Question 1

Your new patient is admitted to your nursing home with a diagnosis of vascular dementia. You know that this type of dementia differs from Alzheimer's dementia in what way?

Accepted Answer

A)  The progression of symptoms is predictable based on the person's heart disease.
B)  The progression of symptoms is more variable than Alzheimer's disease.
C)  Vascular dementia can be treated successfully with surgery compared with Alzheimer's disease for which there is no surgical treatment.
D)  Vascular dementia is temporary and Alzheimer's dementia is permanent.

Question 2

Mavis Brown is a 75-year-old patient in your nursing home. She has Alzheimer's disease. Mavis comes to you at the desk one day and is crying. She says, "You all hate me. Everyone hates me!" Your most therapeutic reply is:

Accepted Answer

A)  "Nobody here hates you, Mavis."
B)  "Why do you feel hated, Mavis?"
C)  "You seem upset, Mavis. Let's go for a walk and talk."
D)  "It's time for your medication, Mavis."

Question 3

Which of the following are characteristics of delirium? (Select all that apply)

Accepted Answer

A)  Slow onset
B)  Sudden onset
C)  Fluctuating mental status
D)  Treatment is focused on finding the cause
E)  Progressive decline common despite treatmentF) Can be caused by psychological stressG) Treatment the same no matter what the causeH) Consistent pattern of decline

Question 4

Team members working with patients who have dementia need to have a common, unified approach because this type of patient requires:

Accepted Answer

A)  Sameness and consistency in their lives.
B)  Strict rules and regulations.
C)  Behavior modification at all times.
D)  Staff who cannot be manipulated. A

Question 5

A patient may be suffering from sundowning. What is the alternate name for this condition?

Accepted Answer

A)  Nocturnal delirium
B)  Vascular dementia
C)  Pseudodementia
D)  Neurocognitive confusion

Question 6

Andrea's mother has been becoming more and more forgetful. It seems to have gotten worse over the past 15 years. Her most likely diagnosis could be:

Accepted Answer

A)  Depression.
B)  Alzheimer's disease.
C)  Hyperthyroidism.
D)  Delirium.

Question 7

Your patient is on donepezil (Aricept) . This tells you your patient has which disorder?

Accepted Answer

A)  Dementia
B)  Obsessive-compulsive disorder
C)  Major depression
D)  Delirium

Question 8

Which of the following activities would be most appropriate for a patient who is in the moderate stage of Alzheimer's disease?

Accepted Answer

A)  A large jigsaw puzzle
B)  Trivial Pursuit
C)  A scavenger hunt
D)  Playing a game of catch with a soft ball D

Question 9

Henry Smith is 88 years old and has been having periods of disorientation and confusion that worsen at night. He has been given a diagnosis of Alzheimer's disease. When you pick up Henry's tray after supper, you observe that he has not touched any of the food. As his nurse, you understand that the most likely cause of his not eating is:

Accepted Answer

A)  He is too depressed to eat.
B)  He sees ants in his food.
C)  He is too forgetful to remember to eat.
D)  He is deliberately obstinate.

Question 10

Of the following, which interventions are part of an effective care plan for someone with advanced dementia (Select all that apply) ?

Accepted Answer

A)  Keep the patient busy with structured activities.
B)  Keep televisions and radios on whenever possible to encourage patient interaction.
C)  Allow more time for performing care.
D)  Emphasize "reality orientation."
E)  Encourage independent decision making.

Question 11

Your patient with advanced Alzheimer's disease keeps searching the unit for her mother who died many years ago. How should you respond?

Accepted Answer

A)  "Your mother isn't here-she died long ago."
B)  "Let's go to the activity room and see what's going on."
C)  "You must be upset that you can't find her."
D)  "What makes you keep looking for your mother?"

Question 12

A person who is receiving tests to confirm a diagnosis of Alzheimer's disease is preparing for a computerized tomography (CT)  test. The patient becomes restless and is unable to follow the pre-examination directions given by the personnel. As the nurse who is assisting the patient, your best action at this time is to:

Accepted Answer

A)  Tell the patient that refusing to cooperate will require having to return another day.
B)  Give the patient the written instructions.
C)  Take the patient to a quiet waiting area until it is time for the CT scan.
D)  Make certain that the patient is tightly strapped to the examination table during the test.

