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Questions and Answers

Is the statement about constipation true?

True

Which of the following statements describe what constipation is? (Select all that apply)

  • Infrequency of passing stool
  • Difficulty in the passage of stool
  • Hardness of the bowel movement
  • All of the above (correct)
  • A and B

    • Which of the following could be an indication that an individual may be constipated? (Select all that apply)

  • The individual's toileting habits change. The individual is staying in the bathroom for long periods of time
  • The individual complains about his/her inability to have a bowel movement for more than two days
  • You observe small, hard stool in the toilet after the individual used the restroom
  • All of the above (correct)
  • None of the above

    • In which of the following situations would you NOT contact 911 regarding an individual's constipation?

    <p>The individual last had a bowel movement yesterday</p> Signup and view all the answers

    Could a new medication for pain cause constipation in an individual with no previous history of constipation?

    <p>True</p> Signup and view all the answers

    Is an individual with low muscle tone, such as an individual with Down's syndrome, more likely to have constipation problems?

    <p>True</p> Signup and view all the answers

    Which of the following could be considered a contributing factor to an individual with constipation? (Select all that apply)

    <p>A and C</p> Signup and view all the answers

    Which of the following would be an example of lifestyle prevention for constipation? (Select all that apply)

    <p>A and B</p> Signup and view all the answers

    Which of the following foods is NOT a good source of fiber?

    <p>Steak or ground beef</p> Signup and view all the answers

    Which of the following is a stool softener? (Select all that apply)

    <p>A and B</p> Signup and view all the answers

    Which of the following would fall into the stimulant category for treating constipation? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    In which of the following situations should you seek immediate medical attention?

    <p>A and C</p> Signup and view all the answers

    If you are concerned about an individual's health and safety, should you wait before calling 911?

    <p>False</p> Signup and view all the answers

    True or False: An individual with no previous history of constipation could have constipation due to a new medication.

    <p>True</p> Signup and view all the answers

    Which of the following statements describe what constipation is? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    Which of the following could be an indication that an individual may be constipated? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    In which of the following situations would you NOT contact 911 regarding an individual's constipation?

    <p>The individual last had a bowel movement yesterday</p> Signup and view all the answers

    Yes or No: Is an individual with low muscle tone, such as with Down's syndrome, more likely to have constipation problems?

    <p>True</p> Signup and view all the answers

    Which of the following could be considered a contributing factor to an individual with constipation?

    <p>A and C</p> Signup and view all the answers

    Which of the following would be an example of lifestyle prevention for constipation?

    <p>A and B</p> Signup and view all the answers

    Which of the following foods is NOT a good source of fiber?

    <p>Steak or ground beef</p> Signup and view all the answers

    Which of the following is a stool softener?

    <p>A and B</p> Signup and view all the answers

    Which of the following would fall into the stimulant category for constipation treatment?

    <p>All of the above</p> Signup and view all the answers

    In which situation should you seek immediate medical attention?

    <p>A and C</p> Signup and view all the answers

    If you are concerned about an individual's health and safety, it is always better to wait before calling 911 until you know it is really an emergency.

    <p>False</p> Signup and view all the answers

    A 'Mega Colon' means which of the following?

    <p>The colon is extremely dilated</p> Signup and view all the answers

    Which of the following can be purchased with an individual's personal incidental funds? (Select all that apply)

    <p>Shoes</p> Signup and view all the answers

    In which of the following instances do you need to get a receipt for an individual's purchases?

    <p>For any purchases of $10 or more</p> Signup and view all the answers

    What document must be developed at the time an individual enters the DD adult foster home?

    <p>Transition Plan</p> Signup and view all the answers

    Which of the following is true about the Individual Support Plan?

    <p>All of the above</p> Signup and view all the answers

    The ISP should include 6 hours of activities each week that are of interest to the individual. This includes all of the following activities, Except:

    <p>Watching television</p> Signup and view all the answers

    When completing an incident report, how long do you have to get the completed report sent to the Community Developmental Disabilities Program (CDDP)?

    <p>Within 5 working days</p> Signup and view all the answers

    Progress Notes for each individual need to be written at a minimum, how often?

    <p>Monthly</p> Signup and view all the answers

    Individuals with disabilities have the same rights as individuals without disabilities.

    <p>True</p> Signup and view all the answers

    If possible, the following people should be included in the ISP team:

    <p>A, B &amp; C</p> Signup and view all the answers

    It is acceptable to borrow money from an individual if you pay it back within the same week.

