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Delirium is:
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CNA 2023

Chapter 40 Confusion and Dementia

QuestionAnswer
Delirium is: a temporary state of sudden, severe confusion and rapid brain changes
A delusion is: a false belief
Dementia is: the loss of cognitive function that interferes with routine personal, social and occupational activities
A hallucination is: seeing, hearing, smelling, or feeling something that is not real.
Pseudodementia is: a fals dementia
Sundowning is: when signs, symptoms and behaviors of AD increase during the hours of darkness
Which statement is correct regarding changes in the brain? Aging causes changes in the brain an nervous system
Cognitive function involves which of the following? Memory and thinking
Which is a cause of confusion in older persons? Reduced blood supply to the brain
Which is common with confusion? Personality and mental changes
You would expect the person who is confused to: have difficulty with activities of daily living
Which statement about acute confusion is correct? Infection, illness, and injury are common causes.
A resident is confused. The person usually naps after lunch. Which action is correct? Follow the person's routine.
A resident is confused. Which is correct? Open drapes during the day.
Which statement about dementia is correct? The person with dementia my have delirium and depression
Which is an early warning sign of dementia? Misplacing things and putting things in unusual places.
Which is an early warning sign of dementia? Getting lost in familiar places
Which is the most common cause of permanent dementia? Alzheimer's disease
Which statement about permanent dementia is correct? The person has signs and symptoms of dementia.
Which statement about pseudodementia is correct? It can occur with delirium and depression
Which statement about delirium is correct? It is common in older people with acute illnesses
Which statement about depression is correct? Depression, aging, and some drug side effects have similar signs and symptoms.
Which statement about Alzheimer's diseases is correct? 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
Which of the following problems occur early in mild AD? Difficulty managing money
A resident has AD. Which of the following is probably caused by AD? Forgetting names
A resident has AD. Which of the following is probably caused by AD? Not being able to tell time
A resident is in the last stage of AD. The person's care plan should include which of the following? Providing for all ADL's
A resident has AD. The person has the following behaviors. Which has the greatest risk for danger? Wandering
Which statement about wandering is correct? Pain, restlessness, and anxiety are possible causes.
The Alzheimer's Association has a program for person who wander. The program is called: Safe Return
A resident has AD. She tends to wander. Her care plan should include which of the following? Make sure that she wears her ID bracelet.
A resident is AD experiences sundowning everyday. The person's care plan should include which of the following? Provide adequate lighting.
A resident has AD. The person's hallucinations include seeing "kitty cats" in the closet. Which of the following measures will be helpful? Making sure that the person wears needed eyeglasses
A resident has AD. The person's hallucinations include seeing "kitty cats" in the closet. Which of the following measure will be helpful? Preventing glares, shadows, and reflections
A resident has AD. The person think that food contains poison. This is called: a delusion
A resident has AD. The person thinks that the food contains poison. What could you do for the person to help her or him? 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. Which of the following measures 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 communicating
A resident has AD. The person often screams a word in a foreign language. Possible causes of screaming include which of the following? 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. Which of the following is a normal behavior? Hugging and kissing one's partner
A resident has AD. She is trying to rub her perineum through her clothes. Which statement is correct? She may have pain or discomfort in her urinary or reproductive system.
A resident has AD. His wife visits daily. They like to touch, hold hands and kiss. Which action is correct? Provide Privacy
A resident has AD. You find him masturbating in another person's room. Shat 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?" Which action may be helpful? Take the person for a walk.
While caring for a person with AD, you find yourself becoming frustrated and short-tempered. Which of the following statements is correct? The person has the same rights as other residents
A resident has AD. As death nears, the person may need: hospice care
Persons AD are a risk for; infection
You care for several residents with AD. Why must you report behavior changes to the nurse? They may signal other illnesses or injuries
A resident has AD. When planning activities for the person, the therapist considers: the person's abilities and interests
A resident has problems finding her room, the bathroom, the dining room, and so on. Which of the following might help her? Picture signs
A resident has AD. The person easily becomes agitated and combative. Which of the following measures might help the person? Keep the person's treasures nearby
A resident has AD. The person's communications is impaired. When talking to the person, which is correct? use a calm, gentle voice.
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 or rush the person.
A resident has AD. You are helping her dress. Which action is correct? let her choose between a dress and pant suit
A resident has AD. You find the following items in the person's room. Which is unsafe? Shampoo
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.
Which is a safety measure to protect persons with AD? Place safety plugs in electrical outlets.
A resident has AD. The person's care plan should include which of the following measures to promote sleep? Follow the person's bedtime rituals.
A resident has AD. You are helping the person dress. Which of the following will cause the fewest problems? A front-opening garment that closes with Velcro
A resident has AD. You are helping the person dress. Which action is correct? Tell the person what to do with each clothing item.
A resident has AD. When providing for the person's basic needs, which is correct? have equipment ready for any procedure.
A resident has AD. When meeting the person's basic needs, you should do which of the following? Provide for personal hygiene, oral hygiene, and skin care.
A nursing center has a secured unit for persons with AD. Which statement is correct? 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 which of the following/ 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. Which of the following 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. Which is the best way to protect the person's right to personal choice? Give the person 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. Which statement is correct? 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. True
Created by: Healthtrade
 

 



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