Dementia

When developing a plan of care for a hospitalized patient with moderate dementia, which intervention will the nurse include?

• Provide complete personal hygiene for the patient

• Remind the patient frequently about where they are

• Encourage the client to remain in bed to promote rest

• Prepare for bedside intubation

A patient is diagnosed with moderate dementia as a result of multiple strokes. During assessment of the patient, the nurse would expect....

• Sleepiness

• Wheelchair use

• Loss of recent and long term memory

• Unable to eat

Answer explanation

Loss of both recent and long-term memory is characteristic of moderate dementia

A patient is brought to the clinic by a family member who is concerned about the patient's inability to solve problems. To obtain info about the client's mental status, which question should the nurse ask the patient?

• Where were you born?

• Do you have feelings of sadness?

• What did you have for breakfast?

• How is your self image?

Answer explanation

Recent memory is decreased in dementia.

How can you best help a patient with dementia who is having a hard time?

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A patient with mild dementia has a new prescription for donepezil (Aricept). Which nursing action will be most effective in ensuring compliance with the medication?

• Involving the patient's spouse in the medication routine

• Setting the medications up weekly in a medication box

• Texting the patient reminders to take their medications

• Writing the patient a note to keep in their wallet as a medication reminder

Answer explanation

The patient will have trouble with learning new skills and forgetfulness.

What is sundowning? What can you do to help your patient who is experiencing it?

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Your patient with moderate dementia develops increased restlessness and agitation. What can you do to help?

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Dementia is ​ defined as

• Syndrome characterized by cognitive dysfunction and loss of memory

• Disease that is due to increased blood flow to the brain

• Disease caused by diabetes

• Syndrome that results in mood changes

How is a diagnosis of dementia made?

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Answer explanation

Based on a patient history and cognitive assessment

What did you learn today?

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