The student nurse is learning the stages of dementia in class. While in clinical, they are in a neurological disorder unit. The student assesses their client and notices the client has significant memory loss, confusion, difficulty with language, and struggles with daily tasks like dressing and bathing. Which stage of dementia is this client in?

Early-stage dementia

Mild cognitive impairment

Severe dementia

Moderate dementia

Answer and Explanation

The Correct Answer is D

A. Early-stage dementia: At this stage, individuals might have some memory problems but can generally maintain independence. The symptoms described (significant memory loss, confusion, difficulty with language, and struggles with daily tasks) are more advanced than what is typically seen in early-stage dementia.

B. Mild cognitive impairment: This is a transitional stage between normal cognitive aging and dementia. It involves some memory problems and cognitive changes but not severe enough to impact daily functioning to the extent described.

C. Severe dementia: In this stage, individuals typically require assistance with most activities of daily living, have severe memory loss, and may not recognize close family members or understand their surroundings. The described symptoms do not yet indicate this level of severity.

D. Moderate dementia: This stage is characterized by more pronounced memory loss, confusion, difficulty with language, and an increasing need for help with daily tasks such as dressing and bathing, matching the client's symptoms.

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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 .

A. History of abuse B. Has more than three siblings C. A structured household environment D. Diagnosis of many chronic medical illnesses

Correct Answer is A

Explanation

A. History of abuse: A history of physical, emotional, or sexual abuse is a significant risk factor for developing conduct disorder. Children who have experienced abuse may exhibit aggressive and defiant behaviours as a means of coping with their trauma.

B. Has more than three siblings: Having a large number of siblings alone is not directly associated with conduct disorder. Family dynamics and individual relationships are more relevant than the number of siblings.

C. A structured household environment: A structured household environment, typically characterized by consistent rules and supportive parenting, is generally protective against behavioural disorders like conduct disorder.

D. Diagnosis of many chronic medical illnesses: Chronic medical illnesses are not typically linked to conduct disorder. Risk factors for CD are more commonly related to psychosocial and environmental issues rather than medical conditions

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child diagnosed with Separation Anxiety Disorder. Which of the following assessment findings should the nurse recognize to be associated with Separation Anxiety Disorder?

Correct Answer is C

Explanation

A nurse is providing teaching to a group of parents about risk factors for conduct disorder (CD). Which of the following risk factors should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client diagnosed with anorexia nervosa and overexercises to avoid gaining weight. Which of the following should be the appropriate action by the nurse?

Which is an evidence-based approach for further assessment by a school nurse, who notices bruises and scars on a 5-year-old child's body, but the child refuses to disclose how they received them?

The Nurse Manager is discussing in their monthly staff nurses meeting the importance of understanding a client's culture. How do cultural considerations play a crucial role in understanding and addressing abusive situations involving older adults?

A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan of care?

The nurse is preparing to discharge a client home from a mental health institution. The nurse should recognize that in order for a mental health client to receive home-bound health care, which of the following criteria must be met?

A nurse is caring for a client with an eating disorder. The nurse is aware which findings are commonly associated with clients who have anorexia? (Select All that Apply.)