Chapter 40 Confusion and Dementia
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| Delirium is: | a temporary state of sudden, severe confusion and rapid brain changes
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| A delusion is: | a false belief
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| Dementia is: | the loss of cognitive function that interferes with routine personal, social and occupational activities
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| A hallucination is: | seeing, hearing, smelling, or feeling something that is not real.
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| Pseudodementia is: | a fals dementia
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| Sundowning is: | when signs, symptoms and behaviors of AD increase during the hours of darkness
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| Which statement is correct regarding changes in the brain? | Aging causes changes in the brain an nervous system
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| Cognitive function involves which of the following? | Memory and thinking
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| Which is a cause of confusion in older persons? | Reduced blood supply to the brain
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| Which is common with confusion? | Personality and mental changes
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| You would expect the person who is confused to: | have difficulty with activities of daily living
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| Which statement about acute confusion is correct? | Infection, illness, and injury are common causes.
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| A resident is confused. The person usually naps after lunch. Which action is correct? | Follow the person's routine.
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| A resident is confused. Which is correct? | Open drapes during the day.
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| Which statement about dementia is correct? | The person with dementia my have delirium and depression
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| Which is an early warning sign of dementia? | Misplacing things and putting things in unusual places.
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| Which is an early warning sign of dementia? | Getting lost in familiar places
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| Which is the most common cause of permanent dementia? | Alzheimer's disease
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| Which statement about permanent dementia is correct? | The person has signs and symptoms of dementia.
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| Which statement about pseudodementia is correct? | It can occur with delirium and depression
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| Which statement about delirium is correct? | It is common in older people with acute illnesses
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| Which statement about depression is correct? | Depression, aging, and some drug side effects have similar signs and symptoms.
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| Which statement about Alzheimer's diseases is correct? | The person has behavior, mood, and personality changes
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| At what age do the first symptoms of AD usually occur? | After age 60
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| What is the cause of AD? | Unknown
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| What is the classic sign of AD? | Gradual loss of short term memory
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| Which of the following problems occur early in mild AD? | Difficulty managing money
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| A resident has AD. Which of the following is probably caused by AD? | Forgetting names
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| A resident has AD. Which of the following is probably caused by AD? | Not being able to tell time
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| 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
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| A resident has AD. The person has the following behaviors. Which has the greatest risk for danger? | Wandering
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| Which statement about wandering is correct? | Pain, restlessness, and anxiety are possible causes.
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| The Alzheimer's Association has a program for person who wander. The program is called: | Safe Return
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| 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.
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| A resident is AD experiences sundowning everyday. The person's care plan should include which of the following? | Provide adequate lighting.
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| 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
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| 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
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| A resident has AD. The person think that food contains poison. This is called: | a delusion
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| 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
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| Catastrophic reactions usually occur from: | too many stimuli at one time
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| 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
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| 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
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| 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
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| Persons with AD may have abnormal sexual behaviors. The behaviors are abnormal because: | of how and when they occur.
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| Persons with AD may have abnormal sexual behaviors. Which of the following is a normal behavior? | Hugging and kissing one's partner
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| 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.
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| A resident has AD. His wife visits daily. They like to touch, hold hands and kiss. Which action is correct? | Provide Privacy
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| A resident has AD. You find him masturbating in another person's room. Shat should you do? | Guide him to his room.
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| 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
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| 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.
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| 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
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| A resident has AD. As death nears, the person may need: | hospice care
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| Persons AD are a risk for; | infection
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| You care for several residents with AD. Why must you report behavior changes to the nurse? | They may signal other illnesses or injuries
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| A resident has AD. When planning activities for the person, the therapist considers: | the person's abilities and interests
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| A resident has problems finding her room, the bathroom, the dining room, and so on. Which of the following might help her? | Picture signs
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| 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
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| A resident has AD. The person's communications is impaired. When talking to the person, which is correct? | use a calm, gentle voice.
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| A resident has AD. Which is the correct way to gain the person's attention? | Approach the person from the front.
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| 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.
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| A resident has AD. You are helping her dress. Which action is correct? | let her choose between a dress and pant suit
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| A resident has AD. You find the following items in the person's room. Which is unsafe? | Shampoo
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| 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.
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| Which is a safety measure to protect persons with AD? | Place safety plugs in electrical outlets.
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| 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.
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| 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
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| A resident has AD. You are helping the person dress. Which action is correct? | Tell the person what to do with each clothing item.
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| A resident has AD. When providing for the person's basic needs, which is correct? | have equipment ready for any procedure.
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| 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.
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| A nursing center has a secured unit for persons with AD. Which statement is correct? | OBRA considers secured units to be physical restraints
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| 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
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| 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
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| A person has AD. Which of the following can offer the person's daughter support and encouragement? | An Alzheimer's support group
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| 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
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| 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.
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| 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.
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| 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.
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| A resident has AD. what activities should you encourage the person to do? | The ones in the person's care plan
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| Proper use of validation therapy requires special training. | True
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