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CNA 2016 C. 39*

Confusion and Dementia

QuestionAnswer
involves memory, thinking, reasoning, ability to understand, judgment, and behavior cognitive function
a state of sudden, severe confusion and rapid brain changes delirium
a false belief delusion
the loss of cognitive function that interferes with routine personal, social, and occupational activities dementia
when a person leaves the center without staff knowledge elopement
seeing, hearing, smelling, or feeling something that is not real hallucination
a disorder of the mind. the person has false beliefs and suspicion about a person or situation paranoia
false dementia pseudodementia
signs, symptoms, and behaviors of AD increase during the hours of darkness sundowning
AD alzheimer's disease
ADL activities of daily living
NIA National instintue of aging
OBRA omnibus budget reconcilliation act of 1987
What are causes of confusion in older persons? hearing loss, vision loss, reduced blood supply to the brain
Aging causes changes in the brain and nervous system
Cognitive function involves memory and thinking
Causes of confusion in older persons reduced blood supply to the brain, hearing loss, vision loss
Personality and mental changes are common with . confusion
You would expect the person who is confused to have difficulty with activities of daily living
Infection, illness, and injury are common causes of confusion
A resident is confused. The person usually naps after lunch. What should you do? Follow the person's routine
A resident is confused. Open drapes during the day. True
The person with dementia may have delirium and depression delirium and depression
Early warning signs of dementia misplacing things and putting things in unusual places, getting lost in familiar places.
_______________is the most common cause of permanent dementia. Alzheimer's Disease
The person with permanent dementia has signs and symptoms of dementia
____________ can occur with delirium and depression. Pseudodementia
Delirium is common with older people with acute illnesses
Depression, aging, and some drug side effects have similar signs and symptoms
With Alzheimer’s disease the person has behavior, mood, and personality changes
At what age do the first symptoms of AD usually occur? After age 60
What is the cause of AD? Unknown
What is the classic sign of AD? Gradual loss of short-term memory
What problems occur early in mild AD difficulty managing money
A resident has AD. Forgetting names is probably caused by . AD.
A resident has AD. Not being able to tell time is probably caused by AD.
A resident is in the last stage of AD. The person’s care plan should include providing for all ADL
A resident has AD. What behavior has greatest risk for danger? wandering
What are possible causes of wandering? Pain, restlessness, and anxiety
The Alzheimer’s Association has a program for persons who wander. The program is called safe return
A resident has AD. She tends to wander. Her care plan should include Making sure that she wears her ID bracelet. Making sure that she wears her ID bracelet.
A resident with AD experiences sundowning every day. The person’s care plan should include providing adequate lighting. providing adequate lighting
A resident has AD. The person’s hallucinations include seeing “kitty cats” in the closet. What should you do? Make sure the person wears needed eyeglasses and preventing glares, shadows, and reflections
A resident has AD. The person thinks that the food contains poison. This is called delusion
A resident has AD. The person thinks that the food contains poison. What might help? Taking the person for a walk.
Catastrophic reactions usually occur from too many stimuli at one time
A resident has AD. Sometimes, the person is agitated and combative. The person is pacing and trying to hit others. What would be helpful. Providing a calm, quiet setting
A resident has AD. The person often screams a word in a foreign language. You know that screaming is the person's way of communication
A resident has AD. The person often screams a word in a foreign language. Possible causes of screaming are the person is reacting to a family member
Persons with AD may have abnormal sexual behaviors. The behaviors are abnormal because of how and when they occur
Persons with AD may have abnormal sexual behaviors. What is a normal behavior? Hugging and kissing one's partner
A resident has AD. She is trying to rub her perineum through her clothes. She may have discomfort in her urinary or reproductive system
A resident has AD. His wife visits daily. They like to touch, hold hands, and kiss. Provide privacy
A resident has AD. You find him masturbating in another person’s room. What should you do? guide him to his room
A resident has AD. Sometimes the person has repetitive behaviors. This means that the person repeats the same motion or word over and over again
A resident has AD. The person keeps saying: “Where’s Mama? Where’s Mama? Where’s Mama?” What may be helpful? Taking the person for a walk
While caring for a person with AD, you find yourself becoming frustrated and short-tempered. The person has the same rights as other residents. True
A resident has AD. As death nears, the person may need Hospice
Persons with AD are at risk for infection
You care for several residents with AD. Why must you report behavior changes to the nurse? this may signal other illnesses or injuries
A resident has AD. When planning activities for the person, the therapist considers the person’s the staff's abilities and interests
A resident has problems finding her room, the bathroom, the dining room, and so on. What might help her? Picture signs
A resident has AD. The person easily becomes agitated and combative. What might help the person? Keeping the person’s treasures nearby
A resident has AD. The person’s communication is impaired. When talking to the person, Use a ____________ voice. calm, gentle
A resident has AD. Which is the correct way to gain the person’s attention? Approach the person from the front
A resident has AD. The person is trying to tell you something. What should you do? Let the person speak, do not interrupt the person
A resident has AD. You are helping her dress. What do you do? Let her chose between a dress and a pant suit.
A resident has AD. You find shampoo in the person’s room. This is unsafe unsafe
A maintenance worker left a hammer at the nurses’ station. What should you do? Place It in a secure drawer. Then report its location to the maintenance department
Place_____ in electrical outlets is a safety measure to protect persons with AD. safety plugs
A resident has AD. The person’s care plan should include following the person’s bedtime rituals to promote sleep. sleep
A resident has AD. You are helping the person dress. A ________________________will cause the fewest problems. front opening garment
A resident has AD. You are helping the person dress. What do you do? Tell the person what to do with each clothing item.
A resident has AD. When providing for the person’s basic needs. What do you do? have equipment ready for any procedure, provide for personal hygiene, oral hygiene, and skin care
A nursing center has a secured unit for persons with AD. OBRA considers secured units to be physical restraints
When a person’s care needs became great, the person’s family agreed on the need for nursing center care. You would expect family members to experience guilt
A resident has AD. His daughter has three children in high school and college. His daughter is likely to find herself in the sandwich generation
A person has AD. ______________________________can offer the person’s daughter support and encouragement. An Alzheimer's support group
A resident has AD. The person’s rights are protected by OBRA. Give the person__________ to protect the person’s right to personal choice. simple choices
A resident has AD. She carries a small stuffed animal that is coming apart at the seams. What should you do? protect it from further damage
A resident has AD. She tends to wander and is sometimes combative. Her son asks you to restrain her. Restraints can make confused and demented behaviors worse
Confused and demented behaviors are often hard to handle. Therefore, persons who are confused or have AD are at risk for abuse, mistreatment and neglect
A resident has AD. What activities should you encourage the person to do? the ones in the person's care plan
Proper use of validation therapy requires special training
Created by: heatherhibbs