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Dementia: MIND Diet, Types, and Cognitive Deficits

Total questions: 122

Worksheet time: 1hrs 1mins

Name
Class
Date
1.

According to the MIND-style Mediterranean intervention for neurocognitive delay, which food choice aligns with the omega-3 component emphasized for cognitive support?

a)

Processed poultry

b)

Salmon

c)

White bread

d)

Sugary cereal

2.

Which recommendation is included in teaching about the MIND diet to promote cognitive function?

a)

Increase alcoholic drinks to relax

b)

Use olive oil as the primary fat

c)

Avoid all vegetables to prevent toxins

d)

Choose only red meat for protein

3.

Which set of foods matches the MIND diet guidance for plant-based proteins and legumes replacing meat?

a)

Beans, lentils, and soybeans

b)

Bacon, sausage, and ham

c)

Yogurt, butter, and cream

d)

Lobster, shrimp, and crab

4.

General findings in dementia include a significant cognitive decline from previous performance in one or more domains. Which statement accurately reflects a general finding?

a)

Loss of consciousness is commonly altered

b)

Attention, learning, memory, language, perceptual-motor, or social cognition may be affected

c)

Only motor skills are affected while cognition remains intact

d)

Dementia resolves within days

5.

Which time course best describes dementia progression as noted in the findings section?

a)

Minutes to hours

b)

Days to weeks

c)

Months to years

d)

Immediate and reversible

6.

Which feature belongs to the cognitive domain of executive functioning in dementia?

a)

Improved multitasking ability

b)

Planning difficulties with complex tasks

c)

Enhanced recall of recent events

d)

Faster processing speed without distractions

7.

Complex attention deficits in dementia are characterized by which presentation?

a)

Rapid processing despite overstimulation

b)

Overstimulated and distracted thinking; tasks take longer even without distractions

c)

Unaffected processing speed regardless of environment

d)

Improved task completion under pressure

8.

Language changes in dementia may present as which difficulty?

a)

Fluent expressive and receptive language

b)

Forgetting item names and struggling to find the right words

c)

Enhanced vocabulary and word retrieval

d)

No impact on naming or language comprehension

9.

Social cognition impairment in dementia is often marked by which behavior?

a)

Strict adherence to social standards and safe decision-making

b)

Increased empathy and inhibition

c)

Insensitivity to standards with unsafe decisions, decreased empathy, and restlessness

d)

No change in social judgment

10.

Which vascular dementia descriptor is accurate based on its pathophysiology and clinical impact?

a)

Hypertension increases cerebral perfusion, improving cognition

b)

Hypertension reduces blood flow via cerebrovascular events leading to cognitive decline and decreased processing speed

c)

Vascular disease exclusively causes motor symptoms without cognitive effects

d)

Blood flow changes primarily enhance executive function

11.

Which constellation best characterizes Lewy body dementia?

a)

Pure language impairment without motor changes

b)

Memory loss, increased falls, autonomic dysfunction, sleep issues, and fluctuating cognition with Parkinson’s-like signs

c)

Only visual field loss and blind spots

d)

Hyperactive social judgment and reduced restlessness

12.

Which symptom is commonly associated with Lewy body dementia as highlighted?

a)

Auditory hallucinations only

b)

Visual hallucinations

c)

Complete absence of tremors

d)

Rigid adherence to slow-wave sleep

13.

Which lobe association is correctly matched to its noted difficulty in dementia?

a)

Parietal lobe — difficulty with reading and special misperception

b)

Frontal lobe — improved focus and language

c)

Occipital lobe — enhanced visual acuity

d)

Temporal lobe — perfect short- and long-term memory

14.

Which brain region change is paired with the correct functional impact?

a)

Cerebellum — improved walking and fluent speech

b)

Brainstem — changes in breathing and difficulty swallowing

c)

Temporal lobe — better memory consolidation

d)

Occipital lobe — sharper vision without blind spots

15.

Which set reflects mild manifestations of impaired social cognition in dementia?

a)

Subtle behavior or attitude changes; decreased empathy and inhibition with restlessness

b)

Markedly unsafe decisions; overt disregard for social norms

c)

Complete absence of restlessness with improved empathy

d)

No behavior change but improved decision-making

16.

