Module 11 – Cognitive and Mental
Health Issues and Brain Injuries Test
General Directions:
A. There are a total of 60 questions.
B. Answer all questions directly on the question paper as indicated.
C. In multiple choice questions, always choose the best answer.
D. A minimum mark of 42 (70%), must be achieved to pass the test.
E. The test will count for 60% of your final mark in Module 11.
Name: ________________________________________________________
Date: ________________________________________________________
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1. The ability to cope with and adjust to the stresses of everyday living in a manner that is
acceptable to society is called:
a) Mental illness
b) Mental disorders
c) Psychiatric disorders
d) Mental health
2. Which one of the following represents the highest level of anxiety?
a) Mania
b) Stressor
c) Panic
d) Conversion disorder
3. Psychosis, delusions, hallucinations, and paranoia are symptoms of:
a) Unipolar depressive disorder
b) Clinical depression
c) Antisocial behaviours
d) Schizophrenia
4. Unconscious reactions that block unpleasant or threatening feelings are:
a) Obsessive-compulsive responses
b) Hyperactive responses
c) Defense mechanisms
d) Phobic disorders
5. A person who lacks regard for moral standards and demonstrates a noticeable inability
to get along with others or abide by societal rules is displaying which personality
disorder?
a) Abusive
b) Paranoid
c) Antisocial
d) Co-dependent
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6. An eating disorder, in which the person has a fear of weight gain and obesity, despite a
body weight far below what is normal is:
a) Anorexia Nervosa
b) Anorexia Bulimia
c) Pica
d) Obesity
7. Seeing, hearing, feeling, or smelling something that is not real is called:
a) Defense mechanism
b) A hallucination
c) Paranoia
d) Phobia
8. The resident believes he is being harassed and mistreated daily. This belief is called:
a) Fantasy
b) Grieving
c) Oppositional defiant disorder
d) Delusion of persecution
9. Mr. Jones has fatigue, a general lack of interest, an inability to experience pleasure, a
feeling of uselessness, anxiety, and a slow, unreliable memory. These are symptoms of:
a) Depression
b) Mania and elation
c) Paranoia
d) Agoraphobia
10. The individual set of attitudes, values, beliefs and behaviours that are deeply ingrained
in the psyche refers to a person’s:
a) Physiology
b) Anatomy
c) Hormones
d) Personality
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11. Refusing to accept something that is true, in an attempt to block it out is called:
a) Regression
b) Projection
c) Denial
d) Rationalization
12. Assigning your own feelings to someone or something else refers to which defense
mechanism?
a) Regression
b) Projection
c) Denial
d) Rationalization
13. Rationalization is a defense mechanism where the individual:
a) Refuses to be aware of some aspect of reality
b) Finds a logical reason for his behaviour while ignoring the real reason
c) Transfers emotion from its original source to an acceptable source
d) Sees in other people unacceptable traits about himself he cannot admit to having
14. Dementia is best described as:
a) A false belief
b) A loss of cognitive function caused by changes in the brain
c) Increased self-esteem
d) A developmental disability
15. Which of the following is a reason for some persons in the elderly population to consider
suicide?
a) Multiple losses in their life as they age
b) Poor health
c) Concerns of being a burden on their family
d) All of the above
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16. A sudden onset of confusion and disorientation is often associated with:
a) Dementia
b) A developmental disability
c) Aging
d) Delirium
17. Alzheimer’s disease support groups do all the following EXCEPT:
a) Provide care
b) Offer encouragement and care ideas
c) Provide support for the family
d) Promote the sharing of feelings and frustrations
18. Identified risk factors of Alzheimer’s disease include:
a) Age and family history of Alzheimer’s disease
b) A family history of Down syndrome
c) Race and gender
d) Both a and c
19. Cognitive impairment is an effect of the normal aging process on the brain:
a) True
b) False
20. Acute confusion is usually reversible:
a) True
b) False
21. Dementia is always caused by Alzheimer’s Disease:
a) True
b) False
22. In the last stage of dementia, the client is incapable of remembering, communicating, or
performing self-care:
a) True
b) False
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23. A person with cognitive impairment is easily frustrated by complex tasks:
a) True
b) False
24. Any person with depression can be persuaded to cheer up and get going:
a) True
b) False
25. Depression is common in elderly clients with Alzheimer’s Disease:
a) True
b) False
26. An elderly person who says, “I wish I could die” is seeking attention and should be
distracted:
a) True
b) False
27. A person who is having a hallucination can be reasoned with and talked out of it:
a) True
b) False
The following seven questions relate to the stages of Dementia. Pick the appropriate
stage.
