BCG BCG Cognitive Decline & Dementia Care 2 — Questions and Answers
Question 1: A person-centered care approach to dementia care emphasizes:
- Standardizing care routines for efficiency
- Focusing on the individual's remaining strengths, preferences, and life history (Correct answer)
- Prioritizing safety over personal autonomy in all situations
- Relying primarily on pharmacological management of symptoms
Correct answer: Focusing on the individual's remaining strengths, preferences, and life history
Person-centered dementia care prioritizes the individual's remaining abilities, preferences, values, and life history to promote dignity and quality of life.
Question 2: Sundowning in dementia patients refers to:
- Improvement in cognitive function in the morning hours
- Increased confusion, agitation, or behavioral disturbances in the late afternoon or evening (Correct answer)
- Depression that worsens after sunset
- Nocturnal wandering due to disrupted sleep
Correct answer: Increased confusion, agitation, or behavioral disturbances in the late afternoon or evening
Sundowning describes increased confusion, agitation, and behavioral disturbances in dementia patients that typically worsen in the late afternoon and evening.
Question 3: Which approach is recommended when communicating with an older adult with moderate dementia?
- Use long, detailed explanations to ensure full understanding
- Speak loudly and directly about their cognitive deficits to promote insight
- Use short, simple sentences, gentle tone, and non-verbal cues (Correct answer)
- Ask multiple-choice questions to assess comprehension
Correct answer: Use short, simple sentences, gentle tone, and non-verbal cues
Short, simple, calm sentences combined with non-verbal cues such as touch and facial expression are most effective for communicating with individuals with moderate dementia.
Question 4: The ABC model of behavior analysis in dementia care refers to:
- Attitude, Behavior, and Cognition
- Antecedent, Behavior, and Consequence (Correct answer)
- Assessment, Baseline, and Care planning
- Affect, Balance, and Communication
Correct answer: Antecedent, Behavior, and Consequence
The ABC model analyzes the Antecedent (what triggers behavior), the Behavior itself, and the Consequence to identify patterns and develop targeted non-pharmacological interventions.
Question 5: Validation therapy in dementia care involves:
- Correcting a patient's false beliefs to orient them to reality
- Accepting and empathizing with the emotional reality of the person with dementia (Correct answer)
- Using standardized cognitive tests to measure decline
- Validating all delusions as clinical diagnoses
Correct answer: Accepting and empathizing with the emotional reality of the person with dementia
Validation therapy, developed by Naomi Feil, involves acknowledging and empathizing with the emotional content of a dementia patient's statements rather than correcting factual errors.
Question 6: Which environmental modification most effectively reduces wandering-related evasion risks for residents with dementia in a long-term care facility?
- Locking all outdoor doors with standard deadbolts
- Using camouflaged door covers or visual stop signals on exit doors (Correct answer)
- Confining residents to their rooms during high-risk times
- Installing bright overhead lighting at all hours
Correct answer: Using camouflaged door covers or visual stop signals on exit doors
Visual barriers such as camouflage door covers or stop-sign overlays reduce exit-seeking behaviors in dementia patients by making doors less recognizable as exits.
BCG BCG Cognitive Decline & Dementia Care 2
A person-centered care approach to dementia care emphasizes: