Dementia & Patients

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  • 1/19 Questions

    Using restraints may increase agitation in residents with dementia.

    • True
    • False
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About This Quiz

This Quizz is to understand factors and dealing with dementia patients.

Dementia & Patients - Quiz

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  • 2. 

    Training aged care facilty staff about problem behaviours can reduce restraint use,even if there's an increase in the numbers of problem behaviours.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Training aged care facility staff about problem behaviors can reduce restraint use because it equips them with the knowledge and skills to effectively manage and address these behaviors. By understanding the underlying causes of problem behaviors and implementing appropriate strategies, staff can prevent situations that may lead to the use of restraints. This can result in a decrease in the overall need for restraints, even if there is an increase in the number of problem behaviors initially. Therefore, the statement is true.

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  • 3. 

    Factors that could trigger agitation include.

    • Not enough exercise

    • Not enough stimulation

    • Tiredness

    • All of the above

    • None of the above

    Correct Answer
    A. All of the above
    Explanation
    Agitation can be triggered by various factors. Not getting enough exercise can lead to pent-up energy and restlessness, which can contribute to agitation. Similarly, not receiving enough mental stimulation can result in boredom and frustration, leading to agitation. Tiredness can also play a role as it can make individuals more irritable and less able to cope with stressors, increasing the likelihood of agitation. Therefore, all of the mentioned factors can potentially trigger agitation.

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  • 4. 

    Residents who are agitated may be responding to the mood of the caregiver.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    This statement suggests that the agitation of residents may be influenced by the mood of their caregiver. It implies that if the caregiver is agitated, it can affect the emotional state of the residents, causing them to also become agitated. This highlights the importance of caregivers maintaining a calm and positive demeanor in order to create a peaceful and comfortable environment for the residents.

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  • 5. 

    Agition may be reduced by:

    • Having a 'companion animal' in the ward

    • Multi-sensory rooms

    • Simulated presence therapy

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Having a companion animal in the ward, multi-sensory rooms, and simulated presence therapy can all help reduce agitation. Companion animals provide companionship and comfort, which can help calm and distract individuals who may be agitated. Multi-sensory rooms offer a soothing and stimulating environment that can help individuals relax and reduce agitation. Simulated presence therapy involves using audio or visual recordings of familiar voices or faces to create a sense of presence and familiarity, which can help reduce anxiety and agitation. Therefore, all of these interventions can contribute to reducing agitation.

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  • 6. 

    Residents with severe dementia are at low risk delirium.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Residents with severe dementia are actually at high risk for delirium. Delirium is a common condition characterized by sudden confusion, disorientation, and changes in mental function. It can be triggered by various factors such as infections, medications, or changes in the environment. Individuals with severe dementia already have impaired cognitive function, making them more susceptible to delirium. Therefore, the statement that residents with severe dementia are at low risk for delirium is incorrect.

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  • 7. 

    Which of the following are early symptoms of Alzheimer's Disease ?

    • Deterioration in communication

    • Impaired judgement

    • Impaired memory

    • Loss of mobility

    Correct Answer
    A. Impaired memory
    Explanation
    Reference:
    Alzheimer's Australia (2005d) Diagnosing dementia (Available at www.alzheimers.org.au/upload.HS1.2.pdf

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  • 8. 

    A resident with impaired vision is more likely to be verbally agitated.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Impaired vision can lead to frustration and difficulty in perceiving and understanding one's surroundings. This can result in increased reliance on verbal communication to gather information and express oneself, leading to a higher likelihood of verbal agitation.

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  • 9. 

    A resident with dementia who is less active than usual may have an infection causing delirium.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because infections can cause delirium in individuals with dementia. Delirium is a sudden change in mental state characterized by confusion, disorientation, and difficulties with attention and memory. Infections, such as urinary tract infections or respiratory infections, can trigger delirium in people with dementia. This is because the infection can lead to inflammation and release of certain chemicals that affect brain function. Therefore, if a resident with dementia is less active than usual, it could be an indication of an underlying infection causing delirium.

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  • 10. 

    Aromatherapy is a pharmacological treatment that can reduce agitation.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Aromatherapy is a form of alternative medicine that uses essential oils to promote relaxation and improve overall well-being. Many essential oils have calming properties and can help reduce agitation and stress. Therefore, it is true that aromatherapy can be a pharmacological treatment that can reduce agitation.

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  • 11. 

    Delirium could be caused by.

    • Pain

    • Dehydration

    • Urinary tract infection

    • Agitation

    • A,b,c,

    Correct Answer
    A. A,b,c,
    Explanation
    Delirium, a state of confusion and disorientation, can be caused by various factors including pain, dehydration, and urinary tract infections. These conditions can disrupt normal brain function and lead to symptoms such as confusion, agitation, and altered mental status. Therefore, the correct answer includes options a, b, and c, as all of them can contribute to the development of delirium.

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  • 12. 

    Anticonvulsant medication my improve agitation.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Anticonvulsant medication can indeed improve agitation. Agitation is a symptom that can occur in various conditions, including seizure disorders, bipolar disorder, and dementia. Anticonvulsant medications are commonly used to treat seizures, but they can also have a calming effect on the brain, which can help reduce agitation. These medications work by stabilizing electrical activity in the brain and reducing the risk of abnormal and excessive neuronal firing. Therefore, it is true that anticonvulsant medication may improve agitation.