Which grouping captures cognitive deficits common in Alzheimer’s disease, as summarized in the instructional material?

a)

Only motor and visual deficits

b)

Complex attention, learning and memory, executive function, and perceptual-motor deficits

c)

Exclusive language improvement

d)

Isolated processing speed increase

17.

In Alzheimer’s-related complex attention deficits, which description is accurate?

a)

Tasks speed up when distracted

b)

Processing speed slows; overstimulation and distraction prolong task completion even without distractions

c)

Processing speed remains normal despite overstimulation

d)

Multitasking capacity improves

18.

Parkinson’s disease dementia is associated with which risk factors or features listed?

a)

Old age alone without motor symptoms

b)

Destruction of the globus pallidus and more severe motor symptoms: tremor, rigidity, bradykinesia, and postural instability

c)

Enhanced autonomic function

d)

Exclusive cognitive improvement with aging

19.

Which statement best describes Stage i in the Functional Assessment Stage Tool (FAST) for Alzheimer's disease?

a)

No impairment with no memory issues

b)

Very mild cognitive decline with mild forgetfulness

c)

Mild decline with trouble planning and organizing

d)

Moderate decline with difficulty in finances and shopping

20.

In the FAST staging, which stage is characterized by mild forgetfulness but the person can still perform activities of daily living (ADLs)?

a)

Stage i: No impairment

b)

Stage ii: Very mild cognitive decline

c)

Stage iii: Mild decline

d)

Stage iv: Moderate decline

21.

According to FAST, which stage involves noticeable trouble with planning, organizing, and complex tasks that family members can see?

a)

Stage ii: Very mild cognitive decline

b)

Stage iii: Mild decline

c)

Stage v: Moderate severe decline

d)

Stage vi: Severe decline

22.

Which FAST stage specifies difficulty managing finances and shopping for complex tasks with a need for some assistance?

a)

Stage iv: Moderate decline

b)

Stage v: Moderate severe decline

c)

Stage vi: Severe decline

d)

Stage vii: Very severe

23.

At which FAST stage does an individual require help choosing clothes and hygiene cues due to major memory gaps?

a)

Stage iii: Mild decline

b)

Stage iv: Moderate decline

c)

Stage v: Moderate severe decline

d)

Stage vi: Severe decline

24.

Which FAST stage commonly includes help with toileting, dressing, bathing, and incontinence?

a)

Stage iv: Moderate decline

b)

Stage v: Moderate severe decline

c)

Stage vi: Severe decline

d)

Stage vii: Very severe

25.

Using the Glasgow Coma Scale (GCS), what score range indicates mild TBI with disorientation and confusion at initial assessment?

a)

3 to 8

b)

9 to 12

c)

13 to 15 (not less than 13 at 30 minutes)

d)

16 to 18

26.

Which combination correctly matches moderate TBI criteria from the table?

a)

Loss of consciousness less than 30 minutes; posttraumatic amnesia less than 24 hours; GCS 13–15

b)

Loss of consciousness 30 minutes to 24 hours; posttraumatic amnesia 24 hours to 7 days; GCS 9–12

c)

Loss of consciousness more than 24 hours; posttraumatic amnesia more than 7 days; GCS 3–8

d)

Loss of consciousness 10–20 minutes; posttraumatic amnesia 8–12 hours; GCS 6–9

27.

A patient had loss of consciousness for more than 24 hours and posttraumatic amnesia lasting over 7 days. Based on the table, what TBI severity is most consistent with these findings?

a)

Mild TBI

b)

Moderate TBI

c)

Severe TBI

d)

Cannot be classified using the table

28.

Which dietary recommendation is linked to decreased progression of Alzheimer's disease?

a)

Low-flavanol diet emphasizing refined grains

b)

High intake of flavanol-rich foods such as olive oil, tea, beans, and leafy greens

c)

High-protein diet with processed meats

d)

Exclusive consumption of dairy products

29.

Protease inhibitor medications are most directly indicated for management within which context?

a)

Parkinson’s disease tremor control

b)

Dementia related to HIV infection

c)

Frontotemporal dementia behavioral symptoms

d)

Huntington’s disease chorea

30.