    <p>False</p> Signup and view all the answers

    What information should not be included on an Individual Support Plan (ISP)?

    <p>Rules for the individual to follow</p> Signup and view all the answers

    When documenting, you should NOT:

    <p>Correct mistakes using white out and initialing</p> Signup and view all the answers

    Which of the following is NOT an example of financial records that may be common in a DD adult foster home?

    <p>Retirement Portfolio</p> Signup and view all the answers

    Which of the following can be purchased with an individual's Room & Board money?

    <p>Cleaning Supplies</p> Signup and view all the answers

    There are four 'Best Practice Guidelines' that should be followed when administering medication. One of these guidelines is the 'Five Always'. Two of the other three 'Best Practice Guidelines' are:

    <p>The 'Six Right' and the 'Five Musts'</p> Signup and view all the answers

    The Medication Administration Record (MAR) must contain the following information:

    <p>All of the above</p> Signup and view all the answers

    When administering any medication you are required to know why you are giving it.

    <p>True</p> Signup and view all the answers

    Which of the following could contribute to an individual's behavior?

    <p>All of the above</p> Signup and view all the answers

    If a caregiver employs a physical intervention when it is not necessary or when the individual is no longer a threat, this may be considered:

    <p>Abuse</p> Signup and view all the answers

    If a caregiver fails to act in a timely and appropriate manner and an individual sustains an injury that could have been avoided, this may be considered:

    <p>Neglect</p> Signup and view all the answers

    In certain circumstances, an individual's rights may be restricted with the approval of the ISP team.

    <p>True</p> Signup and view all the answers

    Which of the following is NOT the intention of a positive behavior support plan?

    <p>To assist in creating rules for individuals to follow</p> Signup and view all the answers

    The doctor has ordered one medication to be stopped and a new medication to begin. You have already initialed the Medication Administration Record (MAR) that the medication to be stopped was administered even though the medication was never given. You should:

    <p>Circle your initials for the medication that was not administered and document on the back of the MAR the name of the medication, the time and that the MAR was signed in error</p> Signup and view all the answers

    If an individual has an ordered medication to be administered 'G 6H' this indicates it is to be given:

    <p>Every six hours</p> Signup and view all the answers

    If the physician ordered Tylenol '325 mg (2 tabs) PO, Q 4H PRN, for pain' and the individual was administered 2 tablets at 3:00 PM, can you give two more tablets at 5:45 PM?

    <p>False</p> Signup and view all the answers

    Billy has told you that he has a headache and would like his PRN Tylenol. Which of the following do you need to do?

    <p>B &amp; C</p> Signup and view all the answers

    Joe has medication that is scheduled to be administered at bedtime. Joe goes to bed at 9:00 each night. What is the earliest time that the medication should be administered?

    <p>8:00 PM</p> Signup and view all the answers

    Dave has requested that you place his medication in a cup for him to take when he gets to the table for lunch. You know that it is against the rules but you do it anyway. Before Dave arrives at the table, Emily comes by and swallows the medications before you can stop her. What should you do?

    <p>All of the above</p> Signup and view all the answers

    Larry is a new resident and just arrived this morning at 9:00 AM. You have a question about one of Larry's medications that is scheduled to be administered at bedtime. Should you go ahead and administer the medication without contacting the doctor or pharmacist?

    <p>False</p> Signup and view all the answers

    In medication administration what does NPO stand for?

    <p>Nothing by mouth</p> Signup and view all the answers

    Which of the following is NOT a component of Positive Behavior Support?

    <p>Protective intervention should be used whenever an individual becomes upset</p> Signup and view all the answers

    Which of the following may be affected due to an individual's medical diagnosis?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT a situation where an Incident Report is required to be completed?

    <p>An individual has a scheduled doctor's appointment</p> Signup and view all the answers

    'Reasonable Response' is defined by which of the following:

    <p>Just enough intervention for protection from injury and no more than necessary</p> Signup and view all the answers

    Standing in a doorway to prevent an individual from leaving a room is NOT a physical intervention.

    <p>False</p> Signup and view all the answers

    If any protective physical intervention results in an injury you must notify the Service Coordinator or appropriate designee within how many working days?

    <p>1 working day</p> Signup and view all the answers

    Protective physical interventions must only be applied in what circumstances?

