerebral trauma

Fever

Human Immunodeficiency Virus (HIV)

Huntington's disease

Answer and Explanation

Correct Answer : B,C,D

A. Contracture: Contracture refers to the permanent tightening of muscles or joints and is not directly related to neurocognitive disorders. It is a physical condition rather than a cause of cognitive impairment.

B. Cerebral trauma: Cerebral trauma, such as traumatic brain injury, can lead to secondary neurocognitive disorders due to direct damage to brain tissues and subsequent cognitive impairments.

C. Fever: Severe or prolonged fever can be associated with secondary neurocognitive disorders, especially if it leads to complications like encephalitis or severe metabolic disturbances.

D. Human Immunodeficiency Virus (HIV): HIV can lead to secondary neurocognitive disorders due to the direct effects of the virus on the brain and the resultant immune deficiency, which can allow opportunistic infections that affect cognitive function.

E. Huntington's disease: Huntington's disease is a primary neurodegenerative disorder characterized by the progressive breakdown of nerve cells in the brain. It directly causes neurocognitive decline due to genetic mutations and is considered a primary neurocognitive disorder rather than a secondary one. Secondary neurocognitive disorders are typically the result of another primary condition or external factor such as trauma or infection, rather than a primary neurodegenerative disease.

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Correct Answer is D

Explanation

A. Reprimand the client about the potential damage that has occurred due to overexercising her body. Reprimanding the client is not therapeutic and can increase feelings of guilt or shame, potentially exacerbating the condition. A more supportive and understanding approach is needed to address the behavior. Therefore, this choice is incorrect.

B. Praise the client for looking at herself in a mirror. Praising the client for looking at herself in the mirror is not specifically relevant to managing the overexerting behavior and does not address the core issues of anorexia nervosa. It may also reinforce body image concerns. Therefore, this choice is incorrect.

C. Restrict the client from being weighed. Weighing restrictions are common in the treatment of anorexia nervosa to reduce anxiety around weight gain. However, this action alone does not directly address the overexercising behavior. Instead, comprehensive behavioral and therapeutic strategies should be employed. Therefore, this choice is incorrect.

D. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. Encouraging the client to discuss her urges to exercise with a nurse provides an opportunity for therapeutic intervention and support. It helps in addressing the behavior in a constructive manner and provides a means for the client to seek help when struggling with their impulses. This choice is correct.

A. Necklace B. Lace-up tennis shoes C. Nylon ankle socks D. Cotton underwear E. Glass framed picture of the client's partner

Correct Answer is ["A","B","E"]

Explanation

A. Necklace: This can be a strangulation risk and should be removed from the client’s belongings.

B. Lace-up tennis shoes: The laces can be used for self-harm or strangulation and should be removed.

C. Nylon ankle socks: These are generally safe and do not pose a risk.

D. Cotton underwear: This is also considered safe and does not pose a significant risk.

E. Glass framed picture of the client's partner: The glass can be broken and used for self-harm, making it unsafe for a client with recent suicidal behavior.

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A nurse is teaching a nursing student about secondary Neurocognitive Disorders. Which of the following are the causes of secondary Neurocognitive Disorders? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with anorexia nervosa and overexercises to avoid gaining weight. Which of the following should be the appropriate action by the nurse?

Correct Answer is D

Explanation

A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client's partner to take back home? (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

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