Which strategy addresses anosmia in dementia care?

a)

Encouraging frequent use of incense to stimulate olfaction

b)

Teaching smoke detection solely by smell

c)

Monitoring for inability to smell smoke and food spoilage to improve safety

d)

Avoiding any discussion of odors to reduce anxiety

31.

In a client with dementia related to traumatic brain injury (TBI), which presentation indicates worsening condition?

a)

Improved executive function and new learning

b)

Loss of consciousness, posttraumatic amnesia, disorientation and confusion persisting beyond the acute post-injury period

c)

Isolated hand tremor without cognitive changes

d)

Stable mood with enhanced attention

32.

Which comorbidity and context commonly accompany TBI-related dementia in clinical populations?

a)

Chronic rhinitis in elementary school children

b)

Fractures secondary to automobile accidents and co-occurring substance use disorders

c)

Seasonal allergies and vegan diet

d)

Congenital heart disease without injury history

33.

Which preventive counseling point is appropriate for a patient with prior TBI to reduce compounded damage?

a)

Encourage high-risk sports without protective gear

b)

Stress avoiding further brain injury by preventing falls and wearing helmets; warn that intoxication can worsen TBI dementia; recognize domestic violence as a risk factor

c)

Recommend alcohol to aid sleep after concussion

d)

Limit physical therapy to reduce brain stimulation

34.

Based on severity ratings for TBI, which combination aligns with moderate TBI?

a)

Loss of consciousness 30 min or less; posttraumatic amnesia 1 day or less; GCS 13–15

b)

Loss of consciousness 30 min to 24 hr; posttraumatic amnesia 1 to 7 days; GCS 9–12

c)

Loss of consciousness 24 hr or more; posttraumatic amnesia 7 days or more; GCS 3–8

d)

Loss of consciousness under 5 minutes; no amnesia; GCS 15

35.

Which neuroimaging result is typical for mild TBI compared with complicated mild TBI?

a)

Both show abnormal CT/MRI findings

b)

Mild TBI: normal CT/MRI; Complicated mild TBI: abnormal CT/MRI

c)

Mild TBI: abnormal CT/MRI; Complicated mild TBI: normal CT/MRI

d)

Neither can be distinguished by CT/MRI

36.

On MRI, frontotemporal dementia is best characterized by which feature?

a)

Diffuse demyelination identical to Alzheimer’s plaques

b)

Atrophy with Pick bodies distinct from Alzheimer’s tangles

c)

Cerebellar infarcts only

d)

Normal cortical thickness without changes

37.

Chronic alcohol use is typically associated with which MRI finding relevant to substance/medication-related dementia?

a)

Hippocampal enlargement

b)

Cortical thinning

c)

Basal ganglia calcification

d)

Cerebellar hyperplasia

38.

Beyond tetrabenazine, which pharmacologic classes may be used to control manifestations in Huntington’s disease?

a)

Antipsychotics and benzodiazepines

b)

Antibiotics and antihistamines

c)

Anticoagulants and diuretics

d)

Antivirals and antitussives

39.

Which statement best describes frontotemporal dementia assessment priorities regarding neurocognitive disorders?

a)

Focus solely on motor symptoms without cognitive testing

b)

Assess cognitive and perception disturbances such as hallucinations and confabulations

c)

Evaluate only sleep patterns

d)

Screen only for depression

40.

Which physical finding is most characteristic of anorexia nervosa resulting from self-starvation and restricted intake?

a)

Elevated blood pressure and tachycardia

b)

Thin/emaciated appearance with hypotension and bradycardia

c)

Hyperthermia with flushed skin

d)

Peripheral edema without weight loss

41.

A client with anorexia nervosa presents with brittle hair and nails. Which additional finding aligns with the expected physical effects of AN?

a)

Increased bone density and regular menstruation

b)

Muscle weakness and gastrointestinal problems

c)

Hyperglycemia and improved dental health

d)

Enhanced cold tolerance and thick scalp hair

42.

