CARE OF COGNITIVELY IMPAIRED
ACTUAL EXAM SCRIPT 2026 COMPLETE
QUESTIONS ANSWERS GRADED A+
● The end of the day can bring a common behavior for residents with
dementia, called
Sundown Syndrome. Answer: Caregivers can notice a big change in late
afternoon or evening with clients who have dementia. Fading daylight
seems to trigger confusion and agitation. It is also connected to hunger,
poor vision, and less natural light. Take time to recognize the response of
each resident who displays different behaviors. Does the twilight seem
to cause confusion? Are lamps or other lights on? Could the residents be
hungry? Does poor vision make it difficult to see?
● A resident with Alzheimer's disease tells the nurse aide that she smells
smoke. The nurse aide should
look around for a fire.. Answer: Often the first symptom of Alzheimer's
disease is a loss of short-term memory. The client can still recall events
and information about the past until the disease progresses to complete
loss of brain function. Depending on the stage of Alzheimer's, a client
could certainly detect the smell of a fire.
, ● A resident has difficulty remembering what day it is and where they
are. How can you best help the resident?. Answer: Tell the resident often
what day it is and where the resident is.
Memory prompts are ways to help clients stay oriented to place and
time. A calendar and a clock in each client's room are useful. Bulletin
boards and public areas can be decorated for seasons and holidays.
Repeat information at regular intervals to reinforce where the client is
and what is happening
● A confused resident tells you there is a monster in the closet. The
nurse aide should
open the closet and show the resident nothing is there. Answer: If a
client is confused, do not play along. This only adds to the client's fear if
you support the confusion or hallucination. Sensible explanations will
not be helpful, because the client absolutely believes the fantasy. The
best approach is to calmly address the situation directly. Accompany the
client to the closet, reinforcing reality. Remain with the client, reminding
them of their surroundings.
● Which of the following is NOT true of dementia?
ACTUAL EXAM SCRIPT 2026 COMPLETE
QUESTIONS ANSWERS GRADED A+
● The end of the day can bring a common behavior for residents with
dementia, called
Sundown Syndrome. Answer: Caregivers can notice a big change in late
afternoon or evening with clients who have dementia. Fading daylight
seems to trigger confusion and agitation. It is also connected to hunger,
poor vision, and less natural light. Take time to recognize the response of
each resident who displays different behaviors. Does the twilight seem
to cause confusion? Are lamps or other lights on? Could the residents be
hungry? Does poor vision make it difficult to see?
● A resident with Alzheimer's disease tells the nurse aide that she smells
smoke. The nurse aide should
look around for a fire.. Answer: Often the first symptom of Alzheimer's
disease is a loss of short-term memory. The client can still recall events
and information about the past until the disease progresses to complete
loss of brain function. Depending on the stage of Alzheimer's, a client
could certainly detect the smell of a fire.
, ● A resident has difficulty remembering what day it is and where they
are. How can you best help the resident?. Answer: Tell the resident often
what day it is and where the resident is.
Memory prompts are ways to help clients stay oriented to place and
time. A calendar and a clock in each client's room are useful. Bulletin
boards and public areas can be decorated for seasons and holidays.
Repeat information at regular intervals to reinforce where the client is
and what is happening
● A confused resident tells you there is a monster in the closet. The
nurse aide should
open the closet and show the resident nothing is there. Answer: If a
client is confused, do not play along. This only adds to the client's fear if
you support the confusion or hallucination. Sensible explanations will
not be helpful, because the client absolutely believes the fantasy. The
best approach is to calmly address the situation directly. Accompany the
client to the closet, reinforcing reality. Remain with the client, reminding
them of their surroundings.
● Which of the following is NOT true of dementia?
