a - ANSWER Which communication technique is contraindicated when
speaking with a client who has Alzheimer's disease?
a. using exaggerated hand movements
b. always facing the client while talking
c. maintaining eye contact while speaking
d. speaking in a normal tone of voice
c - ANSWER Which communication technique is most helpful when
communicating with a client who has Alzheimer's disease?
a. asking open-ended questions
b. avoiding repeating what has already been said
c. allowing long periods of time for the client to respond
d. asking multiple questions at once to allow options for responding
a - ANSWER Which resource is best for the nurse to recommend for the
caregiver of a client with dementia who needs a temporary break from
taking care of their family member at home?
a. respite care
b. long-term nursing care
c. hospitalization
d. assisted living
b - ANSWER Which condition is least likely to be a potential cause of
dementia?
a. Alzheimer's disease
b. alcohol withdrawal
c. congestive heart failure
d. brain attack
b - ANSWER Which condition is a common secondary cause of
dementia?
a. chronic pain
,b. stroke
c. anemia
d. Thiamin deficiency
d - ANSWER Which intervention is most likely to make sundown
syndrome worse?
a. ensuring the client has eaten recently
b. toileting the client frequently
c. controlling the client pain using nondrug interventions
d. giving the client their own quiet space and leaving them alone
d - ANSWER Which focus is most important for the caregiver of a client
with end-stage Alzheimer's disease?
a. being attentive to changes in the client's behaviors
b. adapting the home for safety
c. arranging for nursing home care
d. preparing for the future
d - ANSWER Which description of the cause of sundown syndrome is
most correct?
a. sundown syndrome is known to be caused by cyclical changes in
hormone levels
b. sundown syndrome is known to be caused by fat accumulated
throughout the day
c. sundown syndrome is known to be caused by behavioral changes in
the evening
d. the cause of sundown syndrome is not known
b - ANSWER In which stage of Alzheimer's disease should a caregiver
expect that the client will start to need assistance with toileting?
a. early stage
b. middle stage
c. late stage
d. end stage
a - ANSWER Which trait in the caregiver of a client with Alzheimer's
disease requires the nurse's immediate attention?
a. completes selflessness and devotion to the clients needs
,b. a good level of physical stamina
c. in ability to cope with repetitive, distasteful tasks
d. emotional stamina
c - ANSWER Which intervention by the nurse is best when trying to
communicate with a client with Alzheimer's disease who is pacing the
halls?
a. telling the client to sit down before talking to them
b. waiting for the client to sit down before speaking
c. walking with the client and talking
d. standing in on place and talking while the client paces
a - ANSWER Which disease is least likely to be associated with
secondary dementia ?
a. Alzheimer's disease
b. AIDS
c. stroke
d. cardiovascular disease
c - ANSWER Which condition best describes behavioral changes that
occur in the evenings and include disruptive actions, agitation, and
confusion?
a. down phenomenon
b. vascular dementia
c. sundown syndrome
d. delirium
b - ANSWER Which risk factor most increases a client's likelihood of
having Alzheimer's disease?
a. a history of working of working in a stressful environment
b. female gender
c. age 46 years
d. a history of cancer
c - ANSWER Which finding is least likely to be an early indicator of
Alzheimer's disease?
a. misplacing things
b. loss of initiative
, c. disorientation to person
d. changes in mood
a - ANSWER Which statement by a 95-year-old client indicates that their
cognition is normal?
a. "i feel as sharp as ever."
b. "it takes me longer to remember things than it used to."
c. "my children tells me i'm always forgetting things."
d. "i can remember what day it is."
c - ANSWER A 60-year-old client tells the nurse that they are afraid of
losing their mind as they get older. which fact guides the nurse's
response?
a. the onset of forgetfulness varies based on the individual but will be
noticeable in anyone after age 90
b. one out of every three people age 85 and older has dementia
c. cognitive decline is not a normal part of aging
d. there is nothing anyone can do to avoid cognitive decline with age
c - ANSWER Which intervention has the most potential to be helpful to a
client with delirium?
a. reducing stimuli
b. orienting the client
c. administering an antibiotic
d. ensuring the client has their glasses on
a - ANSWER Which client without symptoms of Alzheimer's disease is
most at risk for developing early-onset Alzheimer's disease?
a. a 63-year-old male with no medical problems
b. a 66-year-old female with a history of traumatic brain injury
c. a 96-year-old, African-American male with congestive heart failure
d. a 75-year-old female who has just undergone a hysterectomy
a - ANSWER An elderly clients caregiver asks the nurse what signs of
mental aging they should expect to see first in the client. which response
by the nurse is best?
a. "mental aging is not normal and any signs of mental aging should be
tested."
