Confusion and Dementia Ch. 19 Flashcards
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Questions and Answers

What is the loss of ability to think logically and clearly called?

cognitive impairment

What does cognitive impairment affect?

concentration and memory

How can nursing assistants help elderly residents with memory loss?

encouraging them to make lists of things to remember

What are 10 actions a nursing assistant can take when helping a resident who is confused?

<ol> <li>Do not leave them alone, 2. Stay calm, provide a quiet environment, 3. Introduce yourself each time you see the resident, 4. Explain what you are doing, 5. Talk to residents about plans for today, 6. Encourage the use of eyeglasses, 7. Promote self-care and independence, 8. Speak in a lower voice and tone, 9. Do not leave supplies where a resident can touch them, 10. Report observations</li> </ol> Signup and view all the answers

Name four possible causes of delirium.

<ol> <li>Agitation, 2. Anger, 3. Depression, 4. Irritability</li> </ol> Signup and view all the answers

Dementia is the loss of mental abilities such as thinking, remembering, reasoning, and communicating.

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

Dementia is something that happens as every person gets older.

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

An irreversible disease can usually be cured with medication and/or surgery.

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

Degenerative diseases get continually worse, causing a greater loss of health and abilities.

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

Parkinson's disease may cause dementia.

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

Alzheimer's disease is the most common cause of dementia in the elderly.

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

Men are more likely to have Alzheimer's disease than women.

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

Alzheimer's disease is a normal part of aging, and everyone will develop it at some point in their lives.

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

Alzheimer's disease causes tangled nerve fibers and protein deposits to form in the brain, eventually causing dementia.

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

There is no cure for Alzheimer's disease.

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

There is a simple exam that is performed to diagnose Alzheimer's disease.

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

Symptoms of Alzheimer's disease typically appear suddenly.

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

Each person with Alzheimer's disease will show different signs at different times.

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

Skills that a person has learned recently are usually kept longer after the onset of Alzheimer's disease.

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

Eventually, Alzheimer's disease victims will be dependent on others for care.

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

Generally speaking, middle-stage Alzheimer's disease lasts the longest of the three stages.

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

Once a resident is in late-stage Alzheimer's disease, the nursing assistant should no longer encourage independence.

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

What does a nursing assistant need to do to take care of their energy and health?

<p>The nursing assistant needs to listen to his body and rest and eat better so that he has enough energy to take care of the residents.</p> Signup and view all the answers

How should the nursing assistant encourage a resident with early-stage Alzheimer's disease to open up?

<p>The nursing assistant should try to encourage the resident to think positively and for family members to visit more.</p> Signup and view all the answers

What should the nursing assistant do when a resident expresses negativity about their situation?

<p>The nursing assistant should not take it personally and they should encourage the resident to have a positive attitude.</p> Signup and view all the answers

What should a nursing assistant do if a resident makes derogatory comments about them?

<p>The nursing assistant should not act out or take it personally because the disease causes behavior problems.</p> Signup and view all the answers

What should the nursing assistant do when Mr. Kotter changes his behavior from lively to negative?

<p>Respect the resident's choices but encourage him to play cards with his friends.</p> Signup and view all the answers

How should the nursing assistant respond to Miss Hayes, who does not recognize her room?

<p>Identify yourself and tell her where she is. Speak calmly and in a soft tone.</p> Signup and view all the answers

What should nursing assistant Blake do when Mr. Collins asks, 'Who are you?' repeatedly?

<p>The nursing assistant should keep stating his name to the resident.</p> Signup and view all the answers

What should the nursing assistant do when Mr. Collins does not understand a request?

<p>Use signs, pictures, or written words and gestures.</p> Signup and view all the answers

How should the nursing assistant communicate with a resident with Alzheimer's disease?

<p>Speak slowly, using a lower tone of voice than normal.</p> Signup and view all the answers

If a resident is frightened or anxious, what should the nursing assistant do?

<p>Check her body language so she does not appear tense or hurried.</p> Signup and view all the answers

If a resident perseverates, this means he is doing what?

<p>Repeating words, phrases, questions, or actions.</p> Signup and view all the answers

What should the nursing assistant do if a resident does not remember how to perform basic tasks?

Signup and view all the answers

What should the nursing assistant do when a resident repeatedly asks if he can go home?

<p>Ask the resident to talk about what his home was like.</p> Signup and view all the answers

Develop a _____________ and stick to it.

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

Being _____________ is important for residents who are confused and easily upset.

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

Promote ________________ to help residents ____________ with a difficult disease like Alzheimer's disease.

<p>self-care, cope</p> Signup and view all the answers

Take care of yourself, both _____________ and physically.

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

Using nonslip mats, timesheets, and handholds during bathing is a good idea.

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

Always be the resident at the same time every day even if she is agitated is a bad idea.

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

Breaking tasks down into simple steps and explaining one step at a time is a good idea.

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

Do not attempt to groom the resident; he most likely does not care about his appearance anyway is a bad idea.

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

Choosing clothes that are simple to put on is a good idea.

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

If the resident is incontinent, do not give him fluids because it makes the problem worse is a bad idea.

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

Marking the bathroom with a sign or picture as a reminder is a good idea.

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

Checking the skin regularly for signs of irritation is a good idea.

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

Following standard precautions when caring for the resident is a good idea.

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

Not encouraging exercise, as this will make the resident more agitated is a bad idea.

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

Serving finger foods if the resident tends to wander during meals is a good idea.

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

Scheduling meals at the same time every day is a good idea.

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

Serving new kinds of foods as often as possible to stimulate the resident is a bad idea.

