wayground logo

Free Printable Worksheets

NEW

Font size

S
M
L
XL
Worksheets

BSN-III_NCM114_FINALS

Total questions: 50

Worksheet time: 2hrs 40mins

Name
Class
Date
1.

Once a person reaches 65 years of age, his/her risk for Alzheimer’s disease doubles every _____ years

a)

3

b)

10

c)

5

d)

8

2.

Which central neurotransmitters are affected by Alzheimer’s disease?

a)

Acetylcholine

b)

Norepinephrine

c)

Glutamate

d)

all of the above

3.

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

a)

learning & memory impairment

b)

behavioral impairment

c)

ADL impairment

d)

being hot tempered

4.

Which of the following conditions can affect a patient’s cognitive function and produce dementia-like symptoms?

a)

Infections

b)

Stroke

c)

Metabolic disorders

d)

All of the above

5.

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:

a)

delirium

b)

orientation

c)

ADL

d)

safety

6.

Which of the following best describes dementia. Which of the following best describes the condition?

a)

Loss of cognitive abilities, impairing ability to perform activities of daily living

b)

Severe cognitive impairment that occurs rapidly

c)

Difficulty coping with physical and psychological change

d)

Memory loss occurring as part of the natural consequence of aging

7.

Older people with obvious cognitive impairment, our ways & means when communicating with them should:

a)

Short words & simple sentences

b)

Explain every procedure in detail

c)

Let them talk with other elderlies with the same condition

d)

It's natural for them to use silence

8.

What mental recall capacity can be displayed by Mang Jose while he is in the mild stage of the Alzheimer’s dementia problem?

a)

Remembering the daily schedule

b)

Recalling significant past events

c)

Coping with anxiety

d)

Solving problems of daily living

9.

The care plan of a client with a moderate cognitive impairment involving dementia of the Alzheimer’s type, should not include:

a)

Daily structured schedule

b)

Stimulating environment

c)

Positive reinforcement for performing activities of daily living

d)

Use of validation techniques

10.

Lola Marimar is forgetful &seems to be always agitated even after a restful sleep, as her private duty nurse, you should make sure to:

a)

put useful everyday things on top of the bedside table

b)

ask if she can recall her bad dreams

c)

darken the room during day & night

d)

ignore this behavior because this is the usual pattern

11.

In clients with a cognitive impairment disorder, the phenomenon of increased confusion and altered sleeping pattern are sure signs of:

a)

retardation

b)

normal ageing process

c)

wandering

d)

demanding behavior

12.

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?

a)

Caregiver role strain

b)

Risk for other-directed violence

c)

Disturbed sleep pattern

d)

Social isolation

13.

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 ?

a)

Fearfulness of being alone at night

b)

Decreased interest in activities that she once enjoyed

c)

Increased complaints of physical ailments

d)

Problems with preparing a meal or balancing her checkbook

14.

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:

a)

Depression from the loss of his wife

b)

Dementia

c)

Hypoxia of the brain

d)

Delirium from medications

15.

Cause of agitation for patient's with Alzheimer's is?

a)

Environmental factors such as a change in the placement of household items

b)

sense of loss of control

c)

Fatigue

d)

All of the above

16.

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?

a)

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.

b)

You're confused. The last you showered was three days ago and you really need one now!

c)

Ignore the patient's statement if pt refuses, remove pt clothes and give pt a bed bath.

d)

Raise your voice at the patient and demand the patient take a shower repeatedly until pt complies

17.

Which is most often affected with dementia?

a)

Vision, hearing, sense of touch

b)

Orientation, language, ability to sequence tasks

c)

Heart function, liver function

d)

Behavioral alterations

18.

Which type of memory function is usually affected first with dementia?

a)

Short term

b)

Long term

c)

Both

d)

Neither

19.

The ability to remember our parent's names, where we grew up, or where we were married are all examples

a)

Short term memory

b)

Long term memory

c)

Both

d)

Neither

20.

When a resident with dementia refuses to go to the bathroom when encouraged by a caregiver, often it is because:

a)

He is angry at the caregiver and wants to exercise his rights

b)

He doesn't understand what the caregiver wants

c)

a sure sign of stubbornness

d)

He has a bladder infection

21.

A resident with impaired judgment needs to be monitored for:

a)

Safety concerns

b)

Impulsive actions like crossing the street without looking

c)

Giving his money away

d)

All of the above

22.

A resident with dementia who keeps trying to get out of the shower before being completely bathed, may be doing this because:

a)

He has lost the ability to sequence tasks and simply thinks he is done

b)

this is the usual stubborn behavior displayed

c)

He needs to be disciplined better

d)

He does not like the facility

23.

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?

a)

Early stage

b)

Late stage

c)

Middle stage

d)

Denial stage

24.

Residents do best with a "normalized environment." Which of the statements below, best describes a normalized environment?

a)

An environment that looks like a regular home with items the resident can successfully use.

b)

An environment that has had all decorations removed so the resident is safe.

c)

An environment where staff carefully treat the residents like babies, lovingly caring for them.

d)

An environment where there's total peace & tranquility all day long

25.