speaking with a client who has Alzheimer's disease?
a. using exaggerated hand movements
b. always facing the client while talking
c. maintaining eye contact while speaking
d. speaking in a normal tone of voice
c - ANSWER Which communication technique is most helpful when
communicating with a client who has Alzheimer's disease?
a. asking open-ended questions
b. avoiding repeating what has already been said
c. allowing long periods of time for the client to respond
d. asking multiple questions at once to allow options for responding
a - ANSWER Which resource is best for the nurse to recommend for the
caregiver of a client with dementia who needs a temporary break from
taking care of their family member at home?
a. respite care
b. long-term nursing care
c. hospitalization
d. assisted living
b - ANSWER Which condition is least likely to be a potential cause of
dementia?
a. Alzheimer's disease
b. alcohol withdrawal
c. congestive heart failure
d. brain attack
b - ANSWER Which condition is a common secondary cause of
dementia?
a. chronic pain
,b. stroke
c. anemia
d. Thiamin deficiency
d - ANSWER Which intervention is most likely to make sundown
syndrome worse?
a. ensuring the client has eaten recently
b. toileting the client frequently
c. controlling the client pain using nondrug interventions
d. giving the client their own quiet space and leaving them alone
d - ANSWER Which focus is most important for the caregiver of a client
with end-stage Alzheimer's disease?
a. being attentive to changes in the client's behaviors
b. adapting the home for safety
c. arranging for nursing home care
d. preparing for the future
d - ANSWER Which description of the cause of sundown syndrome is
most correct?
a. sundown syndrome is known to be caused by cyclical changes in
hormone levels
b. sundown syndrome is known to be caused by fat accumulated
throughout the day
c. sundown syndrome is known to be caused by behavioral changes in
the evening
d. the cause of sundown syndrome is not known
b - ANSWER In which stage of Alzheimer's disease should a caregiver
expect that the client will start to need assistance with toileting?
a. early stage
b. middle stage
c. late stage
d. end stage
a - ANSWER Which trait in the caregiver of a client with Alzheimer's
disease requires the nurse's immediate attention?
a. completes selflessness and devotion to the clients needs
,b. a good level of physical stamina
c. in ability to cope with repetitive, distasteful tasks
d. emotional stamina
c - ANSWER Which intervention by the nurse is best when trying to
communicate with a client with Alzheimer's disease who is pacing the
halls?
a. telling the client to sit down before talking to them
b. waiting for the client to sit down before speaking
c. walking with the client and talking
d. standing in on place and talking while the client paces
a - ANSWER Which disease is least likely to be associated with
secondary dementia ?
a. Alzheimer's disease
b. AIDS
c. stroke
d. cardiovascular disease
c - ANSWER Which condition best describes behavioral changes that
occur in the evenings and include disruptive actions, agitation, and
confusion?
a. down phenomenon
b. vascular dementia
c. sundown syndrome
d. delirium
b - ANSWER Which risk factor most increases a client's likelihood of
having Alzheimer's disease?
a. a history of working of working in a stressful environment
b. female gender
c. age 46 years
d. a history of cancer
c - ANSWER Which finding is least likely to be an early indicator of
Alzheimer's disease?
a. misplacing things
b. loss of initiative
, c. disorientation to person
d. changes in mood
a - ANSWER Which statement by a 95-year-old client indicates that their
cognition is normal?
a. "i feel as sharp as ever."
b. "it takes me longer to remember things than it used to."
c. "my children tells me i'm always forgetting things."
d. "i can remember what day it is."
c - ANSWER A 60-year-old client tells the nurse that they are afraid of
losing their mind as they get older. which fact guides the nurse's
response?
a. the onset of forgetfulness varies based on the individual but will be
noticeable in anyone after age 90
b. one out of every three people age 85 and older has dementia
c. cognitive decline is not a normal part of aging
d. there is nothing anyone can do to avoid cognitive decline with age
c - ANSWER Which intervention has the most potential to be helpful to a
client with delirium?
a. reducing stimuli
b. orienting the client
c. administering an antibiotic
d. ensuring the client has their glasses on
a - ANSWER Which client without symptoms of Alzheimer's disease is
most at risk for developing early-onset Alzheimer's disease?
a. a 63-year-old male with no medical problems
b. a 66-year-old female with a history of traumatic brain injury
c. a 96-year-old, African-American male with congestive heart failure
d. a 75-year-old female who has just undergone a hysterectomy
a - ANSWER An elderly clients caregiver asks the nurse what signs of
mental aging they should expect to see first in the client. which response
by the nurse is best?
a. "mental aging is not normal and any signs of mental aging should be
tested."
