Gerontological Nurse Test Dementia and Cognitive Disorders 3

Question 1

Which intervention is the MOST important to include in the care plan for a patient with dementia who is at high risk for wandering?

Accepted Answer

Environmental modifications with door alarms and secured exits

Answer

Environmental safety measures such as alarmed doors, secured exits, and visual barriers are the safest evidence-based interventions to prevent elopement and injury from wandering.

Question 2

The nurse is assessing a patient suspected of having mild cognitive impairment (MCI). Which characteristic differentiates MCI from dementia?

Accepted Answer

Activities of daily living are preserved in MCI despite cognitive changes

Answer

In MCI, cognitive changes are measurable but functional independence in daily activities is largely preserved, distinguishing it from dementia where ADL impairment is significant.

Question 3

Reminiscence therapy is used with older adults with dementia because it:

Accepted Answer

Promotes well-being by engaging intact long-term memories and sense of identity

Answer

Reminiscence therapy leverages the relative preservation of long-term autobiographical memory in dementia patients to enhance self-esteem, social engagement, and emotional well-being.

Question 4

A family caregiver reports exhaustion and describes feeling overwhelmed caring for a parent with Alzheimer's. The nurse's priority intervention is to:

Accepted Answer

Assess for caregiver burnout and provide information about respite care resources

Answer

Caregiver burnout assessment and connection to respite care and community resources addresses both the caregiver's well-being and the sustainability of home-based dementia care.

Question 5

Which cholinesterase inhibitor is FDA-approved for the treatment of both mild-to-moderate AND severe Alzheimer's disease?

Accepted Answer

Donepezil (Aricept)

Answer

Donepezil (Aricept) is unique among cholinesterase inhibitors in being FDA-approved for all stages of Alzheimer's disease, from mild to severe.

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Dementia and Cognitive Disorders 3