NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 247
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1. All are true about Dementia; EXCEPT:
a. Loss of short term memory
b. Loss of long term memory
c. Deterioration of personality
d. Impaired learning
Answer: b. Loss of long term memory
Description:All are true about Dementia; EXCEPT: b. Loss of long term memory Dementia is a condition characterized by the deterioration of cognitive functions, including loss of short-term memory, deterioration of personality, and impaired learning. However, long-term memory loss is not typically a primary symptom of dementia.
2. The most common cause of dementia is:
a. Stroke
b. Alzheimer's disease
c. Thyroid abnormalities
d. Trauma
Answer: b. Alzheimer's disease
Description:The most common cause of dementia is: b. Alzheimer's disease Alzheimer's disease is the leading cause of dementia, accounting for a significant majority of dementia cases.
3. An acquired global impairment o intellect, memory and personality without impairment of consciousness is referred to as:
a. Amnesia
b. Dementia
c. Delirium
d. Parkinsonism
Answer: b. Dementia
Description:An acquired global impairment of intellect, memory, and personality without impairment of consciousness is referred to as: b. Dementia
4. In dementia patients, mood changes can be eased by:
a. Use of mood stabilizers such as lithium
b. Keeping the client busy with activities
c. Keeping a calm environment with fixed daily routine
d. Engaging the client in group activities
Answer: c. Keeping a calm environment with fixed daily routine
Description:In dementia patients, mood changes can be eased by: c. Keeping a calm environment with a fixed daily routine Creating a calm and structured environment with a consistent daily routine can help reduce mood changes and agitation in individuals with dementia.
5. Disorientation is most evident in:
a. Organic brain damage
b. Paranoid schizophrenia
c. BPAD
d. OCD
Answer: a. Organic brain damage
Description:Disorientation refers to a state of confusion or loss of awareness of time, place, and self, and it is often seen in individuals with organic brain damage, such as those with dementia or other neurological conditions.
6. A sudden unexpected travel away from home/work place with inability to recall one’s past is called:
a. Possession disorder
b. Dissociative fugue
c. Selective amnesia
d. Multiple personality disorder
Answer: b. Dissociative fugue
Description:A sudden unexpected travel away from home or workplace with an inability to recall one's past is called: b. Dissociative fugue
7. Dissociative fugue is characterized by:
a. Wandering away from home
b. Irreversible amnesia
c. Gradual recovery
d. Normal recall
Answer: a. Wandering away from home
Description:Dissociative fugue is characterized by: a. Wandering away from home Individuals experiencing a dissociative fugue may suddenly and unexpectedly wander away from their home or usual environment.
8. Which of the following is considered under acute neuro psychiatric complications of AIDS?
a. Organic hallucinosis
b. Organic personality disorder
c. Delirium
d. AIDS dementia
Answer: c. Delirium
Description:Delirium is considered under acute neuropsychiatric complication of AIDS
9. All of the following are true about nursing care for a patient with delirium: EXCEPT:
a. Allow the client to wear his/her own clothes
b. Avoid room changes, especially at night
c. Refrain family members to stay with the patient
d. Avoid physical restraint whenever possible.
Answer: c. Refrain family members to stay with the patient
Description:All of the following are true about nursing care for a patient with delirium EXCEPT: c. Refrain family members to stay with the patient In many cases, it is beneficial to have family members present to provide comfort and support for a patient with delirium. So, refraining family members from staying with the patient would not be recommended.
10. Clouding of consciousness is a features of:
a. Selective amnesia
b. Dementia
c. Delirium
d. Alzheimer's disease
Answer: c. Delirium
Description:Clouding of consciousness is a feature of: c. Delirium Delirium is characterized by a clouding of consciousness, which includes confusion, disorientation, and impaired attention and awareness.
11. Delirium is seen mainly in disorders associated with:
a. Alcohol
b. Barbiturate
c. Opium
d. Cocaine
Answer: a. Alcohol
Description:Delirium can be a symptom of alcohol withdrawal or intoxication, as well as other substances, but it is particularly associated with alcohol-related disorders.
12. Signs and symptoms o delirium tremens include all of the following; EXCEPT:
a. Clouding of consciousness
b. Tremors
c. Hypothermia
d. Disorientation
Answer: c. Hypothermia
Description:Delirium tremens (DTs) is characterized by symptoms such as clouding of consciousness, tremors, disorientation, and other neurological and psychological symptoms. Hypothermia is not typically associated with DTs.
13. Delirium and amnestic reaction are seen with:
a. Alcohol
b. Opiates
c. Cannabis
d. Amphetamines.
Answer: a. Alcohol
Description:Delirium and amnestic reaction are seen with: a. Alcohol Both delirium and amnestic reactions can be associated with alcohol use and withdrawal.
14. Biochemical etiology of Alzheimer's disease release to:
a. Epinephrine
b. Acetylcholine
c. Serotonin
d. Dopamine
Answer: b. Acetylcholine
Description:The decrease in production of acetylcholine reduces the amount of the neurotransmitter that is released to cells in the cortex and hippocampus, resulting in a disruption of the cognitive process.
15. A 73 year old client is admitted to the hospital with the diagnosis of dementia the Alzheimer’s type and depression. The symptom that is unrelated to depression would be:
a. Apathetic response to the environment
b. “I don’t know†answer to questions
c. Shallow o labile effect
d. Neglect of personal hygiene
Answer: c. Shallow o labile effect
Description:The symptom that is unrelated to depression in a client with dementia of the Alzheimer's type would be: c. Shallow or labile affect Depression can often be associated with a low or labile mood (affect), so the other options, such as apathetic response, "I don't know" answers, and neglect of personal hygiene, are more likely to be related to dementia rather than depression.
