How Much Do You Know Sundowning? Trivia Quiz

1.

What does the term Sundowning refer to?

A.

People who feel tired after sunset.
B.

People with dementia that have behavior problems in the late afternoon and evening hours.
C.

People who enjoy watching sunsets.
D.

None of the above.

Correct Answer
B. People with dementia that have behavior problems in the late afternoon and evening hours.

Explanation
Sundowning refers to a phenomenon where individuals with dementia experience increased confusion, agitation, and behavioral problems during the late afternoon and evening hours. This term is used to describe the worsening of symptoms that often occur in the late afternoon or early evening, causing distress for both the individual with dementia and their caregivers. It is not related to feeling tired after sunset or simply enjoying watching sunsets.

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2.

The symptoms of Alzheimer's disease include deficits in:

A.

Memory
B.

Visual-spatial orientation
C.

Concentration
D.

All of the above

Correct Answer
D. All of the above

Explanation
Alzheimer's disease is a neurodegenerative disorder that primarily affects memory. Patients with Alzheimer's often experience difficulty in remembering recent events or important information. Additionally, the disease can also lead to deficits in visual-spatial orientation, causing problems with recognizing objects or navigating familiar environments. Concentration is another cognitive function that is impaired in Alzheimer's, as individuals may struggle to maintain focus or pay attention to tasks. Therefore, all the given symptoms - memory deficits, visual-spatial orientation problems, and concentration difficulties - are commonly observed in individuals with Alzheimer's disease.

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3.

Which of the following may not describe a resident with sundowning behavior in the late afternoon or evening?

A.

Suspicious
B.

Playful
C.

Confused
D.

Agitated

Correct Answer
B. Playful

Explanation
A resident with sundowning behavior in the late afternoon or evening may exhibit symptoms such as suspicion, confusion, and agitation. However, being playful is not usually associated with sundowning behavior. Sundowning refers to increased confusion, restlessness, and agitation that typically occurs in the late afternoon or evening in individuals with dementia. While they may display various challenging behaviors, being playful is not typically one of them.

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4.

Some of the causes of sundowning may include:

A.

Lack of evening activities
B.

Difficulty seeing at night
C.

Gender
D.

Both "a" and "b"

Correct Answer
D. Both "a" and "b"

Explanation
Sundowning refers to the worsening of symptoms such as confusion and agitation in individuals with dementia during the late afternoon and evening. The given answer, "both 'a' and 'b'", is correct because both lack of evening activities and difficulty seeing at night can contribute to the occurrence of sundowning. Lack of engaging activities in the evening can lead to boredom and restlessness, exacerbating the symptoms. Additionally, difficulty seeing at night can cause disorientation and increased anxiety, further worsening the condition. Gender is not mentioned as a cause of sundowning in the given options.

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5.

Which of the following statements best describes a care provider's role in caring for a resident with sundowning?

A.

Provide a calm environment and activities
B.

Force the resident to calm themselves down using a firm tone of voice
C.

Ignore the resident's behavior because it is just a plea for attention
D.

None of the above

Correct Answer
A. Provide a calm environment and activities

Explanation
A care provider's role in caring for a resident with sundowning is to provide a calm environment and activities. This is because individuals with sundowning experience increased confusion and agitation during the evening or night. By creating a peaceful atmosphere and engaging the resident in soothing activities, the care provider can help reduce their anxiety and promote a sense of calmness. This approach focuses on understanding and addressing the resident's needs rather than dismissing their behavior or using forceful methods.

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6.

Sundowning interventions include:

A.

Providing enough daytime activities.
B.

Monitoring the resident's diet.
C.

Removing or preventing environmental causes.
D.

All of the above.

Correct Answer
D. All of the above.

Explanation
The correct answer is "all of the above" because sundowning interventions include providing enough daytime activities, monitoring the resident's diet, and removing or preventing environmental causes. These interventions are aimed at reducing the symptoms of sundowning, a condition where individuals with dementia experience increased confusion, agitation, and restlessness in the late afternoon and evening. By engaging the individual in stimulating activities during the day, ensuring they have a balanced diet, and creating a calm and safe environment, the effects of sundowning can be minimized.

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7.

If a resident is showing symptoms of sundowning and is becoming increasingly agitated with a particular caregiver, the best solution is to:

A.

Talk with a commanding tone of voice until the resident changes their behavior
B.

Threaten an appropriate form of disciplinary action
C.

Ask the caregiver to move away and bring a different caregiver in
D.

All of the above

Correct Answer
C. Ask the caregiver to move away and bring a different caregiver in

Explanation
The best solution in this situation is to ask the caregiver to move away and bring a different caregiver in. This is because the resident is showing symptoms of sundowning and becoming increasingly agitated with a particular caregiver. By removing the caregiver and bringing in a different one, it allows for a fresh start and may help to alleviate the resident's agitation. Using a commanding tone of voice or threatening disciplinary action may escalate the situation and worsen the resident's symptoms.

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8.

Which of the following may contribute to success in managing sundowning behavior?

A.

Small groups
B.

Physical exercise
C.

Way finding
D.

Stimulating the senses
E.

All of the above

Correct Answer
E. All of the above

Explanation
All of the options listed (small groups, physical exercise, way finding, stimulating the senses) may contribute to success in managing sundowning behavior. Sundowning refers to a condition where individuals with dementia experience increased confusion, agitation, and restlessness during the late afternoon and evening hours. Small groups can provide a calm and structured environment, physical exercise can help reduce restlessness and promote better sleep, way finding techniques can help individuals navigate their surroundings and reduce disorientation, and stimulating the senses can help engage and distract individuals from their symptoms. Therefore, implementing all of these strategies together can be beneficial in managing sundowning behavior.

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