Neurocognitive Disorders Full Test Bank Chapter 10

Chapter 10

Neurocognitive Disorders

Multiple Choice Questions

1. Delirium tremens is a particular form of delirium associated with:
2. Withdrawal from benzodiazepines
3. Opioid withdrawal
4. Acute alcohol withdrawal
5. High fever
6. Which one of the following is not included in the list of characteristic cognitive symptoms of traumatic brain injury?
7. Impaired attention
8. Impaired recent and remote memory
9. Visual perceptual impairment
10. Impaired hearing
11. What per cent of people experience depression alongside TBI?
12. 15%
13. 45%
14. 25%
15. 35%
16. In 2016, the annual total health care costs of caring for people with dementia in Canada was:
17. 10.4 billion dollars
18. 10 million dollars
19. 20 million dollars
20. 5.4 billion dollars
21. What percentage of people recovering from critical illnesses continue to experience cognitive impairments one year later?
22. Over 80%
23. Over 75%
24. Over 90%
25. Over 70%
26. What per cent of patients in intensive care units have an alcohol use disorder and are at risk of developing alcohol withdrawal delirium?
27. Up to 31%
28. Up to 51%
29. Up to 16%
30. Up to 41%
31. According to a large US study, what percentage of returning soldiers reported injuries consistent with TBI?
32. 12%
33. 15%
34. 25%
35. 22%
36. According to the WHO, how many people worldwide suffer from dementia?
37. 50 million
38. 25 million
39. 10 million
40. 15 million
41. Factors contributing to a decline in the incidence of dementia in the United States include:
42. Increases in education on dietary needs in the elderly
43. Improved treatments for cardiovascular risk factors
44. Improvements in fitness programs for seniors
45. Improved overall quality of living
46. Which one of the following is not included in the list of medical conditions causing delirium?
47. Brain tumour
48. Metabolic disorders
49. Chronic Fatigue
50. Cardiopulmonary disorders
51. Microscopic-level traumatic brain injuries include:
52. Intracranial contusions
53. Hematomas
54. Hypoxia
55. Hemorrhages from torn blood vessels
56. Frontotemporal dementia is the most common form of early onset dementia, accounting for what per cent of all dementia cases before age 65?
57. 20-50%
58. 20-40%
59. 10-20%
60. 30-50%
61. A number of neurocognitive disorders are caused by specific medical conditions, including:
62. Parkinson’s disease
63. Lou Gehrig’s disease
64. Hepatitis
65. Rheumatoid arthritis
66. Mild cognitive impairment progresses to dementia at the rate of approximately 3 to 15 per cent per year. Within 10 years, what percentage of MCI cases will have developed Alzheimer’s?
67. 50-60 %
68. 70-80 %
69. 40-50 %
70. 30-40%
71. As Alzheimer’s disease progresses a number of physical changes occur. Which one of the following is not included in the list of changes within the text?
72. Appetite disturbance
73. Weight gain
74. Difficulty walking
75. Tremors
76. Routine laboratory tests should be performed when determining treatable causes of dementia, including:
77. Coagulation tests
78. Blood cholesterol test
79. Liver function test
80. Fasting glucose
81. The clock drawing test can be used to assess a number of cognitive domains. Which one of the following is not included in the list provided by the text?
82. Verbal understanding
83. Spatial knowledge
84. Abstract thinking
85. Fine motor skills
86. A significant degree of caregiver stress has emerged as a result of government policies that focus on:
87. Deinstitutionalization
88. Institutionalization
89. Cost of medication
90. Patient transportation to medical appointments
91. What is the approximate percentage of Canadian patients currently in long term care with a diagnosis of dementia?
92. 66%
93. 55%
94. 75%
95. 45%
96. Due to behavioural and emotional issues associated with TBI, behavioural and psychosocial interventions are an important adjunct to:
97. Physical rehabilitation programs
98. Psycho-education programs
99. Employment retraining programs
100. Medication regime
101. Comprehensive-holistic rehabilitation programs (CHRPs) focus on the development of compensatory behaviours and adaptive skills of the person recovering from TBI. Which one of the following is not included in the list of elements in the text?
102. CBT and behavioural therapy
103. Active involvement of clients and their families
104. Vocational and independent living trials
105. One on one engagement with a peer supporter
106. Aggressive behaviours due to TBI have been shown to improve with the use of:
107. Anticonvulsants
108. Neuroleptics
109. Antispasmodics
110. Beta-blockers
111. According to the text, a number of supplements and vitamins have been used in the treatment of dementia, including:
112. Ginseng
113. Ginkgo
114. Vitamin C
115. Hypericum
116. Despite little evidence to support their use, which one of the following drug families has been used to treat dementia?
117. Antispasmodics
118. Anti-inflammatories
119. Antiretrovirals
120. Antacids
121. A number of medications have proved to be successful in treating aggression and agitation in dementia. Which one of the following is not included in those described in the text?
122. Trazodone
123. Buspirone
124. Effexor
125. Seroquel

True or False Questions

1. Neurocognitive disorders are conditions in which cognitive functioning is considerably impaired, and different from previous levels of functioning.
2. Delirium tremens occurs in 2 per cent of people who are withdrawing from substance abuse.
3. Severe traumatic brain injury is the leading cause of death and disability in young people living in high-income countries.
4. There is increased risk of major depression and PTSD after a TBI.
5. People with lower levels of education are less likely to develop dementia.
6. Substance withdrawal delirium only lasts for a few hours.
7. Progressive neurocognitive disorders are generally related to one of two forms of deterioration: (1) those affecting the cerebral cortex and (2) those affecting the prefrontal cortex.
8. Alzheimer’s disease (AD) is the most common neurocognitive disorder.
9. AD is diagnosed by ruling out all other causes of neurocognitive impairment.
10. Korsakoff’s syndrome is a specific condition stemming from a vitamin B12 deficiency caused by chronic alcoholism.
11. Alzheimer’s disease is the sixth leading cause of the death in the United States.
12. Progressive neurocognitive disorders are usually identified through a careful one-time assessment.
13. The mini-mental status examination (MMSE) requires extensive training to deliver.
14. The well-being of the client with dementia is highly contingent on the well-being of their family caregivers.
15. People are allowed the self-determination to remain in abusive situations if they fully understand the nature and consequences of their decision.

Short Answer Questions

1. What are some of the factors contributing to delirium?
2. What are some of the characteristics of delirium?
3. What are some of the symptoms of progressive neurocognitive disorders?
4. What is the definition of elder abuse as defined by the Toronto Declaration on the Global Prevention of Elder Abuse?
5. What is ‘reminiscence therapy’ and ‘reality orientation’ therapy?