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Dementia Care
| Question | Answer |
|---|---|
| Delirium is best described as: | Slow, progressive memory loss that cannot be reversed |
| Dementia is: | A slow, usually irreversible loss of thinking and memory |
| Which of the following is a common cause of delirium in older adults? | Urinary tract infection |
| Which statement about dementia is TRUE? | It is usually permanent and worsens over time. |
| “Sundowning” means: | Resident becomes more confused and restless in the evening. |
| In which stage of Alzheimer’s disease is short-term memory loss and poor judgment first noticed, but the resident can often still live at home with minimal help? | Stage 1 – Mild |
| In which stage is the resident unable to recognize family and needs help with all ADLs? | Stage 3 – Severe |
| A resident who is incontinent, cannot walk, has difficulty swallowing, and is totally dependent is most likely in: | Stage 4 |
| A resident accuses staff of stealing, wanders at night, and has obvious memory loss. This is most consistent with: | Stage 2 |
| Which of the following is a behavioral sign of confusion? | Wandering or getting lost |
| Which is a physical cause of confusion? | Infection |
| Which is a sensory/emotional cause of confusion? | Poor vision or hearing |
| Which is an environmental cause of confusion? | Moving to a new room |
| A resident sees things that are not there. This is called: | Hallucination |
| A resident walks around the facility with no clear purpose and may leave the building. This is: | Wandering |
| A catastrophic reaction is | A severe overreaction to a situation |
| Which of the following can help prevent catastrophic reactions? | Keeping routines calm and predictable |
| During a catastrophic reaction, the CNA should: | Stay calm and move the resident to a quiet area |
| Which communication strategy is BEST for a resident with dementia? | Using short, simple, one-step directions |
| Which is the BEST example of maintaining dignity for a confused resident? | Helping the resident dress in clean, appropriate clothing |
| Validation therapy focuses mainly on: | Accepting and confirming the resident’s feelings |
| Reality orientation is most appropriate for: | A newly confused resident with pneumonia |
| Which statement about validation therapy is TRUE? | It confirms feelings rather than focusing on facts |
| A resident with moderate dementia keeps saying, “I need to go home to my children,” but her children are adults. Using validation therapy, the CNA should say: | “Tell me about your children. You must love them very much.”Reality orientation strategies include: |
| Expressive aphasia means the resident | Understands speech but cannot express thoughts clearly |
| A resident who sees a hairbrush but does not recognize what it is most likely has: | Agnosia |
| A resident who knows what a spoon is but cannot coordinate his hand to bring it to his mouth most likely has | Apraxia |
| Which is the BEST way to communicate with a resident who has aphasia? | Use simple words, speak slowly, and give extra time to respond |
| Which sign is MOST likely in Stage 1 (mild) dementia? | Gradual short-term memory loss and moodiness |
| Which sign is MOST likely in Stage 3 (severe) dementia? | Disoriented to person, place, and time and cannot read or write |
| The main goal of nursing care for residents with confusion is to: | Maintain the highest possible level of function and safetyWhich of the following should the CNA report immediately to the nurse? |
| Which response is MOST appropriate when a confused resident becomes rude and insulting? | Stay calm and continue to provide care respectfully |
| Which of the following BEST describes a chronic condition? | Diabetes that lasts for years |
| Which statement about families of residents with Alzheimer’s disease is TRUE? | They often experience stress, grief, and need support. |
| Which is a helpful environmental strategy for residents with dementia? | Keeping a calendar and clock visible in the room |
| Which of the following BEST shows person-centered care for a resident with dementia? | Getting to know the resident’s past, likes, and dislikes |
Created by:
HerndonFON