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- Cognition, Mental and Emotional Function Case Study Scenario: A 68 year old female client is brought by her daughet to a health clinic. The daughter states that her mother has been leaving the house lights on and the front door open most of the time, and forgetting where she placed her keys, or the direction to where she's driving. On several occassions, she has lost her way while walking in the park, as her usual exercise. She keeps asking the same question and tells the same story repeatedly. She has also lost interest in her usual activities and volunteer work. The following questions will assist the nursing student in the assessment of this client suspected for Alzheimer's disease. 1.) Describe the conduct of the visual perception and construction ability tests. 2.) Give examples of testing the client's judgement and abstract reasoning. 3.) What significant information should be included in a mini mental status exam of this client?Nursing diagnosis: Self-care deficit related to altered cognitive functioning as evidenced by hallucination and disruption in activities of daily living. What will be the inference of the patient?Cognition, Mental and Emotional Function Case Study Scenario: A 68 year old female client is brought by her daughet to a health clinic. The daughter states that her mother has been leaving the house lights on and the front door open most of the time, and forgetting where she placed her keys, or the direction to where she's driving. On several occassions, she has lost her way while walking in the park, as her usual exercise. She keeps asking the same question and tells the same story repeatedly. She has also lost interest in her usual activities and volunteer work. The following questions will assist the nursing student in the assessment of this client suspected for Alzheimer's disease. 1.) How will you test the client's thought content and process? 2.) What elements in the orientation test will you include when assessing this client? 3.) Describe the types and methods of conducting a memory test. 4.) Give common methods of testing the client's concentration and calculation skill.
- When transcribing the neurologic review of systems, you hear the following sentence "No dizziness, seizures, or (aphagia/aphasia)." Which word be transcribed and why?An older adult patient asks for a prescription for tremors to be renewed and describes the drug as a rectangular, pink pill with a scored line in the center. The drugstore is closed. T he nurse in ambulatory care attempts to better classify the drug by: (A) Suggesting the patient to call back and book an appointment with a social worker. (B) Updating the patient that he/she may not request a renewal of the medication until the next scheduled visit. (C) Taking an appointment for the patient just to check the mental health provider, to rule out age related problems like dementia. (D) By Using an online resource such as RLX.COM or Medscape.com are used to search for medications that fit the patient's description.J. B. is a 77-year-old man who is known to your practice. He is brought in today by his daughter, who reports a new onset of confusion accompanied by UI (first noticed bed was wet a few nights ago). When you see the patient today, he is oriented to place and person (knows you and your office), but not to time, and does not recall much about events of the past few days. He says that he is eating and drinking as usual (but daughter is shaking her head to the contrary). He denies any change in bowel function, but is fearful of sleeping because he might “wet the bed.” Daughter states that he has been drinking a lot more water than usual and urinating more frequently. He denies any pain, other than arthritis. He was a regular attendee at the local senior center but has not been there for a week and seems to have forgotten about it. Past medical history: Known CAD, hypertension, hyperlipidemia, impaired fasting glucose, osteoarthritis of knees. Medications: Lisinopril 20 mg orally PO once…
- Briefly expalin about stroke treatmentParamedics When the ambulance arrived, Zac had a GCS of 15 and could recall the whole incident. Zac appeared to have no other injuries. The paramedics undertook vital signs which they stated were ‘normal’ and applied a bandage to Zac’s head wound. The security guard stated that he ‘didn’t think Zac lost consciousness’. Triage 18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm occipital laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to…Paramedics When the ambulance arrived, Zac had a GCS of 15 and could recall the whole incident. Zac appeared to have no other injuries. The paramedics undertook vital signs which they stated were 'normal' and applied a bandage to Zac's head wound. The security guard stated that he 'didn't think Zac lost consciousness'. Triage 18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm occipital laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately 'five beers since 7pm'. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to…