CNA Chapter 5 Exam Flashcards

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Questions and Answers

Which of the following should a nursing assistant do if a resident is confused? (Select all that apply)

  • Stay calm and provide a quiet environment (correct)
  • Leave the resident alone until he is acting normally
  • Not mention the date or the location, as it will further confuse the resident
  • Avoid explaining care, as it will only agitate the resident

Confusion may be caused by

  • Exercise
  • Too much television viewing
  • A urinary tract infection (correct)
  • An unpleasant roommate

The ability to think logically and clearly is called

  • Cognition (correct)
  • Awareness
  • Dementia
  • Dysphagia

Which of the following statements is true of Alzheimer's disease (AD)?

<p>Skills a person has used over a lifetime are usually kept longer (A)</p> Signup and view all the answers

When a resident with AD is frightened, the NA should

<p>Check her body language to make sure she is not tense or hurried (A)</p> Signup and view all the answers

When a resident with AD shows memory loss, the NA should

<p>Repeat herself using the same words (D)</p> Signup and view all the answers

If a resident with AD has lost most of his verbal skills, the NA should

<p>Use touch, smiles, and laughter (A)</p> Signup and view all the answers

If a resident with AD is incontinent, the NA should

<p>Mark the bathroom with a sign or picture (A)</p> Signup and view all the answers

If a resident with AD has problems with bathing, the NA should

<p>Schedule bathing when the resident is least agitated (B)</p> Signup and view all the answers

One way for an NA to help a resident with AD with eating is to

<p>Use dishes without a pattern and a simple place setting (C)</p> Signup and view all the answers

If a resident with AD has problems with dressing, the NA should

<p>Lay out clothes in the order they should be put on (A)</p> Signup and view all the answers

A helpful way for an NA to respond to hallucinations is to

<p>Laugh to ease tension and encourage the resident to laugh (A)</p> Signup and view all the answers

An NA can respond to sundowning by

<p>Setting a bedtime routine and keeping it (B)</p> Signup and view all the answers

When a resident with AD perseverates, the NA should

<p>Answer questions each time they are asked (D)</p> Signup and view all the answers

If a resident with AD shows violent behavior, the NA should

<p>Remove triggers (D)</p> Signup and view all the answers

When a resident with AD cannot understand basic instructions, it is a good idea to use

<p>Short words, pictures, and gestures (A)</p> Signup and view all the answers

Which of the following would be the best way for an NA to respond to inappropriate sexual behavior?

<p>The NA should take the resident to a private area (C)</p> Signup and view all the answers

When a resident with AD hoards and rummages, the NA should

<p>Provide a rummaging drawer (C)</p> Signup and view all the answers

Which of the following statements is true of using validation therapy?

<p>An NA makes no attempt to reorient the resident to actual circumstances (C)</p> Signup and view all the answers

Which of the following is a type of therapy that involves having residents with Alzheimer's disease remember and talk about the past?

<p>Reminiscence therapy (B)</p> Signup and view all the answers

When is using activity therapy a good idea for residents with AD?

<p>Most stages of AD (A)</p> Signup and view all the answers

Flashcards

Confusion Management

Creating a calm, quiet environment for residents experiencing confusion, addressing potential medical causes like UTIs.

Cognitive Function

The ability to think logically and clearly. Alzheimer's doesn't mean lost skills, but rather gradual changes.

Communication Strategies (AD)

For frightened residents with Alzheimer's, observe body language (tension/hurriedness). Repeat key words. Use touch, smiles, and laughter when verbal skills diminish.

Incontinence & AD

For incontinent residents with Alzheimer's, use visual cues (bathroom signs/pictures) to guide them and schedule bathing during less agitated times

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Dressing Aids (AD)

Arrange clothing in the order they need to be worn to help residents with dressing challenges.

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Responding to Hallucinations (AD)

Acknowledge and reassure the resident, using laughter to reduce tension.

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Sundowning Management

Set a consistent bedtime routine to ease sundowning symptoms (increased agitation in the evening).

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Perseveration Management

Address repeated questions calmly and directly.

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Violent Behavior

Identify and remove triggers to manage violent behavior in residents.

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Basic Instruction Aids

Use short words, pictures, and gestures for residents unable to follow basic instructions.

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Inappropriate Sexual Behavior

Take residents exhibiting inappropriate sexual behavior to a private area for respectful intervention.

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Hoarding/Rummaging

Provide a dedicated 'rummaging' drawer to reduce stress and confusion for residents with these tendencies.

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Validation Therapy

Acknowledge and validate feelings of residents instead of trying to re-orient them.

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Reminiscence Therapy

Use past memories and conversations to comfort and engage residents.

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Activity Therapy (AD)

Engage residents, helping in most stages of Alzheimer's, to enhance positive interactions.

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Eating Aids (AD)

Use simple, non-patterned place settings to enhance eating experiences.

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Study Notes

Confusion Management

  • Stay calm and provide a quiet environment for residents experiencing confusion.
  • Confusion can be caused by medical issues like urinary tract infections (UTIs).

Cognitive Function

  • Cognition refers to the ability to think logically and clearly.
  • Alzheimer's disease does not signify normal aging; lifelong skills are maintained longer.

Communication Strategies

  • When residents with Alzheimer's disease (AD) are frightened, check body language to ensure they are not tense or hurried.
  • Repeat yourself using the same words when residents exhibit memory loss.
  • Use touch, smiles, and laughter to communicate with residents who have lost verbal skills.

Incontinence and Daily Activities

  • For incontinent residents with AD, marking the bathroom with a sign or picture can assist with navigation.
  • Schedule bathing at times when the resident is least agitated to enhance cooperation.
  • Use simple place settings without patterns to improve eating experiences.

Dressing and Personal Care

  • Lay out clothes in the order they should be worn to aid residents with dressing challenges.
  • Respond to hallucinations by reassuring the resident and encouraging laughter to ease tension.

Sundowning and Perseveration

  • Set a bedtime routine to manage sundowning effectively.
  • Address repetitive questions by answering them each time they are asked.

Behavioral Interventions

  • Remove triggers to manage violent behavior in residents.
  • Use short words, pictures, and gestures for residents who cannot follow basic instructions.

Inappropriate Behavior Handling

  • Take residents exhibiting inappropriate sexual behavior to a private area for correction.

Hoarding and Rummaging

  • Provide a dedicated rummaging drawer for residents who hoard or rummage, reducing stress and confusion.

Validation and Reminiscence Therapy

  • Validation therapy involves not reorienting residents but acknowledging their feelings.
  • Reminiscence therapy focuses on having residents remember and talk about the past; it is suitable in most stages of AD.

Activity Therapy

  • Activity therapy can be beneficial during most stages of Alzheimer's disease, facilitating engagement and interaction.

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