Community Resources for Dementia Clients and Caregivers
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Questions and Answers

What is a resource specifically mentioned for advance care planning for clients with dementia?

  • Nursing Home Toolkit: Promoting positive behavioral health.
  • Hartford Institute for Geriatric Nursing: Dementia series. (correct)
  • Critical Illness, Brain Dysfunction, and Survivorship (CIDS) Center.
  • Society of Critical Care Medicine: Clinical practice guidelines.
  • Which resource focuses on promoting positive behavioral health in a nursing home setting?

  • Confusion Assessment Method (CAM) from VA.gov.
  • American Geriatrics Society: CoCare: HELP program.
  • ICU-DIARY.org: Informal network for all health care workers.
  • Nursing Home Toolkit: Promoting positive behavioral health. (correct)
  • Where can caregivers find information on the Family Confusion Assessment Method (FAM-CAM)?

  • Society of Critical Care Medicine: Clinical practice guidelines.
  • Delirium Network.org: Family Confusion Assessment Method (FAM-CAM). (correct)
  • Advance Directive for Dementia.
  • ICU-DIARY.org: Informal network for all health care workers.
  • Which resource provides descriptions of ICU stay and delirium experience?

    <p>Critical Illness, Brain Dysfunction, and Survivorship (CIDS) Center.</p> Signup and view all the answers

    Where can health care workers interested in maintaining an ICU diary access resources?

    <p>ICU-DIARY.org: Informal network for all health care workers.</p> Signup and view all the answers

    What is an essential aspect when providing care for individuals with major neurocognitive disorders?

    <p>Maximize remaining abilities</p> Signup and view all the answers

    In the context of neurocognitive disorders, what should caregivers focus on to ensure a better quality of life?

    <p>Providing meaningful activities and relationships</p> Signup and view all the answers

    What is a key consideration when monitoring the general health of individuals with neurocognitive disorders?

    <p>Impact of the disorder on management of other medical conditions</p> Signup and view all the answers

    Which of the following is an important aspect of collaborating with caregivers in the care of individuals with neurocognitive disorders?

    <p>Emotional support and resource access</p> Signup and view all the answers

    Why is it crucial to support advance care planning and directives for individuals with major neurocognitive disorders?

    <p>To ensure the individual's preferences are known and respected</p> Signup and view all the answers

    Which symptom can be attributed to the Progressive Lowered Stress Threshold model?

    <p>Increased aggressive behavior</p> Signup and view all the answers

    According to the PLST model, which of the following is considered a physical stressor impacting persons with dementia?

    <p>Acute illness</p> Signup and view all the answers

    How does the PLST model assist in improving quality of life for persons with dementia?

    <p>Decreased sedative use</p> Signup and view all the answers

    What is a key principle of care derived from the PLST model for persons with dementia?

    <p>Decreasing stressors like noise levels</p> Signup and view all the answers

    In the context of dementia care, the PLST model emphasizes reducing stressors like __________ to enhance care outcomes.

    <p>Physical discomfort</p> Signup and view all the answers

    Which of the following is the MOST important step in supporting a person with dementia-related behavioral symptoms?

    <p>Establishing a caring relationship and providing unconditional positive regard</p> Signup and view all the answers

    Which of the following strategies is MOST important for ensuring the safety of a person with dementia-related behavioral symptoms?

    <p>Evaluating care routines and responses on a 24-hour basis and adjusting the plan of care accordingly</p> Signup and view all the answers

    Which of the following is the MOST important consideration when assessing the health impact of a person with dementia-related behavioral symptoms?

    <p>Identifying triggers related to discomfort or stress reactions (factors in the environment, caregiver communication)</p> Signup and view all the answers

    Which of the following strategies is MOST important for effective caregiver collaboration in managing dementia-related behavioral symptoms?

    <p>Providing ongoing education, support, care, and problem solving for caregivers</p> Signup and view all the answers

    Which of the following is the MOST important consideration for advance care planning in the context of dementia-related behavioral symptoms?

    <p>Providing as much control as possible; encouraging self-care, offering choices, explaining all actions, and not pushing or forcing the person to do something</p> Signup and view all the answers

    Which of the following is NOT a key nursing intervention for preventing delirium in older adults?

    <p>Administering higher doses of psychotropic medications to manage agitated behaviors</p> Signup and view all the answers

    Which of the following is an important nursing intervention to promote safety and prevent falls in older adults at risk of delirium?

    <p>Minimizing the use of invasive medical devices and restraints</p> Signup and view all the answers

    Which of the following nursing interventions is most important for assessing the impact of delirium on an older adult's quality of life?

    <p>Evaluating the patient's ability to perform activities of daily living</p> Signup and view all the answers

    Which of the following nursing interventions is most crucial for promoting caregiver collaboration in the prevention and management of delirium?

    <p>Educating caregivers about the symptoms and risk factors of delirium</p> Signup and view all the answers

    Which of the following nursing interventions is most important for supporting advance care planning in older adults at risk of delirium?

    <p>Encouraging the patient to complete a living will and power of attorney for healthcare</p> Signup and view all the answers

    Which of the following is NOT an appropriate strategy for establishing a therapeutic relationship with an older adult experiencing anxiety or depression?

    <p>Challenging irrational thoughts with factual information</p> Signup and view all the answers

    Which of the following is an important consideration when assessing and treating anxiety in older adults?

