Chapter 16: Neurocognitive Disorders: Delirium and
Dementia || EXAM-STYLE QUESTIONS WITH
VERIFIED ANSWERS!!
Your patient with advanced Alzheimers disease keeps searching the unit for her mother who
died many years ago. How should you respond?
A.
Your mother isnt hereshe died long ago.
B.
Lets go to the activity room and see whats going on.
C.
You must be upset that you cant find her.
D.
What makes you keep looking for your mother? correct answers ANS: B
With advanced Alzheimers disease, reorientation is often ineffective because the patient will
not remember. Open-ended questions are also less effective. Response B uses distraction to
refocus the patients attention on the here and now.
Your patient is diagnosed with delirium. He is awake most of the night and becomes
increasingly confused. Which is the best initial intervention?
A.
Keep the television on to provide stimulation.
B.
Give him a sleeping pill.
C.
Keep a night light on in the room and turn off the television.
D.
Keep the lights on in the room. correct answers ANS: C
Reducing stimulating sounds and providing some light to keep him oriented to his
surroundings is the best initial intervention. A sleeping pill can add to confusion.
Your patient is on donepezil HCL. This tells you your patient has which disorder?
A.
Dementia
B.
Obsessive-compulsive disorder
C.
Major depression
D.
Delirium correct answers ANS: A
This drug is Aricept and is a major treatment for dementia.
Team members working with patients who have dementia need to have a common, unified
approach because this type of patient requires:
A.
Sameness and consistency in their lives.
B.
Strict rules and regulations.
C.
, Behavior modification at all times.
D.
Staff who cannot be manipulated. correct answers ANS: A
Consistency is important when short-term memory is limited. The patient can count on that
approach even when he or she cant remember details. Strict rules and behavior modification
arent useful when the short-term memory is impaired. These patients are not using
manipulation, again, due to poor memory.
When preparing a care plan for a patient with a diagnosis of dementia, the nurse will:
A.
Increase mental and physical stimulus to improve mental function.
B.
State five current events from todays newspaper.
C.
Maintain consistent daily routines.
D.
Encourage the patient to discuss memories from his or her childhood. correct answers ANS:
C
Consistency is effective for all types of dementias to reduce anxiety and promote
participation in the care plan. Stimulating the patient to do mental functions such as
reviewing current events, or discussing memories may create more anxiety.
The best way to assist a patient who has mild Alzheimers disease is to:
A.
Ask the physician to keep the patient sedated to avoid acting out behaviors.
B.
Provide strict one-on-one behavior modification techniques to prevent further cognitive
deterioration.
C.
Encourage the family to begin preparations to move the person to a skilled nursing facility.
D.
Provide a stable, safe, and consistent environment. correct answers ANS: D
A stable, consistent environment will give the patient cues to maintain participation and
orientation. Response A is a chemical restraint and is never appropriate. Behavior medication
is generally ineffective with cognitive deterioration if the person cannot remember the
rewards. Though the family may be thinking about future plans, it is too early for placement.
Nurses recognize that the main cause for Alzheimers disease is:
A.
Unknown at this time.
B.
Genetic.
C.
Related to use of aluminum cookware.
D.
Long-term alcohol use. correct answers ANS: A
Though extensive research is being conducted in a number of areas, no clear cause has been
identified.
Dementia || EXAM-STYLE QUESTIONS WITH
VERIFIED ANSWERS!!
Your patient with advanced Alzheimers disease keeps searching the unit for her mother who
died many years ago. How should you respond?
A.
Your mother isnt hereshe died long ago.
B.
Lets go to the activity room and see whats going on.
C.
You must be upset that you cant find her.
D.
What makes you keep looking for your mother? correct answers ANS: B
With advanced Alzheimers disease, reorientation is often ineffective because the patient will
not remember. Open-ended questions are also less effective. Response B uses distraction to
refocus the patients attention on the here and now.
Your patient is diagnosed with delirium. He is awake most of the night and becomes
increasingly confused. Which is the best initial intervention?
A.
Keep the television on to provide stimulation.
B.
Give him a sleeping pill.
C.
Keep a night light on in the room and turn off the television.
D.
Keep the lights on in the room. correct answers ANS: C
Reducing stimulating sounds and providing some light to keep him oriented to his
surroundings is the best initial intervention. A sleeping pill can add to confusion.
Your patient is on donepezil HCL. This tells you your patient has which disorder?
A.
Dementia
B.
Obsessive-compulsive disorder
C.
Major depression
D.
Delirium correct answers ANS: A
This drug is Aricept and is a major treatment for dementia.
Team members working with patients who have dementia need to have a common, unified
approach because this type of patient requires:
A.
Sameness and consistency in their lives.
B.
Strict rules and regulations.
C.
, Behavior modification at all times.
D.
Staff who cannot be manipulated. correct answers ANS: A
Consistency is important when short-term memory is limited. The patient can count on that
approach even when he or she cant remember details. Strict rules and behavior modification
arent useful when the short-term memory is impaired. These patients are not using
manipulation, again, due to poor memory.
When preparing a care plan for a patient with a diagnosis of dementia, the nurse will:
A.
Increase mental and physical stimulus to improve mental function.
B.
State five current events from todays newspaper.
C.
Maintain consistent daily routines.
D.
Encourage the patient to discuss memories from his or her childhood. correct answers ANS:
C
Consistency is effective for all types of dementias to reduce anxiety and promote
participation in the care plan. Stimulating the patient to do mental functions such as
reviewing current events, or discussing memories may create more anxiety.
The best way to assist a patient who has mild Alzheimers disease is to:
A.
Ask the physician to keep the patient sedated to avoid acting out behaviors.
B.
Provide strict one-on-one behavior modification techniques to prevent further cognitive
deterioration.
C.
Encourage the family to begin preparations to move the person to a skilled nursing facility.
D.
Provide a stable, safe, and consistent environment. correct answers ANS: D
A stable, consistent environment will give the patient cues to maintain participation and
orientation. Response A is a chemical restraint and is never appropriate. Behavior medication
is generally ineffective with cognitive deterioration if the person cannot remember the
rewards. Though the family may be thinking about future plans, it is too early for placement.
Nurses recognize that the main cause for Alzheimers disease is:
A.
Unknown at this time.
B.
Genetic.
C.
Related to use of aluminum cookware.
D.
Long-term alcohol use. correct answers ANS: A
Though extensive research is being conducted in a number of areas, no clear cause has been
identified.
