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1. Which of the following is a primary characteristic of Alzheimer's disease that impacts memory and cognitive function?
A. Presence of Lewy bodies in brain cells
B. Abnormal plaques and tangles in the brain
C. Reduced blood flow to the brain
D. Accumulation of fluid in the brain
2. What is a significant factor that contributes to dehydration among older adults with dementia?
A. Reduced sensation of thirst
B. Increased kidney function
C. Overactive thirst sensation
D. Enhanced water balancing hormones
3. When managing mealtime challenges for residents with dementia, what is a key strategy to reduce the risk of aspiration pneumonia?
A. Encouraging mastication of solid foods
B. Providing large portions of liquid meals
C. Utilizing thickened liquids and altered food textures
D. Timing meals prior to activities
4. To create a supportive dining environment for individuals with dementia, what practice is most effective in maintaining their engagement?
A. Minimizing sensory stimulation with dim lights
B. Offering minimal menu options to reduce confusion
C. Using plain, non-distinct tables and settings
D. Encouraging social interaction during meals
5. In a multidisciplinary team aimed at improving dementia care, what is a critical consideration for effective collaboration?
A. Exclusive focus on dietary adjustments by nutritionists
B. Limited communication to essential information only
C. Incorporating feedback from caregivers and relatives
D. Restricting involvement to healthcare professionals
6. What is the primary reason older adults require increased protein intake compared to younger individuals?
A. To increase metabolism
B. To combat sarcopenia
C. To enhance cognitive function
D. To boost caloric intake
7. Which nutritional component is most critical for maintaining brain health and potentially moderating cognitive decline in individuals with dementia?
A. Omega-3 fatty acids
B. Proteins
C. Carbohydrates
D. Fiber
8. What is the recommended approach for managing mealtime challenges related to distractions for residents with dementia?
A. Increase social interactions during meals
B. Introduce complex meal arrangements to engage senses
C. Adjust meal times frequently to keep interest
D. Provide a calm and inviting dining atmosphere
9. In terms of hydration management for residents with dementia, caregivers should:
A. Offer fluids solely during mealtimes
B. Encourage residents to drink based on thirst sensations
C. Offer fluids multiple times daily, beyond meals
D. Limit fluid intake to avoid urinary issues
10. When collaborating with an interdisciplinary team to improve resident care, which professional is least likely to be directly involved in developing nutritional strategies?
A. Registered Nurse
B. Pharmacist
C. Registered Dietitian
D. Primary Care Physician
11. What is a major cause of mealtime challenges for residents in middle-stage Alzheimer's disease?
A. Difficulty using utensils effectively
B. Forgetfulness about food preferences
C. Increased appetite leading to overeating
D. Desire for more social interaction during meals
12. During severe Alzheimer's, what becomes a critical concern related to nutrition?
A. Loss of appetite leading to anorexia
B. Inability to recognize thirst and dehydration risks
C. Increased craving for sweets
D. Preference for solid foods over liquids
13. Which strategy helps address swallowing difficulties (dysphagia) in residents with dementia?
A. Offering thin liquids to ensure quick swallowing
B. Providing regular texture foods pre-cut into small pieces
C. Thickening liquids to the prescribed consistency by a speech therapist
D. Encouraging self-feeding to promote independence
14. Creating a supportive dining environment involves:
A. Designing a calm, distraction-free setting for meal consumption
B. Providing loud background music to stimulate appetite
C. Encouraging quick meals to accommodate busy schedules
D. Allowing flexibility in dining times to cater to an individual's fluctuating appetite
15. To effectively collaborate with interdisciplinary teams, nursing staff should:
A. Focus solely on pharmacological interventions for dementia care
B. Implement activities without consulting occupational therapists
C. Rely on family input exclusively for care plan development
D. Discuss potential medication side effects regularly with the team
16. In managing polypharmacy among residents with dementia, which approach is recommended to optimize medication management?
A. Eliminate multiple medications simultaneously to reduce adverse effects
B. Review new medications for limited long-term safety data before integrating them
C. Use a fixed protocol to discontinue all high-risk medications immediately
D. Focus solely on prescriptions and exclude over-the-counter medications
17. Which strategy is critical to creating a supportive dining environment for residents with dementia?
A. Implement strict mealtime schedules to ensure promptness
B. Design activities that incorporate loud, stimulating environments
C. Reduce social interaction at meals to focus on food intake
D. Prioritize residents' pace and preferences during meals
18. What is a key differentiation of Cognitive Stimulation Therapy (CST) from traditional recreational activities for residents with dementia?
A. CST combines reminiscence therapy with social-cognitive activities
B. CST emphasizes unstructured, leisurely sessions to reduce stress
C. CST progresses difficulty without regard to the resident's skill level
D. CST avoids using structured exercises, focusing on spontaneous tasks
19. When developing a hydration strategy for residents with dementia, which approach should be avoided?
A. Encouraging a variety of fluid options, including juice and tea
B. Promoting water as the sole beverage to meet hydration needs
C. Incorporating personalized beverage choices into routines
D. Ensuring beverages are available consistently throughout the day
20. How can collaboration with interdisciplinary teams enhance resident care for those with dementia?
A. By standardized checklist reviews, reducing the need for individual input
B. By engaging only healthcare providers in decision-making processes
C. By creating rigid care plans that remain unaltered over time
D. By incorporating resident preferences into shared decision-making
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