the three d's
15. Typically, symptoms of depression a. interfere with language skills. b. develop over a short time. c. prevent the patient from learning new information. d. have a global effect on cognitive function.
B
4. An older drug traditionally used to treat delirium hallucinations is a. quetiapine. c. risperidone. b. haloperidol. d. olanzapine
B
9. Typical signs and symptoms of sundown syndrome include all of the following, except a. agitation. c. delusions. b. somnolence. d. anxiety.
B
1. Which of the following is correct about delirium? a. It's associated with an acute underlying medical condition. b. Symptoms of cognitive impairment are limited to memory and perception. c. Symptoms usually occur slowly and without warning. d. Typically the patient is oriented to place, but not to person or time.
A
10. Which of the following statements is correct about dementia? a. Treating an underlying medical condition may slow the progress of dementia. b. Preserving a patient's functional capacity and independence are unrealistic goals. c. Most causes of dementia are reversible. d. A patient with advanced dementia is likely to be distraught about his mental decline.
A
13. The newly approved drug memantine a. is prescribed for moderate to severe Alzheimer's disease. b. inhibits the action of cholinesterase. c. is contraindicated for late-stage disease. d. dramatically improves cognitive skills.
A
16. What perceptual disturbance may occur with delirium, dementia, or depression? a. hallucinations c. gross distortions b. illusions d. delusions
A
3. You can avoid increasing your delirious patient's agitation by a. avoiding sudden movements. b. leaving him alone to decrease internal stimulation. c. giving detailed explanations. d. removing his hearing aid.
A
12. Which drug, when given in an early stage of dementia, may slow cognitive decline? a. risperidone c. donepezil b. olanzapine d. quetiapine
C
17. What speech disturbance is unique to dementia? a. incoherence c. confabulation b. slow speech d. belligerence
C
2. A patient who's delirious is likely to exhibit confusion that a. remains consistent throughout the day. b. subsides during the night. c. intensifies upon awakening. d. progresses over months or years.
C
7. A problem with sensory recognition is called a. aphasia. c. agnosia. b. apraxia. d. dysarthria.
C
8. A patient with dementia a. retains the ability to think abstractly. b. is emotionally stable. c. may behave impulsively. d. is rarely alert.
C
11. Teach family members caring for a patient with dementia to a. avoid verbal cuing when he's performing tasks. b. change daily routines regularly. c. provide clothes with zippers and buttons. d. foster familiarity in the patient's environment.
D
14. Depression in the elderly a. is a normal consequence of aging. b. rarely causes a distinct behavior change. c. is usually reported by the patient himself. d. may manifest as vague, unexplained somatic complaints.
D
5. The most common cause of dementia in older adults is a. alcoholism. c. Parkinson's disease. b. vascular dementia. d. Alzheimer's disease.
D
6. Less common causes of dementia include a. vitamin B12 deficiency. b. Parkinson's disease. c. vascular dementia. d. drug intoxication.
D