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WorksheetsDelirium and Dementia KA
Total questions: 13
Worksheet time: 7mins
The symptoms most characteristic of delirium are:
Acute onset of confusion, fluctuating consciousness, and disorganized thinking
Gradual memory loss and steady cognitive decline
Persistent low mood and loss of interest
Hallucinations without changes in consciousness
A priority nursing intervention for a patient with acute delirium is:
Maintain a safe environment to prevent injury.
Encourage independent decision-making.
Limit fluid intake to prevent overload.
Increase sensory stimulation in the room.
A distinguishing feature of Alzheimer's disease compared to other types of dementia is:
Progressive memory loss
Sudden onset of symptoms
Primarily affects motor skills first
Caused by vitamin deficiency
The assessment finding that most supports a diagnosis of dementia is:
Progressive memory loss and confusion
Sudden onset of paralysis
Intermittent chest pain
Acute shortness of breath
The nurse notes sudden confusion in an older adult. What should be assessed first?
Oxygen saturation
Blood pressure
Temperature
Blood glucose level
Nursing interventions to support orientation in a patient with moderate Alzheimer’s include:
Providing clocks and calendars in the room
Encouraging complete independence in all activities
Frequently changing the patient’s environment
Limiting social interactions to reduce confusion
The medication used to slow cognitive decline in early Alzheimer’s disease is:
Donepezil
Ibuprofen
Metformin
Atorvastatin
Factors that increase the risk for delirium include:
Advanced age, infection, polypharmacy, and sensory impairment
Regular exercise and healthy diet
Low stress levels and good sleep hygiene
Young age and absence of chronic illness
Place these interventions in order to manage sundowning in Alzheimer's disease:
Maintain routine, Limit naps, Reduce evening stimulation, Ensure lighting
Limit naps, Reduce evening stimulation, Ensure lighting, Maintain routine
Reduce evening stimulation, Ensure lighting, Maintain routine, Limit naps
Ensure lighting, Maintain routine, Limit naps, Reduce evening stimulation
What is the best response to a patient with Alzheimer’s who is experiencing a false belief?
Respond calmly and redirect the conversation; do not argue.
Firmly correct the patient and insist on the truth.
Ignore the patient until they stop talking about the belief.
Encourage the patient to explain their belief in detail.
Which lab values or assessments help differentiate delirium from dementia?
Abnormal labs (WBC, electrolytes), CAM tool
MRI scan, Mini-Mental State Exam
Blood glucose, Apgar score
Chest X-ray, GCS score
The nurse observes wandering behavior. What is the best action? Fill in the blank with the best action: ____________
Provide a safe environment and use gentle redirection.
Restrain the patient to prevent movement.
Ignore the behavior and continue with other tasks.
Scold the patient for wandering.
Which strategies help reduce caregiver stress in dementia care?
Support groups, respite care, disease education.
Ignoring symptoms, isolating the patient, avoiding help.
Limiting communication, withholding information, refusing support.
Increasing workload, reducing rest, avoiding education.
