LVN Geriatric Care 4

Question 1

A nurse notices an elderly patient is acutely confused, agitated, and disoriented after surgery — different from their baseline. This presentation is most consistent with:

Accepted Answer

Delirium

Answer

Dementia

Answer

Depression

Answer

Sundowning

Question 2

Which of the following is a key difference between delirium and dementia?

Accepted Answer

Delirium has an acute onset; dementia has a gradual onset

Answer

Delirium is irreversible; dementia is reversible

Answer

Dementia causes fluctuating consciousness; delirium does not

Answer

Delirium only occurs in patients with dementia

Question 3

An LVN is caring for a patient with moderate Alzheimer's disease who repeatedly asks where she is. What is the best response?

Accepted Answer

Redirect and reassure her calmly each time

Answer

Firmly remind her she has been told many times

Answer

Ignore the question to avoid reinforcing the behavior

Answer

Place a sign on the door that she must read

Question 4

Which behavior is commonly associated with 'sundowning' in patients with dementia?

Accepted Answer

Increased confusion and agitation in the late afternoon or evening

Answer

Increased sleepiness and withdrawal during the day

Answer

Improved orientation after a nap

Answer

Sudden improvement in memory at night

Question 5

A patient with dementia is pacing and appears distressed. Which nursing intervention should be tried first?

Accepted Answer

Identify and address potential unmet needs (pain, hunger, toileting)

Answer

Administer a PRN sedative medication

Answer

Apply soft restraints to keep the patient safe

Answer

Place the patient in isolation to reduce stimulation

Question 6

Which approach best supports safety and dignity for a wandering dementia patient in a long-term care facility?

Accepted Answer

Locked unit with alarmed exits and structured activities

Answer

Four-point restraints during the night

Answer

Sedation every evening to prevent wandering

Answer

Restricting the patient to their room

Question 7

When completing a Mini-Mental State Examination (MMSE), a score of 10 out of 30 suggests which level of cognitive impairment?

Accepted Answer

Severe impairment

Answer

No impairment

Answer

Mild impairment

Answer

Moderate impairment