Caregiver Cognitive and Dementia Care 3

Question 1

A caregiver notices a resident with Alzheimer's no longer recognizes her own daughter during visits. Which stage of Alzheimer's does this most likely indicate?

Accepted Answer

Middle to late stage

Answer

Pre-clinical stage

Answer

Early stage

Answer

Remission phase

Question 2

Which of the following is an example of using a non-pharmacological intervention to address sleep disturbance in a resident with dementia?

Accepted Answer

Establishing a consistent bedtime routine including calming activities and low lighting

Answer

Administering a PRN sleep medication at bedtime

Answer

Requesting a sedating antihistamine from the physician

Answer

Keeping the resident awake all day to ensure nighttime sleeping

Question 3

A resident with dementia repeatedly removes her incontinence brief and wanders the hall. What is the most likely explanation for this behavior?

Accepted Answer

She may be trying to communicate a need to use the toilet

Answer

She is being deliberately non-compliant

Answer

She has lost all awareness of social norms

Answer

The brief is the correct fit and should not be changed

Question 4

Which statement about the use of physical restraints for a resident with dementia is correct?

Accepted Answer

Restraints can cause serious harm and should only be considered as an absolute last resort

Answer

Restraints prevent falls and should be used whenever a resident is at risk

Answer

Restraints improve sleep quality in agitated residents with dementia

Answer

Restraints are a standard preventive measure in dementia care

Question 5

Which of the following best describes the concept of 'excess disability' in dementia care?

Accepted Answer

Functional impairment beyond what the disease itself would cause, due to environmental or care factors

Answer

The additional cognitive decline caused by medication side effects

Answer

Behavioral symptoms that exceed the expected disease progression

Answer

Physical disability secondary to dementia-related falls

Question 6

A caregiver is helping a resident with dementia eat lunch. The resident is having difficulty initiating eating despite being hungry. What is the best intervention?

Accepted Answer

Offer verbal prompts and physical guidance to initiate the first bite

Answer

Feed the resident entirely to prevent meal delays

Answer

Remove the food and retry at the next scheduled meal time

Answer

Provide only pureed foods to simplify the eating process

Question 7

Which of the following is a key principle of dementia-friendly communication?

Accepted Answer

Approach from the front, identify yourself, and speak calmly using the resident's name

Answer

Ask multiple questions at once to maximize information gathering

Answer

Correct factual errors promptly to maintain the resident's connection to reality

Answer

Speak loudly and slowly to compensate for hearing and cognitive deficits

Question 8

What is the significance of documenting behavioral changes in a resident with dementia?

Accepted Answer

Documentation helps identify triggers, patterns, and effective interventions to guide care

Answer

It is primarily required for insurance billing purposes

Answer

It is only necessary when behaviors become dangerous

Answer

Documentation is optional if the behavior resolves quickly