Dementia Exam
Question: A hospice nurse is providing care to a client with stage 7 Alzheimer’s disease. Which
action(s) should the nurse implement? (Select all that apply.)
• Options:
◦ A) Educate the family about the nature, treatment options, and course of the disease.
◦ B) Create a calm environment with music the client enjoyed throughout their lifetime.
◦ C) Offer assistance with hygiene, dressing, and ambulation using step-by-step
instructions.
◦ D) Provide care to promote skin integrity and prevent decubiti and contractures.
◦ E) Hang written instructions on how to use the dishwasher in the kitchen.
• Correct Answers: B, C, D
Question
Question: A nurse is caring for a client with short-term memory deficits, aphasia, and trouble
recognizing common objects. Which tool should the nurse use to screen for neurocognitive
impairment?
• Options:
◦ A) Montreal Cognitive Assessment
◦ B) Geriatric Depression Scale
◦ C) Patient Health Questionnaire-9
◦ D) Conners’ Parent Rating Scale
• Correct Answer: A) Montreal Cognitive Assessment
Question
Question: A nurse is caring for a client experiencing progressive memory loss, aphasia,
confabulation, wandering, and apraxia. Which action(s) should the nurse perform when caring
for this client? (Select all that apply.)
• Options:
◦ A) Play music the client enjoys and maintain a soothing environment.
◦ B) Administer haloperidol 5 mg PRN to the client for sedation.
◦ C) Frequently reorient the client to place, time, and situation.
◦ D) Speak to the client slowly, calmly, and in a normal tone of voice.
◦ E) Reassure the client that their hallucinations are due to their disease process.
• Correct Answers: A, C, D
Question: A nurse is caring for an older adult client with slow progressive memory loss,
confusion, wandering, and agnosia. The client is oriented to self but disoriented to place, time,
and location. Which medication(s) should the nurse administer to treat these symptoms? (Select
all that apply.)
• Options:
◦ A) Memantine 10 mg PO QHS
◦ B) Donepezil 5 mg PO QHS
◦ C) Ciprofloxacin 500 mg PO BID
◦ D) Sertraline 100 mg PO QHS
◦ E) Mirtazapine 15 mg PO QHS
• Correct Answers: A, B
Question: A hospice nurse is providing care to a client with stage 7 Alzheimer’s disease. Which
action(s) should the nurse implement? (Select all that apply.)
• Options:
◦ A) Educate the family about the nature, treatment options, and course of the disease.
◦ B) Create a calm environment with music the client enjoyed throughout their lifetime.
◦ C) Offer assistance with hygiene, dressing, and ambulation using step-by-step
instructions.
◦ D) Provide care to promote skin integrity and prevent decubiti and contractures.
◦ E) Hang written instructions on how to use the dishwasher in the kitchen.
• Correct Answers: B, C, D
Question
Question: A nurse is caring for a client with short-term memory deficits, aphasia, and trouble
recognizing common objects. Which tool should the nurse use to screen for neurocognitive
impairment?
• Options:
◦ A) Montreal Cognitive Assessment
◦ B) Geriatric Depression Scale
◦ C) Patient Health Questionnaire-9
◦ D) Conners’ Parent Rating Scale
• Correct Answer: A) Montreal Cognitive Assessment
Question
Question: A nurse is caring for a client experiencing progressive memory loss, aphasia,
confabulation, wandering, and apraxia. Which action(s) should the nurse perform when caring
for this client? (Select all that apply.)
• Options:
◦ A) Play music the client enjoys and maintain a soothing environment.
◦ B) Administer haloperidol 5 mg PRN to the client for sedation.
◦ C) Frequently reorient the client to place, time, and situation.
◦ D) Speak to the client slowly, calmly, and in a normal tone of voice.
◦ E) Reassure the client that their hallucinations are due to their disease process.
• Correct Answers: A, C, D
Question: A nurse is caring for an older adult client with slow progressive memory loss,
confusion, wandering, and agnosia. The client is oriented to self but disoriented to place, time,
and location. Which medication(s) should the nurse administer to treat these symptoms? (Select
all that apply.)
• Options:
◦ A) Memantine 10 mg PO QHS
◦ B) Donepezil 5 mg PO QHS
◦ C) Ciprofloxacin 500 mg PO BID
◦ D) Sertraline 100 mg PO QHS
◦ E) Mirtazapine 15 mg PO QHS
• Correct Answers: A, B
