1) A nurse is caring for a client who has early stage Alzheimer’s disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? a) “You should avoid taking over the counter acetaminophen while on donepezil.” b) “You should take this medication before going to bed at the end of the day.” c) “You will be screened for underlying kidney disease prior to starting donepezil.” d) “You should stop taking donepezil if you experience nausea or diarrhea.” 2) A nurse in a long term care facility is caring for a client who has major neurocognitive disorder and attempts to wander out of the building. The client states, “I have to get home.” Which of the following statements should the nurse make?A nurse in a long‑term care facility is caring for  a) “You have forgotten that this is your home.” b) “You cannot go outside without a staff member.” c) “Why would you want to leave? Aren’t you happy with your care?” d) “I am your nurse. Let’s walk together to your room.” 3) A home health nurse is making a visit to a client who has Alzheimer’s disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client’s risk for injury? a) Install extra locks at the top of exit doors. b) Place rugs over electrical cords. c) Put cleaning supplies on the top of a shelf. d) Place the client’s mattress on the floor. e) Install light fixtures above stairs. 4) A nurse is making a home visit to a client who is in the late stage of Alzheimer’s disease. The client’s partner, who is the primary caregiver, wishes to discuss concerns about the client’s nutrition and the stress of providing care. Which of the following actions should the nurse take? a) Verify that a current power of attorney document is on file. b) Instruct the client’s partner to offer finger foods to increase oral intake. c) Provide information on resources for respite care. d) Schedule the client for placement of an enteral feeding tube. 5) A nurse is performing an admission assessment for a client who has delirium related to an acute urinary tract infection. Which of the following findings should the nurse expect? (Select all that apply.) a) History of gradual memory loss b) Family report of personality changes c) Hallucinations d) Unaltered level of consciousness e) Restlessness 6) A nurse is performing an admission assessment for a client who has dementia notices client repeating a certain phrase over and over again while locking back and forth on the chair when asked about what the client ate yesterday for lunch. What is this defense mechanism called.  a) Aphasia b) Agnosia c) Perseveration d) Denial 7) A nurse is performing an admission assessment for a client who has dementia notices client make up story when asked about what the client ate yesterday for lunch. What is this defense mechanism called.  a) Aphasia b) Agnosia c) Perseveration d) confabulation 8) A nurse is performing an admission assessment for a client who has dementia notices struggle to formulate a sentence when asked about how he feels. What is this manifestation of dementia called? a) Aphasia b) Agnosia c) Perseveration d) confabulation 9) A nurse is assisting a client who has dementia with morning hygiene when notices client took a spoon and try to brush teeth with it. What is this symptom of dementia called?  a) Aphasia b) Agnosia c) Apraxia d) Palalia 10) A nurse is preparing an older client who is at the clinic for for annual check up with son, when son says "my mom is old she does not need a computer. This is young gen stuff." Why is this clients saying this statement? a) This is true, older people are not smart enough b) This is stereotyping directed towards older people c) This is true as older generation did not have computer growing up d) The son mean well.

Neurocognitive disorders

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