Chapter 42

Question 1

cognitive function

Answer 1

memory, thinking, reasoning, judgement, behavior, ability to understand,

Question 2

confusion

Answer 2

state of being disoriented to person, time, place, situation, identity

Question 3

delirium

Answer 3

state of sudden / severe confusion, rapid changes in brief functions
- temporary / reversible

Question 4

delusion

Answer 4

false belief

Question 5

dementia

Answer 5

loss of cognitive function interfering w/ daily life / activites

Question 6

elopement

Answer 6

patient / resident leaves agency w/o staff knowledge

Question 7

hallucination

Answer 7

seeing, hearing, smelling, feeling, tasting something not real

Question 8

paranoia

Answer 8

disorder of the mind
- false beliefs / suspicions of person / situation

Question 9

sundowning

Answer 9

signs, symptoms, behaviors of dementia increase during darkness hours

Question 10

what can cause delirium ?

Answer 10

• surgery
• drug side effects
• lack of sleep
• infection

Question 11

what is dementia mainly caused by ?

Answer 11

• aging
• brain damage

Question 12

who is more at risk for dementia ?

Answer 12

• over 65
• family history
• women (live longer)

Question 13

alzheimer’s disease

Answer 13

most common permanent dementia
- brain shrinks / tissue lost over time
- gradual and progressive
- ends in death

Question 14

vascular dementia

Answer 14

stroke / blood supply problems to brain

Question 15

lewy body dementia

Answer 15

abnormal protein deposits (lewy bodies) affect chemicals in brain

Question 16

fronto-temporal disorders

Answer 16

nerve cells in front / side of brain break down

Question 17

mixed dementia

Answer 17

2 or more dementias occuring at once

Question 18

plaques

Answer 18

protein build up between neurons

Question 19

tangles

Answer 19

twisted protein fibers built up within neurons

Question 20

classic sign of alzheimer’s

Answer 20

gradual loss of short-term memory

Question 21

wandering

Answer 21

may have no cause / person is looking for something
- may end in elopement / injury

Question 22

“silver alert” / “code silver”

Answer 22

older person is missing
- elopement

Question 23

what can cause hallucinations ?

Answer 23

poor vision / hearingca

Question 24

catastrophic reactions

Answer 24

extreme responses to normal / everyday things
- act as if there is a disaster / tragedy

Question 25

what is screaming for a person with dementia ?

Answer 25

form of communicating
- poor communication / extremely confused

Question 26

repetitive behaviors

Answer 26

repeats same motion, words, questions
- non-harmful; only annoying

Question 27

rummaging

Answer 27

can have no meaning / looking for unknown item

Question 28

changes in intimacy / sexuality

Answer 28

changes / more intensified sexual behavior
- cannot be controlled

Question 29

validation therapy

Answer 29

common way to communicate w/ person who has dementia
- validate person’s reality (true / untrue)
- do NOT bring up bad / stressful memories