Chp 19

Question 1

Behavior Modification

Answer 1

Treatment method of changing behavior

Question 2

Delirium

Answer 2

Sudden, reversible state of confusion

Question 3

Delusion

Answer 3

False, fixed idea or belief

Question 4

Hallucination

Answer 4

False sensory impression, often seeing or hearing something that is not there

Question 5

Illusion

Answer 5

Misconception of a real event or object

Question 6

Neurolinguistic Programming

Answer 6

A way of communicating using neurological, behavior and speech patterns

Question 7

Sensory deprivation

Answer 7

Condition of decreased stimulation that can cause hallucinations, illusions, and disorientation

Question 8

Dementia

Answer 8

is characterized by problems with cognitive ability, personality changes, memory impairment,, decreased intellectual functioning, and changed judgement and mood.

Question 9

Remotivation

Answer 9

The use of real objects to stimulate senses and provide new motivation in life and the surrounding world

Question 10

Reminisce

Answer 10

life review process

Question 11

Resocailization

Answer 11

encouraging residents to assume social roles;focus is on social roles

Question 12

Reality Orientation

Answer 12

goal is to help residents become oriented to present reality

Question 13

Validation therapy

Answer 13

Resolving losses and expressive feelings are emphasized; groups are presented with a problem to solve; most effective for people who have moderate disorientation

Question 14

What type of communication is the most honest

Answer 14

listening

Question 15

Managing difficult behaviors of older adults

Answer 15

• Take special precautions
• Be alert to dangerous situations
• Report anything suspicious to the RN
• Stay calm

Question 16

Forming relationships with people who have psychological problems

Answer 16

3 stages

• Begging of a Relationship
• Open communication
• Ending a relationship

Question 17

Alzheimer’s causes

Answer 17

There is not one single cause, but facotrs that effect are:

• Age
• Family history

Question 18

Alzheimer’s meds

Answer 18

Although medication and brain exercises can help manage symptoms in some people, there is currently no cure

Question 19

Alzheimer’s pathological brain changes

Answer 19

-Plaques and proteins tangles that develop in the brain are the 2 main features of this disease that are responsible for the changes in cognitive ability

Question 20

Main defense mechanism that people with substance abuse problems use

Answer 20

Denial of a problem

Question 21

Feils 4 stages on disorientation

Answer 21

• Malorientation
• Time Confusion
• Repetitive Motion
• Vegetation

Question 22

Malorientation

Answer 22

• 1st stage
• appear normal
• forgetful regarding day to day info
• make up excuses to cover up memory loss
• ask open questions about facts, not feelings; use commonly preferred sense words

Question 23

Time Confusion

Answer 23

• 2nd stage
• Ambulatory, but confused
• withdrawn from real world and retreat to own inner world
• respond to inner sense of time ( childhood, newly married)

Question 24

Repetitive Motion

Answer 24

• 3rd stage
• generally non ambulatory
• retreat from present reality
• use objects to represent thoughts; make sounds, not words, or just single syllable words
• use touch and universal symbols

Question 25

Vegetation

Answer 25

• 4th stage
• Bedridden
• Vegetative State
• No words or eye contact and very little movement
• Use touch and familiar music to comfort

Question 26

5 group techniques for elderly with psych problems

Answer 26

• reminisce
• remotivation
• resocialization
• reality orientation
• validation

Question 27

S/s of Alzheimer’s

Answer 27

Anxiety and confusion

Question 28

Side effect of psych drugs

Answer 28

Constipation and orthostatic hypo tension