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WorksheetsBSN-III_NCM114_FINALS
Total questions: 50
Worksheet time: 2hrs 40mins
Once a person reaches 65 years of age, his/her risk for Alzheimer’s disease doubles every _____ years
3
10
5
8
Which central neurotransmitters are affected by Alzheimer’s disease?
Acetylcholine
Norepinephrine
Glutamate
all of the above
Alzheimer's disease is characterized by markedly reduced neural activity in the hippocampus and neocortex area , caused by degeneration of cholinergic neurons. as manifested by
learning & memory impairment
behavioral impairment
ADL impairment
being hot tempered
Which of the following conditions can affect a patient’s cognitive function and produce dementia-like symptoms?
Infections
Stroke
Metabolic disorders
All of the above
As you enter the room of a client with a cognitive impairment disorder and asks what day of the week it is; what the date, month, and year are; and where the client is. You are effectively attempting to assess:
delirium
orientation
ADL
safety
Which of the following best describes dementia. Which of the following best describes the condition?
Loss of cognitive abilities, impairing ability to perform activities of daily living
Severe cognitive impairment that occurs rapidly
Difficulty coping with physical and psychological change
Memory loss occurring as part of the natural consequence of aging
Older people with obvious cognitive impairment, our ways & means when communicating with them should:
Short words & simple sentences
Explain every procedure in detail
Let them talk with other elderlies with the same condition
It's natural for them to use silence
What mental recall capacity can be displayed by Mang Jose while he is in the mild stage of the Alzheimer’s dementia problem?
Remembering the daily schedule
Recalling significant past events
Coping with anxiety
Solving problems of daily living
The care plan of a client with a moderate cognitive impairment involving dementia of the Alzheimer’s type, should not include:
Daily structured schedule
Stimulating environment
Positive reinforcement for performing activities of daily living
Use of validation techniques
Lola Marimar is forgetful &seems to be always agitated even after a restful sleep, as her private duty nurse, you should make sure to:
put useful everyday things on top of the bedside table
ask if she can recall her bad dreams
darken the room during day & night
ignore this behavior because this is the usual pattern
In clients with a cognitive impairment disorder, the phenomenon of increased confusion and altered sleeping pattern are sure signs of:
retardation
normal ageing process
wandering
demanding behavior
Octogenarian Mr. Schwarzenegger is accompanied to the clinic by his daughter, who tells the nurse that the client’s constant confusion, incontinence, and tendency to wander are intolerable. The client was diagnosed with chronic cognitive impairment disorder. Which nursing diagnosis is most appropriate for the client’s daughter?
Caregiver role strain
Risk for other-directed violence
Disturbed sleep pattern
Social isolation
The SO expresses concern to a nurse about behavioral changes in her elderly tita. Which would cause the nurse to suspect a cognitive impairment disorder with main focus to the usual societal function ?
Fearfulness of being alone at night
Decreased interest in activities that she once enjoyed
Increased complaints of physical ailments
Problems with preparing a meal or balancing her checkbook
A 75-year-old male client is brought to the clinic by his son. The son states, “Ever since Mom
died, Dad hasn’t been the same. At first he just seemed sad, but now he seems to get mixed up about everything.” The nurse is aware that based on the client’s history, the source of confusion is most likely:
Depression from the loss of his wife
Dementia
Hypoxia of the brain
Delirium from medications
Cause of agitation for patient's with Alzheimer's is?
Environmental factors such as a change in the placement of household items
sense of loss of control
Fatigue
All of the above
You attempt to get your patient ready for their shower today. As you get ready to help the patient undress. The patient loudly yells. No! I already bathed today!. The last time the patient bathed was three days ago. The best response to this situation is?
Speaking in a calm voice. State it is time for your shower. Would you like to change into this shirt or the T-shirt after the shower.
You're confused. The last you showered was three days ago and you really need one now!
Ignore the patient's statement if pt refuses, remove pt clothes and give pt a bed bath.
Raise your voice at the patient and demand the patient take a shower repeatedly until pt complies
Which is most often affected with dementia?
Vision, hearing, sense of touch
Orientation, language, ability to sequence tasks
Heart function, liver function
Behavioral alterations
Which type of memory function is usually affected first with dementia?
Short term
Long term
Both
Neither
The ability to remember our parent's names, where we grew up, or where we were married are all examples
Short term memory
Long term memory
Both
Neither
When a resident with dementia refuses to go to the bathroom when encouraged by a caregiver, often it is because:
He is angry at the caregiver and wants to exercise his rights
He doesn't understand what the caregiver wants
a sure sign of stubbornness
He has a bladder infection
A resident with impaired judgment needs to be monitored for:
Safety concerns
Impulsive actions like crossing the street without looking
Giving his money away
All of the above
A resident with dementia who keeps trying to get out of the shower before being completely bathed, may be doing this because:
He has lost the ability to sequence tasks and simply thinks he is done
this is the usual stubborn behavior displayed
He needs to be disciplined better
He does not like the facility
A resident who has trouble with memory loss, sleeping, cannot dress themselves easily and sometimes gets lost walking around the community, is most likely in what stage of dementia?
Early stage
Late stage
Middle stage
Denial stage
Residents do best with a "normalized environment." Which of the statements below, best describes a normalized environment?
An environment that looks like a regular home with items the resident can successfully use.
An environment that has had all decorations removed so the resident is safe.
An environment where staff carefully treat the residents like babies, lovingly caring for them.
