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A NA should stay calm when a resident is__________? |
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The ability to think logically and clearly |
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When a person has lost some of the ability to think logically and clearly |
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General term referring to serious loss of mental ability. There are many types of dementia |
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A disease that causes tangled nerves fibers and protein deposits to form in the brain.
This will cause DEMENTIA |
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True or False
AD symptoms appear quickly? |
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Definition
FALSE, the symptoms appear gradually |
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True or False: Dementia is a Normal Part of Aging |
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Definition
FALSE Dementia is NOT a normal part of aging |
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If a resident with AD has trouble finding words what should the NA do to assist? |
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Definition
Suggest a word that sound correct- Do NOT try to correct.
Ask the resident to point, gesture or act it out |
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When a resident with AD is frightened, upset, or anxious what can the NA try |
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Speak in slow, low, calm voice Use simple words and sentences Check NA body language |
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repeating words, action, phrases, questions |
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How does the NA communicate with a resident that is persevering |
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Use the same words everytime |
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If a resident with AD is repeatedly asking to go home what can the NA do to redirect |
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Definition
Ask the resident to tell you about "home" be patient and gentle, |
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When should you schedule bathing for a resident that has issues with bathing |
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Definition
When the resident is least agitated |
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When working with a resident that has issues with toileting should you withhold or restrict fluids? |
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Definition
Absolutely NO, encourage fluids |
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What are some mechanisms to assist a resident that is incontinent? |
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Definition
-Place sign on bathroom-picture -Over a 2-3 day period check every 30 minutes to determine times -Take resident to bathroom before and after meals and before bed |
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Ways to assist a resident with AD maintain their nutrition |
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Definition
-Meals at regular times -Keep noise and distractions low -Avoid very hot drinks -Use PLAIN plants, no patterns -One item on plate at a time -simple clear instructions |
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Something that upsets the residents routine or state of mind
Remove Triggers when a resident becomes upset
Remove Triggers if resident is upset |
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When a person gets restless and agitated in the late afternoon, evening or night |
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Mechanisms to use for Sundowning |
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Definition
-Set a bedtime routine and keep it -play soft music -Soothing back massage (use lotion) -Remove triggers -avoid activities, apt and visits during this time |
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Seeing, hearing, smelling, tasting: senses that which is not there |
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Repetitive, repeats same word, same question, same activity |
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If a resident is displaying inappropriate sexual acts in place what is the best way to handle |
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Definition
provide privacy for the resident |
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TRUE or FALSE: When a resident shows violent tendencies towards us, we hit them |
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Definition
FALSE, we stay calm and try to remove any trigger that could be causing the behavior |
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When is it appropriate to provide a 'rummage" drawer? |
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Definition
When a resident is pillaging (taking things that belong to someone else |
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Collecting & putting things away in a guarded manner. |
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Giving Value or approval , NOT attempting to reorient the resident with AD |
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A UTI can cause what behaviors |
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Definition
confusion, hallucinations combativeness |
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What is the best way to lay out clothing for a resident? |
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Definition
Put clothes in the order in which they are put on |
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Rapid onset, caused by infection, dehydration, constipation, illness and medications |
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reminiscing about the past, talking about the past |
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Which skills does the resident with AD keep the longest? |
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Usually, the skills that have been used over a lifetime. Newer skills are lost sooner. |
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TRUE or False: A staff members body language can be frightening to a AD resident. |
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Definition
TRUE; Staff must always be aware of their body language |
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What can take the place of verbal communication in the case of receptive ashagia |
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Definition
Touch, smile, laughter, pictures, gestures |
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The best types of place settings for people with AD are |
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How does the nursing staff respond to hallucinations? |
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Reassure the resident, distract. Do NOT tell them that what they think they see is NOT there or that we Can see it- just reassure and distract |
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Using lists, white boards, calendars, etc.. This is ONLY helpful in the earliest stages of AD. |
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AD causes the person to lose short term memories first, what does that mean? |
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The things they have learned most recently will be lost first |
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Definition
something that is said or done to make someone feel less afraid, upset, or doubtful |
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To reminiscent with a residents is to |
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If a NA is listening attentively to a resident's concerns and does not just dismiss the issue the NA is |
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Definition
Validating the resident and their concerns, whether they are real or not |
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What is the first thing we try to do when someone is acting out |
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Definition
Determine and remove the TRIGGER |
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