Deck 10: Nursing Management of Dementia

Question 1

Depression in the older adult is often more obvious and easier to diagnose than depression in young or middle-aged adults.

Answer 1

False

Question 2

In the United States, palliative care refers to a comprehensive approach to improving the quality of life for people who are living with potentially fatal diseases.

Answer 2

True

Question 3

Because advance directives and advance care planning are important tools to assist those facing the end of life, evidence suggests that end-of-life decision making in the United States is extremely well implemented.

Answer 3

False

Question 4

What region of the brain, which is important to learning and memory, gradually loses volume as part of the normal aging process?

A) Amygdala
B) Thalamus
C) Fornix
D) Hippocampus

Question 5

Plaques made up of abnormal deposits of what protein are a hallmark of Alzheimer's disease?

A) Tau protein
B) Beta-amyloid protein
C) Alpha-fetoprotein
D) Kappa light chain protein

Question 6

Due to their motor symptoms, it is not uncommon for individuals with Lewy body dementia to initially be thought to have what medical condition?

A) Alzheimer's disease
B) Parkinson's disease
C) Frontotemporal lobe dementia
D) Wernicke-Korsakoff's syndrome

Question 7

Which of the following models of dementia care focuses on supporting the remaining abilities of the person with dementia to avoid excess disability?

A) The Progressively Lowered Stress Threshold Model
B) The Need-Driven Dementia-Compromised Model
C) The Enablement Model
D) The Antecedent-Behavior-Consequence Model

Question 8

When a person with dementia becomes agitated, the possibility of which of the following should be considered?

A) Pain
B) Anxiety
C) Delirium
D) Depression

Question 9

What type of medications are used cautiously in older adults due to their side effect profile, particularly an increased risk of falls?

A) Serotonin reuptake inhibitors
B) Serotonin norepinephrine reuptake inhibitors
C) Benzodiazepines
D) Atypical antipsychotics

Question 10

Hippocampal loss is significantly accelerated in older people with Alzheimer's dementia, especially if they have vascular problems or diabetes.

Question 11

The APOE-e4 gene has varying penetrance so even persons at the highest risk may never develop the disease.

Question 12

The use of positron emission tomography (PET) imaging and cerebrospinal fluid (CSF) assays of biomarkers are recommended as part of the diagnostic workup for dementia.

Question 13

What cholinesterase inhibitor that is commonly prescribed for treatment of Alzheimer's dementia is also approved for use in mild to moderate Parkinson's dementia?

A) Namzaric
B) Memantine
C) Rivastigmine
D) Galantamine

Question 14

Which of the following is considered to be the primary treatment for delirium?

A) Keep the patient comfortable.
B) Treat symptoms.
C) Ensure the safety of the patient.
D) Discover and treat the etiology/cause.

Question 15

For a lethargic patient, oral intake may be compromised, and the patient is at risk for dehydration and what other medical condition?

A) Viral pneumonia
B) Bacterial pneumonia
C) Aspiration pneumonia
D) Fungal pneumonia

Question 16

What model of dementia care focuses on the relationship between environmental stimuli and identifying common stressors that may lead to behavioral and psychological symptoms?

A) Enablement model
B) Progressively Lowered Stress Threshold Model
C) Need-Driven Dementia-Compromised model
D) Antecedent-behavior-consequence model

Question 17

Which of the following relies less on cognitive ability and can be theoretically used into much later stages of dementia?

A) Validation therapy
B) Reminiscence therapy
C) Reality orientation
D) Occupational therapy

Question 18

What medication is an NMDA noncompetitive receptor antagonist, currently the only medication in this class, and helps to protect neurons from glutamate excitotoxicity without completely eliminating the glutamate necessary for normal neurological function?

A) Namzaric
B) Memantine
C) Rivastigmine
D) Galantamine

Question 19

Which of the following was developed for use with older adults in order to promote adjustment and integrity for older adults through structured remembering and reflecting on the past?

A) Validation therapy
B) Reminiscence therapy
C) Reality orientation
D) Occupational therapy