Which assessment data suggest a person with confusion has secondary dementia or pseudodementia?
a. Symptoms developed over a 2-week period.
b. Degree of confusion varies from day to day.
c. Has short-term memory loss; long-term memory is intact.
d. Depression is the patient's prevailing mood.
A
Dementia develops gradually and insidiously over many months and sometimes years. Significant confusion developing over a period of weeks suggests that the patient does not have primary dementia but instead has either pseudodementia or secondary dementia. The degree of confusion can vary in dementias and pseudodementias, and in early stages of dementia only short-term memory is typically affected (long-term memory deteriorates as the dementia progresses). Depression can present as pseudodementia because of its effect on mental functioning, but it also commonly occurs in the early stage of dementia, so simply having depressed mood does not help distinguish true dementias from pseudo- or secondary dementias.
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The statement made by the patient during the assessment interview that should alert the nurse to the patient's need for immediate, active intervention is:
a. "I am mixed up, but I know I need help.". b. "I have no one to turn to, you're my last hope.". c. "Why doesn't anyone care anymore?" d. "It's a long, rough road out there, very hard.".
When would a child diagnosed with type 1 diabetes mellitus most likely demonstrate a decreased need for insulin?
a. During the "honeymoon" phase b. During adolescence c. During growth spurts d. During minor illnesses
You and other nurses in your organization have decided to use a collective bargaining method that is used in the workplace, commonly known as:
a. workplace advocacy. c. collective brainstorming. b. unionization. d. collective striking.
The nurse is providing care to a postpartum client 24 hours after delivery who has been diagnosed with metritis. Which response by the nurse is accurate when the client asks what made her sick?
1. "Early infections such as this are often caused by group beta strep (GBS)." 2. "Most infections are often caused by a chlamydial infection. Do you practice safe sex?" 3. "You must have already been sick when you came to deliver your baby." 4. "There is no way to knowing why you got sick. Sometimes it just happens."