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    Ati Lpn Mental Health Proctored Exam

    How can nurses differentiate between major neurocognitive disorder and pseudodementia?

    Explanation & Rationale

    Rationale: A. Pseudodementia, often related to depression, typically has a rapid or acute onset of cognitive complaints, unlike major neurocognitive disorder (dementia), which progresses gradually over months to years. B. Memory impairments in pseudodementia are reversible once the underlying depression or psychiatric condition is treated. They are not permanent, which is a key distinguishing factor from major neurocognitive disorder, where cognitive deficits are progressive and irreversible. C. Pseudodementia results from depression-related cognitive impairment, and treatment with antidepressants, psychotherapy, or other depression interventions can significantly improve memory, attention, and executive functioning. Improvement with treatment is a hallmark feature that helps differentiate pseudodementia from true dementia. D. Brain atrophy is a feature of major neurocognitive disorder, particularly Alzheimer’s disease, and is not present in pseudodementia, where structural brain changes are typically absent.

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