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

Putting only one kind of food on the plate at a time is a good idea.

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

Using plain white dishes for serving food is a good idea.

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

Not encouraging independence, as this can lead to aggressive behavior is a bad idea.

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

Promoting privacy by keeping the resident covered, even if he is unaware of what is happening is a good idea.

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

Rewarding positive behavior with smiles and warm touches is a good idea.

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

What should you provide to Mrs. Donne, who is upset every night at about 9:00?

<p>Provide snacks, play soft music, distract resident with simple calming activities.</p> Signup and view all the answers

What should the nursing assistant do when Mr. Noble becomes angry after losing a chess game?

<p>Call for help if needed, calm resident, try to remove triggers.</p> Signup and view all the answers

How should you respond to Miss Martin, who gets upset at seeing the president on television?

<p>Remove triggers, stay calm and use a soothing voice, reduce noise and distractions.</p> Signup and view all the answers

What should you do to help Miss Desmond, who seems to have lost interest in everything?

<p>Encourage independence, find ways for social interaction, listen to resident.</p> Signup and view all the answers

How can you calm Mr. Henderson when he becomes loud and disruptive?

<p>Be calm and friendly, gently try to direct the resident to a private area.</p> Signup and view all the answers

What should you do when Miss Story keeps asking the time?

<p>Be patient and answer the question each time the resident asks.</p> Signup and view all the answers

What should you do about Miss Lourdes, who walks around the facility before dinner?

<p>Remove causes when possible, let them wander in a safe secure place, redirect attention to something else, mark rooms with signs or pictures.</p> Signup and view all the answers

How should the nursing assistant handle Mr. Radcliffe's inappropriate behavior?

<p>Stay calm and not overreact, try to distract the resident, leave them in a private room.</p> Signup and view all the answers

What should you do if Miss Lyons picks up clothing that isn't hers?

<p>Label all personal belongings, regularly check areas.</p> Signup and view all the answers

How should the nursing assistant respond to Mr. Montoya, who believes his wife is coming to pick him up?

<p>Do not argue with the resident, be calm and reassure the resident that it is OK.</p> Signup and view all the answers

What type of therapy is used when Miss Lee enjoys recalling stories about her late husband?

<p>Reminiscence therapy.</p> Signup and view all the answers

What type of therapy is used when Mr. Elle King engages in memories of dating Nora?

<p>Reminiscence therapy.</p> Signup and view all the answers

What type of therapy is Lisa using when she plays classical music for Mr. Tenant?

<p>Music therapy.</p> Signup and view all the answers

Why might it be difficult for families of people who have Alzheimer's disease?

<p>The family will constantly worry and stress about their family member.</p> Signup and view all the answers

What two major resources affect the ability of the residents' family to cope with Alzheimer's disease?

<p>Financial and emotional resources.</p> Signup and view all the answers

List four resources available to families who have been affected by Alzheimer's disease.

<p>Organizations, books, counseling, support groups.</p> Signup and view all the answers

Study Notes

Cognitive Impairment and Dementia

  • Cognitive impairment refers to the loss of ability to think logically and clearly, affecting concentration and memory.
  • Nursing assistants can aid elderly residents with memory loss by encouraging the use of lists as memory aids.

Care for Confused Residents

  • Actions to assist confused residents include:
    • Staying with them and maintaining a calm environment.
    • Introducing oneself and explaining actions regularly.
    • Encouraging the use of eyeglasses and promoting self-care.
    • Speaking in lower tones and ensuring supplies are out of reach.

Understanding Dementia and Alzheimer's Disease

  • Dementia leads to loss of mental abilities like reasoning and communication; it is not a normal part of aging nor universally inevitable.
  • Alzheimer’s disease is the most common cause of dementia; it causes brain changes including tangled nerve fibers.
  • There is currently no cure for Alzheimer's, and symptoms typically worsen over time.

Individual Symptoms and Stages

  • Alzheimer's symptoms vary among individuals and manifest over time, not suddenly.
  • Each Alzheimer's patient may show signs at different stages, making unique care plans essential.
  • Generally, middle-stage Alzheimer's lasts the longest, and individuals in late-stage still deserve encouragement towards independence.

Communication Strategies

  • Nursing assistants should communicate slowly and clearly, using simple words and gestures.
  • Persistent questions or confusion should be managed with patience and reassurance, acknowledging and redirecting the resident without arguing.

Balancing Care and Personal Well-being

  • Nursing assistants should prioritize self-care; physical and mental health is crucial for effective caregiving.
  • Establishing a consistent routine benefits residents who are confused and distressed.

Therapeutic Approaches

  • Reminiscence therapy involves engaging residents in conversations about their past, prompting positive emotions.
  • Music therapy can alleviate feelings of depression, particularly in evening hours.

Family Dynamics and Support

  • Families of Alzheimer’s patients often experience stress and emotional strain due to their loved one's condition.
  • Key resources for family support include organizations, books, counseling, and support groups; financial and emotional resources play significant roles in coping.

Safety and Behavior Management

  • Safety measures during bathing include using nonslip mats and ensuring reminders for bathroom use.
  • Quick actions like serving finger foods can benefit residents who tend to wander during meal times.

Encouraging Positive Interaction

  • Reinforce positive behaviors with warmth and attention, while addressing negative behaviors without confrontation.
  • Recognize triggers of distress and act to minimize them, providing a calming influence when interactions become challenging.

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Description

Test your knowledge on cognitive impairment, its effects, and ways nursing assistants can support elderly residents dealing with memory loss. This quiz will cover key terms and definitions from Chapter 19 focusing on confusion, dementia, and Alzheimer's care.

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