Supporting Patients with Dementia

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Questions and Answers

What is a key nursing intervention for Alzheimer's disease (AD) patients?

  • Isolating the patient to reduce overstimulation
  • Administering medication to manage symptoms
  • Promoting physical safety and independence in self-care activities (correct)
  • Encouraging complete dependence on caregivers

What type of environment helps Alzheimer's disease (AD) patients interpret their surroundings and activities?

  • Loud and overstimulating environment to maintain alertness
  • Chaotic and unpredictable environment to stimulate cognitive function
  • Calm, predictable environment with limited stimuli and a regular routine (correct)
  • Isolated and lonely environment to reduce external influences

What type of environmental modifications can enhance orientation for Alzheimer's disease (AD) patients?

  • Removing all visual cues to reduce confusion
  • Prominently displayed clocks and calendars, color-coding doorways, and memory aids (correct)
  • Using dim lighting to create a soothing atmosphere
  • Constantly changing the layout of the environment

What has been shown to slow cognitive decline in Alzheimer's disease (AD) patients?

<p>Active participation, physical activity, and communication (D)</p> Signup and view all the answers

What is crucial for creating a safe home and hospital environment for Alzheimer's disease (AD) patients?

<p>Removing hazards, installing handrails, and ensuring adequate lighting (A)</p> Signup and view all the answers

Why should restraint use be avoided for Alzheimer's disease (AD) patients?

<p>Due to the risk of increasing agitation and injury (C)</p> Signup and view all the answers

What makes it difficult for Alzheimer's disease (AD) patients to maintain physical independence?

<p>Pathophysiologic changes in the brain (C)</p> Signup and view all the answers

What should be done to reduce anxiety and agitation in Alzheimer's disease (AD) patients?

<p>Keep the environment familiar and noise-free (A)</p> Signup and view all the answers

What is important for effective communication with Alzheimer's disease (AD) patients?

<p>Remaining unhurried, reducing noise and distractions, and using clear, easy-to-understand sentences (D)</p> Signup and view all the answers

What do nursing interventions for Alzheimer's disease (AD) aim to promote?

<p>Adequate nutrition, balanced activity and rest, and support and educate family caregivers (A)</p> Signup and view all the answers

What type of stimuli can be interpreted as signs of affection, concern, and security for patients with dementia?

<p>Tactile stimuli (B)</p> Signup and view all the answers

What is encouraged for patients with dementia to improve their quality of life?

<p>Engaging in simple activities and hobbies (D)</p> Signup and view all the answers

What should be kept simple and calm for patients with dementia during mealtime?

<p>Meal options (A)</p> Signup and view all the answers

What may require cueing and adaptive equipment for patients with dementia?

<p>Adequate nutrition and hydration (A)</p> Signup and view all the answers

What may caregivers need to identify in patients with dementia to prevent further health decline?

<p>Underlying needs (A)</p> Signup and view all the answers

What percentage of the home care required by patients with Alzheimer's disease is provided by family members?

<p>83% (D)</p> Signup and view all the answers

What may caregivers experience, contributing to caregiver fatigue, depression, and family dysfunction?

<p>Feelings of guilt, nervousness, and worry (B)</p> Signup and view all the answers

What should be reported to the local adult protective services agency if suspected?

<p>Neglect or abuse of patients with dementia (D)</p> Signup and view all the answers

What does the Alzheimer’s Association provide through community resources?

<p>Family support groups, respite care, and adult day care (B)</p> Signup and view all the answers

What is encouraged for spouses of patients with dementia regarding sexual activity?

<p>Openly talking about any concerns (B)</p> Signup and view all the answers

Which type of medications can slow the progression of Alzheimer's disease?

<p>Cholinesterase inhibitors (A)</p> Signup and view all the answers

What is the primary goal in managing Alzheimer's disease?

<p>Maintain mental function and manage cognitive and behavioral symptoms (C)</p> Signup and view all the answers

Which intervention can help manage behavioral problems in Alzheimer's disease?

<p>Music therapy (B)</p> Signup and view all the answers

What is the role of nurses in the recognition of Alzheimer's disease?

<p>Assessing for signs of AD in hospitalized older adults (B)</p> Signup and view all the answers

Which neurotransmitter uptake is enhanced by cholinesterase inhibitors in the brain?

<p>Acetylcholine (C)</p> Signup and view all the answers

How long may cognitive ability improve within therapy with cholinesterase inhibitors?

<p>6 to 12 months (A)</p> Signup and view all the answers

What is the recommendation for the duration of treatment with rivastigmine for severe Alzheimer's disease?

