Author Question: The home health nurse is assigned to a new patient with a major neurocognitive disorder. Which will ... (Read 58 times)

nelaaney · **on:** Jul 19, 2018

The home health nurse is assigned to a new patient with a major neurocognitive disorder. Which will the nurse include in the initial assessment when visiting the patient at home? Select all that apply.

1. Eating habits
2. Ability to pay bills
3. Ability to shower and shave
4. Internet use
5. Medication adherence

Question 2

What does the nurse recognize as a risk factor for the development of delirium in older adults?

1. A lack of rigorous exercise that leads to decreased cerebral blood flow
2. Decreased social interaction that leads to profound isolation and psychosis
3. Administration of multiple medications that may cause medication interactions or toxicity
4. Age-related cognitive changes that make older adult patients more susceptible to changes in mental status

Tabitha_2016 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 2
Explanation: Patients with neurocognitive disorders experience decline in functioning across the wellness domains, including their ability to manage finances, recognize safety risks, and care for themselves independently. The nurse will assess patients in these areas and provide referrals and plan interventions as appropriate to ensure patients are able to maintain good nutrition and hygiene, take their medications safely, and have the financial resources that they need. Use of the internet is not a priority for assessment.

Answer to Question 2

Answer: 3
Explanation: Multiple medications may cause medication interactions or toxicity that may result in delirium. While the older adult patient is at higher risk for delirium, delirium is not caused by age-related cognitive changes. A lack of rigorous exercise will not promote delirium. Decreased social interaction can exacerbate delirium, but does not cause the condition.