Which laboratory pattern is most consistent with anorexia nervosa?

a)

Increased sodium and potassium, normal magnesium

b)

Decreased sodium, potassium, phosphorus, magnesium, calcium, and chloride

c)

Elevated chloride with normal calcium and phosphorus

d)

Normal electrolytes with high serum glucose

43.

Which behavior exemplifies the fear of gaining weight in anorexia nervosa?

a)

Persistent engagement in weight-gaining activities

b)

Stopping weight gain through persistent behaviors such as excessive exercise even when already underweight

c)

Seeking professional help to increase BMI to a healthy range

d)

Ignoring weight-related thoughts during the day

44.

According to the prevalence data, which statement about eating disorders in the U.S. is accurate?

a)

Eating disorders have one of the lowest mortality rates among mental health disorders

b)

About 10% of people with eating disorders die within 10 years

c)

Only adults over 25 develop eating disorders

d)

Eating disorders are unrelated to occupations emphasizing weight or stature

45.

Which fact best represents the burden of eating disorders across the lifespan and population groups?

a)

Cases begin only after adolescence and affect primarily men

b)

Approximately 30 million people in the U.S. have had an eating disorder at some point in life

c)

No documented increase among transgender individuals or veterans

d)

Cases rarely start before age 12

46.

In dementia care, what is a documented benefit of therapy animals?

a)

Increase agitation and social withdrawal

b)

Reduce anxiety, agitation, and loneliness while improving mood and socialization

c)

Decrease mood but increase independence

d)

Eliminate cognitive decline through diet changes

47.

Which pattern best defines bulimia nervosa as described: binge eating followed by which compensatory behavior occurring at least once a week for 3 months?

a)

Strict calorie counting without purging

b)

Self-induced vomiting or use of laxatives, medications, fasting, or excessive exercise

c)

Complete avoidance of all solid foods

d)

Night eating without any compensatory actions

48.

A client with bulimia nervosa reports episodes of overeating. Which associated feeling commonly occurs during these episodes?

a)

Sense of complete control over eating choices

b)

Feeling of lack of control during the overeating episode

c)

Indifference to food quantity

d)

Strong aversion to sweet foods only

49.

Which gastrointestinal finding is listed among bulimia nervosa complications?

a)

Irritable bowel syndrome

b)

GI disturbance

c)

Peptic ulcer perforation

d)

Crohn disease

50.

Which physical change of the parotid gland is noted in bulimia nervosa findings?

a)

Parotid gland shrinkage causing sunken cheeks

b)

Parotid gland enlargement leading to chipmunk cheeks

c)

Normal parotid size with jaw tenderness only

d)

Parotid gland fibrosis causing trismus

51.

Russell’s sign refers to which characteristic finding in bulimia nervosa?

a)

Erosion of tooth enamel

b)

Callus or scar on the knuckles

c)

Redness of the soft palate

d)

Ulceration of the tongue

52.

Which treatment modality focuses on increasing self-worth, enhancing autonomy, and decreasing shame?

a)

Interpersonal therapy

b)

Humanistic therapy

c)

Dialectical behavioral therapy

d)

Cognitive therapy

53.

Interpersonal therapy in eating disorders primarily targets which goal according to the material?

a)

Challenge cognitive distortions only

b)

Promote mindfulness and distress tolerance

c)

Address grief, role transitions, and disputes to improve communication skills and social support

d)

Empower and reunite the family system for long-term stabilization

54.

Which statement best captures the focus of cognitive therapy for eating disorders as described?

a)

Reframe dysfunctional thinking patterns and challenge distortions

b)

Teach meal planning and calorie tracking

c)

Increase aerobic exercise tolerance

d)

Provide pharmacologic management only

55.

Dialectical behavioral therapy in eating disorders aims to promote which set of skills?

a)

Mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness

b)

Exposure therapy and desensitization exclusively

c)

Crisis management and medication adherence only

d)

Psychoanalytic free association

56.

Family-based therapy in eating disorders emphasizes which approach?

a)

Separating the child from family influences

b)

Empowering and reuniting the family system to address dependence and strained relationships for long-term stabilization

c)

Focusing only on individual cognitive distortions

d)

Limiting family involvement to monthly check-ins

57.

