Senior Care Dementia and Cognitive Care 3

Question 1

Which environmental design feature is most helpful for residents with dementia?

Accepted Answer

Consistent, familiar environments with clear signage and good lighting

Answer

Predictable, well-lit environments with clear wayfinding reduce confusion and anxiety in residents with dementia.

Question 2

When a resident with dementia becomes agitated, which non-pharmacological approach should be tried first?

Accepted Answer

Identify and address the trigger, offer a calm presence, and use redirection

Answer

Non-pharmacological approaches such as identifying triggers, calming reassurance, and redirection are the first-line response to agitation.

Question 3

What does the term 'elopement' mean in a long-term care setting?

Accepted Answer

A cognitively impaired resident leaving the facility unsafely without staff awareness

Answer

Elopement refers to a cognitively impaired resident leaving unsupervised, creating serious safety risks including exposure, injury, or death.

Question 4

Which medication class is commonly used for behavioral symptoms in Alzheimer's disease but carries a black box warning for increased mortality in older adults?

Accepted Answer

Antipsychotics (e.g., haloperidol, quetiapine)

Answer

Antipsychotics carry an FDA black box warning for increased risk of death when used in older adults with dementia-related psychosis.

Question 5

A caregiver notices a resident with dementia appears to be in pain but cannot verbalize it. Which tool helps assess pain in non-verbal residents?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia) scale

Answer

The PAINAD scale assesses pain in non-verbal dementia patients by observing breathing, vocalization, facial expressions, body language, and consolability.

Senior Care Practice Test

Senior Care Practice Test

Senior Care Dementia and Cognitive Care 3