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Dementia and Loss Review Flashcards | StudBud
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Dementia and Loss Review
Dementia and Loss Review
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1
All of these are assessment of complex or instrumental ADL, except:
Communication skills
Telephone use
Driving
Management of finances
2
Random question: what does the medical abbreviation S/S stand for...
Signs and Symptoms
Systole and Syncope
Stethoscope and Spygmomanometer
Smoking and Smiling
3
Dementia caused by a slow virus is called...
Pick's disease
Parkinson's disease
Creutzfeldt-Jakob disease
Wernicke-Korsakoff Syndrome
4
Nursing intervention for agitated and confused pt with delirium includes....
decrease light and decrease radio noise
Increase environmental stimuli
Turn off light and turn on radio
Give them ice cream and coffee.
5
Defined as resisting the loss and may strike out at everyone and everything
Denial
Acceptance
Depression
Anger
6
What can cause confusion?
Mental exhuastion and emotional stress
Dehydration
Infection
All of the above
7
Multi Infarct Dementia (MID) is a vascular disorder within brain caused by stroke or hypertension.
True
False
8
Confusion is the impairment of mental function.
False
True
9
Factors that can cause Delirium includes....
Stress, myopathy, neuropathy
Diabetic reaction, electrolyte disturbance, stress
Diabetic reaction, part of aging, malnutrition
Diabetic reaction, head trauma, good social interaction
10
There is no meds that can cure or reverse Dementia, the current one only stops progression.
True
False
11
Support System: Support groups and respite care are not beneficial.
True
False
12
Caring for pt with Dementia needs patience, use of calm and pleasant tone of voice.
False
True
13
To obtain the best possible neurological assessment of the older adult, the nurse should make sure that client is....
comfortable and well rested
well rested and extra medicated
sleepy and snoring
drunk and high
14
It is normal to see a previously active and alert older adult become disoriented, weak & incontinent.
False
True
15
Kübler-Ross’s Stages Of Dying five stages of loss includes....
Denial, Allowance, Bar hopping, Depression, Anger
Destruction, Annahilation, Bombing, Drinking, Alcohol
Denial, Anger, Bargaining, Depression, Acceptance
Delusion, Angina, Bickering, Depression, Acceptance
16
An estimated 2 of every 5 Americans will need long-term care at some point in their lives.
False
True
17
Dementia of the Alzhemeir's type is a progressive disorder in which the brain atrophies.
True
False
18
Most causes of confusion are irreversible.
True
False
19
Dementia is progressive and curable.
False
True
20
Depression is healthy for patient's psychosocial wellness.
False
True
21
The role of the family in the continuing care of the older adult is that family is more involved than ever.
False
True
22
Which is NOT a common symptom of Alzheimer's Disease?
photographic memory
Memory loss
Decreased reasoning and abstract thinking skills
Inability to learn and retain new information
23
Delirium is progressive with delusions.
False
True
24
These are characteristics of Crack related dementia, except:
believed to be irreversible
speech disorder
only contracted by older adults
often violent
25
What to assess for the orientation of client?
Personal, Meal, Dosage/Tie, Situation
Person, Place, Date/Time, Situation
Person, Plate, Data/Time, Situation
Person, Plank, Date/Time, Situation
26
Dementia affects only long-term memory.
True
False
27
Agnosia is...
difficulty writing and drawing
inability to recognize familiar objects
problems manipulating things
inability to understand words
28
Aphasia is....
difficulty writing and drawing
All of the above
problems manipulating things
inability to understand words
29
Defined as trying to deal in a subtle or overt way as though the loss can be prevented.
Denial
Bargaining
Anger
Acceptance
30
Bradykinesia is a slowness of voluntary movement and speech
True
False
31
Apraxia is...
problems manipulating things
inability to recognize familiar objects
inability to understand words
difficulty writing and drawing
32
What Medication is helpful for insomnia?