    <p>Evaluating medications for potential anxiety-inducing side effects</p> Signup and view all the answers

    According to the information provided, which of the following is NOT an effective strategy for addressing anxiety in older adults?

    <p>Discouraging the expression of concerns or questions</p> Signup and view all the answers

    According to the information provided, which of the following is an important aspect of quality of life monitoring for older adults with mental health concerns?

    <p>Screening for depression and addressing underlying physical conditions</p> Signup and view all the answers

    Which of the following statements best reflects the role of caregiver collaboration in addressing mental health concerns in older adults?

    <p>Advanced practice psychiatric nursing consultation is an important and effective service in acute care settings</p> Signup and view all the answers

    What is the main focus of the NDB model?

    <p>Viewing behavior as having meaning and expressing needs</p> Signup and view all the answers

    Sleep disruptions in people with an NCD may be a sign of:

    <p>A need for rest and sleep</p> Signup and view all the answers

    In the context of the NDB model, what does 'proximal factors' refer to?

    <p>Interactions closer to the individual like physiological needs and mood</p> Signup and view all the answers

    What type of care does the NDB model suggest for individuals with NCDs?

    <p>Manipulating proximal factors and minimizing limitations of background factors</p> Signup and view all the answers

    How should caregivers help individuals with NCDs who exhibit agitated or aggressive behavior during the day due to inadequate sleep at night?

    <p>Modify proximal factors interfering with sleep</p> Signup and view all the answers

    What action can help decrease agitation or aggression in individuals with NCDs who are experiencing sleep disruptions?

    <p>Interventions to modify proximal factors interfering with sleep</p> Signup and view all the answers

    What does the optimal care approach involve for individuals with NCDs?

    <p>Manipulating proximal factors that precipitate behavior and maximizing strengths</p> Signup and view all the answers

    What should caregivers do when individuals with NCDs have agitated or aggressive behavior during the day?

    <p>Address underlying physiological needs first</p> Signup and view all the answers

    Delirium is considered an irreversible cognitive disorder.

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

    Alzheimer's Disease is considered a reversible dementia.

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

    Pseudodementia is an example of an irreversible cognitive disorder.

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

    Dementia primarily affects younger individuals rather than older people.

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

    Reversible cognitive disorders cannot have their progression halted through proper identification and treatment.

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

    In depression, the affect is often described as flat, whereas in dementia, the affect may be labile or slowed in response.

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

    The onset of depression is typically recent and may relate to a life change, while the onset of dementia is insidious and slow, often unrecognized until deficits become obvious.

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

    The course of depression over 24 hours is highly variable, whereas the course of dementia over 24 hours is fairly stable, with some individuals experiencing more symptoms at night (sundowning).

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

    In depression, speech is often rapid and pressured, while in dementia, individuals may have difficulty finding words or exhibit perseveration.

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

    Both depression and dementia can present with difficulty concentrating or focusing attention, although orientation is usually normal in depression but often impaired in dementia.

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

    Depression in older adults is characterized by a predominantly anxious and irritable affect, rather than a sad or depressed mood.

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

    The onset of major neurocognitive disorders (dementias) is typically sudden and abrupt, similar to delirium.

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

    The course of major neurocognitive disorders, such as Alzheimer's disease, is generally irreversible and progressive.

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

    The diagnosis of major depressive disorder in older adults can be made solely based on the presence of a persistently depressed mood, without considering other symptoms.

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

    In dementia, a flat or blunted affect (lack of emotional expression) is common, particularly in the later stages of the disorder.

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

    Individuals with neurocognitive disorders often experience changes in affect, such as apathy or indifference.

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

    The onset of depression in older adults is typically abrupt and sudden.

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

    The course of depression in older adults is typically characterized by a single, persistent episode.

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

    The diagnosis of depression in older adults with neurocognitive disorders is straightforward and easily made.

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

    Individuals with advanced dementia often exhibit a range of emotional expressions, including both positive and negative affect.

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

    Untreated depression can lead to a 75% higher risk for dementia.

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

    Depression in older age is primarily caused by a lack of physical exercise and poor diet.

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

    Clinical depression is solely caused by structural abnormalities in the brain.

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

    Dementia always leads to feelings of fear and guilt in individuals affected by it.

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

    Individuals with dementia never experience visual impairments as part of their condition.

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

    Individuals with major neurocognitive disorders typically exhibit a flat or blunted affect.

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

    The onset of depression in older adults is often sudden and unexpected.

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

    Difficulty in diagnosing depression in older adults is primarily due to the high prevalence of cognitive impairment.

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

    Dementia primarily affects younger individuals rather than older people.

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

    Alzheimer's Disease is considered a reversible dementia.

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

    Delirium is considered an irreversible cognitive disorder.

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

    Reversible cognitive disorders cannot have their progression halted through proper identification and treatment.

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

    In the context of neurocognitive disorders, caregivers should focus on reducing physical stressors to ensure a better quality of life.

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

    Pseudodementia is an example of an irreversible cognitive disorder.

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

    Sleep disruptions in people with an NCD may be a sign of delirium.

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

    Affect in depression is typically elevated, with individuals experiencing increased energy and mood.

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

    The onset of depression is typically gradual, with symptoms developing over a long period of time.

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

    The course of depression is always chronic and unremitting, with no possibility of improvement or recovery.

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

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