NU665 2021 September Week 10 Quiz Latest

NU665 Primary Care of the Psychiatric Mental Health Client II

Week 10 Quiz  

Question 1A 73-year-old man presents with his wife for evaluation of cognitive function. Although he is pleasant and cooperative, his wife is concerned because she can’t “trust him” anymore. She describes an incident where she left him sitting alone in the shopping mall while she returned an item to the store. When she came back he was at a table of young women discussing plans to go out with them. She also describes being embarrassed because he will often pat the backside of strange women. One condition that is at the top of your differential list is ________.

Select one:

a.cluster B personality disorder

b.frontal lobe dysfunction

c.Alzheimer’s dementia

d.temporal lobe epilepsy

e.None of these answers is .

Question 2As a PMHNP, you know that normal aging is associated with memory performance and cognitive speed changes. Which of the following best describes this process?

Select one:

a.Crystallized intelligence is the short-term portion of one’s memory and remains stable as we age.

b.Fluid intelligence and problem-solving abilities often improve with age.

c.Crystallized intelligence is one’s lifetime of intellectual achievement and general fund of knowledge. This remains stable as we age.

d.The capacity to recognize words and name items begins to fail during the fourth decade.

Question 3In mild cognitive impairment (MCI), there is likely to be ________.

Select one:

a.serious social and vocational disability

b.pronounced impairment of instrumental activities of daily living (IADLs)

c.deficits in memory

d.wandering and disorientation

Question 4Mild cognitive impairment (MCI) is now thought to occur at least a decade before the actual presentation of symptoms. Which of the following best describes this phenomenon?

Select one:

a.The cognitive decline is greater than expected for the patient’s age and educational level.

b.MCI is not implicated in the transition to a more serious form of dementia.

c.MCI consists only of objective data.

d.Activities of daily living (ADLs) are always affected.

Question 5The goal of treatment for major and mild neurocognitive disorders includes which of the following?

Select one:

a.Stabilize symptoms

b.Enhance quality of life

c.Support the caregivers

d.Enhance independence

e.All of these answers are .

.Question 6Which of the following disorders is frequently characterized by an abrupt onset with a stepwise deterioration in intellectual function?

Select one:

a.Alzheimer’s disease

b.Lewy body dementia

c.Vascular dementia

d.Korsakoff’s syndrome

e.None of these answers is .

Question 7Which of the following disorders is primarily characterized by a pronounced fluctuation in alertness and attention with recurrent visual hallucinations and Parkinsonian motor symptoms?

Select one:

a.Alzheimer’s disease

b.Frontal lobe dementia

c.Lewy body dementia

d.Vascular dementia

Question 8Which of the following is a normal change seen in the elderly?

Select one:

a.Inability to learn new tasks

b.A significant decrease in IQ starting at 70 years old

c.Changes in vocabulary

d.Decrease in psychomotor speed

e.Impairments in social functioning as a result of cognitive decline

Question 9Which of the following neurotransmitters are most widely accepted to be dysregulated in delirium?

Select one:

a.Norepinephrine and acetylcholine

b.Dopamine and serotonin

c.Serotonin and Acetylcholine

d.Acetylcholine and dopamine

e.All of these answers are .

Question 10Which of the following symptoms is a core feature of frontotemporal dementia?

Select one:

a.Speech and language problems

b.Visual hallucinations

c.Confusion and disorientation

d.Loss of balance and falls

e.All of these answers are .

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