Hospital Care for Dementia: Assessment, Treatment, and Discharge Planning

Question 1

Which of the following is a fundamental principle of dementia care in hospital settings?

Accepted Answer

Emphasizing the person's strengths and abilities

Answer

Treating dementia solely as a medical condition with a focus on cure

Answer

Relying primarily on physical restraints to manage wandering

Answer

Using medication as the primary treatment for all symptoms

Question 2

Which type of dementia is most prevalent among older adults?

Accepted Answer

Alzheimer's disease

Answer

Vascular dementia

Answer

Lewy body dementia

Answer

Frontotemporal dementia

Question 3

What is the primary purpose of the 'Clock Drawing Test' in the assessment of dementia?

Accepted Answer

To evaluate cognitive function

Answer

To assess levels of depression

Answer

To predict the progression of dementia

Answer

To assist in making a differential diagnosis

Question 4

In a hospital setting, which ethical principle is of utmost importance when providing care to patients with dementia?

Accepted Answer

Respecting patient autonomy, even if their decision-making ability is impaired

Answer

Prioritizing patient safety, even if it means overriding their wishes

Answer

Maintaining patient confidentiality, regardless of their expressed wishes

Answer

Treating all patients with dementia the same, disregarding their individual needs

Question 5

In discharge planning for dementia patients, which steps are crucial, and why is interdisciplinary collaboration and patient involvement essential?

Accepted Answer

Assessment, care planning, goal setting, implementation, and evaluation, with interdisciplinary collaboration and patient involvement throughout.

Answer

Diagnosis, treatment, discharge, and follow-up, considering patient preferences and involving family members as needed.

Answer

Planning, implementation, and evaluation, prioritizing patient goals and preferences.

Answer

Assessment, discharge, and follow-up care, ensuring a smooth transition back to the community.

Question 6

Which intervention is most appropriate for managing challenging behaviors exhibited by patients with dementia?

Accepted Answer

Validation therapy

Answer

Physical restraints

Answer

Sedation

Answer

Cognitive stimulation therapy

Question 7

What is the primary objective of person-centered care in dementia?

Accepted Answer

Maximizing the individual's overall well-being

Answer

Treating the underlying disease process

Answer

Preventing cognitive decline

Answer

Ensuring optimal medical management

Question 8

Which fundamental principle of person-centered care prioritizes the individual's unique values, beliefs, and preferences when providing care to individuals with dementia in a hospital setting?

Accepted Answer

Respecting and honoring the individual's values and preferences

Answer

Viewing the individual solely through the lens of their medical condition

Answer

Communicating using complex medical jargon

Answer

Restraining the individual to prevent wandering

Question 9

In a hospital setting, what is the main purpose of conducting a comprehensive geriatric assessment (CGA) for a patient with dementia?

Accepted Answer

To comprehensively assess the patient's cognitive abilities and functional status

Answer

To prescribe medications specifically for managing dementia symptoms

Answer

To facilitate a swift discharge from the hospital

Answer

To determine the patient's end-of-life care preferences

Question 10

When managing agitation in a patient with dementia in a hospital setting, which approach is most appropriate?

Accepted Answer

Identifying and addressing the underlying cause of the agitation

Answer

Relying solely on physical restraints

Answer

Administering sedatives without investigating the underlying cause

Answer

Ignoring the patient's behavior

Question 11

During the assessment of a patient with suspected dementia in a hospital setting, which aspect is NOT crucial to consider?

Accepted Answer

The patient's religious beliefs

Answer

Mental status examination

Answer

Past medical history

Answer

Family history of dementia

Question 12

Which communication strategy is most effective when interacting with patients with dementia?

Accepted Answer

Speaking slowly and clearly, using simple sentences and familiar terms

Answer

Using abstract language and medical jargon

Answer

Avoiding physical contact and maintaining a distance

Answer

Focusing on correcting memory errors and disorientation

Question 13

Which type of medication is primarily used to treat the cognitive symptoms of dementia?

Accepted Answer

Cholinesterase inhibitors

Answer

Dopamine agonists

Answer

Antipsychotics

Answer

Antidepressants

Question 14

What is the most appropriate approach when handling a patient with dementia who is experiencing agitation?

Accepted Answer

Approaching them calmly, using a gentle tone, and validating their feelings

Answer

Confronting them directly and demanding they calm down

Answer

Ignoring their behaviour and hoping it will pass

Answer

Using physical restraints to prevent them from moving

Question 15

In the management of dementia, which medication is primarily used to reduce agitation and aggression?

Accepted Answer

Risperidone

Answer

Donepezil

Answer

Memantine

Answer

Galantamine

Question 16

What changes to a hospital room can help a patient with dementia feel calmer and more relaxed?

Accepted Answer

Providing access to natural light and plants

Accepted Answer

Creating a clutter-free and organized space

Answer

Using bright and stimulating colours on the walls and floor

Answer

Playing loud music to stimulate the patient

Question 17

What is a key principle when administering medication to patients with dementia in a hospital setting?

Accepted Answer

Start with the lowest possible dose and gradually increase as needed

Answer

Use multiple medications simultaneously to address various symptoms

Answer

Discontinue all medications unless absolutely necessary

Answer

Administer medications at night to minimize daytime side effects

Question 18

When communicating with dementia patients in a hospital, which approach is **not** considered effective?

Accepted Answer

Maintaining constant eye contact

Answer

Using clear and concise language

Answer

Allowing ample time for responses

Answer

Avoiding medical jargon and technical terms

Question 19

Which of the following is an appropriate non-pharmacological intervention for managing behavioral disturbances in patients with dementia?

Accepted Answer

Redirection and distraction

Answer

Sedation

Answer

Restraints

Question 20

What is the main purpose of a comprehensive assessment in dementia care?

Accepted Answer

To gather information about the patient's cognitive, functional, and psychosocial needs.

Answer

To plan for future care

Answer

To establish a diagnosis of dementia

Question 21

Which of the following is a primary role of occupational therapy in dementia care?

Accepted Answer

To enhance functional abilities and independence

Answer

To provide cognitive stimulation

Answer

To manage behavioral disturbances

Answer

To assess cognitive function

Question 22

What is the primary goal of palliative care for patients with dementia?

Accepted Answer

To provide comfort and manage symptoms

Answer

To prolong life as much as possible

Answer

To cure or slow the progression of the disease

Answer

To manage behavioral disturbances