1) Which of the following statements correctly describes cognitive impairment?
  • Loss of higher intellectual function.
  • Loss of the power of memory.
  • Loss of the power of speech.
  • Loss of higher reasoning ability.
2) Two possible causes of cognitive impairment are:
  • Old age and diabetes.
  • Stroke, Alzheimer’s disease.
  • Heart attack, head injury.
  • Old age disease, malnutrition.
3) Two aspects of non-verbal communication could be:
  • Tone of voice, content of speech.
  • Hand gestures, vocabulary.
  • Posture, eye contact.
  • Touching, complex ideas.
4) Two non-verbal communications that should be avoided when working with cognitively impaired patients are:
  • Gentle touching, eye contact.
  • Non-aggressive posture, sudden movements.
  • Sudden movements, pulling/yanking on someone.
  • Loud voice, non-aggressive body language.
5) Verbal communication can include:
  • Repetition and reinforcement.
  • Touching and eye contact.
  • Tone of voice, hand gestures.
  • Volume of voice, posture.
6) Two verbal communications that should be avoided when working with cognitively impaired patients are:
  • Rapid speech, complex ideas.
  • Simple ideas, repetition.
  • Reinforcement, repetition.
  • Harsh or soft tone of voice.
7) Helpful strategies when working with the client with cognitive impairment are:
  • Rigidity, patience.
  • Flexibility, patience.
  • Changing routines, priority setting.
  • Rigid priorities, repetition.
8) The patient with cognitive impairment you are assisting with toileting and dressing will not cooperate. You should:
  • stick to your priorities and dress the client.
  • let the client know you are busy and need to complete this task.
  • immediately leave the room and come back at a different time.
  • stop and assess the situation.
9) If a patient presents with new, unusual behavior that indicates cognitive impairment, the first thing you should do is:
  • maintain your set of priorities.
  • change the patient’s routine.
  • establish clear rules with the patient.
  • notify a supervisor.
10) The best way to work with someone who is cognitively impaired and acting aggressively is to:
  • use force
  • stay calm, use reason
  • speak loudly, gain control
  • act intimidatingly