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CNA 2023
Chapter 40 Confusion and Dementia
Question | Answer |
---|---|
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 |