Prozac and Celexa
Seroquel and Merallil
Cognex and Aricept
Prosom and Restoril
33
What stage of AD is characterized by apraxia, aphasia, and changes in personal relationships?
Late stage
Middle stage
Elite stage
Early Stage
34
What behavior is frequently associated with Dementia?
Bar hopping
Wandering
Gambling
Excessive sleep
35
What is defined as a loss that occurs suddenly in response to a specific external event?
Actual loss
Situational loss
Perceived loss
Maturational loss
36
What is the median life expectency of patient with Alzheimer's disease?
8 - 10 years
8 - 25 years
3-4 years
10 - 11 years
37
Nursing role promotes psychosocial wellness in older adult by nursing process uncovering health problems and responding.
True
False
38
What does DNR stand for?
Do Not Return
Do Not Resuscitate
Drug, Nag, Runover
Do Not Redo
39
The loss of confidence/ when woman hopes to birth a female child delivers a male child instead is an example of...
Deception
Actual loss
Perceived Loss
April fools prank
40
What stage of AD is characterized by lose interest in family functions and confabulate?
Late stage
Early stage
Middle stage
Elite stage
41
In Middle Stage Dementia client will...
gradual onset of memory loss and difficulty focusing attention
become mute and bedridden
little or no response to surroundings or recognition of family members
involves difficulty with language, object recognition, and judgment
42
Reality orientation is a useful intervention for delirium.
False
True
43
What is a definite way to diagnose Alzheimer's Disease?
X-ray/ thoracentesis
Electrocardiography/ colonoscopy
Autopsy/biopsy
Endoscopy/MRI
44
Defined as individual feeling overwhelmingly lonely and withdraws from interpersonal interaction.
Acceptance
Anger
Depression
Denial
45
All losses are obvious and immediate.
False
True
46
Akinesia is the abnormal state of motor and psychic hypoactivity
False
True
47
When any aspect of self is no longer available to a person, that person suffers a loss.
True
False
48
The Brain shows plaques and tangles in AD, while in Pick’s disease nerve cells are pale and swollen.
True
False
49
The average duration of dementia is 8 years, but it can last as long as 20 years or more.
False
True
50
For the Dementia and Loss Quiz, this weekend I will....
study the slide and kahoots
take notes and read them
All of the above
read the textbook
51
Confusion causes loss in cognitive function and is a normal part of aging.
False
True
52
Bonus Question: This coming weekend I will...
Go to the gym to maintain a sexy figure
Stay at home, sleep, and travel to Maldives via dreaming
Work cause I'm broke
Treat myself to some dessert or go bar hopping
53
What is "Emotional well-being" applied to an older adult?
the ability to adapt to age-related changes
ability to counter dementia
ability to recover from parkinson disease
going senile
54
Loss and death are universal in the human experience, but they are unique events to the individual.
True
False
55
Depression can cause patient to develop...
All of the above
inability to concentrate
Forgetfulness
memory loss
56
What stage of AD is characterized by emotional lability, disoriented, rambling speech, and wanders.
Middle
Early
Late/Severe
Final/Terminal
57
Reminiscence is a type of therapeutic interaction that uses active listening and observable feedback.
False
True
58
Perceived losses are easily overlooked or misunderstood, follows same process of of grief of real loss.
False
True
59
What are the 4 classic signs of Parkinson's Disease?
intention tremor, rigidity, bradykinesia, postural instability
internal tremor, rickets, bradypnea, scoliosis
interval tremor, rigidity, bradycardia, postoperative
All of the above
60
What Medication is helpful for behavioral issues?
Holy water and exorcism
Serotonin and Prozac
Seroquel and Merallil
money and wine
61
What medications helps in slowing memory impairment?
Prozac and Celexa
Cognex and Aricept
Prosom and Restoril
Seroquel and Merallil
62
What neurotransmitter decrease in pt with Alzheimer's disease?
norepinephrine
epinephrine
acetylcholine
serotonin
63
Alzheimer's disease is more common in....
