Dementia Practice Questions – Medical Speech Pathology – Cognitive Communication Review
Material
1. 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 and time.
The patient has a history of increasing confusion over several years. - correct answer ✔✔The
patient was oriented and alert when admitted. Correct
2. Which intervention will the nurse include in the plan of care for a patient with moderate
dementia who had an appendectomy 2 days ago?
Provide complete personal hygiene care for the patient.
Remind the patient frequently about being in the hospital.
Reposition the patient frequently to avoid skin breakdown.
Place suction at the bedside to decrease the risk for aspiration. - correct answer ✔✔Remind
the patient frequently about being in the hospital. Correct
, 3. When administering a mental status examination to a patient with delirium, the nurse should
wait until the patient is well-rested.
administer an anxiolytic medication.
choose a place without distracting stimuli
reorient the patient during the examination. - correct answer ✔✔choose a place without
distracting stimuli. Correct
4. The nurse is concerned about a postoperative patient's risk for injury during an episode of
delirium. The most appropriate action by the nurse is to
secure the patient in bed using a soft chest restraint.
ask the health care provider to order an antipsychotic drug.
instruct family members to remain with the patient and prevent injury.
assign unlicensed assistive personnel (UAP) to stay with the patient and offer reorientation. -
correct answer ✔✔assign unlicensed assistive personnel (UAP) to stay with the patient and
offer reorientation. Correct
A 56-year-old patient in the outpatient clinic is diagnosed with mild cognitive impairment
(MCI).Which action will the nurse include in the plan of care?
Suggest a move into an assisted living facility.
Material
1. 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 and time.
The patient has a history of increasing confusion over several years. - correct answer ✔✔The
patient was oriented and alert when admitted. Correct
2. Which intervention will the nurse include in the plan of care for a patient with moderate
dementia who had an appendectomy 2 days ago?
Provide complete personal hygiene care for the patient.
Remind the patient frequently about being in the hospital.
Reposition the patient frequently to avoid skin breakdown.
Place suction at the bedside to decrease the risk for aspiration. - correct answer ✔✔Remind
the patient frequently about being in the hospital. Correct
, 3. When administering a mental status examination to a patient with delirium, the nurse should
wait until the patient is well-rested.
administer an anxiolytic medication.
choose a place without distracting stimuli
reorient the patient during the examination. - correct answer ✔✔choose a place without
distracting stimuli. Correct
4. The nurse is concerned about a postoperative patient's risk for injury during an episode of
delirium. The most appropriate action by the nurse is to
secure the patient in bed using a soft chest restraint.
ask the health care provider to order an antipsychotic drug.
instruct family members to remain with the patient and prevent injury.
assign unlicensed assistive personnel (UAP) to stay with the patient and offer reorientation. -
correct answer ✔✔assign unlicensed assistive personnel (UAP) to stay with the patient and
offer reorientation. Correct
A 56-year-old patient in the outpatient clinic is diagnosed with mild cognitive impairment
(MCI).Which action will the nurse include in the plan of care?
Suggest a move into an assisted living facility.
