Maharashtra CHO - 2020
Medical & Surgical Nursing
Easy
What's true about Dementia?
Appeared in: Maharashtra CHO - 2020
Explanation
- Dementia is a syndrome, not a specific disease, characterized by a decline in cognitive function.
- Alzheimer's disease is the most prevalent form, accounting for 60-70% of dementia cases.
- It is a major cause of disability and dependency in older adults, distinct from normal aging.
- The question asks for true statements, and since options A, B, and C are all correct, 'All of the above' is the most comprehensive answer.
Why Other Options Were Wrong
- Option A: This statement is factually correct, but it is not the only true statement among the options. Therefore, it is an incomplete answer.
- Option B: This statement is also factually correct. However, because other provided statements are also true, selecting this option alone is incomplete.
- Option C: This statement is true and an important concept in geriatric health. But, as with the other options, it is not the sole correct statement, making 'All of the above' the better choice.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Characteristics of Dementia as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in the early identification of dementia by assessing cognitive function using tools like the Mini-Mental State Examination (MMSE) or the Montreal Cognitive Assessment (MoCA).
- Patient and family education is a key nursing responsibility. This includes explaining that dementia is a disease process, not normal aging, and providing resources for support, safety, and future planning.
- What if? If a 70-year-old patient reports misplacing keys more often but has no other cognitive complaints and functions independently, the nurse should recognize this as likely normal age-related forgetfulness. The appropriate action is to provide reassurance and suggest memory aids (like a designated spot for keys), while advising to monitor for any worsening or new symptoms, rather than immediately initiating a full dementia workup.
How to Approach the Question
- First, read the question carefully. It asks for what is 'true' about dementia.
- Evaluate each statement (Options A, B, and C) independently based on your knowledge.
- Statement A: Recall that Alzheimer's is the most common type of dementia. This is a well-known fact.
- Statement B: Consider the impact of dementia on an individual's life. The cognitive decline leads to loss of independence, making this statement true.
- Statement C: Differentiate between normal aging and a disease process. Dementia is a disease, not a normal part of getting older. This statement is also true.
- Since statements A, B, and C are all correct, the most comprehensive and accurate answer is 'All of the above'.
Concept Tested & Keywords
- Concept Tested: Characteristics of Dementia
- Stem keywords: Dementia, true
- Lead-in keywords: What's true
Question ID
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Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 776-778
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 4093-4095
E6 Medicine Davidson Principles Practice 24e p. 1212-1214
Practise the full Maharashtra CHO - 2020
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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