Dementia
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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
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____is a loss of the ability to produce and/or comprehend language | Aphasia
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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
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generalization by reducing the information content of a concept or an observable phenomenon | Abstract
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confusion of imagination with memory, and/or the confusion of true memories with false memories. | Confabulation
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is the progressive decline in cognitive function | Dementia
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is the mental capacity to control and purposefully apply one's own mental skills | Executive functioning
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What does mental status exam include? | judgment, insight, memory, intellect
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What does a mini-mental status exam include? | orientation, registration, attn/calc., memory, language
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What is it called when a depressed person mistaken for dementia? | pseudodementia
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T/F recent memory goes away first with dementia | False. Recent memory goes away first with Alzheimer
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T/F long term memory or remote memory stays longer with dementia | True
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Therapy used in the alzheimer unit to talk about the past. | Reminiscence therapy
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When a person becomes confused or agitated at night | Sundowning
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Alcoholic memory language impairment | Wernicke-Korsakoff’s syndrome
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Manifestations of Wernicke-Korsakoff’s syndrome | thiamine (B1) deficiency, or beri-beri
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T/F Wernicke-Korsakoff’s syndrome is permanent | True
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Onset of delirium | Rapid
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Onset of dementia | Gradual
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Onset of depression | Tied to loss
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Duration of delirium | brief - hours to days
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Duration of dementia | progressive deterioration
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Duration of depression | weeks - months
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Level of consciousness of delirium | impaired, short-term
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Level of consciousness of dementia and depression | not impaired
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memory impairment with delirium | short-term impairment
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memory impairment with dementia | short-term then long-term impairment
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T/F memory is impaired with depression | False
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Speech is slurred, rambling, pressured and irrelevant with delirium or dementia | delirium
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Speech is normal then asphasia with delirium or dementia | dementia
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Thought processes is temp ____ in delirium | temp disorganized
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Thought processes is impaired to los of thinking in ____. | dementia
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thought process is mood tearfulness in ____ | depression
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Can have visual or tactial preception as well as hallucinations and delusions with____. | delirium
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Perception is often absent, can have paranoias, hallucinations and illusions with ____. | dementia
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Mood is anxious, fearful in hallucinating, weeping, irritable in ____. | delirium
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Mood is depressed with anxiety early and angry later | dementia
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T/F hypoxia can lead to delirium and/or dementia | True
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Blood chemistry alterations that can lead to delirium and/or dementia | hyper/hyponatremia, polydipsia, high blood sugar (confusion) low blood sugar (delirious)
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Metabolic disorders that can lead to delirium and/or dementia | Hyperthyroid (graves) - manic agitated and psychotic. Hypothyroid (myxedema) depressed, slow thinking
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Toxic/infectious states that can lead to delirium and/or dementia | pneumonias (hypoxic) HIV, and many infections
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sensory deprivation leading to ____, which can be seen in ICU. | psychosis
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repeated head trauma, tumors can lead to | delirium and/or dementia
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T/F dementia causes Alzheimer's disease | False Alzheimer's disease causes dementia
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____ dementia includes hardening of arteries leading to mini-stroke | Vascular dementia
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What percentage of Parkinson's pt have dementias | 33%
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____ can cause dementia and is reversible when shunt is inserted in skull | Hydrocephalus
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Huntington’s, Pick’s, bovine spongiform encephalopathy (BSE) | rare diseases that cause dementia
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self care deficits r/t cognitive impairment is a diagnoses of which disease | Alzheimer's
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The best outcome for a delirious pt is | pt experiences removal of root cause of problem
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balancing a checkbook, following a recipe and navigating a shoping mall are examples of simple or complex cognitive skills | complex
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Delusions, wandering, and failure to recognize family members are seen in which stage of Alzheimers’s disease? | Late
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T/F in early stage Alzheimer's disease the family should plan with advance directives | True
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Keep communication simple and provide visual cues is a way to communicate to a/an ____ patient | Alzheimer's
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Created by:
cgwayland
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