Deck 20: Illustrating the Themes of This Book: Alzheimers Disease and Related Disorders

Question 1

The Alzheimer's Association projects that by 2050, the number of individuals 65 years of age or older living with Alzheimer's disease in North America will be:

A)3.4 million
B)Six million
C)11.5 million
D)13.8 million
E)21.3 million

Answer 1

D

Question 2

The Alzheimer's Association has reported that during the period 2000-2014 in the U.S.:

A)Deaths from Alzheimer's disease declined by 10 percent.
B)Deaths from Alzheimer's disease remained about the same in number.
C)Deaths from Alzheimer's disease increased by 14 percent.
D)Deaths from Alzheimer's disease increased by 35 percent.
E)Deaths from Alzheimer's disease increased by 89 percent.

Answer 2

E

Question 3

Which of the following statements is true?

A)Alzheimer's disease involves the formation of plaques, tangles, and loss of connections between nerve cells.
B)Alzheimer's disease involves an acute loss of memory.
C)Only 30% of individuals with mild cognitive impairment develop Alzheimer's disease.
D)Alzheimer's disease is a communicable disease that can be diagnosed with brain -imaging devices.
E)The brain becomes larger in size with progression of Alzheimer's disease.

Answer 3

A

Question 4

Alzheimer's disease is __________.

A)an acute degenerative disease of the brain
B)the sixth leading cause of death in the United States
C)a disease that can be cured if diagnosed and treated early
D)All of these
E)None of these

Question 5

When persons with advanced dementia who have been institutionalized develop a new relationship with another resident in the facility, that person is __________.

A)reacting to the perception that all the people he or she knows and loves have disappeared
B)searching for joy
C)in need of a friend and companionship
D)All of these
E)None of these

Question 6

Alzheimer's disease is a disease that __________.

A)is caused by a virus
B)is best described as involving a family trait
C)begins at a very early age
D)affects all older adults
E)None of these

Question 7

The 10 warning signs of Alzheimer's disease include __________.

A)memory loss that disrupts daily life
B)difficulty completing familiar tasks at home, at work, or at leisure
C)trouble understanding visual images and spatial relationships
D)All of these
E)None of these

Question 8

Reliable estimates for 2014 identified Alzheimer's disease as the cause of:

A)Less than 10,000 deaths
B)Approximately 23,000 deaths
C)More than 93,000 deaths
D)Nearly 150,000 deaths
E)Approximately one million deaths

Question 9

Dementia is __________.

A)characterized by conditions that result in damaged brain cells or connections between brain cells
B)a condition in which decline in cognitive abilities does not interfere with daily life
C)typified by sudden onset and significant fluctuations in mood
D)All of these
E)None of these

Question 10

In the United States in 2014, deaths from Alzheimer's disease were primarily found among:

A)Caucasian Americans and males
B)Caucasian Americans and females
C)African Americans
D)Hispanic Americans
E)Individuals with high levels of education and income

Question 11

Alzheimer's disease is definitively diagnosed __________.

A)by a battery of brain tests
B)through the use of an electrocardiogram
C)by use of a series of blood tests
D)through an autopsy after death
E)None of these

Question 12

According to the Alzheimer's Association, how many persons in the United States were living with Alzheimer's disease in 2015?

A)2.6 million
B)3.1 million
C)5.3 million
D)7.8 million
E)More than 10 million

Question 13

According to Alzheimer's Disease International, how many persons around the world were living with Alzheimer's disease and other dementias in 2016?

A)11.3 million
B)26 million
C)47 million
D)73 million
E)131.5million

Question 14

In 2011, the Alzheimer's Association announced "a major milestone in the field," that in part involved identifying three stages of Alzheimer's disease. They are:

A)Delirium, early onset Alzheimer's disease, and late onset Alzheimer's disease
B)Preclinical Alzheimer's disease, mild cognitive impairment (MCI)due to Alzheimer's disease, and dementia due to Alzheimer's disease
C)Family reports of changes in thinking skills and behavior, cognitive tests and physical and neurological examinations, and blood tests and brain imaging
D)Mild, middle, and major neurocognitive disorder
E)The protein tau, neurofibrillary tangles, and neuronal degeneration

Question 15

Dementia is __________.

A)a condition in which individuals can often regain lost functions when treated properly
B)characterized by sudden onset and significant fluctuations in mood
C)a condition induced by certain medications, medication interactions, or vitamin deficiencies
D)All of these
E)None of these

Question 16

The Alzheimer's Association has reported that during the period 2000-2014 in the U.S.:

A)Deaths from Alzheimer's disease were slowed and prevented.
B)Deaths from Alzheimer's disease rose by 89 percent.
C)Deaths from Alzheimer's disease increased most rapidly among individuals under 65 years of age.
D)All of these
E)None of these

Question 17

Authoritative sources have said the following about Alzheimer's disease:

A)It is primarily found among individuals younger than 65 years of age.
B)It affects males more than females.
C)Drugs are available to cure the symptoms of this disease.
D)It is now the 10th leading cause of death in the United States.
E)The distinction between dying from Alzheimer's disease and dying with Alzheimer's may be fuzzy or unclear.

