Chapter 10: Cognition and Perception
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. The health care provider states that the patient with Alzheimer disease has progressed
from the preclinical stage of the disease to the mild cognitive impairment stage. Which
finding would the nurse expect to find upon assessment of the patient?
a. Inability to communicate
b. Incontinent episodes
c. Total dependency
d. Forgetfulness
ANS: D
Patients in the mild cognition impairment stage of Alzheimer disease will have some
forgetfulness. The inability to communicate, incontinent episodes, and total
dependency are indicative of the dementia stage of the disease.
DIF: 7 REF: Box 10-5 | p. 200 OBJ: 4
TOP: Stages of Alzheimer Disease KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. In which way can continuity of care be provided for a patient with dementia in the
hospital setting?
a. Keep the patient in the room.
b. Reduce environmental stimuli such as the TV or radio.
c. Assign care to a consistent group of staff.
d. Attach a bed alarm to the patient.
, ANS: C
Assigning the same personnel helps the patient with dementia have continuity of care.
DIF: 5 REF: p. 202 OBJ: 7 TOP: Dementia
KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3. Which response by the nurse is appropriate to make to a resident with dementia in a long-
term care facility who becomes combative when being prepared for a shower?
a. Call for assistance to complete the shower.
b. Say, “I understand you don’t want a shower, so I’ll give you a sponge bath.”
c. Medicate the patient with a sedative and complete the bath when the patient is
more cooperative.
d. Say, “Okay. It’s your right to remain dirty.”
ANS: B
Focusing on feelings or offering an alternative is helpful with a combative demented
patient. Arguing serves no purpose other than to make the resident more upset.
DIF: 6 REF: p. 201 OBJ: 7 TOP: Combative Patient
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The family member of a patient taking an antipsychotic agent asks the nurse “Why is
there a ‘black box warning’ on my parent’s medication? Which response by the nurse is
most appropriate?
a. “It means it will soon be taken off the market.”
b. “You’ll have to ask your parent’s health care provider that question.”
c. “It means it never should have been prescribed for your parent at all.”
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. The health care provider states that the patient with Alzheimer disease has progressed
from the preclinical stage of the disease to the mild cognitive impairment stage. Which
finding would the nurse expect to find upon assessment of the patient?
a. Inability to communicate
b. Incontinent episodes
c. Total dependency
d. Forgetfulness
ANS: D
Patients in the mild cognition impairment stage of Alzheimer disease will have some
forgetfulness. The inability to communicate, incontinent episodes, and total
dependency are indicative of the dementia stage of the disease.
DIF: 7 REF: Box 10-5 | p. 200 OBJ: 4
TOP: Stages of Alzheimer Disease KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. In which way can continuity of care be provided for a patient with dementia in the
hospital setting?
a. Keep the patient in the room.
b. Reduce environmental stimuli such as the TV or radio.
c. Assign care to a consistent group of staff.
d. Attach a bed alarm to the patient.
, ANS: C
Assigning the same personnel helps the patient with dementia have continuity of care.
DIF: 5 REF: p. 202 OBJ: 7 TOP: Dementia
KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3. Which response by the nurse is appropriate to make to a resident with dementia in a long-
term care facility who becomes combative when being prepared for a shower?
a. Call for assistance to complete the shower.
b. Say, “I understand you don’t want a shower, so I’ll give you a sponge bath.”
c. Medicate the patient with a sedative and complete the bath when the patient is
more cooperative.
d. Say, “Okay. It’s your right to remain dirty.”
ANS: B
Focusing on feelings or offering an alternative is helpful with a combative demented
patient. Arguing serves no purpose other than to make the resident more upset.
DIF: 6 REF: p. 201 OBJ: 7 TOP: Combative Patient
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The family member of a patient taking an antipsychotic agent asks the nurse “Why is
there a ‘black box warning’ on my parent’s medication? Which response by the nurse is
most appropriate?
a. “It means it will soon be taken off the market.”
b. “You’ll have to ask your parent’s health care provider that question.”
c. “It means it never should have been prescribed for your parent at all.”