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  • 13. 

    The most accurate way to assess if a resident has pain is.

    • For all the nurses to observe the resident together

    • To monitor the residents vital signs for any changes

    • To ask the resident if he/she has any pain

    • To use the intuitive skills of the usual care staff

    Correct Answer
    A. To ask the resident if he/she has any pain
    Explanation
    The most accurate way to assess if a resident has pain is to ask the resident if he/she has any pain. This approach allows the resident to directly communicate their experience and provides the most reliable information about their pain. Observing the resident together or monitoring vital signs may provide additional information, but these methods are not as accurate as directly asking the resident. Similarly, relying on the intuitive skills of the usual care staff may lead to subjective judgments and may not accurately capture the resident's pain experience.

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  • 14. 

    In Q 4 (below), the tern "multi-infarct dementia" is used.The term "vascular dementia" is now the more commonly used term.  A 75 year old man presents with general onset of cognitive impairment, which is fluctuating,together with falls,visual hallucinations,and parkinsonism. What is the most likely diagnosis? (Clue:This is one of the rare types of dementia).

    • Multi=infarct dementia

    • Alzheimer's disease

    • Lewy Body dementia

    Correct Answer
    A. Lewy Body dementia
    Explanation
    Lewy Body dementia involes insidious impairment of executive fuction with Parkinsonism,visual hallucinations,fluctuating cognitive abilities,and increased risk of falls or autonomic failure.
    Multi-infarct dementia involves a stepwise deterioration in executive function with or without language and motor dysfunction.Patients usually have risk factors for atherosclerosis (such as diabetes, hypertension, and smoking). It tends to have a more sudden onset and stepwise progression than Alzheimer's disease.

    Alzheimers's disease is characterised by an insidious onset and slow deterioration.

    Reference:
    McKeith, I.; Galasko, D.,Kosaka,K.,Perry,E.,Dickson,D.,er al.(1996)
    Consenus guidelines for the clinical and pathological diagnosis of dementia with Lewy Body (DLB): Report of the consortium on DLB Internatioal Workshop Neuroology 47:113-1124 (abstract only)
    Available at http://www.neurology.org/cgi/content/abstract/47/5/113

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  • 15. 

    Is the following statement True or False? "All types of dementia are progressive and not able to be cured".

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement is false.It is important to recognise that not all types of dementia are progressive and incurable.For example,although dementia that results from conditions such as Alzheimer's disease and Lewy body disease is progressive and incurable-certain medical conditions which may manifest in dementia like symptoms,such as Vitamin B12 deficiency and hypothyroidism.are amenable to treatment.

    Adapted
    Brain & Nerve Information at iVillage (2000-2008) Alzheimer's $dementia quiz Available at http://neuro.health.ivillage.com/quizzes/q next.cfm?qid=66

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  • 16. 

    A resident who is agitated by lunchtime each day needs to balance the arousal by resting quietly all afternoon.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement suggests that a resident who is agitated by lunchtime needs to balance their arousal by resting quietly all afternoon. However, the correct answer is false because there is no one-size-fits-all solution to balancing arousal levels. Different individuals may have different ways of managing their agitation, and resting quietly all afternoon may not be the most effective or appropriate approach for everyone.

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  • 17. 

    Do imaging tests (e.g.,Xray, MRI, CAT scan) usually allow types of dementia to be diagnosed?

    • Yes

    • No

    Correct Answer
    A. No
    Explanation
    NO. Use of these imaging tests may identify causative factors for dementia. However,they are not able to identify the specific neurological characteristics of some forms of dementia such as: (a) Lewy Bodies (found in Lewy Body dementia): and (b) neurofibrillary tangles (found in fronto-temporal dementia and Alzheimer's disease). These signs can only be definitively determined after death when an autopsy is performed.

    Adapted
    Brain & Nerve Information at iVillage (2000-2008) Alzheimer's $dementia quiz Available at http://neuro.health.ivillage.com/quizzes/q next.cfm?qid=66

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  • 18. 

    A behavioural pain assessment tool accurately determines the intensity of pain experienced by a resident.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The given statement is false because a behavioural pain assessment tool may not always accurately determine the intensity of pain experienced by a resident. Pain is a subjective experience, and relying solely on behavioural indicators may not provide a complete picture of the individual's pain level. Other factors such as verbal communication, self-reporting, and physiological measures should also be considered for a comprehensive pain assessment.

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  • 19. 

    Positive comfort measures such as massage or diversion should be tried for agitated residents before trying to find the cause of the agitation.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement suggests that positive comfort measures should be tried before finding the cause of agitation in residents. However, this is incorrect. It is important to identify the cause of agitation in order to address it effectively. Simply using comfort measures without addressing the underlying cause may provide temporary relief but will not solve the problem in the long term. Therefore, the correct answer is false.

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  • Current Version
  • Jan 16, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Nov 24, 2009
    Quiz Created by
    Belford
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