16. A 65-year old man with Alzheimer’s disease exhibits frequent episodes of emotional liability. Which of the following intervention is most appropriate for this patient?
a. Logically explains the reality
b. Reduce environmental stimuli to redirect attention
c. Try humor to alter the patient mood.
d. Explore the cause of altered mood
Answer: b. Reduce environmental stimuli to redirect attention
Description:The most appropriate intervention for a 65-year-old man with Alzheimer's disease exhibiting frequent episodes of emotional liability would be: b. Reduce environmental stimuli to redirect attention Individuals with Alzheimer's disease can become overwhelmed by environmental stimuli, and reducing these stimuli can help them manage emotional lability and improve their overall well-being. This approach aims to create a calmer and more comfortable environment for the patient.
17. Which of the following is a short-term goal for a patient with Alzheimer disease:
a. Optimum functioning in the least restrictive environment
b. Improved self esteem
c. Improved self confidence
d. Regain of sensory and cognitive function
Answer: a. Optimum functioning in the least restrictive environment
Description:Short-term goals for Alzheimer's patients often focus on managing and optimizing their current level of functioning while maintaining their safety and quality of life in the least restrictive environment possible. The other options (b, c, and d) may not be as immediately achievable in the short term for individuals with Alzheimer's disease.
18. All of the following are an example of organic brain disorders; EXCEPT:
a. Alzheimer's disease
b. Delirium
c. Dementia
d. PTSD
Answer: d. PTSD
Description:Alzheimer's disease, delirium, and dementia are all examples of organic brain disorders characterized by cognitive and neurological dysfunction. PTSD, on the other hand, is a mental health disorder that arises from exposure to trauma and is not primarily associated with organic brain changes.
19. Which of the following is feature of Alzheimer's disease?
a. Early memory loss
b. Recent memory loss
c. Recent and past memory loss
d. Global memory loss
Answer: c. Recent and past memory loss
Description:Alzheimer's disease typically involves both recent and past memory loss, as it progresses and affects various aspects of cognitive function, including memory recall. Early in the disease, recent memory loss may be more pronounced, but as it advances, it can lead to a global memory impairment that affects both recent and past memories.
20. Alzheimer's disease is associated with:
a. Delusion
b. Dementia
c. Delirium
d. Depression
Answer: b. Dementia
Description:Alzheimer's disease is a common cause of dementia, which is a broad term used to describe a decline in cognitive function that impacts a person's ability to perform daily activities. While individuals with Alzheimer's disease may experience symptoms such as memory loss, confusion, and changes in behavior, it is primarily characterized by dementia. Delusion, delirium, and depression can be associated with Alzheimer's disease, but dementia is the key feature.
21. A chronic alcoholic developed ataxia, nausea, vomiting, and ophthalmoplegia. The possible diagnosis is:
a. Korsakoff psychosis
b. Wernicke’s encephalopathy
c. Cerebellar infarction
d. Alcohol intoxication
Answer: b. Wernicke’s encephalopathy
Description:Wernicke's encephalopathy is a neurological disorder often associated with chronic alcoholism and is characterized by the symptoms mentioned, including ataxia (loss of muscle coordination), nausea, vomiting, and ophthalmoplegia (paralysis or weakness of the eye muscles). It is caused by thiamine (vitamin B1) deficiency. If left untreated, it can progress to Korsakoff psychosis.
22. Which of the following medications are the safest to administer to adults needing assistance in falling asleep?
a. Barbiturates
b. SSRIs
c. Minor tranquilizers
d. Benzodiazepines
Answer: d. Benzodiazepines
Description:Benzodiazepines are often prescribed as sleep aids, and when used as directed by a healthcare professional, they can be safe and effective for short-term use. However, it's important to note that all medications have potential side effects and risks, and they should be used under medical supervision. It's also essential to consider non-pharmacological approaches to improve sleep before turning to medication, and individuals should consult with a healthcare provider to determine the most appropriate treatment for their sleep issues.
23. A patient approached nurse asking for advice on how to deal with his alcohol addition. Nurse should tell the client that the only effective treatment for alcoholism is:
a. Psychotherapy
b. Alcoholics anonymous (AA)
c. Total abstinence
d. Aversion therapy
Answer: c. Total abstinence
Description:Total abstinence from alcohol is a fundamental aspect of treating alcoholism. While psychotherapy, support groups like Alcoholics Anonymous (AA), and other interventions can be valuable components of a comprehensive treatment plan, complete avoidance of alcohol is typically essential for individuals with alcohol addiction to achieve and maintain recovery.
24. Most common symptoms o alcohol withdrawal is:
a. Body ache
b. Tremor
c. Rhinorrhea
d. Diarrhea
Answer: b. Tremor
Description:Tremors, or shaking, are a common symptom experienced by individuals going through alcohol withdrawal. Other symptoms may also occur, including anxiety, sweating, nausea, and increased heart rate, among others. The severity and range of symptoms can vary from person to person and may depend on the extent of their alcohol use and dependence.
25. The health education to a group of alcoholic people should be able to:
a. Teach the bad effects of alcoholism
b. Change their behavior
c. Inform about constituents of alcohol
d. Create awareness among them about family crisis.
Answer: b. Change their behavior
Description:The primary goal of health education for individuals struggling with alcoholism is to help them understand the consequences of their behavior and provide information and strategies that can support behavior change, such as reducing or quitting alcohol consumption. While informing them about the effects of alcoholism, its constituents, and creating awareness about family issues may be components of the education, the ultimate objective is to facilitate behavioral change and help them overcome addiction.
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