If a resident has trouble understanding what you are saying you should:

a)

Repeat the statement using the same words

b)

Repeat what you want using different words

c)

Raise your voice so it is louder

d)

Let other nurses talk to this patient

26.

In the ALF, you should try to understand that elderlies with Korsakoff psychosis are the ones who used to be:

a)

psychotics

b)

alcoholics

c)

drug addicts

d)

suffering with dementia

27.

Ms. Scherzinger, a septugenarian, needs this strategy that would help improve memory.

a)

Remembering

b)

Reminiscence

c)

Listening

d)

Practicality

28.

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:

a)

Offering our due support if needed

b)

Completing the activity for them

c)

Taking over their ADL

d)

Letting her do all what she wants

29.

Miss Tica an 88 y.o resident thinks she is from Themyscira & Wonder Woman's her sister, she is manifesting:

a)

false belief

b)

thought content problem

c)

delusion

d)

all of the above

30.

Hallucinating elderlies suffers severe cognitive problems than those having illusions, primarily because

a)

there are no external sensory stimulus.

b)

there are misinterpretations of a true sensory stimulus

c)

this is a very common situation

d)

we need to give sedative all the time if this condition occurs

31.

Most drugs that manages the long term treatment of elderlies with mental/cognitive problems will manifest this unwanted side effect/s:

a)

EPS

b)

sleepiness

c)

sleeplessness

d)

N & V

32.

A state of extreme confusion and irritability can be caused by medication, dehydration, infection etc

a)

delirium

b)

pacing

c)

psychosis

d)

retardation

33.

Lola Marimar's seeing something that is not there, she is obviously manifesting?

a)

visual hallucination

b)

auditory hallucination

c)

impaired cognition

d)

tactile hallucination

34.

The ability of the brain to process information accurately and efficiently

a)

delirium

b)

dementia

c)

cognition

d)

sundowning

35.

The INABILITY of the brain to process information accurately and efficiently-NOT a normal sign of aging

a)

dementia

b)

cognition

c)

task segmentation

d)

ageism

36.

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

a)

Stage V

b)

Stage IV

c)

Stage I

d)

Stage III

37.

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?

a)

The patient was oriented and alert when admitted.

b)

The patient's speech is fragmented and incoherent.

c)

The patient is oriented to person but disoriented to place & time

d)

The patient has a history of increasing confusion over several years

38.

When applying a mental status examination to a patient with delirium, as the nurse on duty we should:

a)

wait until the patient is well-rested

b)

administer a calming medication

c)

choose a place without distracting stimuli.

d)

reorient the patient during the examination.

39.

Lola Charing, 69 y.o., was diagnosed with moderate dementia after multiple strokes. as the nurse during initial assessment, you would expect to find

a)

excessive nighttime sleepiness

b)

loss of recent and long-term memory

c)

difficulty eating and swallowing

d)

fluctuating ability to perform simple tasks

40.

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?

a)

Obtain a list of the medications that the patient usually takes

b)

Determine whether there is a family history of dementia

c)

Check if there's systemic or metabolic problems

d)

All of the above

41.

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?

a)

"Are you sad?"

b)

"How is your self-image?"

c)

"Where were you were born?"

d)

"What did you ate for breakfast?"

42.

During family health teaching, a patient is being evaluated for Alzheimer's disease (AD). The nurse explains to the patient's adult children that:

a)

the most important risk factor for AD is a family history of the disorder.

b)

new drugs have been shown to reverse AD dramatically in some patients.

c)

a diagnosis of AD is made only after other causes of dementia are ruled out.

d)

this is a terminal ailment

43.

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?

a)

Setting the medications up monthly in a medication box with labels

b)

Having the patient's family member administer the medication

c)

Posting reminders to take the medications in the patient's house

d)

Calling the patient weekly with a reminder to take the medication

44.

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?

a)

Place the patient in a room close to the nurses' station

b)

Reorient the patient several times daily

c)

Have the family bring in familiar items.

d)

Ask the patient why the wandering episodes have occurred.

45.

a)

natural degenerative

b)

amyloid cascade

c)

neural miscommunication

d)

pure heredofamilial

46.

What is the median life expectancy after diagnosis of Alzheimer disease?

a)

1–2 years

b)

5–6 years

c)

8–9 years

d)

10–11 years

47.

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?

a)

Yes, if they will actually ask

b)

Do not let them hear read about the news

c)

Let the doctor reveal the bad news

d)

Ignore their questions about the pandemic

48.

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?

a)

to ignore their questions so that they will not be hurt

b)

to explain using matter-of-fact

c)

to offer right away calming tea, or play relaxing music

d)

to wait for the doctor to explain about the current pandemic

49.

Elderlies with good recognition who always watch current events and news on TV should be:

a)

guided &be reality oriented by the nurse

b)

left alone during their tv watching time

c)

instructed to ask their fellow residents

d)

carefully watched from a distance

50.

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:

a)

assessed & assisted for their capability to use gadgets

b)

given the most easy and expensive devices

c)

ignored because their eyes can no longer see small letters on the screen

d)

offered matter of fact that old people can't properly operate techy things