Chapter 15 Cognitive Disorders Key 1 Delirium dementia and amnestic disorders typically develop A from complications of birth B as part of the normal aging process C in late adulthood D as temporary conditions The three categories of cognitive disorders are 2 A delirium dementia and amnestic disorders B delirium dementia and Alzheimer s C Alzheimer s delirium and amnestic disorders D Alzheimer s organic and amnestic disorders 3 The term organic mental disorders is no longer used to describe cognitive disorders because A there is nothing organic about these disorders B cognitive disorders are actually thought disorders C the term implies that there is no effective treatment D we have found that most psychological disorders have an organic component 5 Cognitive disorders typically cause impairment in all of the following primary abilities EXCEPT 6 From the following choices the age group most likely to use prescription medications is 4 The cause of most cognitive disorders is A the normal process of aging B brain dysfunction C alcohol substances D medication side effects A memory B perception C dreaming D attention A infants and young children B children and adolescents C middle aged adults D older adults 1 7 Impaired consciousness and cognition during the course of several hours or days defines 8 In DSM IV TR the organic mental disorders are relabeled as cognitive disorders because A almost all disorders involve brain dysfunction B delirium and dementia involve cognitive symptoms while the other disorders don t C delirium and dementia occur primarily in the very young D a b 9 Which of the following is not a typical cause of delirium 10 Cognitive disorders are often associated with changes in 11 Mr Smith age 72 is brought to the hospital emergency room Mr Smith s son explains that his father woke up this morning and was not himself Mr Smith appears confused agitated and a bit frightened He does not know his own name and cannot recognize his son Mr Smith s son reports that his father had been completely fine with no symptoms prior to that morning Mr Smith appears to be suffering from 12 Which of the following groups is likely to show delirium A delirium B dementia C Alzheimer s disease D amnestic disorder A poison B drug use C infections D diet A behavior and personality B anxiety and depression C paranoia D all of the above A dementia B Alzheimer s C delirium D amnestic disorder A older adults B AIDS patients C cancer patients D all of the above 2 13 Among the elderly delirium A occurs because drugs are eliminated from their system quickly B accounts for a significant number of falls and car accidents C is rarely caused by improper medication use D is easily attributed to a limited number of causes 14 The symptoms of delirium tend to develop A very slowly over the course of several years B very quickly over the course of a few hours to a few days C moderately slowly over the course of several months D either very quickly or very slowly depending on the cause 15 The symptoms of delirium tend to subside A very slowly over the course of several years B relatively quickly over the course of a few days or weeks C moderately slowly over the course of several months D very slowly if they ever subside at all 16 All of the following are common causes of delirium EXCEPT A medical conditions B medication side effects C head trauma D dietary factors 17 Substance related delirium is a major problem for the elderly because A they are more likely to take many medications B their bodies are less able to process and eliminate drugs C improper use of medication is likely to have serious side effects D all of the above 18 Which of the following individuals is most likely to develop delirium A Joe age 76 takes multiple medications for various medical conditions Two new medications have just been prescribed for him and he has already made a mistake taking the first dose B Jean age 89 is in good physical and mental health This morning she has a little bit of a head cold but has not yet taken any medication for it C Mark age 12 woke up with a low grade fever from the viral infection that has been going around his class this past week D Sarah age 40 was in a minor car accident but claims to feel fine 3 19 Delirium is generally treated with A antibiotic medication B benzodiazepine medication C antidepressant medication D a treatment based on the specific cause of the delirium 20 Delirium brought on by withdrawal from alcohol or other drugs is generally treated with A rest and reassurance B antipsychotic medication C antidepressant medication D restraining the patient until the withdrawal symptoms are over 21 Typical psychosocial intervention for a patient with delirium includes A restraining the patient to prevent self harm B placing the person in a new environment C reassurance and surrounding with familiar belongings D excluding the patient from any medical decision to avoid increased anxiety 22 The gradual deterioration of brain functioning that affects judgment memory language and other cognitive processes is called A dementia B delirium C amnestic disorder D mental retardation 23 One of the major differences between dementia caused by Alzheimer s disease and dementia caused by depression is that Alzheimer s type dementia A is generally reversible B is not reversible C involves a slow increase in symptoms D leads to a rapid decline in abilities 24 All of the following are possible causes of dementia EXCEPT A Alzheimer s disease B chemical substances including medications C depression D food additives and preservatives 4 25 The most common cause of dementia is A a history of substance abuse B Alzheimer s disease C improper use of prescription drugs D syphilis One major difference that is useful in the diagnosis of dementia or delirium is that A dementia symptoms develop slowly over time and delirium symptoms develop quickly B dementia symptoms are usually associated with underlying medical conditions and delirium is usually the result of other factors C the initial symptoms of dementia are generally more severe than the symptoms of delirium D the symptoms of dementia involve memory but the symptoms of delirium are more likely to involve expressive language At the age of 50 Debra has begun to receive quite a bit of teasing from her family about being absentminded The truth is that Debra has been hiding the fact that each week she seems to remember less and less For the last month she has been getting