Which nursing action is appropriate when weighing a client in an eating disorder treatment program?

a)

Vary the time of day and scale for each weigh-in

b)

Encourage different clothing to reduce anxiety

c)

Use the same clothes and the same scale at each daily weight

d)

Avoid bathroom inspection to protect privacy

58.

Which nursing action helps monitor for purging behaviors around weigh-ins?

a)

Inspect the bathroom for purging

b)

Offer extra snacks after weighing

c)

Allow unrestricted water intake immediately before weighing

d)

Provide music during weigh-ins

59.

Which medication is identified for bulimia nervosa management?

a)

Sertraline

b)

Fluoxetine

c)

Bupropion

d)

Lithium

60.

In the SCOFF screening questionnaire, which question addresses control related to eating?

a)

Do you avoid breakfast every day?

b)

Do you worry that you have lost control over how much you eat?

c)

Do you count calories at every meal?

d)

Do you prefer eating alone most days?

61.

In the SCOFF screening questionnaire, which question screens for post-meal purging behaviors?

a)

Do you make yourself sick or vomit after a meal because you feel uncomfortably full?

b)

Do you exercise more than 2 hours daily?

c)

Do you skip lunch on weekdays?

d)

Do you drink more than 8 glasses of water per day?

62.

Which question aligns with screening for unintentional rapid weight loss using the British unit of "stone"?

a)

Have you lost more than 10 kilograms in the past year?

b)

Have you recently lost more than 1 stone (14 pounds/6.4 kg) in a 3-month period?

c)

Are you currently trying to lose weight for health reasons?

d)

Do you weigh less than 50 kilograms right now?

63.

Which statement is a direct screening question for problematic preoccupation with food control?

a)

Would you like to learn new recipes?

b)

Would you say that food dominates your life?

c)

Do you often skip breakfast due to time constraints?

d)

Do you count calories occasionally when dining out?

64.

Which finding indicates a therapeutic response in a patient with an eating disorder?

a)

Persistent weight loss despite meal plans

b)

Steady weight gain

c)

Increased food rituals before meals

d)

Worsening electrolyte abnormalities

65.

Which change in eating patterns suggests improvement during eating disorder treatment?

a)

Normal eating patterns without rituals or compensation

b)

Refusal to eat without performing specific rituals

c)

Rigid adherence to a liquid-only diet

d)

Daily self-induced vomiting as a coping mechanism

66.

Which finding reflects reduced pathology and medical stabilization in eating disorder recovery?

a)

Heart rate and blood pressure remain abnormal with low electrolytes

b)

Reduced preoccupation with food and stable labs/electrolytes

c)

Continued obsession with calorie counting and restrictive labs

d)

Normal mood but persistent purging behaviors

67.

Which characteristic is most consistent with orthorexia?

a)

Focus on weight loss through any means, including purging

b)

Obsession with clean foods leading to significant disturbance in nutritional intake and weight loss

c)

Preference for high-protein diets to build muscle

d)

Avoidance of food due to fear of contamination unrelated to health rules

68.

Which behavior aligns with orthorexia’s rigid rule set?

a)

Occasional dietary flexibility when eating with friends

b)

Rigid rules that ban entire food groups

c)

Counting macronutrients for athletic performance

d)

Skipping dessert on weekdays only

69.

Which cognitive preoccupation typifies orthorexia?

a)

Researching food ingredients and purity

b)

Tracking daily steps and sleep

c)

Joining a weight-loss support group

d)

Avoiding restaurants due to cost

70.

Which emotional response is characteristic when orthorexic food rules are violated?

a)

Relief and acceptance

b)

Shame and guilt

c)

Indifference

d)

Anger at others but not self

71.

In triage for a group of clients with depression, which client requires highest priority?

a)

Stable mood on medications with improved coping skills

b)

Persistent sadness and poor sleep but medically stable

c)

Severe functional decline, not eating or taking meds

d)

Active suicidal ideation, recent attempts, command hallucinations, hopelessness, and access to lethal means

72.

Which scenario best represents a client ready for discharge in depression management?

a)

Active suicidal ideation with a plan

b)

Severe functional decline and inability to perform ADLs

c)

Symptomatic with persistent anhedonia and low motivation

d)

Improved coping skills, better mood, and stable on medications

73.