An environment where there's total peace & tranquility all day long
If a resident has trouble understanding what you are saying you should:
Repeat the statement using the same words
Repeat what you want using different words
Raise your voice so it is louder
Let other nurses talk to this patient
In the ALF, you should try to understand that elderlies with Korsakoff psychosis are the ones who used to be:
psychotics
alcoholics
drug addicts
suffering with dementia
Ms. Scherzinger, a septugenarian, needs this strategy that would help improve memory.
Remembering
Reminiscence
Listening
Practicality
Lola Swarovski is in her early 60's, a generally healthy elderly, she is showing independency & empowerment, as a nurse we will allow this, but we should be:
Offering our due support if needed
Completing the activity for them
Taking over their ADL
Letting her do all what she wants
Miss Tica an 88 y.o resident thinks she is from Themyscira & Wonder Woman's her sister, she is manifesting:
false belief
thought content problem
delusion
all of the above
Hallucinating elderlies suffers severe cognitive problems than those having illusions, primarily because
there are no external sensory stimulus.
there are misinterpretations of a true sensory stimulus
this is a very common situation
we need to give sedative all the time if this condition occurs
Most drugs that manages the long term treatment of elderlies with mental/cognitive problems will manifest this unwanted side effect/s:
EPS
sleepiness
sleeplessness
N & V
A state of extreme confusion and irritability can be caused by medication, dehydration, infection etc
delirium
pacing
psychosis
retardation
Lola Marimar's seeing something that is not there, she is obviously manifesting?
visual hallucination
auditory hallucination
impaired cognition
tactile hallucination
The ability of the brain to process information accurately and efficiently
delirium
dementia
cognition
sundowning
The INABILITY of the brain to process information accurately and efficiently-NOT a normal sign of aging
dementia
cognition
task segmentation
ageism
Stage of dementia where memory loss begins to become frequent. May forget birthdays or other important events. They begin to know they don't know
Stage V
Stage IV
Stage I
Stage III
A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than dementia?
The patient was oriented and alert when admitted.
The patient's speech is fragmented and incoherent.
The patient is oriented to person but disoriented to place & time
The patient has a history of increasing confusion over several years
When applying a mental status examination to a patient with delirium, as the nurse on duty we should:
wait until the patient is well-rested
administer a calming medication
choose a place without distracting stimuli.
reorient the patient during the examination.
Lola Charing, 69 y.o., was diagnosed with moderate dementia after multiple strokes. as the nurse during initial assessment, you would expect to find
excessive nighttime sleepiness
loss of recent and long-term memory
difficulty eating and swallowing
fluctuating ability to perform simple tasks
Lola Charing's status suddenly changed, which action will help you as the nurse to determine whether Lola Charing's confusion is caused by dementia or delirium?
Obtain a list of the medications that the patient usually takes
Determine whether there is a family history of dementia
Check if there's systemic or metabolic problems
All of the above
73-year-old Lolo Seguismundo is brought to the clinic by the patient's spouse, who reports that he is unable to solve common problems around the house. To obtain information about the patient's current mental status, which question should the nurse ask the patient?
"Are you sad?"
"How is your self-image?"
"Where were you were born?"
"What did you ate for breakfast?"
During family health teaching, a patient is being evaluated for Alzheimer's disease (AD). The nurse explains to the patient's adult children that:
the most important risk factor for AD is a family history of the disorder.
new drugs have been shown to reverse AD dramatically in some patients.
a diagnosis of AD is made only after other causes of dementia are ruled out.
this is a terminal ailment
Lola Charing tends to forget her maintenance medicines, which nursing action will be most effective in ensuring daily medication compliance for a patient with mild dementia?
Setting the medications up monthly in a medication box with labels
Having the patient's family member administer the medication
Posting reminders to take the medications in the patient's house
Calling the patient weekly with a reminder to take the medication
Lola Charing admitted to a long-term care facility has had several episodes of wandering away from home. Which action will the nurse include in the plan of care?
Place the patient in a room close to the nurses' station
Reorient the patient several times daily
Have the family bring in familiar items.
Ask the patient why the wandering episodes have occurred.
natural degenerative
amyloid cascade
neural miscommunication
pure heredofamilial
What is the median life expectancy after diagnosis of Alzheimer disease?
1–2 years
5–6 years
8–9 years
10–11 years
Those with severe dementia usually can no longer understand their current circumstances and are unaware that the world is in the middle of a pandemic. Are we allowed to tell them honestly what's going on?
Yes, if they will actually ask
Do not let them hear read about the news
Let the doctor reveal the bad news
Ignore their questions about the pandemic
Those with mild dementia, on the other hand, are still able to comprehend and notice the changes in their surroundings. These patients, are the ones who would often ask about their families. Your prompt response will be?
to ignore their questions so that they will not be hurt
to explain using matter-of-fact
to offer right away calming tea, or play relaxing music
to wait for the doctor to explain about the current pandemic
Elderlies with good recognition who always watch current events and news on TV should be:
guided &be reality oriented by the nurse
left alone during their tv watching time
instructed to ask their fellow residents
carefully watched from a distance
This pandemic indeed has seen many people turn to technology not just for socializing but also for seeking healthcare, grandparents who asked help on how to use these gadgets should be:
assessed & assisted for their capability to use gadgets
given the most easy and expensive devices
ignored because their eyes can no longer see small letters on the screen
offered matter of fact that old people can't properly operate techy things
