Answer Options:
a. Impaired level of consciousness
b. Disorientation to place and time
c. Wandering attention
d. Apathy
e. Agnosia
Answer: a. Impaired level of consciousness
b. Disorientation to place and time
c. Wandering attention
Question: A patient diagnosed with Alzheimer’s disease wanders at night. Which action should the nurse recommend for a family to use in the home to enhance safety?
Answer Options:
a. Place throw rugs on tile or wooden floors.
b. Place locks at the tops of doors.
c. Encourage daytime napping.
d. Obtain a bed with side rails.
Answer: b. Place locks at the tops of doors.
Question: An older adult drove to a nearby store but was unable to remember how to get home or state an address. When police took the person home, the spouse reported frequent wandering into neighbors’ homes. Which stage of Alzheimer’s disease is evident?
Answer Options:
a. 1 (mild)
b. 2 (moderate)
c. 3 (moderate to severe)
d. 4 (late)
Answer: b. 2 (moderate)
Question: An older adult diagnosed with dementia lives with family and attends an adult day care center. A nurse at the center notices the adult has a disheveled appearance, a strong odor of urine, and bruises on the limbs and back. What type of abuse is the nurse most likely to suspect?
Answer Options:
a. Financial
b. Psychological
c. Physical
d. Sexual
Answer: c. Physical
Question: An older adult diagnosed with dementia lives with family and attends an adult day care center. Observing poor hygiene, the nurse at the center talks with the family. The family says, “It takes all my time and effort to care for her.” Which intervention is most appropriate?
Answer Options:
a. Teach the caregiver more about the effects of dementia.
b. Secure additional resources for the mother’s evening and night care.
c. Support the caregiver to grieve the loss of the mother’s ability to function.
d. Teach the family how to give physical care more effectively and efficiently.
Answer: b. Secure additional resources for the mother’s evening and night care.
Question: A patient has progressive memory deficit associated with dementia. Which intervention would best help the individual function in the environment?
Answer Options:
a. Assist the patient to perform simple tasks by giving step-by-step directions.
b. Reduce frustration by performing activities of daily living for the patient.
c. Stimulate intellectual function by discussing new topics and current events.
d. Promote the use of humor and joke telling.
Answer: a. Assist the patient to perform simple tasks by giving step-by-step directions.
Question: Which condition is characterized by apolipoprotein E (apoE) malfunction, neuritic plaques, neurofibrillary tangles, granulovascular degeneration, and brain atrophy?
Answer Options:
a. Alzheimer’s disease
b. Wernicke encephalopathy
c. Central anticholinergic syndrome
d. Acquired immunodeficiency syndrome (AIDS)–related dementia
Answer: a. Alzheimer’s disease
Question: Consider these health problems: Lewy body disease, Pick disease, and Parkinson’s disease. Which term unifies these problems?
Answer Options:
a. Intoxication
b. Dementia
c. Delirium
d. Amnesia
Answer: b. Dementia
Question: An older adult diagnosed with Alzheimer’s disease lives with family. During the week, the person attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this patient most vulnerable to abuse?
Answer Options:
a. Dementia
b. Living in a rural area
c. Being part of a busy family
d. Being home only in the evening
Answer: a. Dementia
Question: What is the priority nursing need for a patient diagnosed with late-stage dementia?
Answer Options:
a. Promotion of self-care activities
b. Meaningful verbal communication
c. Maintenance of nutrition and hydration
d. Prevention of the patient from wandering
Answer: c. Maintenance of nutrition and hydration
Question: Which environmental adjustment should the nurse make for a patient experiencing delirium with perceptual alterations?
Answer Options:
a. Keep the patient by the nurse’s desk while the patient is awake. Provide rest periods in a room with a television on.
b. Light the room brightly, day and night. Awaken the patient hourly to assess mental status.
c. Maintain soft lighting day and night. Keep a radio on low volume continuously.
d. Provide a well-lit room without glare or shadows. Limit noise and stimulation.
Answer: d. Provide a well-lit room without glare or shadows. Limit noise and stimulation.
Question: A patient diagnosed with stage 1 mild Alzheimer’s disease tires easily and prefers to stay home rather than attend social activities. The spouse does the grocery shopping because the patient cannot remember what to buy. Which nursing diagnosis applies at this time?
Answer Options:
a. Complicated grieving
b. Impaired memory
c. Self-care deficit
d. Caregiver role strain
Answer: b. Impaired memory