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ETS Domain: Treatment

Praxis 5331 Dementia Questions

Dementia items test staging, differentiating dementia types (Alzheimer's, FTD, Lewy body, vascular), and choosing appropriate intervention (spaced retrieval, external aids, environmental modification). Expect 4-6 items.

Why this topic matters

High-yield concepts

Sample practice questions

Try answering before revealing the rationale — mark misses to retry later.

Q1.A 68-year-old with fluctuating cognition, visual hallucinations, and Parkinson-like motor symptoms most likely has:

  • A.Alzheimer's disease
  • B.Frontotemporal dementia
  • C.Lewy body dementia
  • D.Vascular dementia
Show answer & rationale

Correct: C. The triad of fluctuating cognition, visual hallucinations, and parkinsonism is the classic core feature of Lewy body dementia.

Q2.Which intervention is BEST supported for teaching a client with mild Alzheimer's to remember their new address?

  • A.Free recall practice
  • B.Spaced retrieval training
  • C.Errorless learning with immediate feedback only
  • D.Group discussion
Show answer & rationale

Correct: B. Spaced retrieval training uses expanding intervals of recall to build procedural memory of factual information; it has strong evidence in mild-moderate dementia.

Q3.A client with moderate dementia is agitated in a busy, cluttered SNF room. The MOST effective first intervention is:

  • A.Increase pharmacologic sedation
  • B.Modify the environment (reduce noise, familiar objects, clear signage)
  • C.Enroll in group therapy
  • D.Restrict family visits
Show answer & rationale

Correct: B. Environmental modification is the first-line, non-pharmacologic intervention for agitation in dementia. Familiar objects, reduced stimuli, and clear signage reduce confusion.

Common wrong-answer traps

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FAQ

Do SLPs diagnose dementia?

No — SLPs assess cognitive-communication function and contribute to the team; formal diagnosis is neurology/psychiatry.

Is spaced retrieval effective in severe dementia?

Its evidence is strongest in mild-moderate. In severe dementia, errorless learning and environmental supports take precedence.

What is PPA?

Primary Progressive Aphasia — a language-led dementia variant (semantic, non-fluent/agrammatic, or logopenic). SLPs play a central role in management.

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