dementia quiz 22
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dementia quiz 22 - Details
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70 questions
| 🇬🇧 | 🇬🇧 |
| A loss that's over looked or misunderstood | Perceived loss |
| A loos identified quickly | Actual loss |
| What is seen in lower extremities then to upper | Diminished sensory & motor functions |
| Death becomes imminent pupils become ___ & ____ | Dilated and fixed |
| What are the respirations called when death is imminent | Cheyne-strokes resp |
| When death is imminent the skin turns | Cool & clammy, profuse diaphoresis may occur |
| What is a reversible condition | Delirium |
| These have difficulty with identifying objects or choosing words to use in conversation | Dementia/alzheimer |
| Problems manipulating things | Apraxia |
| Difficulty writing and drawing | Agraphia |
| Onset: delirium is | Sudden |
| Onset: dementia is | Insidious, relentless |
| Onset: depression is | Sudden, insidious |
| Cognitive impairment: delirium | Memory, attentiveness, consciousness, numerous errors in task |
| Cognitive impairment: dementia | Cognitive impairment initially, bad thinking; judgement, memory, thought patterns, calculations, agnosia |
| Cognitive impairment: depression | Reduced attention span, slower thought process, impaired short & long term memory |
| Reversibility: delirium has | Potential |
| Reversibility: dementia | No, very progressive |
| Reversibility: depression | Can be treated |
| Another word for vascular dementia | Multi-infarct dementia |
| What is the second most common cause of dementia in older adults | Vascular dementia/Multi-infarct dementia (MID) |
| Symptoms of Alzheimer's | Confusion, memory, wandering, getting lost in known places, moving with rapid steps, loss of bladder or bowel control, emotions, hard time following instructions |
| Other dementia related | Things must be brother down into smaller steps, etch step explained specifically and in simple terms |
| Dementia pt when eating | Better to give finger food or only one item at a time |
| Care of a dementia/ Alzheimer's pt requires | Patience , routine is very important. changes should be introduced slowly |
| Dementia / Alzheimer's pt environment should be | Calm and eliminate distracting stimuli |
| Characterized by uncontroble writhing movement and mental deterioration that terminates in severe dementia. slurred speech. age 5-70 years | Huntington disease |
| Rare; rapidly progressive, associated with viral etiology. specific virus. average age 50-60. terminal 6-12 months | Creutzfeldt- Jacob disease |
| Characterized by forgetfulness, slowness, poor communication, and difficulties in problem solving. rapidly progressive. | HIV associated dementia |
| ____ is a progressive, degernative disease whose defining characteristics are muscle rigidity tremors and akinesia | Parkinson disease |
| What disease has a masklike appearance, drooling, shuffling gait and emotional instability | Parkinson disease |
| Parkinson diseuse includes observing what? | The response ro medication therapy, and maintaining mobility through exercise and activity |
| Changes in health care reimbursement measures have resulted in which of the following changes regarding care of the terminally ill? | More patients die at home. |
| How does a perceived loss differ from an actual loss? | A perceived loss is easily overlooked. |
| What should the nurse do before approaching a grieving family member? | Assess level of resolution |
| What is the first thing the nurse should do before involving the family in the care of a dying patient? | Ask family members if they want to assist with care. |
| When the nurse is developing a care plan for a terminally ill patient, what might be a realistic goal? | The patient will function optimally |
| How is a durable power of attorney helpful to an incapacitated patient? | It directs an agent to make health care decisions. |
| The home health nurse assesses that the goal of grief resolution has been accomplished when the nurse observes that a widow has performed which activities? (Select all that apply.) | Adjusted to an environment without the spouse . Sought new relationships |
| Which of the five aspects of human functioning must a nurse address when dealing with a grieving person? (Select all that apply.) | A. Physical b. Emotional c. Intellectual d. sociocultural e. Spiritual |
| What is the most common cause of dementia? | Alzheimer's disease |
| What is one positive aspect of Parkinson disease? | Intellectual function is not impaired |
| A progressive and irreversible brain disorder characterized by gradual deterioration of memory, reasoning, language, and, finally, physical functioning | Alzheimer's disease |
| Impairment of memory, attentiveness, consciousness, calculations | Delirium cognitive impairment |
| Abstract thinking, judgment, memory, thought patterns, calculations, agnosia; permanent and progressive. Minimal cognitive impairment initially | Dementia and cognitive impairment |
| Sporadic and progressive loss of intellectual functioning caused by repeated temporary obstruction of blood flow in cerebral arteries. | Multi-infarct dementia |
| Care for older adults with dementia or alzheimer Require? | Patients, routine is importin and changes should be introduces slow |
| Minor stroke; where neurological function is regained quickly with time | Transient Ischemic Attack (TIA) |
| A hereditary disease marked by degeneration of the brain cells and causing chorea and progressive dementia. | Huntington's disease |
| Chronic, progressive, fatal disease of the central nervous system caused by a prion. Terminal within 6-12 months. No known treatment | Creutzfeldt-Jakob disease |
| Characterized by forgetfulness, slowness, poor concentration, and difficulties in problem solving. Rapidly Progressive. | HIV associated dementia |
| Which of the following would lead the home health nurse to make a patient problem of unresolved grief for a patient who was widowed 5 months ago? | The patient said tearfully, "I can't believe he is gone." |