In dementia, which of the following cognitive functions is most commonly lost first?

A. Recognizing persons
B. Knowing the place
C. Estimating the time
D. Long-term memory


ANS: C
When evaluating a patient's mental status, assess orientation by asking the patient to recite his or her full name, current location/place (clinic, hospital, home, etc.), and the date (day of the week, month, or year). Knowledge of time is generally impaired first, followed by place. The inability to recite or recognize one's name implies a significant deficit in mental status.

Nursing

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A nurse manager is educating a group of staff nurse on violation of HIPPA standards. The manager judges the teaching to be effective when one of the staff nurses states: (Select all that apply.)

a. "Violations of HIPPA standards no longer occur because the consequences are so severe.". b. "Violations of HIPPA standards can result in termination of employment.". c. "Violations of HIPPA standards can result in an indictment.". d. "Violations of HIPPA standards are waived if it is your first offense.". e. "Violations of HIPPA standards can result in prison time.".

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A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4

Nursing

A nurse has just received an expensive gift from a client. Which is the most appropriate nursing response?

A) "Thank you so much!" B) "What a nice gift! I can't wait to use it." C) "I am so sorry, but I cannot accept this generous gift." D) "I have a gift here for you, as well."

Nursing