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Confusion and Dementia

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Question
Answer
Changes in the _____________ and nervous system occur with aging.   Brain  
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Memory, thinking, reasoning, ability to understand, judgement, and behavior are all part of ________________ function.   Cognitive  
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Diseases, infection, hearing and vision loss, and medication side effects are some causes of ____________________.   Confusion  
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Brain _______________ can be a cause of confusion.   Injury  
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With aging, blood supply to the _______________ is reduced resulting in personality and mental changes.   Brain  
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Memory and the ability to make good _______________ can be lost as one ages.   Judgments  
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A person with confusion may not know _____________, the time, or the place they are at.   People  
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Some person gradually use the ability to ______________ daily activities.   Perform  
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Acute confusion occurs _______________.   Suddenly  
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Causes of acute confusion can be _________________, illness, injury, medications, and surgery.   Infection  
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What is the loss of cognitive function that interferes with routine personal, social, and occupational activities?   Dementia  
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Caring for the person with confusion includes maintaining the _________-____________ cycle.   Day-night  
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To maintain the day-night cycle you should ______________ window coverings during the day.   Open  
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To maintain the day-night cycle you should close window coverings at _____________.   Night  
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To maintain the day-night cycle you should use night-_____________ at night.   Lights  
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To maintain the day-night cycle you should have the person wear ____________ clothes during the day.   Regular  
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To maintain the day-night cycle you should follow the person's ________________ as closely as possible.   Routine  
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Dementia is not a _________________ part of aging.   Normal  
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Early warning signs of dementia include recent ______________ loss that affects job skills.   Memory  
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Early warning signs of dementia include problems with _____________ tasks such as dressing, cooking, and driving.   Common  
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Early warning signs of dementia include problems with _______________ such as forgetting simple words.   Language  
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Early warning signs of dementia include getting ____________ in familiar places.   Lost  
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Early warning signs of dementia include misplacing things and putting things in _____________ places.   Odd  
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Early warning signs of dementia include personality ______________________.   Changes  
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Early warning signs of dementia include poor or decreased ________________.   Judgment  
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Early warning signs of dementia include loss of interest in __________.   Life  
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Some dementias can be _______________ if changes in the brain have not occurred.   Reversed  
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Treatable causes of dementia include _________________ and alcohol.   Medications  
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Treatable causes of dementia include delirium and _______________.   Depression  
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Tumors, head injuries, and infection are all __________________ causes of dementia.   Treatable  
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Treatable causes of dementia include heart, lung, and blood _____________ problems.   Vessel  
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Treatable causes of dementia include vision and ______________ problems.   Hearing  
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Permanent dementias result from changes in the _____________.   Brain  
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What is the most common type of permanent dementia?   Alzheimer's  
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What term means false dementia?   Pseudodementia  
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Pseudodementia can occur with ________________ and depression.   Delirium  
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What is a state of sudden, severe confusion and rapid brain changes?   Delirium  
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Delirium is usually ______________ and reversible.   Temporary  
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Delirium is common in older persons with _______________ or chronic illnesses.   Acute  
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What is the most common mental health disorder in older persons?   Depression  
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Depression, aging, and some medication side effects have ___________ signs and symptoms.   Similar  
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Alzheimer's disease (AD) is a brain disease in which _____________ cells that control intellectual and social function are damaged and die.   Nerve  
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Symptoms of AD usually first appear after age _______.   60  
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The cause of AD is _____________.   Unknown  
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The classic sign of AD is a gradual loss of _______-_________ memory.   Short-term  
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Warning signs of AD include ___________ the ability to pay bill or balance a checkbook.   Losing  
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Warning signs of AD include neglecting to _______________ or other hygiene matters.   Bathe  
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Warning signs of AD include wearing the same ____________ over and over again.   Clothes  
