Deck 36: Disorientation, Delirium, and Dementia

Question 1

What is a delusion?

A)A false belief
B)Seeing, hearing, smelling, or feeling something that is not real
C)An exaggerated expression of well-being
D)Disorientation that occurs suddenly

Answer 1

A

Question 2

A confused client's care plan includes the following measures.Which one should the support worker question?

A)Tell the client the date and the time, as needed.
B)Face the client.Speak clearly.
C)State your name, and show your name tag.
D)Hide clocks and calendars as they would confuse the client.

Answer 2

D

Question 3

Catastrophic reactions usually occur as a result of which of the following?

A)Elimination needs
B)Hunger
C)Too many stimuli
D)Lack of sleep

Answer 3

C

Question 4

Which of the following symptoms would not be present in the early stages of dementia?

A)Problems with common tasks
B)Problems with language
C)Hallucinations
D)Misplacing things and putting things in unusual places

Question 5

What does cognitive function refer to?

A)Memory, thinking, reasoning, understanding, judgement, and behaviour
B)Memory, thinking, senses, and pain perception
C)Judgement, behaviour, mobility, and senses
D)Judgement, behaviour, pain perception, and balance

Question 6

Why is depression difficult to diagnose in older adults?

A)It is not a common mental health problem in older adults.
B)Dementia and delirium have similar signs and symptoms.
C)Depression is often overlooked in older adults.
D)Older adults hallucinate and have attention problems.

Question 7

What is sundowning?

A)An increase in signs, symptoms, and behaviours of dementia during hours of darkness
B)The progressive loss of brain functions
C)Euphoria
D)Disorientation that occurs suddenly

Question 8

A client with ADRD displays the following behaviours.Which has the greatest risk for danger?

A)Wandering
B)Delusions
C)Catastrophic reactions
D)Screaming

Question 9

Which is the correct definition of delirium?

A)A false belief
B)The progressive loss of brain functions
C)A term that means false dementia
D)Disorientation that occurs suddenly

Question 10

A confused client usually naps after lunch.The support worker should do which of the following?

A)Follow the client's routine.
B)Prevent the client from taking a nap.
C)Help the client change into sleepwear but keep the client awake.
D)Use music and other activities to distract the client.

Question 11

Randy is confused.What would the support worker suspect from Randy?

A)He will know person, time, and place.
B)He will have difficulty with activities of daily living.
C)He will have difficulty with physical mobility.
D)He will have good judgement.

Question 12

What is the cause of Alzheimer's disease (ADRD)?

A)Family history
B)Down syndrome
C)Aging
D)Unknown

Question 13

What is the correct definition of dementia?

A)A false belief
B)The progressive loss of brain functions
C)A term that means false dementia.
D)A state of temporary but acute mental confusion

Question 14

A hallucination is which of the following?

A)A false belief
B)Seeing, hearing, smelling, or feeling something that is not real
C)An exaggerated expression of well-being
D)Disorientation that occurs suddenly

Question 15

When communicating with a confused client, what should the support worker do?

A)Avoid touch.
B)Give detailed information to ensure the client understands.
C)Face the client and speak quickly.
D)Give clear, simple directions and answers.

Question 16

At what age does frontotemporal dementia (FTD) usually occur?

A)Between age 30 and 40
B)Between age 40 and 60
C)After age 60
D)Around age 80

Question 17

A client with ADRD thinks that the food has been poisoned.What is this client experiencing?

A)A hallucination
B)A delusion
C)A catastrophic reaction
D)Sundowning

Question 18

Mr.Heck is suffering from permanent disorientation.What could this be related to?

A)Confusion
B)Delirium
C)Dementia
D)Pseudo-dementia

Question 19

A confused client thinks she has eaten, but you know she has not.What should the support worker do?

A)Force her to eat.
B)Bring food to the client and suggest she try some.
C)Tell your supervisor.
D)Let her wait to eat at the next meal.

Question 20

It is time for a confused client's shower.What should the support worker do?

A)Explain what you are going to do and why.
B)Ask the client to undress.
C)Ask if the client wants a tub bath or shower.
D)Let the confusion pass before you assist with the client's shower.

Question 21

Which of the following statements is true of challenging behaviours?

A)The support worker needs to avoid them as much as possible.
B)The support worker needs to discuss behaviours with client.
C)Although these behaviours are challenging, they have meaning.
D)The client can control them.

Question 22

Laura's dad is 75 years old.She noticed that he often repeats the same comments within one conversation.At first she thought he was excited and did not remember that he'd said those sentences or words before.What should Laura consider?

A)Her father just likes to talk.
B)Her father could have early stage dementia.
C)This could be a passing phase.
D)Telling her father what he is doing and how much it bothers her.

Question 23

Harry's aunt has stage 3 dementia.Which of the following is correct for this stage of dementia?

A)His aunt's death is imminent.
B)The symptoms are treatable.
C)She will still be able to eat independently.
D)She will not need a flu shot in the fall.

Question 24

Which of the following statements about dementia is true?

A)It is a single disease.
B)It involves a progressive loss of speech.
C)It involves a progressive loss of language skills.
D)It involves a progressive loss of brain functioning.

Question 25

Maria and Mike are stressed because they have to look after Mike's mother, who is in the early stages of dementia.They have three children, a high mortgage, and two car payments to worry about every month.Which statement about their situation is correct?

A)They will need to look for a facility for Mike's mother to move into.
B)They will have to seek professional time management counselling.
C)They will require marriage counselling.
D)They are part of the sandwich generation.

Question 26

Diseases that affect the brain can affect cognitive functioning.Which of the following are cognitive functions of the brain?

A)Memory and walking
B)Reasoning and walking
C)Ability to grasp objects.
D)Judgement and behaviour