Deck 15: Neurocognitive Disorders

Question 1

Neurocognitive disorder, mild or major, always has irreversible consequences.

Answer 1

False

Question 2

Marta Fuentes has abused alcohol for over 15 years. She is now complaining to her social worker about having problems with her memory. She states that she cannot recall the names of any recent presidents of the United States. More troubling for Marta is the fact that she cannot remember the names of her children, nieces, nephews, etc. Marta does not display any language difficulties in that she can identify and recognize familiar objects. The social worker's findings indicate Marta is significantly impaired in social and vocational functioning. She would most likely receive a diagnosis of:

A)Korsakoff syndrome
B)Hunter's syndrome
C)Bischoff's syndrome
D)Rudes' syndrome

Answer 2

A

Question 3

Individuals who are confused and disoriented that develops over a short period of time, usually hours to a few days, and tends to fluctuate during the course of the day may appear to be suffering from delirium.

Answer 3

True

Question 4

Alex was diagnosed with a neurocognitive disorder five years ago when he was seventy years of age. Since that time, he continues to have difficulty figuring out how to solve problems, for example making a grocery list, or adjusting the thermostat in his house. These symptoms are characterized as:

A)Disturbances in executive function
B)Visuospatial skill deficit
C)Pick's disease
D)Neurodegenerative syndrome

Question 5

Impairment in executive functioning is a prominent feature of neurocognitive disorder due to HIV infection.

Question 6

Almost all individuals who are diagnosed with Parkinson's or Huntington's disease go on to develop neurocognitive disorder.

Question 7

Martha Anne has been living with her daughter Diana for the last ten years. Recently, there was some discussion about finding an appropriate nursing home to help care for Martha Anne. For the past year or so, Martha Anne has been unable to recognize her daughter, other family members, and friends. In addition she presents a mosaic of cognitive problems around perceptual-motor abilities; for instance, she is unable to recognize commonly used objects or utensils, such as the telephone, or a knife and fork. What is the most likely type of a major neurocognitive disorder to consider?

A)Vascular disease
B)Traumatic brain injury
C)Alzheimer's disease
D)Lewy body disease

Question 8

Quinn Mc Muffin suffered from a stroke about two years ago leaving him with a number of damaged areas to his brain. He is now showing signs of neurological impairment and senility. Quinn would most likely be diagnosed as having a neurocognitive associated with:

A)Another medical condition
B)Parkinson's disease
C)Prion disease
D)Vascular disease

Question 9

Margaret Esobar is a 79 year-old woman who is currently residing in a nursing home. Despite a history of depression, she had no problems adjusting to the facility. Margaret is currently being evaluated for a suspected urinary tract infection. The nurse reports that Margaret is easily distracted, repeats herself when answering questions, asks the same question over and over, seems unable to focus, and cannot respond to questions regarding orientation to where she is and why. Her family shares that Margaret just didn't seem to "be herself" when they visited the night before. The nursing notes in her record indicate that Margaret is cordial and appropriate. What is Margaret's most likely diagnosis?

A)Depressive disorder due to another medical condition
B)Delirium
C)Major depressive disorder with anxious distress
D)Anxiety disorder due to another medical condition

Question 10

Alzheimer's disease and neurocognitive disorder is essentially the same thing.

Question 11

Yosef Lieberman is a 96 year-old gentleman who has been admitted to the hospital for a broken hip. While in the hospital, he was evaluated by a psychiatrist and received a diagnosis of delirium. As the social worker, you are responsible for coordinating his discharge plan. What is the first thing you would explore?

A)The need for physical therapy
B)The psychiatrist's recommended medication
C)The medical problem or problems that precipitated the delirium
D)The manifestation of mental impairment

Question 12

Reba's father, George, is 84 years old. He had his first stroke in his early seventies or about 10 years ago. Since then, he has had TIA's transient ischemic attacks) in spite of taking medication to prevent further strokes. Recently, Reba noticed that her father's long term memories have started to vanish rather than just his short term retention. Reba reports that her father needs more and more care. Unfortunately George has inoperable cataracts and is hard of hearing but refuses to wear hearing aids. As a result, watching TV or listening to the radio are more of an irritation rather than a pleasant way for him to pass the time. As well, George can no longer read the newspapers or do the crosswords, a favorite activity. Reba recently put her father in a nursing home so that she could take a much needed vacation. George's diagnosis is seen as a neurocognitive disorder due to:

A)Parkinson's disease
B)Parkinson's disease
C)Vascular disease
D)Prion disease

Question 13

Otis Brown is a 27 year-old African American gentleman who recently had a motorcycle accident while driving on the interstate. Although Otis wore a helmet, he suffered severe head trauma. There is no evidence that he suffered disturbances with language, his ability to carry out motor activities, to recognize common objects, or to plan or organize activities. However, Otis does have difficulty with his memory and is unable to transfer any newly learned information into long-term memory. What would be the most likely diagnosis of neurocognitive disorder for Otis?

A)Epstein-Barr syndrome
B)Neurasthenia deficit
C)Generalized delirum
D)Traumatic brain injury

Question 14

Amnesia for new information and confabulation characterizes alcohol-induced major or mild) neurocognitive disorder, amnestic-confabulatory type. True

Question 15

Which of the following is the most common type of neurocognitive disorder?

A)Alzheimer's Disease
E)Manganese Intoxication
F)Cerebellar Neoplasm
G)Cerebrovascular Disease

Question 16

Wayne Alcorn is a seventy-two year old gentleman who has led an active life and is involved in community activities. If a neighbor needed a hand, Wayne was the first to help. He was especially well known for his volunteer work at the hospital's cancer center where he served both snacks and a kind word to patients in the infusion unit. He is brought to the emergency room due to an episode of unexplained loss of consciousness. His wife shares that Wayne has experienced transient episodes of loss of consciousness, repeated falls, and fainting spells over the past year but nothing like what brought him to the ER. A thorough work up found no evidence of heart disease. However in the ER he was found to have dizzy spells on standing up and urinary incontinence. What would be the best provisional diagnosis to consider for Wayne?

A)New onset seizure disorder
B)Possible neurocognitive disorder due to Lewy bodies
C)Possible neurocognitive disorder due to Alzheimer's disease
D)Cerebrovascular Disease

Question 17

Neurocognitive disorder is caused by early drug abuse.

Question 18

Progressive symptoms of this type of neurocognitive disorder typically occur in those who have failing immunity with a low CD4 count and high viral load. Typical symptoms include short-term memory loss, slowing of thinking, difficulties with complex tasks, and social withdrawal. Neurologic symptoms such as hand tremor and gait difficulties are common, and some people also develop difficulties with irritability and emotional labiality. This type of neurocognitive disorder is diagnosed with the following due to:

A)Vascular disease
B)Alzheimer's disease
C)HIV infection
D)Huntington's disease

Question 19

In order to determine the cause of neurocognitive disorder, the practitioner must rely on:

A)Ruling out alternative explanations of the client's behavior
B)Requesting an EEG
C)Exploring interpersonal difficulties
D)Conducting a full battery of psychological tests