review questions Flashcards
You are a PMHIP conducting an assessment on an elderly patient with cognitive impairment. Which of the following clinical findings is more indicative of subcortical dementia rather than cortical dementia in this patient?
A. Severe memory deficits and difficulty recalling recent events.
B. Impaired language abilities, including difficulty with speech and comprehension.
C. Slowness in movement, tremors, and difficulty with fine motor tasks.
D. Profound personality changes and disinhibition.
C. Slowness in movement, tremors, and difficulty with fine motor tasks.
What are the key motor symptoms indicative of subcortical dementia?
Slowness in movement, tremors, and difficulty with fine motor tasks
These symptoms are often associated with subcortical brain regions and conditions such as Parkinson’s disease dementia.
What type of dementia is characterized by severe memory deficits and difficulty recalling recent events?
Cortical dementia, particularly Alzheimer’s disease
Cortical dementia often starts with memory impairment.
True or False: Impaired language abilities are specific to cortical dementia.
False
Impaired language abilities can be seen in both cortical and subcortical dementias.
What personality changes can occur in dementia patients?
Profound personality changes and disinhibition
These changes can occur in both cortical and subcortical dementias, but may be more commonly associated with cortical dementias.
Fill in the blank: Severe memory deficits and difficulty recalling recent events are indicative of _______.
cortical dementia
What are the common language impairments associated with dementia?
Difficulty with speech and comprehension
These impairments are not specific to either cortical or subcortical dementias.
Which type of dementia is more associated with profound personality changes?
Cortical dementias, particularly frontotemporal dementias
Personality changes may also occur in subcortical dementias but are more commonly noted in cortical types.
You are a PMHNP conducting an assessment on an elderly patient with memory complaints and cognitive impairment. Which of the following clinical findings is most indicative of Alzheimer’s disease in this patient?
A. Sudden onset of cognitive impairment over the past few days.
B. Memory lapses during stressful situations but stable cognitive function at other times.
C. Difficulty with language, including word-finding difficulties and comprehension
problems.
D. Progressive memory decline and impairment in multiple cognitive domains over
several years.
D. Progressive memory decline and impairment in multiple cognitive domains over
several years.
What is characteristic of Alzheimer’s disease in terms of memory decline?
Progressive memory decline and impairment in multiple cognitive domains over several years.
Alzheimer’s disease is known for its slow and progressive nature.
Is sudden onset of cognitive impairment indicative of Alzheimer’s disease?
No, sudden onset of cognitive impairment is not indicative of Alzheimer’s disease.
Alzheimer’s disease is characterized by a slow and progressive decline, not sudden changes.
What does Alzheimer’s disease typically involve instead of memory lapses during stressful situations?
Consistent and progressive memory decline.
Memory lapses only during stressful situations do not align with the typical presentation of Alzheimer’s.
What language difficulties can be seen in Alzheimer’s disease?
Difficulty with language, including word-finding difficulties and comprehension problems.
These difficulties are more evident in the later stages of the disease.
True or False: Alzheimer’s disease is characterized by sudden cognitive impairments.
False.
Alzheimer’s disease features a gradual decline rather than sudden changes.
Fill in the blank: Alzheimer’s disease involves _______ decline in cognitive function.
progressive