Question 13

The best way to assist a patient who has mild Alzheimer's disease is to:

Accepted Answer

A)  Ask the physician to keep the patient sedated to avoid "acting-out" behaviors.
B)  Provide strict, one-on-one behavior modification techniques to prevent further cognitive deterioration.
C)  Encourage the family to begin preparations to move the person to a skilled nursing facility.
D)  Provide a stable, safe, and consistent environment.

Question 14

Pharmacological treatment of delirium is most likely to include which medication?

Accepted Answer

A)  Antidepressants
B)  Tranquilizers
C)  Antipsychotics
D)  Stimulants C

Exam 16: Neurocognitive Disorders: Delirium and Dementia

Your new patient is admitted to your nursing home with a diagnosis of vascular dementia. You know that this type of dementia differs from Alzheimer's dementia in what way?

Correct Answer
verified

Mavis Brown is a 75-year-old patient in your nursing home. She has Alzheimer's disease. Mavis comes to you at the desk one day and is crying. She says, "You all hate me. Everyone hates me!" Your most therapeutic reply is:

Correct Answer
verified

Which of the following are characteristics of delirium? (Select all that apply)

Correct Answer
verified

Team members working with patients who have dementia need to have a common, unified approach because this type of patient requires:

Correct Answer
verified
A

A patient may be suffering from sundowning. What is the alternate name for this condition?

Correct Answer
verified

Andrea's mother has been becoming more and more forgetful. It seems to have gotten worse over the past 15 years. Her most likely diagnosis could be:

Correct Answer
verified

Your patient is on donepezil (Aricept) . This tells you your patient has which disorder?

Correct Answer
verified

Which of the following activities would be most appropriate for a patient who is in the moderate stage of Alzheimer's disease?

Correct Answer
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D

Correct Answer
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Of the following, which interventions are part of an effective care plan for someone with advanced dementia (Select all that apply) ?

Correct Answer
verified

Your patient with advanced Alzheimer's disease keeps searching the unit for her mother who died many years ago. How should you respond?

Correct Answer
verified

Correct Answer
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The best way to assist a patient who has mild Alzheimer's disease is to:

Correct Answer
verified

Pharmacological treatment of delirium is most likely to include which medication?

Correct Answer
verified
C

Exam 16: Neurocognitive Disorders: Delirium and Dementia

Your new patient is admitted to your nursing home with a diagnosis of vascular dementia. You know that this type of dementia differs from Alzheimer's dementia in what way?

Correct AnswerverifiedShow Answer

Mavis Brown is a 75-year-old patient in your nursing home. She has Alzheimer's disease. Mavis comes to you at the desk one day and is crying. She says, "You all hate me. Everyone hates me!" Your most therapeutic reply is:

Correct AnswerverifiedShow Answer

Which of the following are characteristics of delirium? (Select all that apply)

Correct AnswerverifiedShow Answer

Team members working with patients who have dementia need to have a common, unified approach because this type of patient requires:

Correct AnswerverifiedA

A patient may be suffering from sundowning. What is the alternate name for this condition?

Correct AnswerverifiedShow Answer

Andrea's mother has been becoming more and more forgetful. It seems to have gotten worse over the past 15 years. Her most likely diagnosis could be:

Correct AnswerverifiedShow Answer

Your patient is on donepezil (Aricept) . This tells you your patient has which disorder?

Correct AnswerverifiedShow Answer

Which of the following activities would be most appropriate for a patient who is in the moderate stage of Alzheimer's disease?

Correct AnswerverifiedD

Correct AnswerverifiedShow Answer

Of the following, which interventions are part of an effective care plan for someone with advanced dementia (Select all that apply) ?

Correct AnswerverifiedShow Answer

Your patient with advanced Alzheimer's disease keeps searching the unit for her mother who died many years ago. How should you respond?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The best way to assist a patient who has mild Alzheimer's disease is to:

Correct AnswerverifiedShow Answer

Pharmacological treatment of delirium is most likely to include which medication?

Correct AnswerverifiedC

Correct Answer
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A

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D

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C