Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
CNA 2016 C. 39*
Confusion and Dementia
| Question | Answer |
|---|---|
| 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
Popular Nursing sets