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Mental Health
Dementia
| Question | Answer |
|---|---|
| loss of the ability to recognize objects, persons, sounds, shapes, or smells while the specific sense is not defective nor is there any significant memory loss | Agnosia |
| ____is a loss of the ability to produce and/or comprehend language | Aphasia |
| loss of the ability to execute or carry out learned purposeful movements, despite having the desire and the physical ability to perform the movements | Apraxia |
| generalization by reducing the information content of a concept or an observable phenomenon | Abstract |
| confusion of imagination with memory, and/or the confusion of true memories with false memories. | Confabulation |
| is the progressive decline in cognitive function | Dementia |
| is the mental capacity to control and purposefully apply one's own mental skills | Executive functioning |
| What does mental status exam include? | judgment, insight, memory, intellect |
| What does a mini-mental status exam include? | orientation, registration, attn/calc., memory, language |
| What is it called when a depressed person mistaken for dementia? | pseudodementia |
| T/F recent memory goes away first with dementia | False. Recent memory goes away first with Alzheimer |
| T/F long term memory or remote memory stays longer with dementia | True |
| Therapy used in the alzheimer unit to talk about the past. | Reminiscence therapy |
| When a person becomes confused or agitated at night | Sundowning |
| Alcoholic memory language impairment | Wernicke-Korsakoff’s syndrome |
| Manifestations of Wernicke-Korsakoff’s syndrome | thiamine (B1) deficiency, or beri-beri |
| T/F Wernicke-Korsakoff’s syndrome is permanent | True |
| Onset of delirium | Rapid |
| Onset of dementia | Gradual |
| Onset of depression | Tied to loss |
| Duration of delirium | brief - hours to days |
| Duration of dementia | progressive deterioration |
| Duration of depression | weeks - months |
| Level of consciousness of delirium | impaired, short-term |
| Level of consciousness of dementia and depression | not impaired |
| memory impairment with delirium | short-term impairment |
| memory impairment with dementia | short-term then long-term impairment |
| T/F memory is impaired with depression | False |
| Speech is slurred, rambling, pressured and irrelevant with delirium or dementia | delirium |
| Speech is normal then asphasia with delirium or dementia | dementia |
| Thought processes is temp ____ in delirium | temp disorganized |
| Thought processes is impaired to los of thinking in ____. | dementia |
| thought process is mood tearfulness in ____ | depression |
| Can have visual or tactial preception as well as hallucinations and delusions with____. | delirium |
| Perception is often absent, can have paranoias, hallucinations and illusions with ____. | dementia |
| Mood is anxious, fearful in hallucinating, weeping, irritable in ____. | delirium |
| Mood is depressed with anxiety early and angry later | dementia |
| T/F hypoxia can lead to delirium and/or dementia | True |
| Blood chemistry alterations that can lead to delirium and/or dementia | hyper/hyponatremia, polydipsia, high blood sugar (confusion) low blood sugar (delirious) |
| Metabolic disorders that can lead to delirium and/or dementia | Hyperthyroid (graves) - manic agitated and psychotic. Hypothyroid (myxedema) depressed, slow thinking |
| Toxic/infectious states that can lead to delirium and/or dementia | pneumonias (hypoxic) HIV, and many infections |
| sensory deprivation leading to ____, which can be seen in ICU. | psychosis |
| repeated head trauma, tumors can lead to | delirium and/or dementia |
| T/F dementia causes Alzheimer's disease | False Alzheimer's disease causes dementia |
| ____ dementia includes hardening of arteries leading to mini-stroke | Vascular dementia |
| What percentage of Parkinson's pt have dementias | 33% |
| ____ can cause dementia and is reversible when shunt is inserted in skull | Hydrocephalus |
| Huntington’s, Pick’s, bovine spongiform encephalopathy (BSE) | rare diseases that cause dementia |
| self care deficits r/t cognitive impairment is a diagnoses of which disease | Alzheimer's |
| The best outcome for a delirious pt is | pt experiences removal of root cause of problem |
| balancing a checkbook, following a recipe and navigating a shoping mall are examples of simple or complex cognitive skills | complex |
| Delusions, wandering, and failure to recognize family members are seen in which stage of Alzheimers’s disease? | Late |
| T/F in early stage Alzheimer's disease the family should plan with advance directives | True |
| Keep communication simple and provide visual cues is a way to communicate to a/an ____ patient | Alzheimer's |
Created by:
cgwayland
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