    <p>A and B</p> Signup and view all the answers

    When responding to a challenging behavior or incident, caregivers are expected to:

    <p>Use appropriate interventions that protect themselves and all individuals from injury using the most reasonable response</p> Signup and view all the answers

    The use of a protective physical intervention must be documented by an incident report in which of the following circumstances:

    <p>An incident report must be completed anytime a protective physical intervention is employed</p> Signup and view all the answers

    By the time you feel thirsty you have probably already lost what percentage of body fluids?

    <p>1-2%</p> Signup and view all the answers

    Which of the following would be appropriate choices for fluid replacement?

    <p>B and C</p> Signup and view all the answers

    Dehydration is the loss of body fluids or output that exceeds intake.

    <p>True</p> Signup and view all the answers

    Which is NOT a common factor that can cause an individual with developmental disabilities to be at risk of dehydration?

    <p>Individual has light skin and red hair</p> Signup and view all the answers

    If you are concerned that an individual is not receiving adequate fluids, you could do which of the following?

    <p>All of the above</p> Signup and view all the answers

    Which of the following are symptoms of dehydration?

    <p>A, C and D</p> Signup and view all the answers

    You should contact 911 if you are concerned about the immediate health and safety of an individual.

    <p>True</p> Signup and view all the answers

    Sometimes your efforts may not be enough to prevent dehydration in an individual, and professional intervention is required. Which of the following is NOT a professional intervention for dehydration?

    <p>Online search for dehydration information</p> Signup and view all the answers

    Which of the following items are high in fluid content and thus assist in replacing lost body fluids?

    <p>Soups and puddings</p> Signup and view all the answers

    Which of the following is a dehydration warning sign that should prompt a call to the doctor?

    <p>It is 1:00 PM and the individual has not voided since 7:00 PM the previous day. At the time the individual's urine was observed to be very dark, almost brown.</p> Signup and view all the answers

    Which of the following would NOT place an individual at risk for dehydration?

    <p>The individual is able to ambulate and obtain their own fluids when thirsty</p> Signup and view all the answers

    Which of the following are strategies to help prevent dehydration?

    <p>All of the above</p> Signup and view all the answers

    If an individual has been diagnosed with cardiac or kidney disease, should you speak with his/her doctor before offering unlimited fluids?

    <p>Yes</p> Signup and view all the answers

    Dehydration can occur in a matter of hours given the right circumstances.

    <p>True</p> Signup and view all the answers

    Study Notes

    Personal Incidental Funds

    • Shoes can be purchased using an individual's personal incidental funds.

    Receipts for Purchases

    • Receipts are required for any purchases of $10 or more.

    Documentation upon Entry

    • A Transition Plan must be developed when an individual enters a DD adult foster home.

    Individual Support Plan (ISP)

    • The ISP must be updated annually, when support needs change, and completed within 60 days of entry.

    Activities in ISP

    • 6 hours of activities weekly should exclude watching television.

    Incident Report Timeliness

    • Complete incident reports must be sent to the CDDP within 5 working days.

    Progress Notes Frequency

    • Progress notes for individuals must be written at least monthly.

    Rights of Individuals with Disabilities

    • Individuals with disabilities have the same rights as those without disabilities.

    ISP Team Composition

    • The ISP team should include the case manager, individual, and provider.

    Borrowing Money from Individuals

    • Borrowing money from an individual is not acceptable even if repaid within the same week.

    ISP Content

    • Rules for the individual should not be included in the ISP.

    Documentation Guidelines

    • Mistakes should be corrected by crossing them out, not with white-out.

    Financial Records in DD Homes

    • Retirement Portfolio does not count as a common financial record.

    Room & Board Purchases

    • Cleaning supplies can be purchased with an individual's Room & Board money.

    Medication Administration Guidelines

    • Key guidelines include the "Six Rights" and "Five Musts" as part of medication administration best practices.

    MAR Documentation

    • The Medication Administration Record (MAR) must document medication name, dosage, route, allergies, and administration times.

    Knowledge of Medication Purpose

    • It is essential to know why a medication is administered.

    Behavioral Influences

    • Individuals' behaviors can be affected by factors like doctor's appointments, headaches, or medications.

    Physical Intervention Misuse

    • Unnecessary physical restraint may be classified as abuse.

    Timely Action in Care

    • Failing to act appropriately can lead to neglect if harm occurs.

    Rights Restrictions

    • Individual rights may be restricted with ISP team approval under certain circumstances.

    Positive Behavior Support Plans

    • These plans focus on understanding the individual, not creating rules for them.