Question 18

After learning that her husband had been diagnosed with Alzheimer's disease, Sandra Day O'Connor __________.

A)immediately retired from the Supreme Court of the United States
B)later said, "It's such a miserable disease. . . . He wants me there all the time."
C)kept her husband home until he died
D)disapproved of his forming a new personal attachment with a female resident in the institution where he eventually came to live
E)None of these

Question 19

Alzheimer's disease has been described as __________.

A)one of three causes among the top 10 causes of death in the United States than cannot be prevented, cured, or even slowed
B)one of two causes among the top 10 causes of death in the United States than cannot be prevented, cured, or even slowed
C)the only cause among the top 10 causes of death in the United States than cannot be prevented, cured, or even slowed
D)a cause of death that can be prevented
E)None of these

Question 20

Alzheimer's disease is __________.

A)a chronic, terminal disease
B)a progressive, non-terminal disease
C)a communicable disease
D)an acute disease
E)an inevitable accompaniment of normal aging processes

Question 21

A true statement about Alzheimer's disease is that:

A)It is an acute occurrence of forgetfulness and confusion.
B)It is a part of normal aging.
C)Placement in a long-term care facility is the best form of care.
D)Persons with this disease should be challenged to overcome their limitations.
E)Persons with this disease benefit from being with close friends and family as long as they can.

Question 22

A comforting place for most persons with Alzheimer's disease in the early stages is __________.

A)home with family and friends
B)a nursing home or long-term care facility
C)day care center five days per week
D)a hospice in-patient facility
E)All of these

Question 23

The best source from which to seek help and information about Alzheimer's disease is:

A)Medicaid
B)Local Area Agencies on Aging
C)The functions of a societal death system
D)Hospice bereavement programs
E)Widow-to-Widow programs

Question 24

The Alzheimer's Association has estimated that in 2016, unpaid care was being provided to a person with Alzheimer's disease or another dementia by how many family members and friends?

A)Three million
B)Five million
C)11 million
D)15 million
E)23 million

Question 25

The 10 warning signs of Alzheimer's disease include __________.

A)making bad judgments or decisions from time to time
B)sometimes having difficulty finding the right word
C)experiencing trouble understanding visual images and spatial relationships
D)All of these
E)None of these

Question 26

An unusual experience described by the wife in Personal Insights 20.1 in the eighth edition of Death & Dying, Life & Living that early on suggested something new was happening to her husband (later diagnosed as Lewy Body disease)was:

A)When he told her that he could not remember how to comb his hair
B)When he displayed an essential tremor in one hand
C)When he decided to no longer play racquetball
D)When she experienced a conversion reaction in the form of pain in her hip and leg
E)When they learned they would have to sell their home of 49 years

Question 27

Books for children about Alzheimer's disease, such as those listed in Focus On 20.5 in the eighth edition of Death & Dying, Life & Living, __________.

A)typically explain why grandparents with this disease no longer love their grandchildren
B)identify constructive roles children can play when a family member has this disease
C)show why children's fears are and must remain justified in this context
D)show how it would be best for family members not to talk about this disease
E)tell children they can no longer enjoy activities they once shared with the person with Alzheimer's disease

Question 28

Once a person develops Alzheimer's disease or a related dementia, what is likely to happen?

A)A sense of grief will overwhelm all other reactions.
B)Families can anticipate that their bereavement will not begin after that person's death.
C)In retrospect, families may be able to recognize some positive aspects in their journey.
D)The premature death of the body can be expected to precede the death of the person.
E)All of these

Question 29

Persons who are coping with Alzheimer's disease often find it most important to __________.

A)be with new people, places, and things
B)learn novel tasks to help themselves
C)be appreciated as persons
D)keep abreast of current news events
E)withdraw from intimacy or closeness to family and friends

Question 30

A helpful intervention for a person with Alzheimer's disease would be to:

A)Keep reminding that person that he or she is confused.
B)Keep encouraging that person with new tasks.
C)Draw the person's attention to abilities he or she has lost.
D)Try not to modify previous norms of behavior.
E)Reassure them they are still valued and will not be abandoned.

Question 31

Families who are struggling with a member with dementia can get help from a support group because members of the group:

A)Know what it is really like to struggle with dementia
B)Are able to help individuals give vent to what they are experiencing
C)Can offer advice on how to cope better with the situation
D)All of these
E)None of these

Question 32

For individuals who have a diagnosis of Alzheimer's disease or other dementia in their medical records, the Alzheimer's Association __________.

