Dementia
Dementia ( 5 Questions)
A nurse is evaluating the effectiveness of cognitive stimulation therapy for a client with mild dementia.
Which of the following outcomes indicates that the therapy is beneficial?
The client reports improved mood and self-esteem. Cognitive stimulation therapy (CST) is a short-term programme for people with mild to moderate dementia that involves a wide range of activities aiming to stimulate thinking and memory, such as discussion, word games, puzzles, music and creative tasks. CST can improve certain aspects of dementia, such as memory, problem-solving, communication, quality of life, and mood.
Therefore, if the client reports improved mood and self-esteem after CST, it indicates that the therapy is beneficial.
This is wrong because CST does not directly target independence in activities of daily living (ADLs), although it may have some indirect effects on functional abilities.
This is wrong because CST is not designed to treat delirium or depression, which are different conditions from dementia.
Delirium is an acute state of confusion that can have various causes and requires medical attention.
Depression is a mood disorder that can affect anyone and may co-occur with dementia. Both delirium and depression may need different interventions than CST.
This is wrong because CST does not specifically enhance executive function and attention, which are higher-order cognitive skills that involve planning, organizing, inhibiting, switching and focusing. Executive function and attention may be impaired in dementia, but they are not the main focus of CST.
The correct answer is A.
The client reports improved mood and self-esteem. Cognitive stimulation therapy (CST) is a short-term programme for people with mild to moderate dementia that involves a wide range of activities aiming to stimulate thinking and memory, such as discussion, word games, puzzles, music and creative tasks. CST can improve certain aspects of dementia, such as memory, problem-solving, communication, quality of life, and mood.
Therefore, if the client reports improved mood and self-esteem after CST, it indicates that the therapy is beneficial.
Choice B is wrong because CST does not directly target independence in activities of daily living (ADLs), although it may have some indirect effects on functional abilities.
Choice C is wrong because CST is not designed to treat delirium or depression, which are different conditions from dementia.
Delirium is an acute state of confusion that can have various causes and requires medical attention.
Depression is a mood disorder that can affect anyone and may co-occur with dementia. Both delirium and depression may need different interventions than CST.
Choice D is wrong because CST does not specifically enhance executive function and attention, which are higher-order cognitive skills that involve planning, organizing, inhibiting, switching and focusing. Executive function and attention may be impaired in dementia, but they are not the main focus of CST.