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Study Guide Questions Chapter 5 & 9
Study Guide Questions Chapter 5 & 9
42
Health Care
Not Applicable
02/20/2014

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Term
What is dementia? (p.105)
Definition
A serious loss of mental abilities such as thinking, remembering, reasoning, and communication.
Term
What are the 5 types (causes) of dementia? (p.105)
Definition
Alzheimer's Disease, Multi-infarct or vascular dementia, Lewy body dementia, Parkinson's disease, Huntington's disease.
Term
Is dementia reversible or progressive? (p. 105)
Definition
progressive
Term
List 5 actions a nursing assistant can do to care for a person with dementia.(p.106)
Definition
Do not take behavior personally, Treat residents with dignity and respect, Work with symptoms and behaviors you see, Work as a team, Encourage communication.
Term
What is delirium? What causes delirium? (p104)
Definition
It is a state of severe confusion that occurs suddenly.
Term
Is delirium reversible? (p.104)
Definition
Yes, it can be temporary.
Term
What are the signs and symptoms of delirium?
Definition
Agitation, anger, depression, irritability, disorientation, trouble focusing, problems with speech, changes in perception and sensation, changes in consciousness, decrease in short term memory.
Term
Name 4 signs/symptoms of depression?(p.113)
Definition
When a resident becomes withdrawn, lacks energy, does not eat or do things they used to enjoy.
Term
What is a delusion? (p.113)
Definition
When a resident believes things that are not true.
Term
What is a hallucination? (p.113)
Definition
When a resident sees, hears, smells, tastes, or feels things that are not there.
Term
What is a catastrophic reaction? (p.111)
Definition
When a person with Alzheimer's Disease overreacts to something.
Term
What re three triggers of a catastrophic reaction? (p.111-112)
Definition
Fatigue; changes in routine, environment or caregiver; pain; hunger; need for toileting.
Term
Define hoarding. (p.114)
Definition
Collecting and putting things away in a guarded way.
Term
Define pillaging? (p.114)
Definition
Taking things that belong to someone else.
Term
What is validation therapy? (p. 115)
Definition
Letting the resident believe they live in the past or in imaginary circumstances.
Term
Define perseveration. (p. 113)
Definition
To repeat a word, phrase, question,or activity over and over again.
Term
What should a nursing assistant do if a resident is perseverating? (p. 113)
Definition
Respond with patience. Do not try to silence or stop the resident. Answer questions each time they are asked. Use the same words each time.
Term
What is the difference between disorientation and confusion? (p.104)
Definition
Confusion is the inability to think clearly. Disorientation is confusion about person, place or time.
Term
Should a nursing student argue with a person who is having delusions? Why or why not? (p. 113)
Definition
No, because the feelings are real for the resident.
Term
Patients with dementia experience which of the following: depression, delusions, hallucinations?
Definition
All three
Term
Name three actions that a nursing assistant can do when caring for an agitated or combative patient.(p.111)
Definition
Remove triggers, redirect and stay calm
Term
What is reminiscence therapy? (p.115)
Definition
Encouraging residents to talk about the past.
Term
What is cognition? (p. 105)
Definition
The ability to think logically and clearly.
Term
What should a nursing assistant do if a resident with Alzheimer's disease has trouble with speaking?
Definition
See pages 107 and 108
Term
What should a nursing assistant do if a resident with Alzheimer's disease has trouble with incontinence? (p.108)
Definition
Encourage fluids; take resident to the bathroom before and after meals; make sure there is enough light in the bathroom and on the way there.
Term
What should a nursing assistant do if a resident with Alzheimer's disease has trouble with bathing? (p.109)
Definition
Schedule bathing when the resident is least agitated. Be organized with the bathing supplies. Prepare resident before bathing-hand him/her the supplies. Make sure bathroom is well lit and is a comfortable temperature.
Term
What should a nursing assistant do if a resident with Alzheimer's disease has trouble with eating? (p.110)
Definition
Have meals at regular times. Make sure that there is proper lighting. Keep noise and distractions low. Put only one item of food on a plate at a time. Guide the resident through the meal. Use adaptive equipment if needed. make mealtimes simple and relaxed.
Term
What should a nursing assistant do if a resident with Alzheimer's disease has trouble with dressing? (p.109)
Definition
Show the resident clothing to put on. Encourage the resident to choose his/her clothes by giving limited choices. Lay out clothes in order in which they are to be put on. Provide privacy.
Term
How should a nursing assistant respond if a resident is having hallucinations?(p.112)
Definition
Ignore harmless hallucinations. Reassure resident who seems agitated or worried. Do not argue with the resident. Be calm.
Term
What is sundowning? (p.111)
Definition
When a person gets restless and agitated in the late afternoon, evening or night.
Term
How should a nursing assistant respond to a resident who is experiencing sundowning behaviors? (p. 111)
Definition
Remove triggers. Avoid stressful situations. Play soft music. Distract the resident with a simple, calm activity
Term
How should a nursing assistant respond to inappropriate sexual behavior?
Definition
Be matter of fact and do not overreact.
Term
List possible causes for pacing a wandering. (p.112)
Definition
restlessness, hunger, disorientation, need for toileting, constipation, pain, forgetting how or where to sit down, too much daytime napping, need for exercising.
Term
What should a nursing assistant observe and report to the nurse about restorative care? (p.215)
Definition
Increase or decrease in abilities. Any change in attitude or motivation. Any change in general health. Signs of depression or mood changes.
Term
What is ambulating? (p.215)
Definition
Walking
Term
How should a nursing assistant assist a resident who is visually impaired? (p.216)
Definition
Let the person walk beside and slightly behind you.
Term
Why are regular activity and exercise important? (p.215)
Definition
See page 215
Term
What are the 8 body movements? (p.221)
Definition
abduction, adduction, dorsiflexion, rotation, extension, flexion, pronation, supination
Term
When are passive range of motion (PROM)exercises done? (p.221)
Definition
When a resident cannot move on his/her own.
Term
What is a prosthesis? (p.220)
Definition
A device that replaces a body part that is missing or deformed.
Term
What are the guidelines for bowel retraining?
Definition
See pages 225-226.
Term
What are the guidelines for bladder retraining?
Definition
See pages 225-226
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