Gerontological Nurse Test Dementia and Cognitive Disorders 2

Question 1

Validation therapy, developed by Naomi Feil, is primarily used to:

Accepted Answer

Acknowledge and communicate with patients in their own reality

Answer

Validation therapy focuses on empathetically acknowledging the feelings and subjective reality of a person with dementia rather than correcting or reorienting them.

Question 2

A nurse is caring for a patient with vascular dementia. Which risk factor most directly contributes to the development of this type of dementia?

Accepted Answer

Cerebrovascular disease and multiple small strokes

Answer

Vascular dementia results from cerebrovascular disease, where reduced blood flow to the brain due to small strokes or ischemia causes progressive cognitive decline.

Question 3

Which stage of the Global Deterioration Scale (GDS) indicates moderate Alzheimer's disease where patients require assistance with activities of daily living?

Accepted Answer

Stage 5

Answer

GDS Stage 5 represents moderate Alzheimer's disease; patients need assistance with ADLs such as choosing appropriate clothing but can still recall their own name.

Question 4

A nurse notes that a patient with dementia has been refusing meals for 3 days. The most therapeutic initial nursing action is to:

Accepted Answer

Explore potential causes such as pain, medication side effects, or depression

Answer

Identifying and addressing reversible underlying causes of decreased appetite—such as oral pain, constipation, or depression—is the priority before escalating to invasive interventions.

Question 5

Which assessment tool is specifically designed to identify pain in patients with advanced dementia who cannot self-report?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia)

Answer

The PAINAD scale assesses behavioral indicators of pain—breathing, vocalization, facial expression, body language, and consolability—in patients unable to self-report.

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Dementia and Cognitive Disorders 2