1.
What is the best definition of dementia?
Correct Answer
A. A medical condition that results in the loss of mental facilities, including memory, language use and judgement.
Explanation
Dementia is a medical condition that affects cognitive abilities, such as memory, language use, and judgement. It is characterized by the progressive decline in these mental faculties, leading to difficulties in daily functioning and impairments in social interactions. This definition accurately describes the nature of dementia as a specific medical condition that goes beyond just a general loss of memory or any mental illness in elderly individuals. It emphasizes the comprehensive impact on various cognitive domains, distinguishing it from a mere euphemism for being "crazy."
2.
Alzheimer's disease is the most common type of dementia. Which of the following is NOT true of Alzheimer's disease?
Correct Answer
D. It is characterized by a sudden onset.
Explanation
Alzheimer's disease is a progressive neurological disorder that primarily affects memory and cognitive functions. It is not characterized by a sudden onset, but rather a gradual and progressive decline in cognitive abilities over time. This is why the statement "It is characterized by a sudden onset" is not true.
3.
Which of the following is NOT a cause of dementia?
Correct Answer
A. Anorexia nervosa
Explanation
Anorexia nervosa is not a cause of dementia. Dementia is a neurological disorder characterized by a decline in cognitive function and memory loss. While anorexia nervosa is an eating disorder that involves extreme weight loss and an intense fear of gaining weight, it does not directly cause dementia. On the other hand, alcoholism, "mini" brain strokes, and boxing are known to be associated with an increased risk of developing dementia.
4.
Which of these professionals is able to diagnose dementia?
Correct Answer
D. Any of these can diagnose dementia
Explanation
All of the professionals mentioned, including family doctors, geriatric psychiatrists, and gerontologists, have the knowledge and expertise to diagnose dementia. Dementia is a complex condition that can be diagnosed through a combination of medical history, cognitive assessments, and physical exams. Each of these professionals may approach the diagnosis from a slightly different perspective, but they are all qualified to diagnose dementia based on their respective specialties.
5.
Which of the following would *not* be useful in diagnosing dementia?
Correct Answer
B. Skull x-ray
Explanation
A skull x-ray would not be useful in diagnosing dementia because dementia is a neurological condition that primarily affects the brain, not the skull. A skull x-ray would only provide information about the structure of the skull and would not reveal any abnormalities or changes in the brain that are associated with dementia. Other options such as an MRI exam, mini mental exam, and medical history are more relevant in diagnosing dementia as they can provide information about brain function, cognitive abilities, and potential risk factors.
6.
What living arrangement is best for a person with dementia?
Correct Answer
D. It depends on the patient's condition and the family's ability and resources
Explanation
The best living arrangement for a person with dementia depends on their condition and the resources and ability of their family. Each person's needs and preferences may vary, so it is important to consider factors such as the level of care required, the availability of support systems, and the financial resources available. Some individuals may benefit from living at home with a paid caretaker who can provide specialized care, while others may require the round-the-clock supervision and medical support provided in a nursing home. Ultimately, the decision should be based on what will best meet the needs and well-being of the person with dementia.
7.
Which of the following is not important in choosing a nursing home?
Correct Answer
B. Elegant decor
Explanation
When choosing a nursing home, elegant decor is not important because it does not directly affect the quality of care provided to the residents. While a visually appealing environment can contribute to the overall well-being of the residents, the primary focus should be on factors such as competent nursing staff, appropriate activity programs, and good evaluations from health departments or licensing organizations, which directly impact the quality of care and safety of the residents.
8.
You are visiting your elderly aunt, who you know suffers from Alzheimer's disease. What would be the best way to greet her?
Correct Answer
D. Hi, Aunt Selma, I'm pHil, your sister Laura's oldest son.
Explanation
The best way to greet your elderly aunt who suffers from Alzheimer's disease is by introducing yourself and providing a familiar context. By saying "Hi, Aunt Selma, I'm Phil, your sister Laura's oldest son," you are reminding her of your relationship and giving her a reference point to help trigger memories. This approach shows empathy and understanding towards her condition while also providing a connection that may help her feel more comfortable and recognized.
9.
How can Alzheimer's disease TRULY be diagnosed?
Correct Answer
A. By doing an autopsy of the brain
Explanation
The most accurate and definitive way to diagnose Alzheimer's disease is by performing an autopsy of the brain. This involves examining the brain tissue under a microscope to identify the presence of amyloid plaques and neurofibrillary tangles, which are the hallmarks of Alzheimer's disease. Autopsy allows for a thorough examination of the brain, providing conclusive evidence of the disease and ruling out other possible causes of cognitive decline. Other methods such as psychiatric observation, extensive blood work, or the Lawrence-Quinn method may provide valuable information, but they are not as conclusive as a brain autopsy.
10.
Which of the following is NOT generally considered a warning sign of Alzheimer's disease?
Correct Answer
A. Loss of long term memory
Explanation
Loss of long term memory is NOT generally considered a warning sign of Alzheimer's disease. Alzheimer's disease is a progressive brain disorder that primarily affects memory, thinking, and behavior. However, in the early stages of the disease, short-term memory loss is more common than long-term memory loss. Other warning signs of Alzheimer's disease include language difficulties, mood fluctuations, and problems in abstract thinking.