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Sundowning is


A) When signs,symptoms,and behaviors of Alzheimer's disease AD) increase during hours of darkness
B) The loss of cognitive and social function caused by changes in the brain
C) A false dementia
D) A state of temporary but acute mental confusion

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Cognitive function involves the following except


A) Memory and thinking
B) Reasoning and understanding
C) Judgment and behavior
D) The senses and mobility

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Which statement about acute confusion is incorrect?


A) It occurs suddenly.
B) It is usually permanent.
C) Infection,illness,and injury are common causes.
D) Drugs and surgery are common causes.

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Which is the most common cause of permanent dementia?


A) Parkinson's disease
B) Cerebrovascular disease
C) Alzheimer's disease AD.
D) Multi-infarct dementia

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Catastrophic reactions usually occur from


A) Elimination needs
B) Hunger
C) Too many stimuli
D) Lack of sleep

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A person has AD.The person's daughter has three children in high school and college.The daughter is likely to find herself in


A) Generation X
B) The "Baby Boom" generation
C) Generation Y
D) The sandwich generation

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Which is not common with confusion?


A) Aphasia and paralysis
B) Personality and mental changes
C) Anger,restlessness,and depression
D) Behavior changes

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A resident has AD.The person thinks the food contains poison.This is called


A) A hallucination
B) A delusion
C) A catastrophic reaction
D) Sundowning

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B

A patient is confused.When communicating with the person,which is incorrect?


A) Avoid touch.
B) Ask clear and simple questions.
C) Give the person time to respond.
D) Give clear,simple directions and answers.

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What is the classic sign of AD?


A) Problems finding or speaking the right word
B) Poor judgment
C) Forgetting how to use simple,everyday things
D) Gradual loss of short-term memory

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A resident has AD.She is trying to rub her perineum through her clothes.Which is incorrect?


A) The behavior is sexual.
B) She may be wet or soiled from urine or feces.
C) She may have a urinary or reproductive infection.
D) She may have pain or discomfort in her urinary or reproductive system.

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A

A resident has AD.As death nears,the person may need


A) Hospice care
B) Restraints
C) An Alzheimer's Association support group
D) Supervised activities

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A resident with AD experiences sundowning every day.The person's care plan includes the following.Which should you question?


A) Complete treatments and activities early in the day.
B) Meet food,fluid,and elimination needs.
C) Ask the person what the problem is.
D) Provide adequate lighting.

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While caring for a person with AD,you find yourself becoming frustrated and short-tempered.Which is incorrect?


A) The person did not choose to have AD or its signs and symptoms.
B) The person deserves to be treated with dignity and respect.
C) The person is responsible for agitated,aggressive,and wandering behaviors.
D) The person has the same rights as other residents.

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A resident has AD.The person's hallucinations include seeing "kitty cats" in the closet.Which of the following measures will not be helpful?


A) Making sure the person wears needed eyeglasses
B) Distracting the person
C) Eliminating noises
D) Explaining that there are no cats in the nursing center

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Persons with AD are at risk for


A) Infection
B) Stroke
C) Heart attack
D) Diarrhea

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Which is not an early warning sign of dementia?


A) Recent memory loss that affects job skills
B) Problems with language
C) Hallucinations
D) Misplacing things and putting things in unusual places

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C

A resident is confused.The person usually naps after lunch.You should


A) Follow the person's routine
B) Prevent the person from taking a nap
C) Help the person change into sleepwear
D) Use music and other activities to distract the person

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Mild cognitive impairment MCI is


A) A type of AD
B) A type of memory change affecting the person's memory,language,and other mental functions
C) A type of pseudodementia
D) Dementia caused by drug and alcohol abuse

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A resident has AD.The person has the following behaviors.Which has the greatest risk for danger?


A) Wandering
B) Delusions
C) Catastrophic reactions
D) Screaming

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