Module 5: Dementia Disorders

Choose the pair of classification/symptom that is not accurate. A) Cognitive/hallucinations B) Psychiatric/depression C) Cognitive/memory loss D) Psychiatric/personality change

A) Cognitive/hallucinations

Which of the following pairs is correct, based on the risk factors for Dementia? A) Heavy alcohol use/brain atrophy B) Smoking/cardiovascular strength C) Atherosclerosis/wider blood vessels D) Dementia/mental illness

A) Heavy alcohol use/brain atrophy

True or False? An NMDA blocker is a classification of drug used to effectively treat Alzheimer's Disease, because it helps to stop the overexcitement of glutamate, the neurotransmitter largely responsible for brain function. A) True B) False

A) True

True or False? Cholinesterase inhibitors are a classification of drugs effective in the treatment of Alzheimer's Disease because they help stop the breakdown of acetylcholine, one of the brain's primary neurotransmitter's involved in thinking and cognition. A) True B) False

A) True Alzheimer's Disease breaks down acetylcholine. People with this produce less acetylcholine over time, causing loss of both memory and thinking skills.

Choose only one response that is not a change in the nervous system due to the aging process. A) Slower reaction/response time (reflexes) B) Increase in taste/smell C) Reduction in blood flow to the brain D) Changes in sleeping pattern

B) Increase in taste/smell Taste and smell decrease, but are not part of the more significant changes to the nervous system with the aging process.

Which of the following is not considered a risk factor for Dementia? A) Atherosclerosis B) Smoking C) Low blood pressure D) Diabetes

C) Low blood pressure

True or False? Alzheimer's Disease is the most common form of Dementia, because it is a normal part of the aging process. A) True B) False

B) False

True or False? Dementia and Alzheimer's Disease are exactly the same thing. A) True B) False

B) False Alzheimer's Disease is only one form, the most common form, of Dementia. Dementia is a broad term including a group of symptoms that affect learning/memory as a result of physiological damage. Alzheimer's accounts for only 60 to 80 percent of people with dementia.

True or False? Genetics play a significant role in determining Alzheimer's Disease. Over 50 percent of Alzheimer's Disease cases have a genetic link. A) True B) False

B) False Genetics do play a role as one of the risk factors, but less than five percent of cases provide an exact genetic/familial link.

True or False? Alzheimer's Disease is curable with the administration of certain medications. A) True B) False

B) False Researchers are investigating treatments as well as the cause, which is still unknown. At this time, there is no way to prevent the progression of Alzheimer's Disease, and there is no cure; however, some symptoms can be managed with different treatment options.

Vascular Dementia is another form of Dementia that typically occurs with a stroke. Choose one statement that is not accurate from the statements to follow. Vascular Dementia: A) Involves brain damage due to the change in blood flow to the brain. B) Is always due to a stroke (as the cause). C) Reveals damage to thinking/cognition based on location and severity of a stroke. D) Has many causes including blood pressure, high cholesterol and smoking.

B) Is always due to a stroke (as the cause).

Choose only one response where characteristics correctly match up. A) MCI/end stage Dementia B) Delirium/a gradual onset C) Depression/affects feeling, thinking and behavior D) Dementia/a mental illness

C) Depression/affects feeling, thinking and behavior Depression is a mood disorder and affects thinking, feelings and behavior.

Which of the following is not considered to be a cause of Dementia? A) Depression B) Age C) Forgetfulness D) Brain Tumor

C) Forgetfulness

In reviewing the seven stages (including mild, moderate and severe levels) of Alzheimer's Disease, choose the grouping of behaviors that is most accurate based on phase/characteristic: A) Mild/some forgetful behaviors undetectable by family/physician B) Moderate/more gaps in memory/thinking that are noticeable to others C) Moderate/needs assistance daily with activities D) Severe/still responsive to surroundings but can't control movement

C) Moderate/needs assistance daily with activities

Diagnosing Dementia involves a complex process and a combination of methods for an accurate assessment. Which of the following is not an approach typically used to diagnose Dementia? A) Physical exam B) Lab tests C) Stress test D) Psychiatric evaluation

C) Stress test

What approach would be most effective to address Louise's symptoms? A) Nurse review her medication for changes since admission B) Physician evaluates her for Dementia using several approaches C) Staff meets with family for more behavioral information D) All responses apply here

D) All responses apply here

Which of the following causes for Dementia applies in Vicky's situation? A) depression B) alcohol abuse C) vitamin deficiency D) any of these conditions may apply

D) any of these conditions may apply