Dementia: Diagnosis and Clinical Reasoning
About the Lecture
The lecture Dementia: Diagnosis and Clinical Reasoning by Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C is from the course Management of Neurocognitive Conditions in the Older Adult (release in progress).
Included Quiz Questions
Which of the following is a key step in diagnosing dementia in a new patient presenting with cognitive decline?
- Conducting routine and targeted lab tests to rule out other medical conditions
- Starting treatment immediately based on symptoms
- Prescribing medication based on family concerns
- Referring to a specialist without performing initial cognitive screening tests
- Administering only a cognitive screening tool to confirm the diagnosis
What is the primary purpose of using cognitive screening tools such as MoCA, MMSE, or SLUMS in the suspicion of dementia?
- To provide insight into the patient's level of cognitive functioning in combination with other clinical data
- To diagnose the specific subtype of dementia
- To establish a definitive diagnosis without further testing
- To determine the exact stage of dementia
- To rule out all other causes of cognitive decline
In cases where a patient scores relatively well on a cognitive screening tool but presents with vascular risk factors and history of stroke, what should be the provider's next step?
- Consider the likelihood of vascular dementia and integrate the patient's full history and physical into the diagnosis
- Rule out dementia based on the screening tool score
- Schedule another screening tool for confirmation
- Assume the cognitive symptoms are related to depression
- Immediately refer the patient to a psychiatrist
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Author of lecture Dementia: Diagnosis and Clinical Reasoning
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
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