2006 midterm inpa + skills UPDATED
ACTUAL Questions and CORRECT
Answers
moderate dementia - CORRECT ANSWER - Dementia is a brain disorder that cause loss
of memory and deterioration in other mental
functions. In this middle stage of dementia, often the longest stage of the disease, brain damage
causes a person
to have difficulty expressing thoughts and performing daily tasks. Memory issues are more
severe than in the
earlier stage
moderate dementia cause/patho - CORRECT ANSWER - Dementia is caused by damage
to or loss of nerve cells and their connections in the brain where your brain cells can no longer
communicate with one another and your brain isn't able to tell your body what to do anymore.
Communication with client: - CORRECT ANSWER - Maintain eye contact, Closed ended
questions, If talking about someone else, use names instead of pronouns to clarify, Make it clear
when your changing subjects, Be patient, Clear voice Speak slowly, Be calm, SOLER
Communication with family: - CORRECT ANSWER - Be empathetic, Be understanding,
Listen to their questions and concerns, Be patient, Educate family on the disease, Educate family
on medications patient takes, Educate family on symptoms and side effects that can happen
moderate dementia - signs & symptoms - CORRECT ANSWER - - increasing confusion
or poor judgment
-greater memory loss, including a loss of events in the more distant past
-needing assistance with tasks, such as getting dressed, bathing, and grooming
-significant personality and behavior changes, often caused by agitation and unfounded suspicion
-changes in sleep patterns, such as sleeping during the day and feeling restless at night
, moderate dementia - What specific communication techniques will you use with this patient?
Why? - CORRECT ANSWER - Maintain eye contact, Closed ended questions, If talking
about someone else, use names instead of pronouns to clarify, Make it clear when your changing
subjects, Be patient, Clear voice, Speak slowly, Be calm, SOLER
to promote a better nurse client relationship
moderate dementia - What problems or concerns do you anticipate with this patient? -
CORRECT ANSWER - - Poor nutrition. Many people with dementia eventually reduce or
stop eating, affecting their nutrient intake.
- Immobility: may have their mobility affected in a number of ways, most noticeably by slower
movement due to reduced control of muscles
-Risk of falling
- Pressure Ulcers: due to the lack of immobility
-Depression: physical pain and social isolation are important contributors to depression in people
who are cognitively impaired, and they can be addressed.
-Decreased Peristalsis: immobility can lead to this because when your immobile your digestive
system can't move food forward and also swallowing difficulty which also leads to choking
-Aggression/Depression/Behavioural changes: due to being immobile they will go through many
behavioral changes
-loss of previous ability to function or care for self
-loss of previous ability to interact with others
-reduced lifespan
moderate dementia- What health teaching and health promotion activities do you feel you should
incorporate? - CORRECT ANSWER - Educate: patient and family on disease and
management
Educate: patient and family on infection control
Exercise: helps patient move their body
ACTUAL Questions and CORRECT
Answers
moderate dementia - CORRECT ANSWER - Dementia is a brain disorder that cause loss
of memory and deterioration in other mental
functions. In this middle stage of dementia, often the longest stage of the disease, brain damage
causes a person
to have difficulty expressing thoughts and performing daily tasks. Memory issues are more
severe than in the
earlier stage
moderate dementia cause/patho - CORRECT ANSWER - Dementia is caused by damage
to or loss of nerve cells and their connections in the brain where your brain cells can no longer
communicate with one another and your brain isn't able to tell your body what to do anymore.
Communication with client: - CORRECT ANSWER - Maintain eye contact, Closed ended
questions, If talking about someone else, use names instead of pronouns to clarify, Make it clear
when your changing subjects, Be patient, Clear voice Speak slowly, Be calm, SOLER
Communication with family: - CORRECT ANSWER - Be empathetic, Be understanding,
Listen to their questions and concerns, Be patient, Educate family on the disease, Educate family
on medications patient takes, Educate family on symptoms and side effects that can happen
moderate dementia - signs & symptoms - CORRECT ANSWER - - increasing confusion
or poor judgment
-greater memory loss, including a loss of events in the more distant past
-needing assistance with tasks, such as getting dressed, bathing, and grooming
-significant personality and behavior changes, often caused by agitation and unfounded suspicion
-changes in sleep patterns, such as sleeping during the day and feeling restless at night
, moderate dementia - What specific communication techniques will you use with this patient?
Why? - CORRECT ANSWER - Maintain eye contact, Closed ended questions, If talking
about someone else, use names instead of pronouns to clarify, Make it clear when your changing
subjects, Be patient, Clear voice, Speak slowly, Be calm, SOLER
to promote a better nurse client relationship
moderate dementia - What problems or concerns do you anticipate with this patient? -
CORRECT ANSWER - - Poor nutrition. Many people with dementia eventually reduce or
stop eating, affecting their nutrient intake.
- Immobility: may have their mobility affected in a number of ways, most noticeably by slower
movement due to reduced control of muscles
-Risk of falling
- Pressure Ulcers: due to the lack of immobility
-Depression: physical pain and social isolation are important contributors to depression in people
who are cognitively impaired, and they can be addressed.
-Decreased Peristalsis: immobility can lead to this because when your immobile your digestive
system can't move food forward and also swallowing difficulty which also leads to choking
-Aggression/Depression/Behavioural changes: due to being immobile they will go through many
behavioral changes
-loss of previous ability to function or care for self
-loss of previous ability to interact with others
-reduced lifespan
moderate dementia- What health teaching and health promotion activities do you feel you should
incorporate? - CORRECT ANSWER - Educate: patient and family on disease and
management
Educate: patient and family on infection control
Exercise: helps patient move their body
