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How To Try This: Recognition of Dementia in Hospitalized Older Adults

AJN, American Journal of Nursing: January 2008 - Volume 108 - Issue 1 - p 50
doi: 10.1097/01.NAJ.0000305127.10971.c0
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1. The most common cause of dementia in older adults is

a. advanced age.

b. Alzheimer's disease.

c. Parkinson's disease.

d. mulitiinfarct disease.

2. Recognition of Dementia in Hospitalized Older Adults recommends using the four approaches with all patients

a. ages 65 years old and older.

b. ages 70 years old and older.

c. ages 72 years old and older.

d. ages 75 years old and older.

3. To implement Approach 1, the admitting nurse asks the patient and family members

a. whether a physician has ever said the patient has dementia.

b. whether the patient has ever wandered away or gotten lost.

c. whether the patient has severe memory problems.

d. whether the patient seems disoriented at times.

4. To implement Approach 2, the admitting nurse asks the patient and family members

a. if a physician has ever said the patient has dementia.

b. if the patient has ever wandered away or gotten lost.

c. whether the patient has severe memory problems.

d. whether the patient seems disoriented at times.

5. Asking the patient and family to complete the 7-item Family Questionnaire shown in Recognition of Dementia in Hospitalized Older Adults is part of which approach?

a. Approach 1

b. Approach 2

c. Approach 3

d. Approach 4

6. If the patient objects to answering the questions in the 7-item questionnaire, the nurse should

a. explain its importance.

b. arrange a psychiatric consultation.

c. ask the questions anyway.

d. not use this approach.

7. One of the 6 behaviors listed in the approach known as the Patient Behavior Triggers for Clinical Staff is

a. having difficulty finding words.

b. dwelling on the distant past.

c. wearing inappropriate clothing.

d. rating pain inaccurately.

8. A score of 8 on the Family Questionnaire indicates

a. possible dementia.

b. probable dementia.

c. definite dementia.

d. delirium superimposed on dementia.

9. A score of 5 on the Family Questionnaire indicates

a. possible dementia.

b. probable dementia.

c. definite dementia.

d. delirium is unlikely.

10. After theTry Thisapproaches reveal signs and symptoms of dementia, the most important step is to

a. arrange to have the patient's dementia formally diagnosed and treated.

b. obtain an order for a psychiatric consult while the patient is hospitalized.

c. prepare the family carefully for the typical downward spiral of dementia.

d. implement procedures to prevent adverse health events during hospitalization.

11. According to the authors, it's most likely that patients and families will respond to the questions that are part of theTry Thisapproaches with

a. confusion.

b. resentment.

c. appreciation.

d. depression.

12. When a patient has signs and symptoms of dementia, the nurse should tell the patient and family that it's important for the hospital to have this information

a. because documenting dementia is mandatory.

b. in order to schedule a diagnostic evaluation.

c. so that the best care can be provided to the patient.

d. to further evaluate and refine their diagnostic tools.

13. When a patient with signs and symptoms of dementia is experiencing pain, it's important to emphasize to the family that the patient might

a. be exaggerating the amount of pain.

b. not appreciate the effect of analgesics.

c. be unaware of pain sensations.

d. not be able to report pain clearly.

14. What percentage of Kaiser Permanente enrollees 65 years of age and older gave a positive response to the question about “severe memory problems”?

a. 4%

b. 8%

c. 12%

d. 16%

15. What percentage of older Medicare recipients gave a positive response when asked whether a physician had ever given them a diagnosis of Alzheimer's disease or dementia?

a. 2%

b. 5%

c. 8%

d. 11%

16. Which approach is most likely to miss a substantial number of patients whose dementia is undiagnosed or whose families are unaware of the diagnosis?

a. Approach 1

b. Approach 2

c. Approach 3

d. Approach 4

© 2008 Lippincott Williams & Wilkins, Inc.