Exam 21: Cognitive Impairment and Neurological Disorders

Classic signs of Parkinson's disease (PD) in an older person include tremors at rest, rigidity (stiff muscles), akinesia (poverty of movement), and postural abnormalities.Which of the following is the most conspicuous sign of PD?

An older female adult is recovering in the intensive care unit from a bowel resection, but remains intubated and on a mechanical ventilator.Using the Hospital Elder Life Program (HELP), what should the nurse implement to help prevent delirium in this older person?

At 2200 hours, an older male resident is attempting to climb over the bedrails.Which intervention should the nurse implement first?

Pharmacological interventions should not replace thoughtful and careful evaluation and management of the underlying causes of delirium.Which medication administered for delirium in a controlled environment can reduce the duration and severity of delirium for high-risk patients?

Cerebrovascular disease is manifested as either a stroke (ischemic or hemorrhagic) or a transient ischemic attack (TIA).Mr.Dickson, 75 years of age, has been admitted to the hospital with an ischemic stroke.Which of the following would be an expected finding in an older person with an ischemic stroke?

Confirming a diagnosis of Alzheimer's disease in an older person can be achieved by detecting or utilizing which of the following tests or assessments?

Which of the following is a beneficial approach to hygienic care for an older person with dementia?

An older person who has had a TIA should be assessed for which of the following?

Which type of exercise program is better for improving mood and function in older persons with Alzheimer's disease (AD)?

Which assessment parameter should the nurse avoid using to differentiate between delirium and depression in an older person?

An older male adult comes to the emergency department after falling at home.He reports that he cannot walk without losing his balance, and his speech is somewhat slurred.Which one of the following steps should the nurse implement for this patient?

An older female adult has a wound infection five days after having undergone a below-the-knee amputation brought about by diabetes mellitus.What is the nurse's priority intervention to prevent cognitive dysfunction and postoperative complications in this older person?