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CE Connection

The Long Journey of Alzheimer's Disease

Author Information
doi: 10.1097/CNJ.0000000000000549
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The Long Journey of Alzheimer's Disease


  • Read the article. The test for this CE activity can be taken online at Find the test under the article title. Tests can no longer be mailed or faxed. You will need to create a username and password and login to your free personal CE Planner account before taking online tests. Your planner will keep track of all your Lippincott Professional Development online CE activities for you.
  • There is only one correct answer for each question. A passing score for this test is 21 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
  • This CE test also is available for viewing at in the table of contents for this issue under .
  • Visit for other CE activities and your personalized CE planner tool.
  • For questions contact Lippincott Professional Development: 1-800-787-8985.

Registration Deadline: December 4, 2020.


The authors and planners have disclosed that they have no financial relationships related to this article.


Lippincott Professional Development will award 2.0 contact hours for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity also is provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Professional Development also is an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223.


  • The registration fee for this test is $21.95 for nonmembers; $15.95 for NCF members.

For additional continuing education articles related to dementia, go to Connection and search “dementia.”

JCN continuing education offers a distinct blend of clinical and professional content with an underlying spiritual emphasis.


General Purpose Statement

To provide information about Alzheimer's disease (AD) with an emphasis on helping caregivers cope.

Learning Objectives/Outcomes After completing this continuing education activity, you should be able to:

  1. Identify the pathophysiology and symptomatology of Alzheimer dementia and distinguish AD from other causes of dementia.
  2. Summarize screening, treatments and interventions for AD.
  3. Specify how nurses can help caregivers of individuals with AD cope.
  1. One classic pathological sign of AD is
    1. amyloid plaques.
    2. fibroid plaques.
    3. mu protein plaques.
  2. The neurofibrillary tangles of AD consist of the protein
    1. tau.
    2. beta-amyloid.
    3. spectrin.
  3. The greatest risk factor for AD is
    1. Caucasian race.
    2. increasing age.
    3. male gender.
  4. Which type of AD accounts for 90% of cases?
    1. early-onset
    2. familial
    3. late-onset
  5. Risk factors for AD include
    1. alcohol use.
    2. sedentary lifestyle.
    3. smoking.
  6. Which of the following issues is typical of early stage AD?
    1. having difficulty finding the right words
    2. relying on nonverbal communication
    3. speaking less often
  7. As symptoms progress in the early stage of AD, an individual will start to experience difficulty with
    1. judgment.
    2. motor tasks.
    3. navigation.
  8. The need for daily supervision starts in AD's
    1. early stage.
    2. middle stage.
    3. late stage.
  9. Which of the following is commonly seen in late stage AD?
    1. shuffling gait
    2. mutism
    3. hallucinations
  10. Aggregations of alpha-synuclein protein in the cortex are characteristic of
    1. dementia with Lewy Bodies.
    2. Parkinson's disease dementia.
    3. vascular dementia.
  11. Nearly half of all older people with dementia suffer from
    1. Parkinson's Disease Dementia.
    2. mixed dementia.
    3. vascular dementia.
  12. The Folstein Mini-Mental Status Exam
    1. takes about 3 minutes to complete.
    2. is the most frequently performed cognitive screening test.
    3. includes animal pictures for patients to identify.
  13. Brain magnetic resonance Imaging or a computerized-tomography scan may be used for those with new onset memory issues to
    1. rule out structural abnormalities.
    2. differentiate between AD and frontotemporal dementia.
    3. screen for heavy metals.
  14. Herrmann et al. (2017) noted that the stigma of AD may be worse when AD occurs in
    1. those who are single.
    2. women.
    3. younger persons.
  15. A first-line medication used in the treatment of AD is
    1. bupropion.
    2. donepezil.
    3. memantine.
  16. Patients receiving N-Methyl-D-Aspartate (NMDA) receptor antagonists for the treatment of AD may experience
    1. dry mouth.
    2. headaches.
    3. nausea.
  17. Which medication may help relieve depression in the patient with AD?
    1. citalopram
    2. galantamine
    3. risperidone
  18. The ACTIVE study found that, in healthy adults over a 10 year period, cognitive decline was significantly impacted by
    1. cognitive training.
    2. dietary supplements.
    3. physical activity.
  19. What intervention did Forbes et al. (2015) find might improve the ability to perform activities of daily living in persons with dementia?
    1. behavioral training
    2. environmental interventions
    3. physical exercise
  20. Along with group spiritual therapy and spiritual care education, what has been linked to positive outcomes in familial AD caregivers?
    1. church attendance
    2. individual prayer
    3. prayer groups
  21. As identified by Llanque et al. (2015), one significant predictor of Alzheimer's caregiving competence is the caregiver's
    1. age.
    2. educational level.
    3. use of humor.
  22. Stansfield et al. associated positive aspects of caregiving with
    1. family status.
    2. experience.
    3. spirituality.
  23. Caregivers of patients with AD should avoid:
    1. asking questions.
    2. making eye contact.
    3. using nonverbal communication.
  24. Philippians 4:8 reminds nurses on a shared journey with people with AD to maintain a
    1. morally righteous perspective.
    2. faithful hope for God's mercy.
    3. focus on what is true, noble, right, and pure.
  25. In “A Mother-Daughter Journey Through Alzheimer's,” the daughter embraced Philippians 4:13, which allowed her to develop the
    1. ability to see Christ in her mother.
    2. resilience to get through another day.
    3. self-efficacy associated with positive aspects of caregiving.
  26. Like most family members with a loved one diagnosed with AD, the daughter found that her grief reaction began when her mother was
    1. admitted to a nursing home.
    2. first diagnosed.
    3. unable to care for herself.
  27. In “God Never Forgets: Reaching Persons with Dementia,” the author suggests activities for persons with AD to connect and express faith, including
    1. sharing music with a religious history.
    2. attending church services.
    3. recalling and reciting Bible verses.
  28. Romans 8:28-29 reminds us of the promise that memory issues, aggression, forgetting, and the inability to communicate
    1. are temporary and part of the physical body only.
    2. are challenges that make us stronger in the end.
    3. do not affect God's grace or ability to sustain.
  29. Research by Long (2016) and Thomas et al. (2017) has found that, in patients with dementia, especially in the final stages, individualized musical playlists can
    1. decrease agitation and increase communication.
    2. stimulate the senses and slow cognitive decline.
    3. increase dopamine and relieve depression.
  30. The key to using Music & Memory is to find music that has
    1. a slow and steady rhythm with no words.
    2. lyrics that are easy to follow.
    3. meaning to the individual.
InterVarsity Christian Fellowship