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Warning signs of AD include forgetting recent events, conversations, and _____________________.   Appointments  
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Warning signs of AD include forgetting _____________ including those of family members.   Names  
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Warning signs of AD include ______________ away from home.   Wandering  
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Stage 1 (or mild AD) is characterized by memory loss - forgetfulness or forgetting ______________ events.   Recent  
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Stage 1 (or mild AD) is characterized by blaming others for _____________, forgetfulness, and other problems.   Mistakes  
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Stage 1 (or mild AD) is characterized by problems performing every-day _______________.   Tasks  
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Stage 2 (or moderate AD) is characterized by a loss of ___________ control.   Impulse  
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A person with stage 2 AD may use ____________ language, poor table manners, exhibit sexual aggression, or be rude.   Foul  
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Stage 3 (or severe AD) is characterized by a total ________________ on others for care.   Dependence  
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Stage 3 (or severe AD) is characterized by being ______________ to person, time, and place.   Disoriented  
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Stage 3 (or severe AD) is characterized by being totally _______________ of urine and feces.   Incontinent  
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Persons with AD may _____________ away and get lost.   Wander  
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Person with AD have poor judgment and cannot tell what is safe or ________________.   Dangerous  
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What is the term used when a person leaves the center without staff knowledge?   Elopement  
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Pain, medication side effects, stress, restlessness, and anxiety are possible causes of ________________.   Wandering  
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MedicAlert + Safe Return is a 24-hour emergency service for persons with Alzheimer's who _____________ or have a medical emergency   Wander  
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The MedicAlert program provides each person with an ID (identification) in the form of a wallet card, _____________, or necklace.   Bracelet  
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What is it called when signs, symptoms, and behaviors of AD increase during hours of darkness?   Sundowning  
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Sundowning may relate to being ___________ or hungry.   Tired  
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Poor light or shadows in the evening may cause a person with AD to _____________ things that are not there.   See  
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What is seeing, hearing, smelling, or feeling something that is not real?   Hallucination  
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Hallucinations are sometimes caused by poor __________ and hearing.   Vision  
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What are false beliefs?   Delusions  
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Some persons with AD may have the delusion that they are in jail, being ________________, or are being attacked.   Killed  
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What is a disorder of the mind in which a person has delusions and suspicion about a person or situation?   Paranoia  
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A person with AD may be paranoid that others are being __________, lying, not fair, or "out to get" him or her.   Mean  
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The National Institute on Aging (NIA) recommends these measures when working with a paranoid person: do not ____________ if the person blames you for something.   React  
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The National Institute on Aging (NIA) recommends these measures when working with a paranoid person: do not ___________ with the person.   Argue  
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The National Institute on Aging (NIA) recommends these measures when working with a paranoid person: let the person know he or she is _________________.   Safe  
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The National Institute on Aging (NIA) recommends these measures when working with a paranoid person: use __________ or gently hug the person if you can without upsetting them.   Touch  
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The National Institute on Aging (NIA) recommends these measures when working with a paranoid person: help them ____________ for missing things to help distract the person.   Search  
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A ____________________ reaction is an extreme response.   Catastrophic  
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Catastrophic reactions are common from too many ______________.   Stimuli  
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An agitated and restless person may pace, ___________, or yell.   Hit  
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You can help and an agitated or restless person by providing a calm, quiet setting and meeting ____________ needs.   Basic  
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When working with an agitated or restless person it is important to keep personal _______ within the person's sight.   Items  
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What is a special bond between people who love and respect each other?   Intimacy  
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What is a type of intimacy in which partner physically express their feelings for each other?   Sexuality  
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Sexual behaviors are labeled ______________ because of how and when they occur.   Abnormal  
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Sexual behaviors may be hard for the person with AD to ___________ and may involve the wrong person, wrong place, or wrong time.   Control  
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Persons with AD may _______________ or expose themselves in front of others.   Undress  
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Persons with AD may __________________ or engage in sexual pleasures in public.   Masturbate  
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Person with AD may mistake someone else for a sexual partner and they may _____________ and hug them.   Kiss  
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If a person is masturbating or undressing in public, lead them to their ______________.   Room  
