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Dementia: Alzheimer's Disease Patient Care

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Test Question

1. In the United States, Alzheimer’s disease is:

a. The cause of death in more people than breast cancer and prostate cancer combined.
b. The leading cause of death and disability for adults ages 65 and older.
c. More prevalent in men than in women.
d. More common in adults with a college education.

Test Question

2. The most commonly identified immediate cause of death among older adults with Alzheimer’s disease is:

a. Immobility.
b. Pneumonia.
c. Swallowing disorders.
d. Malnutrition.

Test Question

3. The two characteristic lesions of Alzheimer’s disease are neurofibrillary tangles and:

a. White matter lesions.
b. Neuronal fissures.
c. Glial cysts.
d. Beta-amyloid plaques.

Test Question

4. Smoking is an epigenetic factor believed to increase the risk of Alzheimer’s disease because it:

a. Causes physical symptoms of chronic stress.
b. Produces oxidative stress.
c. Increases the production of cortisol.
d. Interferes with glucose metabolism.

Test Question

5. Which is a true statement concerning strategies to prevent the development of Alzheimer’s disease?

a. Regular exercise and a heart-healthy diet may be associated with reducing the risk of Alzheimer’s disease.
b. It is recommended that all older adults begin taking vitamin D to reduce the risk of Alzheimer’s disease.
c. Older adults should avoid situations involving new activities or unfamiliar settings to reduce the risk of Alzheimer’s disease.
d. Researchers have found definitive evidence supporting cognitive training as a means of preventing Alzheimer’s disease.

Test Question

6. Early signs and symptoms of memory impairment due to Alzheimer’s disease may include:

a. Forgetting an appointment but recalling it later.
b. Making an occasional error when managing finances.
c. Misplacing items and retracing one’s steps to find them.
d. Forgetting where one is located and how one got there.

Test Question

7. Which patient symptom is typically seen only in the latest, severe stage of Alzheimer disease?

a. Loss of impulse control
b. Increased anxiety
c. Trouble remembering one’s own name
d. Impaired swallowing

Test Question

8. The purpose for laboratory testing in diagnosing Alzheimer’s disease is to:

a. Screen for and detect early stages of dementia.
b. Rule out other reversible forms of cognitive impairment.
c. Differentiate between stages of the disease.
d. Distinguish Alzheimer’s disease from other forms of dementia.

Test Question

9. Pharmacologic treatment for patients with Alzheimer’s disease:

a. Can improve a patient’s cognitive and functional status.
b. Can cure Alzheimer’s if prescribed early in the disease’s progression.
c. Often increases a patient’s behavioral and psychological symptoms.
d. Does not help lessen symptoms such as memory loss and confusion.

Test Question

10. Recognizing and treating coexisting conditions common to older adults helps support patients with Alzheimer’s disease by:

a. Identifying those persons at risk for psychosis.
b. Slowing the progression of Alzheimer’s disease.
c. Improving the functional ability and quality of life of patients.
d. Shifting the burden of caregiving away from the patient.

Test Question

11. Which is an occupational therapy intervention that involves educating family caregivers and professionals to better understand how it feels to be living with dementia?

a. Reminiscence therapy
b. Tailored Activity Program (TAP)
c. Skill2Care
d. Positive Approach to Care (PAC)

Test Question

12. A physical therapy assessment tool that is used to determine fall risk in patients with Alzheimer’s disease is the:

a. Global Deterioration Scale/Reisberg Scale
b. Timed Up and Go Test.
c. Pain Assessment in Advanced Dementia.
d. Functional Assessment Staging Tool.

Test Question

13. When the person with Alzheimer’s disease has asked the same question several times even after it has been answered, the caregiver’s best response is to:

a. Ask the person to try to remember what was said before.
b. Ignore the question and leave the room.
c. Respond to the question and then try to distract the person.
d. Tell the person the question has already been answered and walk away.

Test Question

14. Which is a correct statement concerning elder abuse in patients with Alzheimer’s disease?

a. Most victims of elder abuse are men over the age of 85.
b. People with cognitive impairment are at higher risk for elder abuse.
c. There are no observable signs to indicate whether psychological abuse is occurring.
d. Most perpetrators of elder abuse are nursing home staff.

Test Question

15. The “three Rs” approach to calming an agitated patient with Alzheimer’s disease involves:

a. Responding, restoring order, and restarting the activity.
b. Reminding, reprimanding, and restraining.
c. Repeating, reassuring, and redirecting.
d. Rewinding, relaxing, and resuming.

Test Question

16. What is an effective strategy that healthcare professionals can employ to support family caregivers of patients with dementia?

a. Recommend and assist caregivers in obtaining respite care
b. Refrain from providing caregivers with a lot of pamphlets and booklets about the disease
c. Recommend caregivers give up their time-consuming leisure activities
d. Suggest that caregivers arrange psychological therapy for the patient

Test Question

17. To qualify for most insurance coverages of hospice services, a person must:

a. Have a prognosis or less than one month to live.
b. Be certified as having less than six months to live.
c. Receive those services in a specifically designated hospice care facility.
d. Be mentally competent to make their own decisions at the time of care.

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Dementia: Alzheimer's Disease Patient Care