    MAR Errors

    • Mistakes on the MAR must be noted, circling initials for unadministered medications.

    Medication Administration Frequency

    • "G 6H" indicates medication should be given every six hours.

    Timing of PRN Medications

    • Administering medication too soon after a prior dose is not allowed.

    Caregiver Responsibility for Requests

    • Document requests for PRN medications on MAR immediately after administering.

    Medication Timing

    • Administer bedtime medications no earlier than one hour before bedtime.

    Incident Reporting Following Errors

    • Report incidents, including medication errors, to the Service Coordinator.

    NPO Definition

    • NPO stands for "Nothing by mouth."

    Positive Behavior Support Components

    • Protective interventions shouldn't be the first response to upset individuals.

    Medical Diagnosis Influence

    • Medical conditions can affect organization, cognitive abilities, and communication.

    Incident Report Requirements

    • Scheduled doctor's appointments do not require an incident report.

    Reasonable Response Definition

    • A reasonable response is just enough intervention to prevent injury.

    Physical Interventions Documentation

    • An incident report is necessary anytime a physical intervention is used.

    Thirst and Fluid Loss

    • Feeling thirsty indicates 1-2% loss of body fluids.

    Fluid Replacement Choices

    • Flavored water, fruit juices, and soups are suitable for hydration.

    Dehydration

    • Occurs when fluid output exceeds intake and can lead to serious risks.

    Risks of Dehydration

    • Mobility issues, being nonverbal, or impaired thirst response increase the risk of dehydration.

    Symptom Monitoring

    • Track daily fluid intake to ensure adequate hydration.

    Dehydration Symptoms

    • Symptoms include changes in awareness, sticky mucus, and hard bowel movements.

    Professional Intervention for Dehydration

    • Seeking medical advice is critical if dehydration is suspected.

    High Fluid Content Foods

    • Soups and puddings can effectively help prevent fluid loss.

    Dehydration Warning Signs

    • Very dark urine and no voiding for extended periods warrant medical attention.

    Grouping Risk Factors for Dehydration

    • Contributing factors include weather conditions and illnesses that elevate fluid needs.

    Constipation Definition

    • Constipation is defined by infrequency, difficulty, and hardness of bowel movements.

    Identifying Constipation

    • Signs include changes in toileting habits, complaints of inability to have a movement, and observing hard stool.

    911 Contact Guidelines

    • Immediate medical attention is vital for severe constipation issues.

    Medication-Induced Constipation

    • New pain medications can cause constipation issues even if there is no prior history.

    Low Muscle Tone and Constipation

    • Individuals with low muscle tone are more susceptible to constipation problems.### Constipation Risk and Lifestyle Changes
    • Individuals unable to ambulate without assistance, and those consuming a high fluid intake, are at increased risk for constipation.
    • Mechanical diets and limited fiber intake can contribute to constipation.

    Lifestyle Prevention Strategies

    • Establishing a toileting schedule can effectively prevent constipation.
    • Increasing dietary intake of raw fruits and vegetables is essential for regular bowel movements.
    • Alcohol consumption is not a recommended dietary measure for preventing constipation.

    Signs of Bowel Movement Difficulties

    • Increased trips to the restroom and prolonged time spent can indicate difficulty in bowel movements.
    • Symptoms such as a bloated, firm stomach are warning signs to monitor.
    • Loose stools following hard and small bowel movements suggest underlying issues.

    Dietary Fiber Sources

    • Foods high in fiber include bran products, various fruits, and raw vegetables.
    • Meat, including steak and ground beef, is not a good source of dietary fiber.

    Stool Softeners and Their Use

    • Docusate sodium (DSS) and Colace are common stool softeners used when dietary changes fail.
    • It's important to differentiate between stool softeners and other products like Milk of Magnesia, which is not classified as a stool softener.

    Stimulant Treatments for Constipation

    • Bisacodyl is categorized as a stimulant for treating constipation.
    • Both Milk of Magnesia and Bisacodyl fall under stimulant treatments.

    Urgent Medical Situations

    • Seek immediate medical attention if an individual has not had a bowel movement for seven days and shows signs of refusing food and fluids.
    • Abdominal swelling, refusal to eat or drink, and fever also warrant urgent care.

    Emergency Response Guidelines

    • It’s critical to call for emergency help immediately if health concerns arise rather than waiting to confirm an emergency situation.

    Mega Colon

    • Mega Colon refers to an extremely dilated colon, which can occur due to chronic constipation and leads to significant health risks.

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