A sixty-year-old woman tells her doctor that she is worried about possibly developing vascular dementia as she ages and would like to try to lower her risk. What advice could her doctor give her?
Take daily naps of no more than 30 minutes
Arrange for a genetic screening
Take a daily multivitamin for older adults
Move her residence closer to other family members
Adopt a regular exercise routine.
The Correct Answer is D
A. Take daily naps of no more than 30 minutes: Short naps can aid alertness but aren’t an evidence-based strategy specifically to lower vascular dementia risk.
B. Arrange for a genetic screening: Genetic screening may identify rare inherited risks but is not the primary, practical prevention strategy for vascular dementia.
C. Take a daily multivitamin for older adults: Multivitamins haven’t been shown to reliably reduce vascular dementia risk.
D. Move her residence closer to other family members: Social support is beneficial for mental health but relocating is not a primary preventive measure for vascular dementia.
E. Adopt a regular exercise routine: regular physical activity reduces cardiovascular risk factors (hypertension, diabetes, atherosclerosis) and is a recommended way to lower risk of vascular cognitive impairment and vascular dementia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Learning that a particular tone signals an electric shock to the hand: This is classical conditioning (associative learning), not primarily executive control.
B. Driving home from work while a familiar song plays on the radio: This often involves automatized routines and procedural memory, not the active control processes of executive function.
C. Inhibiting a response that does not fit current task demands: inhibition is a core component of executive function (control, working memory, cognitive flexibility).
D. Riding a bicycle around the neighborhood: Once learned, bicycling is largely procedural/automatic and doesn’t directly index executive function.
E. Perceiving the difference between a ten-pound weight and a fifteen-pound weight: This is a perceptual discrimination task, not an executive-control activity.
Correct Answer is C
Explanation
A. Increased dendritic pruning: Chronic stress more often leads to dendritic atrophy or maladaptive neural changes, not beneficial pruning per se.
B. Increased digestive activity: Chronic stress typically suppresses digestive function (e.g., reduced appetite, ulcers), not increases it.
C. Decreased immune system function: prolonged elevated stress hormones (e.g., cortisol) suppress immune function, increasing susceptibility to illness.
D. Increased critical-thinking skills:Chronic stress generally impairs cognitive functioning rather than improving higher-order thinking.
E. Decreased risk of presbyopia: Presbyopia is age-related lens stiffening; stress does not decrease its risk.
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