ACC End-of-Life Care and Palliative Support 3

Question 1

Why is it important to complete an advance directive early in the course of Alzheimer's disease?

Accepted Answer

Because the disease will eventually impair the person's ability to make and communicate decisions

Answer

Since Alzheimer's progressively destroys decision-making capacity, completing advance directives early ensures the patient's own wishes guide their care when they can no longer speak for themselves.

Question 2

How should caregivers respond when an Alzheimer's patient in the final stage stops eating and drinking?

Accepted Answer

Understand this is a natural part of the dying process and focus on mouth care for comfort

Answer

Cessation of eating and drinking is a natural part of the dying process; forcing food or fluids can cause discomfort, so comfort measures like mouth moistening are preferred.

Question 3

Which of the following best describes anticipatory grief in the context of Alzheimer's caregiving?

Accepted Answer

A caregiver's grief that occurs before the patient's death, often starting with the diagnosis

Answer

Anticipatory grief refers to mourning that begins before the actual death, as caregivers grieve the progressive losses of their loved one's abilities, personality, and relationship throughout the disease course.

Question 4

What is a meaningful way caregivers can address the spiritual needs of a dying Alzheimer's patient?

Accepted Answer

Honor the patient's spiritual or religious background through familiar prayers, music, or rituals

Answer

Engaging familiar religious or spiritual practices—such as prayers, hymns, or rituals meaningful to the patient—can provide deep comfort even when verbal communication is no longer possible.

Question 5

What is the purpose of a 'life review' or 'legacy project' as part of end-of-life care for Alzheimer's patients?

Accepted Answer

To help the patient and family find meaning, preserve memories, and achieve a sense of closure

Answer

Life review activities—such as creating memory books or recording stories—help preserve the patient's identity, provide comfort, and give family members meaningful mementos.

(ACC) Alzheimers Caregiver Certification Practice Test

(ACC) Alzheimers Caregiver Certification Practice Test

ACC End-of-Life Care and Palliative Support 3