Which of the Following Should the Nurse Use to Assess

question 1

Multiple Choice

Which of the following should the nurse use to assess a nonverbal older adult for delirium?

• A) Cranial nerves XI and XII
• B) Confusion Assessment Method
• C) MMSE-2
• D) Controlled Word Association Test

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Definitions:

Cognitive Ability

The capacity to perform various mental activities related to learning, problem-solving, decision making, and reasoning.

Control Processes

Psychological mechanisms that regulate thoughts, emotions, and actions, ensuring that behaviors are congruent with goals or norms.

Prefrontal Cortex

The frontmost region of the frontal lobes in the brain, associated with decision making, social behavior, personality, and cognitive planning.

TIA

Transient Ischemic Attack; a temporary period of symptoms similar to those of a stroke.