1.
Which is most often affected by dementia?
Correct Answer
B. Orientation, language, ability to sequence tasks
Explanation
Dementia is a condition that primarily affects cognitive abilities, such as orientation, language, and the ability to sequence tasks. It causes difficulties in remembering, thinking, and problem-solving, which can lead to confusion, disorientation, and problems with communication and daily activities. While dementia can have secondary effects on other bodily functions, such as heart and liver function, the primary and most often affected areas are orientation, language, and the ability to sequence tasks.
2.
Which type of memory function is usually affected first with dementia?
Correct Answer
A. Short term
Explanation
Short-term memory is usually affected first with dementia. This is because dementia primarily affects the hippocampus, which is responsible for forming new memories and consolidating them into long-term memory. As the disease progresses, it becomes increasingly difficult for individuals with dementia to retain and recall recent information, leading to impairments in short-term memory. On the other hand, long-term memory, which stores information from the past, tends to be relatively preserved in the early stages of dementia.
3.
The ability to remember our parent's names, where we grew up, or where we were married are all examples.
Correct Answer
B. Long term memory
Explanation
Long term memory refers to the ability to remember information or events from the past over a prolonged period. It involves the storage and retrieval of memories that have been encoded and consolidated over time. Remembering our parent's names, where we grew up, or where we were married are all examples of long term memory because they involve recalling information that has been stored for an extended period, rather than just temporarily holding it in short term memory.
4.
When a resident with dementia refuses to go to the bathroom when encouraged by a caregiver, often it is because:
Correct Answer
B. He doesn't understand what the caregiver wants
Explanation
The correct answer is that the resident with dementia doesn't understand what the caregiver wants. Dementia can affect a person's ability to comprehend and follow instructions, leading to confusion and misunderstanding. In this case, the resident may not understand that the caregiver is encouraging them to go to the bathroom. It is important for caregivers to use clear and simple language, provide visual cues, and be patient and understanding when communicating with individuals with dementia.
5.
A resident with impaired judgment needs to be monitored for:
Correct Answer
D. All of the above
Explanation
The correct answer is "all of the above". A resident with impaired judgment needs to be monitored for safety concerns as they may engage in risky behaviors without considering the consequences. They may also exhibit impulsive actions like crossing the street without looking, which can put them in dangerous situations. Additionally, they may be prone to giving their money away without understanding the value or consequences of their actions. Therefore, all of these concerns should be monitored to ensure the resident's safety and well-being.
6.
A resident with dementia who keeps trying to get out of the shower before being completely bathed, may be doing this because:
Correct Answer
A. He has lost the ability to sequence tasks and simply thinks he is done
Explanation
The resident with dementia may be trying to get out of the shower before being completely bathed because they have lost the ability to sequence tasks and simply think they are done. This is a common symptom of dementia, where individuals struggle with organizing and completing tasks in the correct order. It is not a matter of needing better discipline or disliking the facility, but rather a cognitive impairment that affects their ability to understand and follow the sequence of bathing.
7.
One important thing to remember when caring for persons with dementia is that:
Correct Answer
C. Residents are unique individuals and we should recognize their differences
Explanation
The correct answer is that residents are unique individuals and we should recognize their differences. This is important because every person with dementia is different and has their own unique needs, preferences, and abilities. By recognizing and respecting their individuality, we can provide person-centered care that is tailored to their specific needs, promoting their well-being and quality of life. Treating every resident the same or assuming that they will all lose the ability to love disregards their individuality and can lead to ineffective or inappropriate care.
8.
A resident who has trouble with memory loss, sleeping, cannot dress themselves easily and sometimes gets lost walking around the community, is most likely in what stage of dementia?
Correct Answer
B. Middle stage
Explanation
Based on the symptoms described, the resident is most likely in the middle stage of dementia. Memory loss, difficulty sleeping, and trouble with dressing oneself are common symptoms of this stage. Additionally, getting lost while walking around the community suggests a decline in spatial awareness and orientation, which is also characteristic of the middle stage of dementia.
9.
Residents do best with a "normalized environment." Which of the statements below, best describes a normalized environment?
Correct Answer
C. An environment that looks like a regular home with items the resident can successfully use.
Explanation
A "normalized environment" refers to an environment that resembles a regular home and contains items that the resident can effectively use. This suggests that the environment is designed to promote independence and enable the resident to engage in daily activities without difficulty. It emphasizes the importance of creating a familiar and comfortable setting that supports the resident's abilities and promotes their overall well-being.
10.
What are some reasons for challenging behaviors?
Correct Answer
E. All of the above
Explanation
The correct answer is "all of the above". Challenging behaviors can be caused by poor physical health and pain, as individuals may express their discomfort through disruptive actions. Additionally, too much clutter in the environment can lead to agitation and frustration. Lastly, asking residents to perform tasks that are overwhelming for them can also result in challenging behaviors. Therefore, all of these reasons can contribute to challenging behaviors.
11.
If a resident has trouble understanding what you are saying you should:
Correct Answer
A. Repeat the statement using the same words
Explanation
When a resident has trouble understanding what you are saying, repeating the statement using the same words can be helpful. This allows the resident to hear the information again in a familiar way, giving them another chance to comprehend it. By using the same words, you are not introducing any new vocabulary or concepts that may further confuse the resident. This approach promotes clarity and understanding, making it easier for the resident to grasp the information being communicated.
12.
When speaking to residents with dementia, ____________ sentences are best to use.
Correct Answer
A. Short
Explanation
When speaking to residents with dementia, short sentences are best to use. This is because individuals with dementia often have difficulty processing and retaining information. Short sentences are easier to understand and remember, reducing confusion and frustration. Additionally, shorter sentences allow for better comprehension and communication, ensuring that the message is effectively conveyed. Using long sentences can overwhelm and confuse individuals with dementia, making it harder for them to engage in conversation and follow along. Therefore, opting for short sentences is the most appropriate approach when communicating with residents with dementia.
13.
When a resident has a catastrophic reaction you may see:
Correct Answer
E. All of the above
Explanation
A catastrophic reaction refers to an extreme response or outburst that a resident may have in certain situations. This can manifest in various ways, including hitting, yelling, running, and exhibiting combative behavior. Therefore, the correct answer is "all of the above" as all of these behaviors can be observed in a resident experiencing a catastrophic reaction.
14.
When a catastrophic reaction occurs, it is best to:
Correct Answer
E. None of the above
Explanation
None of the above options are the best approach when a catastrophic reaction occurs. Using firm clear commands with forceful language or using force to keep the resident safe can escalate the situation and potentially harm the resident. Waiting until the resident has calmed down is a more appropriate approach, as it allows for de-escalation and ensures the safety of both the resident and the caregiver.
15.
When using a technique called "change of face" when a resident is upset, it means to:
Correct Answer
A. Have another caregiver step in to help the resident
Explanation
The technique of "change of face" refers to having another caregiver step in to help the resident when they are upset. This means that when a resident is upset, another caregiver is brought in to provide assistance and support to the resident. This can help in calming the resident and addressing their concerns effectively.