Alzheimer’s Disease Dementia and Delirium
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. Dementia is defined as a
a. syndrome that results only in memory loss.
b. disease associated with abrupt changes in behavior.
c. disease that is always due to reduced blood flow to the brain.
d. syndrome characterized by cognitive dysfunction and loss of
2. Vascular dementia is associated with
a. transient ischemic attacks.
b. bacterial or viral infection of neuronal tissue.
c. cognitive changes secondary to cerebral ischemia.
d. abrupt changes in cognitive function that are irreversible.
3. The clinical diagnosis of dementia is based on
a. CT or MRS.
b. brain biopsy.
d. patient history and cognitive assessment.
4. Which statement(s) accurately describe(s) mild cognitive impairment (select all that apply)?
a. Always progresses to AD
b. Caused by variety of factors and may progress to AD
c. Should be aggressively treated with acetylcholinesterase drugs
d. Caused by vascular infarcts that, if treated, will delay progression
e. Patient is usually not aware that there is a problem with his or
5. The early stage of AD is characterized by
a. no noticeable change in behavior.
b. memory problems and mild confusion.
c. increased time spent sleeping or in bed.
d. incontinence, agitation, and wandering behavior.
6. A major goal of treatment for the patient with AD is to
a. maintain patient safety.
b. maintain or increase body weight.
c. return to a higher level of self-care.
d. enhance functional ability over time.
7. Creutzfeldt-Jakob disease is characterized by
a. remissions and exacerbations over many years.
b. memory impairment, muscle jerks, and blindness.
c. parkinsonian symptoms, including muscle rigidity and tremors
d. increased intracranial pressure secondary to decreased CSF
8. Which patient is most at risk for developing delirium?
a. A 50-year-old woman with cholecystitis
b. A 19-year-old man with a fractured femur
c. A 42-year-old woman having an elective hysterectomy
d. A 78-year-old man admitted to the medical unit with complications related to heart failure
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