A nurse is teaching a nursing student about secondary Neurocognitive Disorders. Which of the following are the causes of secondary Neurocognitive Disorders? Select all that apply.
Contracture
Cerebral trauma
Fever
Human Immunodeficiency Virus (HIV)
Huntington's disease
Correct Answer : B,C,D
A. Contracture: Contracture refers to the permanent tightening of muscles or joints and is not directly related to neurocognitive disorders. It is a physical condition rather than a cause of cognitive impairment.
B. Cerebral trauma: Cerebral trauma, such as traumatic brain injury, can lead to secondary neurocognitive disorders due to direct damage to brain tissues and subsequent cognitive impairments.
C. Fever: Severe or prolonged fever can be associated with secondary neurocognitive disorders, especially if it leads to complications like encephalitis or severe metabolic disturbances.
D. Human Immunodeficiency Virus (HIV): HIV can lead to secondary neurocognitive disorders due to the direct effects of the virus on the brain and the resultant immune deficiency, which can allow opportunistic infections that affect cognitive function.
E. Huntington's disease: Huntington's disease is a primary neurodegenerative disorder characterized by the progressive breakdown of nerve cells in the brain. It directly causes neurocognitive decline due to genetic mutations and is considered a primary neurocognitive disorder rather than a secondary one. Secondary neurocognitive disorders are typically the result of another primary condition or external factor such as trauma or infection, rather than a primary neurodegenerative disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Age-related cognitive changes may lead to alterations in mental status." Age-related cognitive changes, such as mild cognitive impairment, can increase the risk of delirium, but the statement is too general. Delirium is typically acute and caused by specific factors like medication, infection, or metabolic imbalances, not just normal age-related changes . Therefore, this choice is incorrect.
B. "Lack of rigorous exercise may lead to alterations in mental status." While lack of exercise can impact overall health and well-being, it is not a direct risk factor for delirium. Delirium is more closely associated with acute medical conditions, medication interactions, or environmental factors . Therefore, this choice is incorrect.
C. "Decreased social interaction may lead to profound isolation and psychosis." Decreased social interaction can lead to isolation and mental health issues like depression, but it is not a direct cause of delirium. Delirium typically results from acute physiological changes rather than social factors . Therefore, this choice is incorrect.
D. "Taking multiple medications may lead to adverse interactions or toxicity." Polypharmacy, or taking multiple medications, is a significant risk factor for delirium in older adults due to the potential for adverse drug interactions and toxicity. This can lead to acute changes in mental status characteristic of delirium . This choice is correct.
Correct Answer is C
Explanation
A. The child's mother and father have an inconsistent parenting style: Inconsistent parenting styles can contribute to anxiety in children by creating an unpredictable environment, which may increase the risk of separation anxiety. However, it is not a direct indicator of separation anxiety disorder.
B. The child previously had an extroverted temperament. An extroverted temperament is not typically associated with separation anxiety disorder. Children with this disorder are often more anxious, fearful, and dependent on attachment figures.
C. The child's mother is diagnosed with an anxiety disorder. A family history of anxiety disorders, particularly in a parent, can increase the risk of separation anxiety in children due to genetic and environmental factors. This choice is correct.
D. The child has a history of antisocial behaviors. Antisocial behaviors, such as aggression and defiance, are more indicative of conduct disorders or oppositional defiant disorder rather than separation anxiety disorder, which is characterized by excessive fear of separation from attachment figures .
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