Which is a recognized suicide risk factor?

a)

Strong social support network

b)

Having made a previous attempt at self-harm

c)

No history of mental illness and robust coping skills

d)

Stable employment and finances

74.

Which item is NOT a suicide risk factor from the provided list?

a)

Legal problems

b)

Financial problems

c)

Family history of suicide

d)

Routine dental checkups

75.

Which clinical feature increases suicide risk due to behavioral dyscontrol?

a)

Risky and impulsive behaviors

b)

Stable mood on medications

c)

Consistent attendance at therapy

d)

Active engagement in social support

76.

Which social factor reduces suicide risk rather than increases it?

a)

Lacking social support

b)

Strong social support

c)

Personal relationship problems

d)

Having been bullied

77.

Which set of vital sign and lab findings indicates therapeutic response in eating disorder care?

a)

Bradycardia, hypotension, and abnormal electrolytes

b)

Tachycardia, hypertension, and low potassium

c)

Heart rate and blood pressure normal with electrolytes and labs stable

d)

Normal mood but electrolyte derangements

78.

When assessing a client for suicidal ideation, which direct question aligns with recommended nursing actions?

a)

"Have you considered harming someone else?"

b)

"Are you having thoughts of suicide?"

c)

"Do you feel anxious today?"

d)

"Would you like to speak to a social worker?"

79.

Which step helps create a safe environment for a client at risk for suicide?

a)

Remove harmful objects and search belongings

b)

Increase visiting hours for family

c)

Allow access to medications for autonomy

d)

Provide open access to outdoor areas

80.

Which behavior is a warning sign of ongoing suicidal ideation?

a)

Withdrawing socially from family and friends

b)

Joining a new support group

c)

Requesting more counseling sessions

d)

Improved appetite and sleep

81.

A client begins arranging affairs and bidding goodbye to friends and family. What does this most likely signify?

a)

Preparation for relocation

b)

Resolution of legal issues

c)

Continuation of suicidal ideation

d)

Improved coping and recovery

82.

Which understanding of electroconvulsive therapy (ECT) is accurate?

a)

ECT is contraindicated when depression is treatment refractory

b)

ECT induces seizures under anesthesia to treat depression

c)

ECT is a first-line therapy before trying medications

d)

ECT causes permanent memory loss in all patients

83.

Which preparation aligns with safe ECT administration?

a)

Encourage a large meal beforehand

b)

Maintain NPO status before the treatment

c)

Administer high-dose caffeine pre-procedure

d)

Avoid anesthesia to reduce risks

84.

Which option is a noninvasive treatment for depression?

a)

Cognitive behavioral therapy (CBT)

b)

Lobotomy

c)

Long-term electroconvulsive therapy without anesthesia

d)

Deep brain stimulation surgery

85.

Which list best represents noninvasive depression treatments mentioned together?

a)

Behavioral therapy, group/support therapy, light therapy

b)

Insulin shock therapy, psychosurgery, MAOI therapy

c)

ECT only, without follow-up psychotherapy

d)

Antibiotics, antihistamines, and vitamins

86.

Which statement reflects feelings commonly associated with continued suicidal ideation?

a)

Feeling trapped without solutions to problems

b)

Feeling excited about future plans

c)

Feeling bored but content

d)

Feeling mildly nervous before a test

87.

Which societal factor may contribute to suicide risk and warrants discussion during assessment?

a)

Community cluster of suicides

b)

Neighborhood watch program

c)

Local recycling initiative

d)

Public library expansion

88.

Which cultural factor could elevate suicide risk and should be explored sensitively?

a)

Belief that suicide is noble

b)

Belief in balanced nutrition

c)

Belief in regular exercise

d)

Belief in time management

89.

Which nursing action supports therapeutic engagement with a suicidal client in addition to safety measures?

a)

Be therapeutic in communication

b)

Limit all conversations to yes/no questions

c)

Avoid discussing feelings to prevent triggering

d)

Delegate all discussions to nonclinical staff

90.

