NR 601 MIDTERM EXAM LATEST 2024 WITH UPDATED QUESTIONS AND VERIFIED WELL ELABORATED ANSWERS (GRADED A+)

NR 601 MIDTERM EXAM LATEST 2024
WITH UPDATED QUESTIONS AND VERIFIED
WELL ELABORATED ANSWERS (GRADED
A+)
A 78-year-old nursing home resident with Alzheimer's disease,
chronic obstructive pulmonary disease, and seasonal allergies is
transferred to your hospital with poor oral intake and confusion.
Physical examination reveals a thin man with dry mucous
membranes, tachypnea, tachycardia, and altered mental status. In
order to reliably identify delirium in this patient in a time-efficient
manner (<5 minutes), what will be your instrument of choice?
Folstein Mini-Mental State Examination (MMSE)
Confusion Assessment Method (CAM)
Diagnostic and Statistical Manual of Mental Disorders, Fourth
Edition (DSM-V)
Glasgow Coma Scale (GCS) - ANSWER-b. Confusion Assessment
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Method (CAM)
An 84-year-old woman complains of nausea and vomiting for the
past 3 days. She has a history of multiple abdominal surgeries,
adhesions, and recurrent hospitalizations for partial small bowel
obstruction. She has visual and hearing impairment and is currently
taking oxybutynin for neurogenic bladder. You are worried about
her developing delirium and would like to prevent it. Interventions
that may prevent the onset of delirium among elderly hospitalized
patients include all of the following except:
Early mobilization
Ensuring 6 hours of uninterrupted sleep per night
Treating volume depletion
Using lorazepam for anxiety
Providing access to hearing and visual aids - ANSWER-d. Using
lorazepam for anxiety
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An 80-year-old man with multi-infarct dementia, chronic kidney
disease, congestive heart failure, and uncontrolled hypertension
was hospitalized with a heart failure exacerbation. He was initially
treated with diuretics and salt restriction and his condition
stabilized. On day 2 of his hospital stay, he developed confusion,
inattention, and agitation. Application of nonpharmacologic
measures to treat delirium was unsuccessful. Which of the
pharmacologic agents mentioned below would be the best choice
for treating the agitation associated with his delirium?
Melatonin
Haloperidol
Diazepam
Gabapentin - ANSWER-b. Haloperidol
A 72-year-old woman has memory decline that has progressed
gradually over 18 months. Symptoms include repeating statements
and questions, frequently losing items, and forgetting things.
According to her husband, she is not as patient as usual but has no
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problems with mood, sleep, appetite, interpersonal relationships, or
activities of daily living and continues to work part-time as a
substitute teacher. She is independent on scales of activities of
daily living filled out by her husband. The patient is functioning
quite well day-to-day and has not restricted any of her activities.
What is the recommended action in this patient?
No dementia screening is needed because these are normal aging
changes.
Discuss with the patient about the decision for dementia screening.
Use the Mini-Cog, the MMSE, or SLUMS to screen for dementia.
Refer to specialist for further dementia assessment. - ANSWER-b.
Discuss with the patient about the decision for dementia screening
Mr. Brown is a 68-year-old retired teacher who lives with his wife
and has remained active in volunteer programs in their community.
However, according to Mrs. Brown, Mr. Brown has had several
angry outbursts the past few months. He has lost interest in his
hobby (building model cars) and has stopped participating in