Nervous System- Dementia

Question 1

What is dementia?

Answer 1

Dementia is the gradual onset of progressive disorientation, shortened attention span, and loss of cognitive function.

Dementia is a chronic, generally irreversible condition resulting in progressive loss of cognitive abilities, psychomotor skills, and social skills.

Question 2

How does dementia develop over time?

Answer 2

Dementia develops slowly over a period of years rather than a few days.

This gradual progression distinguishes it from other acute conditions.

Question 3

What are some common causes of dementia?

Answer 3

Common causes of dementia include:
* Alzheimer disease
* Parkinson disease
* Cerebrovascular accidents
* Genetic factors

These neurologic diseases can lead to varying types of dementia.

Question 4

What is important to assess when determining a patient’s normal mental status?

Answer 4

It is important to question family members or friends about the patient’s normal mental status.

Gathering information from those who know the patient can provide valuable context.

Question 5

What should be avoided when assessing confusion in elderly patients?

Answer 5

Never assume confusion is a normal state for the patient unless the family provides evidence.

Confusion should not be dismissed as a normal part of aging.

Question 6

What are some complications in assessing patients with dementia?

Answer 6

Complications may include:
* Confusion
* Anger
* Impaired judgment
* Poor historical accounts
* Inability to vocalize pain
* Difficulty following commands
* Disorganized thoughts
* Hallucinations
* Delusions
* Reduced level of consciousness

These factors can hinder effective assessment and treatment.

Question 7

How might patients with dementia express anxiety?

Answer 7

Patients with dementia may express anxiety over movement from their current residence and fear of treatment.

This anxiety can complicate their willingness to cooperate with medical interventions.

Question 8

What is a key characteristic of patients with dementia regarding routine changes?

Answer 8

Patients may have a very low tolerance to changes in their routine.

Their anxiety can increase significantly with such changes.

Question 9

Fill in the blank: Dementia is the result of many ______ diseases.

Answer 9

[neurologic]

Neurologic diseases encompass a range of conditions that affect the nervous system.

Question 10

True or False: Patients with dementia can often clearly express their areas of pain and current symptoms.

Answer 10

False

Patients may be unable to vocalize areas of pain or current symptoms due to cognitive impairment.

Question 11

What qualities should caregivers exhibit when dealing with patients experiencing dementia?

Answer 11

Caregivers should exercise tolerance and patience when dealing with patients who have altered mental status or are experiencing dementia.

This approach is crucial for effective care and communication.