According to the SAD PERSON scale, which score range should lead to admission to hospital?

a)

0–2

b)

3–6

c)

7–10

d)

11–12

91.

In the SAD PERSON scale, which factor corresponds to the letter D?

a)

Depression

b)

Drug overdose

c)

Divorce

d)

Detoxification

92.

Which pair correctly matches the SAD PERSON letters with their factor?

a)

S = sickness (major or chronic), N = no partner

b)

S = sex female, N = nicotine use

c)

S = social supports present, N = new job

d)

S = suicidal ideation only, N = normal mood

93.

A patient scores 3–6 on the SAD PERSON scale. Which disposition is most appropriate?

a)

Discharge only without follow-up

b)

Admit or discharge with appropriate follow-up

c)

Home with no further care

d)

Automatic hospital admission

94.

Which item should be removed from a suicidal patient’s environment due to safety concerns?

a)

Soft pillow

b)

Plastic bags

c)

Books

d)

Hand sanitizer only

95.

Which combination of items is unsafe for a suicidal patient?

a)

Mirrors made of glass, razors/scissors/knives/cans, shoe laces

b)

Nonbreakable cups, foam slippers, electric toothbrush

c)

Plastic utensils, paper towels, rubber bands

d)

Hairbrush, cotton swabs, cloth napkins

96.

Which medication storage practice aligns with safety guidance for suicidal patients?

a)

Meds left on bedside table

b)

Meds kept unlocked for easy access

c)

Meds locked

d)

Meds hidden but accessible

97.

Which social group is specifically listed as at higher risk for suicide?

a)

Children under 10

b)

Nonhispanic white people

c)

College professors

d)

Professional athletes

98.

Which contextual setting is identified as higher risk for suicide?

a)

Urban areas with tech startups

b)

Rural areas with construction and mining

c)

Suburban neighborhoods with new schools

d)

Coastal tourist towns

99.

Essential oils such as lavender, chamomile, and bergamot are described as helping anxiety primarily by which mechanism?

a)

Slowing the fight-or-flight response and activating rest-and-digest

b)

Directly increasing blood glucose to stabilize mood

c)

Blocking serotonin reuptake in the synaptic cleft

d)

Stimulating the sympathetic nervous system to enhance alertness

100.

Which screening area is identified for older adults in the material?

a)

Depression

b)

Audiometry alone without functional assessment

c)

Exclusive nutritional labs

d)

Dermatologic cancer only

101.

When planning screening for older adults, which combination best aligns with the recommended domains?

a)

Cognitive status, functional ability, and fall risk/nutritional factors

b)

Cardiac catheterization, genetic testing, and spirometry

c)

Sports performance metrics, reaction time drills, and maximal VO2

d)

Dental imaging, skin biopsies, and allergy panels

102.

In the therapeutic relationship for eating disorders, which phase focuses on exploring triggers related to disordered eating behaviors?

a)

Pre-interaction phase

b)

Orientation phase

c)

Working phase

d)

Evaluation phase

103.

Which statement exemplifies a patient’s cognitive experience commonly noted in eating disorder care?

a)

"I feel imprisoned by my ED" and making "excuses to not go to holiday party"

b)

"I feel completely cured without support"

c)

"I have no thoughts about food or body image"

d)

"I prefer group sports to individual therapy"

104.

Which conceptual model is identified for understanding eating disorders in this material?

a)

Biomedical model

b)

Nature–nurture diathesis stress model

c)

Social learning theory only

d)

Cognitive dissonance model

105.

Which condition is described as obsessive thoughts on food?

a)

Anorexia nervosa

b)

Bulimia nervosa

c)

Binge eating

d)

Pica

106.

Bulimia is associated with medical changes from vomiting and binge–purge cycles. Which combination aligns with the review?

a)

Increased potassium and decreased pancreatic enzymes

b)

Decreased potassium, T3/T4, and sodium with increased pancreatic enzymes

c)

Normal electrolytes with decreased pancreatic enzymes

d)

Elevated T3/T4 with hypernatremia

107.

Which therapy aims to restructure distorted thoughts to improve emotional status and perception of self and world in eating disorder care?

a)

Humanistic therapy

b)

CBT (Cognitive Behavioral Therapy)

c)

Behavioral therapy only

d)

Interpersonal therapy

108.

