A 78-year-old male with Lewy Body dementia, frequent falls, visual hallucinations, and sleep disturbances is transferred to your hospital with poor oral intake and confusion for 3 days. What will be your instrument of choice to identify delirium in a time-efficient manner?

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Question 1 of 5

A 78-year-old male with Lewy Body dementia, frequent falls, visual hallucinations, and sleep disturbances is transferred to your hospital with poor oral intake and confusion for 3 days. What will be your instrument of choice to identify delirium in a time-efficient manner?

A. Folstein Mini-Mental State Examination (MMSE) B. Confusion Assessment Method (CAM) C. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) D. Glasgow Coma Scale (GCS)

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Which of these is true regarding the relationship of frailty with cognition?

A. Cognitive frailty is synonymous with dementia. B. Patients with Alzheimer disease do not have higher rates of frailty. C. Neither the frailty index nor Fried frailty criteria include cognition assessment. D. Currently, to be considered cognitively frail it requires a MMSE score over 26.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

What aspects of sleep hygiene may make your facility more conducive for nighttime sleep?

A. Bright lights to illuminate pathways to bathrooms. B. Judicious restraint use to ensure patients remain in bed overnight. C. Allow patients with a greater degree of dementia an opportunity for an afternoon nap to improve their cognitive status. D. Neutralizing antiseptic smells, minimize movement of equipment through halls, maintain quiet hours where staff can speak in areas away from residents, avoid using overhead announcement systems.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Imaging plays a limited role in diagnoses of PD but is central in making diagnosis of which condition?

A. Multiple system atrophy (MSA) B. Progressive supranuclear palsy C. Dementia of Lewy body type D. Normal pressure hydrocephalus

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which one of the following is most true about psychological aging?

A. Disengagement tends to promote better psychological health than continued engagement. B. Most older adults do not worry about memory loss. C. Happiness declines starting in middle age. D. Ageism can lead to isolation and depression.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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