Dementia and Cognitive Disorders Flashcards
6 cards from real Gerontological Nurse Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Dementia and Cognitive Disorders flashcards as text
Which intervention is the MOST important to include in the care plan for a patient with dementia who is at high risk for wandering?
Answer: Environmental modifications with door alarms and secured exits
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.
The nurse is assessing a patient suspected of having mild cognitive impairment (MCI). Which characteristic differentiates MCI from dementia?
Answer: Activities of daily living are preserved in MCI despite cognitive changes
In MCI, cognitive changes are measurable but functional independence in daily activities is largely preserved, distinguishing it from dementia where ADL impairment is significant.
Reminiscence therapy is used with older adults with dementia because it:
Answer: Promotes well-being by engaging intact long-term memories and sense of identity
Reminiscence therapy leverages the relative preservation of long-term autobiographical memory in dementia patients to enhance self-esteem, social engagement, and emotional well-being.
A family caregiver reports exhaustion and describes feeling overwhelmed caring for a parent with Alzheimer's. The nurse's priority intervention is to:
Answer: Assess for caregiver burnout and provide information about respite care resources
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.
Which cholinesterase inhibitor is FDA-approved for the treatment of both mild-to-moderate AND severe Alzheimer's disease?
Answer: Donepezil (Aricept)
Donepezil (Aricept) is unique among cholinesterase inhibitors in being FDA-approved for all stages of Alzheimer's disease, from mild to severe.
A nurse is implementing a person-centered care approach for a patient with dementia. This approach is primarily characterized by:
Answer: Focusing care on the individual's life history, preferences, and preserved abilities
Person-centered dementia care tailors interventions to the individual's unique biography, personal preferences, and remaining strengths rather than applying a one-size-fits-all protocol.
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