The student nurse is learning the stages of dementia in class. While in clinical, they are in a neurological disorder unit. The student assesses their client and notices the client has significant memory loss, confusion, difficulty with language, and struggles with daily tasks like dressing and bathing. Which stage of dementia is this client in?

Early-stage dementia

Mild cognitive impairment

Severe dementia

Moderate dementia

Answer and Explanation

The Correct Answer is D

A. Early-stage dementia: At this stage, individuals might have some memory problems but can generally maintain independence. The symptoms described (significant memory loss, confusion, difficulty with language, and struggles with daily tasks) are more advanced than what is typically seen in early-stage dementia.

B. Mild cognitive impairment: This is a transitional stage between normal cognitive aging and dementia. It involves some memory problems and cognitive changes but not severe enough to impact daily functioning to the extent described.

C. Severe dementia: In this stage, individuals typically require assistance with most activities of daily living, have severe memory loss, and may not recognize close family members or understand their surroundings. The described symptoms do not yet indicate this level of severity.

D. Moderate dementia: This stage is characterized by more pronounced memory loss, confusion, difficulty with language, and an increasing need for help with daily tasks such as dressing and bathing, matching the client's symptoms.

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Correct Answer is D

Explanation

A. Family conflict: Family conflict can contribute to suicidal ideation, but the presence of an active psychiatric disorder is a more direct risk factor.

B. Homosexuality: Sexual orientation itself is not a risk factor for suicide, but discrimination and lack of acceptance related to sexual orientation can contribute to risk.

C. Availability of firearms: Access to firearms increases the lethality of suicide attempts but is not as significant as the presence of an active psychiatric disorder.

D. Active psychiatric disorder: This is the correct answer. Conditions such as depression, bipolar disorder, and substance use disorders significantly increase the risk of suicide in adolescents.

A. Medication side effects B. Hypothyroidism C. Vitamin B12 deficiency D. Multiple small brain infarcts

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

Explanation

A. Medication side effects: Certain medications can cause cognitive impairment that mimics dementia, but this condition is often reversible if the medication is adjusted or discontinued.

B. Hypothyroidism: Hypothyroidism can lead to cognitive impairment that may be reversible with appropriate thyroid hormone replacement therapy.

C. Vitamin B12 deficiency: Deficiency in vitamin B12 can cause cognitive deficits that are often reversible with supplementation.

D. Multiple small brain infarcts: This condition, often associated with vascular dementia, usually leads to permanent brain damage and is typically not reversible.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?

Correct Answer is D

Explanation

A new nurse is teaching a nursing student in the mental health unit. The nurse explains that an example of a treatable (reversible) form of Neurocognitive disorder is caused by which of the following? (Select all that apply)

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

Explanation

A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?

A nurse is assessing a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?

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?

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)

A nurse is caring for a client diagnosed with autism spectrum disorder (ASD). Which of the following assessment findings should the nurse recognize to be associated with ASD?

A nurse is caring for an adolescent who is experiencing depression. Which of the following findings should the nurse expect? (Select all that apply.)