28. A person exhibits poor judgment, and makes poor decisions:
a) Stage 1
b) Stage 2
c) Stage 3
29. Memory loss - forgetful of recent events:
a) Stage 1
b) Stage 2
c) Stage 3
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30. Totally incontinent of urine and feces:
a) Stage 1
b) Stage 2
c) Stage 3
31. Constant state of confusion. Can’t recognize family or self in the mirror:
a) Stage 1
b) Stage 2
c) Stage 3
32. Loses initiative - can’t start anything and general lack of spontaneity:
a) Stage 1
b) Stage 2
c) Stage 3
33. Dulled senses, cannot recognize hot and cold:
a) Stage 1
b) Stage 2
c) Stage 3
34. May experience seizures, difficulty swallowing, skin breakdown and infection:
a) Stage 1
b) Stage 2
c) Stage 3
35. Your client is disoriented, has limited thinking ability, and has difficulty making decisions.
The best way to care for her is to:
a) Offer her a variety of choices
b) Give her simple directions
c) Increase her recreational activities and activation
d) Provide variety in her daily routine
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36. Moving to a long-term care facility can improve a person’s mental health by:
a) Forcing compliance
b) Lowering self-esteem
c) Diminishing independence
d) Increasing socialization
37. Conditions that start with physical symptoms but will progress to dementia are:
a) Parkinson’s disease
b) Huntington’s disease
c) Acquired immunodeficiency syndrome
d) All of the above
38. Delusion is defined as:
a) A fixed, false belief that is not based on reality
b) Guilt
c) A disorder whose main trait is recurrent thoughts about or a preoccupation with
ending one’s own life
d) Anger and hostility
39. A false belief of being persecuted or of being superior to everyone else is a:
a) Hallucination
b) Obsession
c) Delusion
d) Defense mechanism
40. Mr. Baer, a normally independent and cooperative resident, has become hostile and
aggressive lately. In dealing with Mr. Baer’s aggressive episodes, the PSW should:
a) Try to physically restrain him
b) Punish him by withholding his dinner
c) Isolate him in a room by himself
d) Encourage him to tell you why he is angry
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41. Which one of the following factors can cause confusion in elderly clients?
a) Fatigue, dehydration
b) Drugs, nutritional deficiencies
c) Sensory impairment, sleep disturbances
d) All of the above
42. Your elderly client is confused about where she is, what day it is, even the daily routine.
You should:
a) Shout loudly at her to be sure she hears you
b) Explain simply and quietly each activity before it happens
c) Screen her to protect her from the view of the other residents
d) Turn the radio on high so that she can hear the news
Questions 43-46 pertain to the following scenario.
You find an elderly resident crouched in the corner of the dining room. He appears very upset
and is hostile when you approach him. He says, “Watch it! They are all over me! They’re trying
to kill me!” You do not know this resident well and you have not read his care plan.
43. This behavior is indicative of:
a) Schizophrenia
b) Alzheimer’s disease
c) Multi-infarct dementia
d) All of the above
44. Fear and anxiety in this case is worsened as your resident appears to be experiencing:
a) Depression
b) Regression
c) A hallucination
d) Long-term memory loss
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45. The best approach for this resident is to:
a) Take him to his room and isolate him
b) Calm him by touching him
c) Reason with him and persuade him to return to his room
d) Guide him to a quiet place away from other residents
46. A psychologist is a health care professional educated in treating and prescribing
medications for clients with mental health disorders.
a) True
b) False
The following questions relate to acquired brain injury: 47-50
47. Identify which of the following are incidences of trauma where an ABI could be the
result:
a) Concussion
b) Fall
c) Assault
d) All of the above
48. Physical symptoms resulting from an ABI may be all of the following except:
a) Uneven gait
b) Vertigo
c) Healthy appetite
d) Fatigue
49. Encourage the client with an ABI to establish routine and structure in daily tasks.
a) True
b) False
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50. Irritability, depression and anxiety would be which types of deficit from an acquired
brain injury?
a) Cognitive
b) Perceptual
c) Physical
d) Behavioural
51. Which of the following would be the best example of an environment(s) that would
contribute to a client’s increased confusion:
a) Poor lighting and excessive noise
b) Unfamiliar surroundings, such as furniture and pictures
c) Quiet music playing
d) Both a and b
52. Persons with acute confusion should be:
a) Restrained or confined
b) Given complex tasks
c) Distracted
d) Politely reminded of the correct information
53. Your client is exhibiting blurred vision, slurred speech, headache and confusion, what
could be happening?
a) Myocardial Infarction
b) Gallbladder attack
c) CVA
d) Seizure
54. The GPA or Gentle Persuasive Approach program was designed to teach health care
workers how to understand responsive behaviors and how to react to them in a
respectful and safe manner:
a) True
b) False
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55. People with a mental illness often suffer from:
a) Conceit
b) An affectation
c) Stigma
d) Distinction
56. To help reduce the anxiety of clients with mental health disorders it is important to
explain procedures:
a) Some of the time
b) Most of the time
c) All of the time
d) Only when asked by the client
57. There are many different diseases that may cause dementia symptoms, which of the
following conditions causes permanent changes in the brain?
a) Alzheimer’s disease, Pick’s disease
b) Huntington’s disease, Multi-infarct dementia
c) AIDS, Creutzfeldt-Jakob disease
d) All of the above
58. Aphasia means the inability to remember:
a) True
b) False
59. Apraxia means:
a) An inability to understand and say words
b) An inability to make some motor movements, including those required for speech
c) Difficulty swallowing
d) A language disorder
60. In the final stages of Alzheimer’s disease, a client may experience:
a) Seizures
b) A chronic high temperature
c) A repetitive request for assistance with toileting
d) A sudden increase in cognitive function
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