Caregiver Cognitive and Dementia Care

Question 1

A resident with Alzheimer's disease repeatedly asks where her mother is, even though her mother died decades ago. What is the best response?

Accepted Answer

Ask her to tell you about her mother and what she was like

Answer

Tell her firmly that her mother passed away years ago

Answer

Ignore the question and redirect to an activity

Answer

Explain that she has Alzheimer's and is confused

Question 2

Which of the following behaviors is most commonly associated with sundowning in a person with dementia?

Accepted Answer

Increased confusion and agitation in the late afternoon or evening

Answer

Sleeping excessively during daytime hours

Answer

Refusal to eat morning meals

Answer

Memory recall improving in the evening

Question 3

When communicating with a resident who has moderate dementia, which approach is most effective?

Accepted Answer

Use short, simple sentences and maintain eye contact

Answer

Use complex sentences to maintain cognitive stimulation

Answer

Speak quickly to hold their attention

Answer

Avoid repeating information to prevent frustration

Question 4

A caregiver notices a resident with dementia is becoming increasingly agitated and is pacing the hallway. What is the most appropriate first intervention?

Accepted Answer

Calmly approach the resident, make eye contact, and speak softly

Answer

Apply physical restraints to prevent injury

Answer

Administer PRN anxiety medication immediately

Answer

Lock the resident in their room for safety

Question 5

Which stage of Alzheimer's disease is characterized by significant memory loss, difficulty with familiar tasks, and the need for assistance with ADLs?

Accepted Answer

Middle stage (moderate)

Answer

Early stage (mild)

Answer

Late stage (severe)

Answer

Pre-clinical stage

Question 6

Reality orientation is most appropriate for which type of dementia patient?

Accepted Answer

A resident with mild cognitive impairment who benefits from reminders

Answer

A resident in the late stage of Alzheimer's with severe cognitive impairment

Answer

A resident who becomes extremely distressed when corrected

Answer

A resident experiencing active hallucinations

Question 7

To create a safe environment for a resident with dementia who wanders, which modification is most appropriate?

Accepted Answer

Install door alarms or camouflage exit doors

Answer

Use full side rails on the bed at all times

Answer

Restrict the resident to their room

Answer

Provide sedating medication at night

Question 8

A caregiver is assisting a resident with dementia who is resisting personal care. Which is the best approach?

Accepted Answer

Pause, explain each step simply, and offer choices where possible

Answer

Complete care as quickly as possible using minimal explanation

Answer

Force the care if necessary to maintain hygiene

Answer

Document the refusal and skip care for that day