Pica is characterized by eating inedible items without nutritional value. Which example fits the description?

a)

High-protein bars

b)

Raw vegetables

c)

Dirt, hair, clay, or paint chips

d)

Vitamin-fortified cereals

109.

Based on the dementia functional assessment table, which stage is identified as incipient Alzheimer’s disease possible and is a good time to designate a financial or medical power of attorney?

a)

Stage 2

b)

Stage 3

c)

Stage 4

d)

Stage 5

110.

Delirium in older adults can be precipitated by which common clinical scenario noted in the review?

a)

High-dose omega-3 intake

b)

Urinary tract infection

c)

Amyloid plaque accumulation

d)

Music therapy sessions

111.

Which diagnostic modality is noted to show amyloid plaques in Alzheimer’s disease, with another imaging method improving plaque visualization?

a)

MRI shows plaques; CT improves visualization

b)

CT shows plaques; PET improves visualization

c)

PET shows plaques; MRI improves visualization

d)

Ultrasound shows plaques; PET improves visualization

112.

Which nutritional guidance is included under the "Mind diet" to support cognitive function in dementia care?

a)

Increase flavanol intake from oranges and tea

b)

Increase omega-3 from leafy vegetables

c)

Avoid leafy vegetables due to high omega-3

d)

Eliminate tomatoes due to low antioxidants

113.

Which behavioral feature is linked to Huntington’s disease in this review?

a)

Memory improvement with music therapy

b)

Jerky movements with impulsive behaviors; gene on chromosome 4

c)

Restless mood swings from vitamin deficiency

d)

Swelling of salivary glands with vomiting

114.

Which statement best differentiates dementia from delirium as presented?

a)

Delirium involves hallucinations, tremors, and altered level of consciousness; dementia includes impaired memory, agitation, incoherent speech, and agnosia

b)

Dementia has sudden onset with tremors; delirium features progressive cognitive decline

c)

Delirium is diagnosed only by PET; dementia is diagnosed only by lab tests

d)

Delirium is triggered by omega-3 intake; dementia is caused by UTI

115.

Which characteristic listed is specifically associated with Alzheimer's disease in this review summary?

a)

Jerky eye movements

b)

Agraphia and confabulation with sundowning

c)

Rapid eye movement causing shuffle

d)

Tantrums and irritability at school

116.

According to the summary, which gait or movement pattern is linked to Lewy body dementia?

a)

Jerky shuffle

b)

Rapid eye movement

c)

Rapid gait shuffle

d)

Freezing of gait

117.

Which statement best matches Parkinson’s dementia in the provided material?

a)

Rapid eye movement and jerky movement

b)

Rapid gait shuffle with falls

c)

Jerky movement paired with rapid eye movement

d)

Loss of object recognition (agnosia)

118.

In home care for dementia, what is identified as the greatest risk factor for patient safety?

a)

Lack of mobility aids

b)

Being unsupervised with safety not ensured

c)

Overuse of sedative medications

d)

Exposure to excessive stimulation

119.

Transcranial magnetic stimulation (TMS) details include several features. Which is correct based on the text?

a)

Requires general anesthesia and overnight stay

b)

A 30-minute procedure with the patient remaining awake

c)

Only a single treatment is needed

d)

Ineffective when combined with psychotherapy

120.

Which immediate clinical priority question aligns with suicide risk assessment in the summary?

a)

Ask about past medical history

b)

Ask about thoughts of suicidal ideation and specifics

c)

Assess dietary habits

d)

Screen for thyroid antibodies

121.

Disruptive mood disorder in the text is characterized by which feature?

a)

Episodic euphoria with grandiosity

b)

Tantrums and irritability causing trouble at school

c)

Persistent sadness without behavioral issues

d)

Hallucinations with disorganized speech

122.

For discharge planning after suicidal ideation, which element is emphasized?

a)

Encouraging isolation to prevent triggers

b)

Developing coping skills, social support, and locking away sharp objects

c)

Eliminating all medications regardless of indication

d)

Immediate return to work duties