Women
Children
All of the above
Men
64
What is a loss that results from normal life transitions?
Perceived loss
Maturational loss
Actual loss
Situational loss
65
Proper goal management of patient with dementia...
maintaining self-care abilities and prevent injury.
All of the above
Allow them to be fully independent
Find the cure and implement cure
66
Ataxia is defined as...
inability to walk
Inability to finish a whole bottle of vodka
inability to talk
inability to hear
67
Disease that's earlier onset than AD, makes the brain look spongy, with pale an swollen nerve cells?
Acute brain syndrome
Alzheimer's Disease
Pick's disease
Wernicke-Korsakoff Syndrome
68
What type of dementia is alcohol related and indirectly damages the liver?
Parkinson's Disease
Delirium
Alzheimer's Disease
Wernicke-Korsakoff Syndrome
69
What is confabulation?
creation of keratin
synonym of compression
creation of creatine
creation of false story or memory
70
Delirium only occurs to older adult.
True
False
71
When individual acts as though nothing has happened and may refuse to believe or understand loss has occurred.
Denial
Bargaining
Acceptance
Anger
72
Agraphia is...
difficulty writing and drawing
inability to recognize familiar objects
inability to understand words
problems manipulating things
73
What type of diagnosis evaluates the ability to perform basic skills required for ADL’s?
Functional Assessment
Psychiatric exam
Psychometric testing
Physical exam
74
Early Stage Dementia includes...
gradual onset of memory loss and difficulty focusing attention
involves difficulty with language, object recognition, and judgment
All of the above
little or no response to surroundings or recognition of family members
75
What determine a person's ability to face and accept loss?
Anime, Hulu, and Netflix
Time
evolution
coping mechanism
76
The most common cause of Dementia is Alzheimer's Disease.
False
True
77
Delirium was previosuly referred to as acute brain syndrome.
False
True
78
Most common known dementia caused by infection...
Pick's disease
Aids Dementia
Alzheimer's Disease
Crack related dementia
79
What Medication is helpful for depression?
Seroquel and Merallil
Prozac and Celexa
Cognex and Aricept
Siri and Alexa
80
What exam determines the presence of underlying factors that may exacerbate memory loss, including depression?
Neurological exam
Physiologic exam
Physical exam
Psychiatric exam
81
What stage of AD is characterized by incapable of self-care, mute, ataxia, and possibly death?
Middle
Early
Final/Terminal
Late/Severe
82
The rate of change and decline is the same for all patients with Alzheimer's disease.
True
False
83
Alzheimer’s and other dementias have an impact on the family often greater than the impact on the patient.
True
False
84
All are examples of obvious losses except...
loss of a job
divorce
death of a loved one
illness
85
Parkinson's disease is difficult to distinguish from Dementia.
False
True
86
What is the second most common cause of dementia?
Delirium
Avascular dementia
Multi Infarct Dementia (MID)
Alzheimer's Disease
87
Delirium is a disease of the nervous system.
False
True
88
Dementia was formerly referred to as...
Acute brain syndrome
neurohypophysis syndrome
adenohypophysis syndrome
organic brain syndrome
89
All this symptoms manifest Wernicke-Korsakoff Syndrome, except:
confabulate
slowed thinking
poor judgement
good inisight
90
What is the pattern of physical and emotional responses to bereavement, separation, or loss?
Depression
Grief
Anorexia
Bipolar disorder
91
Signs of imminent death...
All of the above
rapid and weaker pulse
Cheyne's Stokes. Mouth breathing, noisy respirations
decline in blood pressure
92
Treatment of Dementia is curative and palliative.
False
True
93
___% of patients with Parkinson’s disease have dementia.
10%
25%
50%
80%
94
In the late stages of Dementia the client will....
become mute and bedridden
become blind and talkative
become restless and crazy
become energetic and talkative