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Sometimes when a person touches, scratches, or rubs the genitals it can signal _____________, pain, discomfort, or poor hygiene.   Infection  
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Allow __________________ for persons with AD and their partner to express normal intimacy practices such as hand holding, kissing, and touching.   Privacy  
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What type of behaviors are repeated over and over again?   Repetitive  
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Music, picture books, exercise, and movies can help ______________ a person with repetitive behaviors.   Distract  
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Talking a person for a _______________ can help distract from repetitive behaviors.   Walk  
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Communication techniques with persons with AD and other dementias include approaching the person in a ____________, quiet manner.   Calm  
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Communication techniques with persons with AD and other dementias include approaching the person from the __________.   Front  
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Communication techniques with persons with AD and other dementias include speak slowly using _____________ words and short sentences.   Simple  
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Communication techniques with persons with AD and other dementias include giving the person time to ______________ without interruptions or rushing them.   Speak  
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Communication techniques with persons with AD and other dementias include giving the person plenty of time to ____________.   Respond  
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Communication techniques with persons with AD and other dementias include not criticizing, interrupting, arguing, or _____________ with the person.   Reasoning  
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Some person with AD have ___________________ problems and may scream due to confusion and poor communication skills.   Communication  
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Possible causes of communication problems include ______________ and vision problems, pain or discomfort, fear, and fatigue.   Hearing  
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Too much or not enough __________________ may cause a person with AD to scream.   Stimulation  
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Care of persons with AD and other dementias include placing ______________ signs by room doors, bathrooms, dining rooms, and other areas.   Picture  
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Care of persons with AD and other dementias include placing _______________ plugs in electrical outlets or covering outlets with safety plates.   Safety  
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Care of persons with AD and other dementias include storing personal care items (shampoo, deodorant, lotion, etc.) in a ____________ place out of the reach of the person.   Safe  
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Care of persons with AD and other dementias include storing dangerous _________________ and supplies in a safe place.   Equipment  
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Care of persons with AD and other dementias include not using _____________ because they tend to increase confusion and agitation.   Restraints  
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The use of restraints requires a doctor's _________________.   Order  
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Care of persons with AD and other dementias include following bedtime ________________ and habits.   Routines  
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Care of persons with AD and other dementias include meeting food and ______________ needs.   Fluid  
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Care of persons with AD and other dementias include providing good _______________ care.   Skin  
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Care of persons with AD and other dementias include promoting ______________ and activity during the day.   Exercise  
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Care of persons with AD and other dementias include promoting personal ________________.   Hygiene  
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Care of persons with AD and other dementias include promoting oral _____________.   Hygiene  
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Care of persons with AD and other dementias include dressing the person in ___________-opening garments.   Front  
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Care of persons with AD and other dementias include selecting clothing that pulls on or closes with ________________.   Velcro  
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Care of persons with AD and other dementias include offering _____________ clothing choices.   Simple  
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Care of persons with AD and other dementias include laying clothing out in the order it will be put ___________.   On  
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Care of persons with AD and other dementias include having all needed __________________ ready for any procedure.   Equipment  
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A person with Alzheimer's may need _______________ care as death nears.   Hospice  
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You need to carefully ________________ persons with AD because they may not be able to communicate pain, fever, constipation, incontinence or other signs and symptoms.   Observe  
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Therapies and activities for persons with AD focus on the person's ____________ and past successes.   Strengths  
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Activities are based on the person _______________ and capabilities.   Preferences  
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According to OBRA, ________________ nursing units are considered restraints.   Secured  
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A ________________ diagnosis and doctor's order is required to place a person on a secured unit.   Dementia  
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Adult children who care for their own children and their aging parents are said to be in the ________________ generation.   Sandwich  
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Caregivers can suffer from anger, anxiety, ______________, depression, and sleeplessness.   Guilt  
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Caregivers needing support and encouragement may find AD support _____________ helpful.   Groups  
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