The following best describes dementia except
Gradual progressive onset.
Can be classified as either primary or secondary.
It does not interfere with navigation of daily life.
It is irreversible.
The Correct Answer is C
A. Gradual progressive onset. Dementia typically has a gradual onset and progresses over time. This is true for most types of dementia, such as Alzheimer's disease, where symptoms slowly worsen over months and years.
B. Can be classified as either primary or secondary. Dementia can be classified as primary (such as Alzheimer's disease or frontotemporal dementia, where the brain itself is primarily affected) or secondary (where dementia is caused by another condition, such as a stroke or a brain injury).
C. It does not interfere with navigation of daily life. This statement is incorrect. One of the defining features of dementia is that it does interfere with daily life. As cognitive functions decline, individuals often have difficulty with tasks such as managing finances, cooking, driving, and maintaining personal hygiene.
D. It is irreversible. While some types of dementia (like Alzheimer's disease) are irreversible and progressive, there are certain conditions, like some forms of vascular dementia, where the progression can be slowed or stabilized if the underlying cause is addressed. However, many forms of dementia are indeed irreversible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Identifying stressors negatively affecting self may be useful in some mental health conditions but is less relevant for delirium caused by fever and dehydration. Delirium is primarily an acute, reversible condition that is related to physiological causes, such as infection or dehydration, rather than emotional or psychological stressors.
B. Demonstrating motor responses to noxious stimuli refers to a neurophysiological response and is not the primary goal in the treatment of delirium. In delirium, the focus is on addressing the underlying cause (e.g., fever, dehydration), managing symptoms, and restoring cognitive function, rather than evaluating motor responses.
C. Returning to premorbid levels of function is the most appropriate and relevant goal for a patient experiencing delirium due to fever and dehydration. Since delirium in this context is often reversible once the underlying causes (such as dehydration and fever) are addressed, the desired outcome is to help the patient recover and return to their previous level of functioning and cognitive baseline. This is the primary goal of treatment for delirium caused by an acute, reversible condition.
D. Exerting control over responses to perceptual distortions could be a helpful goal in managing patients with psychotic or more chronic cognitive conditions, but delirium primarily affects acute cognitive states. While delirium can involve perceptual distortions, the main focus in treating delirium is addressing the underlying causes and promoting recovery to the patient's previous cognitive state.
Correct Answer is C
Explanation
A. "I will help you leave this relationship" is not an appropriate response because it assumes the nurse knows what is best for the patient and does not respect her autonomy or immediate choices. The patient has clearly stated she does not want to leave the relationship at this time.
B. "You need to report your husband to the police" is an invasive and potentially coercive statement. While reporting abuse is important, the nurse should provide information and support, not force actions the patient may not be ready to take. Pressuring her could escalate the situation and harm the patient’s trust in healthcare providers.
C. "Let's develop a safety plan for repeated violence" is the most supportive and patient-centered response. It acknowledges the reality of the abuse while offering a non-judgmental, practical approach to help her stay safe. The nurse is giving the patient the option to make informed decisions about her safety, which is empowering.
D. "Here is a list of services that can help you" is helpful, but it lacks the active engagement the patient may need. Developing a personalized safety plan is more immediate and relevant for someone experiencing ongoing abuse.
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