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Geriatrics

Author: Welsh MaryKate
Description:
Keywords: Dementia, Depression, Alzheimer%27s, , , , online teaching

Content:
Quiz:

1. A 70 year old retired male has difficulty remembering his daily schedule and finding the right words to express himself. He is diagnosed as dementia of the Alzheimer%27s type. The nurse expects the symptoms of his disorder:
A) Occur fairly rapidly
B) Have periods of remission
C) Begin after a loss of self esteem
D) Demonstrates a progression of disintegration

2. When assessing a client with a cognitive disorder, the nurse identifies a behavior related to an alteration in mood with the client
A) Loss interest in eating
B) Tells sexually explicit jokes
C) Has delusions and hallucinations
D) Reverses day and night activity

3. An 84 year old widow with dementia, who had been liviing with her daughter before hospitalization, is being discharged with a referral to the visiting nurse. When the nurse visits, the client is in bed sleeping at 10pm. Her daughter states that she gives her mother sleeping pills to stop her wandering at night. The nurse should:
A) Explore hiring a home health aide to stay with the client at night
B) Discuss the possibility of having the client placed in a nursing home
C) Suggest moving the client among family members on a monthly basis
D) Empathize with the daughter but suggest that wrist restraints would be preferable

4. When the nurse is communicating with a client with substance-induced persisting dementia, the client cannot remember facts and fills in the gaps with imaginary information. The nurse identifies that this is typical of:
A) Concretism
B) Confabulation
C) Flight of ideas
D) Associative looseness

5. When taking a health history from a client who has a moderate level of cognitive impairment due to dementia, the nurse expects the presence of:
A) Hypervigilance
B) Increased inhibition
C) Enhanced intelligence
D) Excentuated pre-morbid traits

6. An 84 year-old woman is admitted to the hospital with a diagnosis of dementia of Alzheimer%27s type. The nurse determines that this disorder is:
A) Problem that first emerged in the third decade of life
B) Non-organic disorder that occurs in the later years of life
C) Cognitive problem that is a slow and relentless deterioration of the mind
D) Disorder that is easily diagnosed in laboratory and psychologic tests

7. The older client is admitted to the hospital with the diagnosis of dementia Alzheimer%27s type and depression. Which sign of depression does the nurse identify? Select all that apply
A) Loss of memory
B) Increased appetite
C) Neglect of personal hygiene
D) %22I can%27t remember%22 answers to questions

8. When planning activities for a nursing home resident with a diagnosis of vascular dementia, the nurse should:
A) Plan varied activities that will keep the resident occupied
B) Provide familiar activities that the resident can successfully complete
C) Ensure that the resident actively participates in the unit%27s daily activities
D) Offer challenging activities to maintain the resident%27s contact with reality

9. A client with a diagnosis with dementia Alzheimer%27s type, Stage 1, is living at home with a grown adult. To best address the functional and behavior changes associated with this stage, the nurse should encourage the daughter to:
A) Place the mother in long-term care facility
B) Provide the mother%27s basic physical needs
C) Post a schedule of the mother%27s daily activities
D) Perform care so that the mother does not need to make decisions
.