<p>Continue treatment as long as possible (B)</p> Signup and view all the answers

How should nurses approach the reevaluation of Alzheimer's disease patients?

<p>Routinely reevaluate all patients with AD (D)</p> Signup and view all the answers

What is the goal of nursing interventions for Alzheimer's disease?

<p>Promoting patient function and independence (A)</p> Signup and view all the answers

How can associated depression and behavioral problems in Alzheimer's disease be treated if other interventions fail?

<p>Pharmacologically (C)</p> Signup and view all the answers

Which medication is indicated for severe Alzheimer's disease (AD)?

<p>Rivastigmine tartrate (D)</p> Signup and view all the answers

What is the primary goal in managing Alzheimer's disease (AD)?

<p>Manage cognitive and behavioral symptoms (A)</p> Signup and view all the answers

Which type of medication enhances acetylcholine uptake in the brain?

<p>Rivastigmine tartrate (D)</p> Signup and view all the answers

When may cognitive ability improve within the therapy of cholinesterase inhibitors?

<p>Within 6-12 months (D)</p> Signup and view all the answers

What can be used to manage behavioral problems such as agitation and psychosis in Alzheimer's disease (AD) patients?

<p>Behavioral and other interventions such as music therapy (A)</p> Signup and view all the answers

What is recommended for the treatment of associated depression and behavioral problems if other interventions fail?

<p>Antidepressants (B)</p> Signup and view all the answers

What role do nurses play in the recognition of Alzheimer's disease (AD) in hospitalized older adults?

<p>Assessing for signs of AD (B)</p> Signup and view all the answers

What is the aim of nursing interventions for Alzheimer's disease (AD)?

<p>Promoting patient function and independence (D)</p> Signup and view all the answers

What is crucial for creating a safe home and hospital environment for Alzheimer's disease (AD) patients?

<p>Consistent routines and familiar objects (B)</p> Signup and view all the answers

What are nursing interventions for Alzheimer's disease (AD) aimed at promoting?

<p>Patient function and independence (C)</p> Signup and view all the answers

What is the primary goal in managing Alzheimer's disease (AD)?

<p>Manage cognitive and behavioral symptoms (D)</p> Signup and view all the answers

Which neurotransmitter uptake is enhanced by cholinesterase inhibitors in the brain?

<p>Acetylcholine (C)</p> Signup and view all the answers

How long may cognitive ability improve within therapy with cholinesterase inhibitors?

<p>6-12 months (A)</p> Signup and view all the answers

What is crucial for creating a safe home and hospital environment for Alzheimer's disease (AD) patients?

<p>Consistent and simple environment (B)</p> Signup and view all the answers

What is the role of nurses in the recognition of Alzheimer's disease?

<p>Assess for signs and symptoms (D)</p> Signup and view all the answers

Which type of medications can slow the progression of Alzheimer's disease?

<p>Cholinesterase inhibitors (A)</p> Signup and view all the answers

What may require cueing and adaptive equipment for patients with dementia?

<p>Communication (A)</p> Signup and view all the answers

What is encouraged for patients with dementia to improve their quality of life?

<p>Engagement in familiar activities (D)</p> Signup and view all the answers

What is important for effective communication with Alzheimer's disease (AD) patients?

<p>Maintaining eye contact and using simple language (B)</p> Signup and view all the answers

What makes it difficult for Alzheimer's disease (AD) patients to maintain physical independence?

<p>Memory impairment and confusion (C)</p> Signup and view all the answers

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Study Notes

Supporting Patients with Dementia

  • In early stages of dementia, lists and simple written instructions can be helpful for patients.
  • Tactile stimuli, such as hugs and hand pats, can be interpreted as signs of affection, concern, and security for patients.
  • Socialization through visits, letters, and phone calls is encouraged for patients with dementia.
  • Engaging in simple activities, hobbies, and socializing can improve the quality of life for people with dementia.
  • Patients with dementia can continue to enjoy sexual activity, and spouses should be encouraged to talk about any concerns.
  • Mealtime should be kept simple and calm, and patients prefer familiar foods that look appetizing and taste good.
  • Adequate nutrition and hydration may require cueing and adaptive equipment for patients with dementia.
  • Patients with dementia may exhibit sleep disturbances and wandering, so caregivers must identify underlying needs to prevent further health decline.
  • Family members provide at least 83% of the home care required by patients with Alzheimer's disease.
  • Caregivers may experience feelings of guilt, nervousness, and worry, contributing to caregiver fatigue, depression, and family dysfunction.
  • Neglect or abuse of patients with dementia can occur, and suspected cases should be reported to the local adult protective services agency.
  • The Alzheimer’s Association provides family support groups, respite care, and adult day care through community resources.

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