Cognitively-Impaired Patients
Marcia, a dementia patient, takes an apple from Paul's food tray during lunchtime. Considering Marcia's communication needs, what is the best response to her actions? "Marcia, please give the apple back to Paul." "Marcia, why did you take that from him?" "Marcia, what did you do wrong?"
"Marcia, please give the apple back to Paul."
Philip is trying to get his dementia patient, Mr. Hoffman, to take a bath. Mr. Hoffman refuses. How should Philip respond? "You'd better take a bath, or I won't let you watch your favorite TV show." "You haven't bathed for 2 days. You really need a bath tonight!" "It's for your own good. Come on!" "Why don't I just help you wash your face? We can try the bath tomorrow."
"Why don't I just help you wash your face? We can try the bath tomorrow."
Dementia results in the loss of ____. Social function Cognitive function All of the above
All of the above
Reality orientation is used to help confused patients remain oriented to ____. The environment Time Themselves All of the above
All of the above
What type of observations about mentally ill patients should health care workers report? Changes in physical responses Changes in emotional responses Unusual behavior All of the above
All of the above
Which of the following areas are affected by Alzheimer's disease? Memory and thinking Reasoning and judgment Language skills Behavior, mood, and personality All of the above
All of the above
Which of the following is a symptom of anxiety? Rapid pulse and breathing Difficulty sleeping Poor attention span Rapid speech and voice changes All of the above
All of the above
Which of the following is an example of suicidal behavior? Hoarding medication Refusing medication Sudden interest in religion Becoming secretive All of the above
All of the above
Which of the following is true of a healthy person? In good physical condition In good mental condition All of the above
All of the above
Which of the following symptoms is common of patients with schizophrenia? Delusion Regression Paranoia Hallucination All of the above
All of the above
Which of the following symptoms is typical of stage 2 Alzheimer's disease? Wandering and pacing Sundowning Hallucinations Uncontrollable impulses All of the above
All of the above
What is the best way to handle a wandering patient? Use medication to sedate patients who are prone to wander Allow patients to wander in a safe environment Restrain patients when they attempt to wander Give patients freedom to wander unattended
Allow patients to wander in a safe environment
Which of the following is the most common form of dementia? Parkinson's disease Huntington's disease Alzheimer's disease
Alzheimer's disease
Which is the best way to approach and greet a patient with dementia? Approach the patient from the side and quietly say, "Hello, Mrs. Walker." Tap the patient on the shoulder and loudly say, "Hello, Mrs. Walker." Approach the patient from the front and calmly say, "Hello, Mrs. Walker."
Approach the patient from the front and calmly say, "Hello, Mrs. Walker."
Mr. Hill is a dementia patient. He often regresses to an early stage of life. One day, he asks you if his childhood dog, Rufus, can come for a visit. How should you respond? Say, "Mr. Hill, I'm sure that Rufus is dead by now. That was years ago!" Ask, "Mr. Hill, what kind of dog is Rufus? I'd love to hear about him." Ignore the question, because it is not wise to encourage Mr. Hill's delusions.
Ask, "Mr. Hill, what kind of dog is Rufus? I'd love to hear about him."
Why should health care workers never argue or debate with a mentally distressed patient? Because mentally ill patients should be left alone to solve their problems Because mentally ill patients are always right Because mentally ill patients are often not able to think logically
Because mentally ill patients are often not able to think logically
Which of the following is not a cause of mental illness? Genetics Inability to cope with stress Chemical imbalances Cancer Drug or substance abuse
Cancer
Which of the following is a state of temporary mental confusion? Dementia Delirium Depression All of the above
Delirium
Which of the following is the most common mental health problem in older people? Dementia Delirium Depression All of the above
Depression
A good way to help a patient cope with stress is to tell the patient that the stress is foolish. True False
False
Only people with mental illness experience anxiety. True False
False
Reality orientation is helpful for patients in the late stages of Alzheimer's disease. True False
False
If a dementia patient is on medication, where should the medication be stored? In a visible place on a counter or table In the medicine cabinet In a locked area
In a locked area
What is another name for the emotional high experienced in bipolar disorder? Minutia Mental Mania Malignant
Mania
Who has the most interaction with mentally ill patients in medical facilities? Physician and psychiatrists Nurses and assistants Family members
Nurses and assistants
What is the highest level of anxiety? Despair Depression Phobia Panic
Panic
What is fear of an object, situation, or activity? Despair Depression Panic Phobia
Phobia
An Alzheimer's patient, Mr. Kemper, suddenly becomes violent when you are trying to help him eat dinner. He throws his plate to the floor, begins to yell, and starts swinging his arms wildly. What should be your first response? Remove the eating utensils from his reach and speak calmly to soothe his anger Physically restrain him with the help of two other health care workers Leave him alone while you search for assistance Loudly try to reason with him to find out why he is upset
Remove the eating utensils from his reach and speak calmly to soothe his anger
Miss Green is a depressed patient who talks to you about her desire to commit suicide. How should you respond? Be supportive, but do not tell anyone because Miss Green is entitled to her privacy Ignore the situation because Miss Green is just looking for attention Report the situation to your supervisor and continue to provide caring support
Report the situation to your supervisor and continue to provide caring support
Which of the following symptoms is typical of stage 1 Alzheimer's disease? Short-term memory loss Long-term memory loss Seizures Inability to speak All of the above
Short-term memory loss
Which type of shoe is most appropriate for Mrs. Gantz, a dementia patient? Lace-up walking shoes Dress shoes with a high heal Sandals with a buckle Tennis shoes with Velcro straps
Tennis shoes with Velero straps
What is the cause of Alzheimer's disease? Lack of exercise Poor nutrition Stress The cause is unknown
The cause is unknown
Why is it important to use clocks and calendars in a dementia patient's room? To make sure the patient is not late for appointments To keep the patient in a good mood To keep the patient oriented with reality
To keep the patient oriented with reality
Dementia patients should be encouraged to make small decisions, such as what to wear. True False
True
It is helpful to use references to time and date in conversations with confused patients. True False
True
Safety becomes a major concern for people in stage 2 Alzheimer's disease. True False
True
Which of the following is true of a depressed individual? Pursues new hobbies Uninterested in daily activities Typically in a pleasant mood All of the above
Uninterested in daily activities
After stage 3 of Alzheimer's disease, most people recover. True False
false
Bright lights are helpful for patients with dementia. True False
false
Dementia is a normal part of aging. True False
false
During stage 3 of Alzheimer's disease, almost all people are in long-term care facilities. True False
true
During stage 3 of Alzheimer's disease, people are totally dependent on others for activities of daily living. True False
true
In stage 1 of Alzheimer's disease, most people are aware that something is wrong with them. True False
true