The nurse uses the Neurological Assessment of Older Adults (NAOA), published by the American Association of Neurological Nurses (AANN), to assess an older adult who is perseverating and becoming increasingly distracted
Which part of the NAOA should the nurse use to assess for a neurological cause of the patient's impaired cognitive function-ing? a. Cranial nerves XI and XII
b. Confusion Assessment Method
c. Mini-Mental State Exam (MMSE)
d. Controlled Word Association Test
D
Feedback
A Incorrect. Assessing the accessory (CN XI) and hypoglossal (CN XII) nerves provides clues about the patient's ability to swallow.
B Incorrect. The Confusion Assessment Method is a tool for measuring delirium in intubated or nonverbal patients.
C Incorrect. The MMSE is a valid and reliable tool to assess cognitive function; however, it is unable to pinpoint discreet areas of neurological dysfunction.
D Correct. The nurse uses the Controlled Word Association Test to assess for a neurological cause of this older adult's cognitive dysfunction. This tool is an index of frontal lobe functioning and an assessment of executive function in-cluding the patient's frontal lobe functioning and the ability to refrain from dis-traction and perseveration.
You might also like to view...
Choose the example portraying a situation in which a group is not a team
1. A group of people are working toward streamlining the admission process. 2. Seven nurses are working to get their hospital to magnet status, led by their manager. 3. A group of nurse managers are working on their unit budgets for the following fiscal year. 4. Three nurses and two unlicensed assistants are given the task of revising position descriptions.
A longtime cigarette smoker is considering smoking cessation classes and asks the nurse, "How long after giving up the habit do health risks begin to decrease?" Which of these responses by the nurse is correct?
a. "Almost immediately." c. "In 5 to 7 years." b. "In 1 to 3 years." d. "In 10 to 15 years."
The nurse is writing measurable expected outcomes for a client. Which of the following is an example of a measurable expected outcome?
a. Turn, deep breathe, and cough every 2 hours. b. The client will maintain nutritional status. c. The client will walk the length of the corridor twice a day by the second day after surgery. d. The client has gained 3 pounds.
The parent of 16-month-old Chris asks, "What is the best way to keep Chris from getting into our medicines at home?" The nurse should advise that:
a. "All medicines should be locked securely away." b. "The medicines should be placed in high cabinets." c. "Chris just needs to be taught not to touch medicines." d. "Medicines should not be kept in the homes of small children."