Question 1

The nurse is educating a postpartum client about infant growth and development. Which statement will the nurse include in the material?

Accepted Answer

Infant development typically progresses from simple to more complex tasks, such as starting with grasping and moving to more advanced skills.

Question 2

The nurse is caring for a client with a permanent brain injury. What does the nurse understand about the link between this condition and cognitive pathophysiology? Select all that apply.

Accepted Answer

B, D

Question 3

The nurse is caring for a client with increased intracranial pressure. Which mechanisms related to oxygenation and circulation does the nurse understand can lead to this condition? Select all that apply.

Accepted Answer

Increased intracranial pressure can result from impaired gas exchange (B) leading to hypoxia, respiratory acidosis (C) causing vasodilation, increased vasodilation (D) raising blood volume in the brain, and decreased cerebral perfusion (E) reducing oxygen delivery to brain tissue.

Question 4

The nurse is caring for a client with chronic peripheral inflammation. Which neurotransmitters considered central in cognition are affected by this condition? Select all that apply.

Accepted Answer

Chronic peripheral inflammation can affect neurotransmitters involved in cognition such as Acetylcholine, Dopamine, Serotonin, and Glutamate. These neurotransmitters play significant roles in cognitive processes and can be influenced by inflammatory conditions.

Question 5

The nurse is providing education about fetal neurodevelopment and neurocognition to a client who is three months pregnant. Which factors will the nurse include in the education? Select all that apply.

Accepted Answer

Smoking, alcohol, and nutrition are all factors that can affect fetal neurodevelopment and neurocognition. Maternal IQ is not a factor that has been shown to affect fetal neurodevelopment or neurocognition.

Question 6

The nurse is providing education to a client with a neurocognitive development disorder. Which statement by the client requires further follow up by the nurse?

Accepted Answer

The statement that a specific gene has been identified as the cause of the disorder may require further follow-up, as neurocognitive development disorders are often multifactorial and not typically attributed to a single gene.

Question 7

The nurse is educating a postpartum client about breastfeeding. Which statement will the nurse include about the link between breastfeeding and mental health?

Accepted Answer

The answer of The nurse is educating a postpartum client...

Question 8

The nurse is reviewing the importance of maternal health with a woman who is three months pregnant. Which neurotransmitter will the nurse discuss with the client?

Accepted Answer

Oxytocin is a hormone and neurotransmitter that plays a significant role in childbirth and maternal bonding, making it relevant to discuss during pregnancy.

Question 9

The nurse is caring for a client with schizophrenia. What does the nurse understand about the prevalence of this condition?

Accepted Answer

Schizophrenia has a similar prevalence rate across different cultures and ethnicities, typically affecting about 1% of the population worldwide.

Question 10

The nurse is assessing a client with suspected formal thought disorder (FTD). Which findings does the nurse understand are consistent with this condition? Select all that apply.

Accepted Answer

The answer of The nurse is assessing a client with...

Question 11

The nurse is educating the family of a client about the negative symptoms of schizophrenia spectrum disorder. Which symptoms will the nurse review in the material? Select all that apply.

Accepted Answer

Negative symptoms of schizophrenia include social withdrawal and avolition, which refer to a lack of motivation and reduced engagement in social activities. Memory deficits, delusions, and hallucinations are not negative symptoms; they are cognitive and positive symptoms, respectively.

Question 12

A client with schizophrenia asks the nurse, "What are my chances for recovery?" What response should the nurse give?

Accepted Answer

Substantial recovery can occur with appropriate treatment and support, offering a hopeful yet realistic perspective.

Question 13

The nurse is caring for a client with delirium. What does the nurse understand about the onset of this condition?

Accepted Answer

Delirium is characterized by a rapid onset and can last from hours to days, often fluctuating in severity.

Question 14

The nurse is caring for a patient diagnosed with Alzheimer disease. What does the nurse understand to be objectives identified for Alzheimer disease as defined by Healthy People 2020? Select all that apply.

Accepted Answer

Healthy People 2020 objectives for Alzheimer disease include reducing preventable hospitalizations and increasing awareness of the diagnosis among patients and caregivers.

Question 15

The nurse is educating the family of a client diagnosed with Alzheimer disease about the cause of this condition. Which statements will the nurse include in the teaching? Select all that apply.

Accepted Answer

Alzheimer's disease is characterized by the death of brain cells and the buildup of proteins such as amyloid plaques and tau tangles in the brain.

Question 16

The nurse is reviewing the plan of care for a client with delirium. Which interventions will the nurse include in the care for this client? Select all that apply.

Accepted Answer

Providing a calm, well-lit environment and reducing sound at night can help minimize confusion and agitation in clients with delirium.

Question 17

The nurse is educating the parent of a 7-year-old child during a well-child visit about the symptoms of attention-deficit/hyperactivity disorder (ADHD). Which symptoms will the nurse review in the teaching? Select all that apply.

Accepted Answer

ADHD symptoms in children include continual fidgeting, excessive daydreaming, unnecessary risk-taking, and trouble taking turns. Excessive anxiety is not a primary symptom of ADHD.

Question 18

The nurse is assessing an older adult client with suspected attention-deficit/hyperactivity disorder (ADHD). What does the nurse understand about the diagnosis and treatment of ADHD in this age group? Select all that apply.

Accepted Answer

The answer of The nurse is assessing an older adult...

Question 19

The nurse is teaching a community health class about autism spectrum disorder (ASD). What statement will the nurse include in the teaching?

Accepted Answer

Autism Spectrum Disorder (ASD) encompasses a range of conditions characterized by challenges with social skills, repetitive behaviors, and communication. It is not determined by a specific test or distinct appearance.

Question 20

The nurse is assessing a four-year old child with suspected fetal alcohol syndrome. What assessment findings will the nurse anticipate? Select all that apply.

Accepted Answer

Fetal alcohol syndrome is characterized by growth deficiencies, such as deficiency in height and weight, and distinct facial features, including a thin upper lip.

Quiz 30: Neurocognitive and Neurodevelopmental Disorders