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Mental Health Nursing Exam 2 Blueprint

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Alzheimer’s:  Short-term goals for a pt dx with Alzheimer’s Disease o Nutritional intake  Alzheimer’s Stages 6 and 7 o Physiological changes Stage 6 - Moderate to severe cognitive dec... line o Disorientation to surroundings is common and may not know the day, season, or year. The person is also unable to manage AOLs without assistance. Urinary and fecal incontinence are common. o Psychomotor symptoms include wandering, agitation, and aggression. Symptoms seem to worsen in late afternoon and evening (a phenomenon termed sundowning). Stage 7 - Severe cognitive decline o In the end stages, the individual is unable to recognize family members. He/she most commonly is bedfast and aphasic. Decubiti and contractions may occur.  Early signs of dementia = memory impairment (forgetfulness) Stage 1 - No apparent symptoms Stage 2 - Forgetfulness o Losses in short term memory are frequent. The individual begins to lose things or forget names of people. Stage 3 - Mild cognitive decline o In this stage, there is interference with performance, and this becomes noticeable to others. There is difficulty recalling names or words. A downturn is noticeable to family and close associates. Stage 4 - Mild to Moderate cognitive decline o The individual may forget significant events in history, experience a declining ability to perform tasks. He/she may deny a problem exists by covering memory loss with confabulation (creating imaginary events to fill memory gaps). Stage 5 - Moderate cognitive decline o The individual loses the ability to perform some activities of daily living independently. He/she may forget addresses, phone numbers, and names of close relatives and friends. Disorientation to time and place becomes more apparent. Schizophrenia:  Increased stimulation = (not good)  increase in pacing and hallucinations  Negative symptoms of Schizophrenia o (Doesn’t mean they’re lazy)  Importance of medical compliance with Schizophrenia [Show More]

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