A)has stated that well over half of them or their caregivers report being told of their diagnosis
B)has advocated that the diagnosis should be revealed in clear language to the person who has been diagnosed
C)has maintained that communicating diagnoses even in a caring and supportive manner cannot outweigh fears of causing emotional distress, stigma, or adverse behavior
D)All of these
E)None of these

Question 33

Which of the following is NOT TRUE about family members and friends who are providing unpaid care to a person with Alzheimer's disease or another dementia?

A)Most are women.
B)Many face problems arising from living at a distance from the impaired person.
C)Many have health problems of their own.
D)Most can take time off from work or caring for children.
E)They often experience high levels of physical and psychological stress.

Question 34

When individuals progress into the late stages of Alzheimer's disease, family members should __________.

A)keep them at home with family and friends
B)seek out new medications to assist with problem solving
C)be open to seeking help from community resources
D)develop a routine of exercises to keep blood flowing to the brain
E)reject placement in institutional care

Question 35

The first piece of advice given by the wife in Personal Insights 20.2 in the eighth edition of Death & Dying, Life & Living who cared for her husband with Alzheimer's disease is to act quickly to have a complete medical examination to determine what is going on. She offers this advice because:

A)It will help foster denial.
B)This disease can start slowly and unevenly over a long period of time.
C)Early on she acknowledged what was happening.
D)She had access to a reliable primary physician who was a longtime family friend.
E)This is a shameful disease that arises from improper behavior.

Question 36

Persons with Alzheimer's disease and their family members are likely to experience:

A)Emotional challenges
B)Physical challenges
C)Social challenges
D)Behavioral challenges
E)All of these

Question 37

In 2014 persons with a primary diagnosis of Alzheimer's disease or other dementia __________.

A)were not admitted to American hospice programs
B)were only admitted to American hospice programs if they had early-onset Alzheimer's disease
C)constituted three percent of admissions to American hospice programs
D)constituted nearly 15% of admissions to American hospice programs
E)constituted nearly 22% of admissions to American hospice programs

Question 38

The 10 warning signs of Alzheimer's disease include __________.

A)misplacing things from time to time
B)sometimes feeling weary of work, family, or social obligations
C)becoming irritable when specific routines are disrupted
D)All of these
E)None of these

Question 39

In order to be happy, Kuhn suggested that people with Alzheimer's disease have three central needs that go beyond physical requirements. Those three needs are:

A)Intimacy, community, and meaningful activities
B)Shelter, clothing, and food
C)Rejection, loneliness, and real or imagined fears
D)Writing a journal or book about personal experiences, being shown how fears are unwarranted, and with opportunities to express their sexuality
E)Having their mistakes corrected, focusing on current news events, and taking them off all medications other than those directly related to their dementia

Question 40

Many communities developed "Silver Alert" systems to notify professionals and members of the public when an individual with dementia __________.

A)experiences memory problems
B)wanders away or otherwise disappears from his or her living quarters
C)exhibits profound changes in mood or personality
D)All of these
E)None of these

Question 41

Explain the meaning of the term "dementia."

Question 42

We have been told that, "Persons with dementia often lose their ability to express themselves before they lose their ability to understand." Identify and explain two (2)lessons you would draw from this for those who seek to provide care to persons with dementia.

Question 43

Our textbook has organized discussions of coping with Alzheimer's disease into three levels: Coping by individuals , coping by families , and coping by communities .
Describe similarities and differences between these three levels of coping.

Question 44

Identify and explain three (3)recommendations you would make to family members who are caring for a person with Alzheimer's disease or a related disorder in order to help care providers deliver the best possible care.

Question 45

In Personal Insights 20.1 in the eighth edition of Death & Dying, Life & Living, a wife describes what it was like to care for her husband with Lewy Body dementia.
What first suggested that the husband had this disease? What were the main challenges that followed after that discovery?

Question 46

Identify and explain four (4)important lessons that you learned from the advice given by the wife in Personal Insights 20.2 in the eighth edition of Death & Dying, Life & Living after caring for her husband with Alzheimer's disease.

Question 47

Distinguish clearly between "early onset" and "late onset" Alzheimer's disease. How do they differ and what do they have in common?

Question 48

In Chapter 1 in our textbook, we identified four themes that would underlie much of our discussions in this course. Then in Chapter 20, we returned to those four themes to indicate how we had seen them reappear in discussions of Alzheimer's disease and related disorders. Explain what you have learned about these four basic themes and how learning about Alzheimer's disease and related disorders helped to enrich your understanding of these themes.

Question 49

What are the most important lessons you have learned about grief and bereavement as they are associated with Alzheimer's disease and related disorders? Be specific.

Question 50

Explain why it is challenging to try to discuss coping with Alzheimer's disease and related disorders. Be as thorough and complete as you can in your answer here.