Cognitively Impaired Residents 1 Flashcards
For a resident, reality orientation should include
A calling the resident by his or her name.
B talking about your interests.
C using nicknames like “Granny.”
D telling imaginative stories to the resident.
A calling the resident by his or her name.
All of the following are signs of aggressive behavior EXCEPT depressed mood. rocking. pacing. clenched jaw.
depressed mood.
Which of the following is an important way to help a resident feel comfortable in a long-term care facility?
A Provide space for personal possessions.
B Take the resident to all activities.
C Discourage visitors until the resident has settled in.
D Let the resident establish his or her own schedule.
A Provide space for personal possessions.
Residents with cognitive impairments often have difficulty sleeping. What can be helpful?
A Establish a bedtime schedule and make sure the residents go to bed within 15 minutes of that time.
B Keep residents up as late as possible so they will fall asleep quicker.
C Avoid physical activity during the day because it can overstimulate the residents.
D Turn on the television and allow the residents to watch until they fall asleep on their own.
A Establish a bedtime schedule and make sure the residents go to bed within 15 minutes of that time.
Communication with a resident who has late-stage dementia or Alzheimer’s includes
A hiring a speech therapist.
B encouraging the resident to be more expressive.
C eliminating all conversation.
D speaking in one- or two-word sentences.
The primary cause of combative behavior in a resident with dementia is stubbornness. confusion. resentment. hunger.
confusion.
When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?
A Ask the family to get several identical outfits.
B Explain the benefits of variety and offer several other outfits.
C Hide the favorite outfit for a few days so she forgets.
D Tell the resident that the outfit is dirty and she will have to choose another.
A Ask the family to get several identical outfits.
Which of the following is NOT true of patients with dementia?
A They act uncooperative just to be spiteful.
B Grooming is difficult for them.
C They are often frightened and anxious.
D They can have vivid hallucinations.
A They act uncooperative just to be spiteful.
A resident has difficulty remembering what day it is and where the person is. How can you best help the resident?
A Tell the resident often what day it is and where the resident is.
B Keep the resident from talking about the past.
C Agree with whatever the resident says.
D Joke with the resident about his or her forgetfulness.
A Tell the resident often what day it is and where the resident is.
While the nurse aide is giving care to Mr. T., he calls the nurse aide by the name of his son who died several years ago. The nurse aide’s BEST response is to
A ask Mr. T about his favorite memories of his son.
B quickly finish the care and leave Mr. T alone.
C ignore Mr. T. because he is confused.
D pretend to be Mr. T’s son.
A ask Mr. T about his favorite memories of his son.
As dementia progresses, incontinence can become an issue. How can the nurse aide assist?
A Avoid outings to minimize accidents and possible embarrassment.
B Watch for signs of discomfort so you can take the resident to the bathroom.
C Start to use an adult diaper to keep clothing and linens clean.
D Remind the resident to let you know when he or she needs to use the bathroom.
B Watch for signs of discomfort so you can take the resident to the bathroom.
A resident with Alzheimer’s disease tells the nurse aide that she smells smoke. The nurse aide should
A put the patient to bed because she is clearly tired.
B look around for a fire.
C reassure the patient that there is no fire.
D tell her that no one is allowed to smoke in the building.
B look around for a fire.
A resident who has not been discharged insists she is going home. What should the nurse aide do?
A Put her in physical restraints until she calms down.
B Notify the charge nurse immediately.
C Advise her that she can leave if she wants to.
D Tell her she cannot leave without a doctor’s order.
B Notify the charge nurse immediately.
A resident is standing in the hallway, holding a bag. She asks the nurse aide when the train is due. The aide should tell her
A that she is being ridiculous.
B that it should be here any time now.
C where she is, in a matter-of-fact tone of voice.
D to go back to her room.
C where she is, in a matter-of-fact tone of voice.
If a resident exhibits paranoid behavior, what should the nurse aide know?
A Delusions are a normal part of the progression of the dementia process.
B The nurse should be immediately notified so that medications can be ordered.
C If the behavior is ignored, it will diminish. The resident will forget about it.
D The family must be involved so they can reason with the resident.
A Delusions are a normal part of the progression of the dementia process.
