AND ANSWERS SURE A+
✔✔What is a key requirement of creating dementia-friendly communities according to
Alzheimer's Disease International?
Include persons living with dementia in the planning of a dementia friendly community
The primary focus of a dementia-friendly community should be healthcare
A dementia-friendly community
Government leaders must initiate creating a dementia friendly community - ✔✔Include
persons living with dementia in the planning of a dementia friendly community
✔✔Sergio is 62 years-old. He's played in the same weekly poker game for the last 20
years. He's been making more mistakes in the game, to the point that his friends have
been teasing him for losing so often. Sergio's father died from Alzheimer's disease and
Sergio recognizes some similarities in his symptoms and the early years of his father's
disease process. Sergio is sure that if he was diagnosed with dementia his friends
would not want him to continue in the poker game. Based on what you know about
Sergio, what do you think is the primary barrier to seeking out an evaluation of
dementia?
,Trauma
Finances
Access to care
Stigma - ✔✔Stigma.
✔✔What are two stage-specific needs for people in the early stages of dementia?
safety and education
medications and assistance with ADLs
Physical disability and pain
Need for touch and physical therapy - ✔✔Safety and education.
✔✔Which of the following tests takes the least amount of time but retains a high degree
of sensitivity in screening for cognitive impairment?
SLUMS
MoCA
Mini-Cog
MMSE - ✔✔Mini-Cog.
✔✔A family physician in a remote rural area is seeing a patient from the local assisted
living facility. She was originally admitted there for assistance with dressing but now
staff have noted confusion, behavior changes, increased falls, and memory problems
for several months. After a thorough evaluation the physician can find no underlying
medical cause for these symptoms. A CT scan showed normal age-related changes. A
SLUMS done in the office shows a score of 10/30. The patient's daughter lives in
another state and it is very hard for her to get her mother to medical appointments in
town, let alone seeing a specialist in the nearest city. After caring for her father who had
dementia, the cause of her mother's symptoms are clear to the daughter. What could
the physician say to relieve caregiver stress?
Only a specialist can confirm a dementia diagnosis, so a follow-up appointment in the
city is required so you wil - ✔✔Based on your mother's performance on the SLUMS
exam, the symptoms she's been experiencing over the past several months, and the
, lack of any other explanation for these changes, your mother is most likely experiencing
dementia and she does not require further testing by a specialist.
✔✔Which of the following is true regarding dementia diagnosis?
It's not appropriate to provide too dementia-related education at the time of diagnosis
Providers are well-trained in diagnosis disclosure
The diagnosis should be shared first with family members, and then with the person
living with dementia
Providers successfully make a diagnosis of dementia in 50% of cases - ✔✔Providers
successfully make a diagnosis of dementia in 50% of cases
✔✔Which screening test is most sensitive to mild cognitive impairment?
RBANS
MMSE
MoCA
Mini-Cog - ✔✔MoCA.
✔✔There is now a blood test for Alzheimer's disease. When and how this test is being
used varies. It's not always covered by insurance. Other laboratory tests are routine in a
dementia diagnostic assessment. What is the purpose of these tests?
determine prognosis
rule out reversible causes of symptoms
monitor the status of other chronic health conditions
determine whether medications are appropriate - ✔✔rule out reversible causes of
symptoms.
✔✔Which of the following is true regarding a diagnosis of Alzheimer's disease
Most people living with dementia and their family members feel they were prepared well
with education and resources at the time of diagnosis
Biomarkers are only used in research on Alzheimer's disease and aren't helpful in the
diagnosis of patients in a clinical setting