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CNA > Chapter 5 > Flashcards

Chapter 5 Flashcards

(92 cards)

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1
Q

Can you apply lotion to areas receiving radiation therapy?

A

No

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2
Q

Confusion

A

Not being able to think clearly and logically

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3
Q

Can you leave a confused resident alone?

A

No

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4
Q

How should you speak to a confused resident

A

Normally but quietly

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5
Q

What should you remind a confused resident about

A

Location, date , name

Calendar can help

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6
Q

Delirium

A

Sudden, severe confusion, usually short term

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7
Q

What causes delirium

A

Infections, disease, fluid imbalance, poor nutrition , drugs and alcohol

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8
Q

Symptoms of delirium

A

Agitation
Anger
Depression
Irritability
Disorientation
Trouble focusing
Speech problems
Consciousness
Sensation and perception

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9
Q

Cognition

A

Ability to think logically and clearly

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10
Q

Cognitive impairment

A

Loss of cognition
Affects concentration and memory

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11
Q

Normal or abnormal: trouble using words

A

Abormal

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12
Q

Normal or abnormal: slower reaction time

A

Normal

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13
Q

Normal or abnormal: sleeping less

A

Normal

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14
Q

Dementia

A

Serious loss of mental ability, can’t think, remember, reason, communicate

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15
Q

AD stands for

A

Alzheimer’s disease

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16
Q

Most common cause of dementia in elderly

A

Alzheimer’s disease

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17
Q

_____are more likely to have AD and dementia

A

Women

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18
Q

Causes tangled nerve fibers and protein deposits to form in the brain

A

Alzheimer’s disease

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19
Q

Skills a person used over their lifetime are kept ____

A

Longer

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20
Q

Always approach AD residents from

A

Front

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21
Q

What should you do to help AD residents complete complex tasks

A

Break them down

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22
Q

Preservation

A

AD residents repeating words or questions

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23
Q

If resident can’t find words to use

A

Suggest words

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24
Q

If resident doesn’t understand basic words or instructions

A

Ask them to repeat
Look at non verbal cues
Use pictures and signs

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25
If resident wants to say something, but cant
Ask to point or act out If can't explain, try to comfort or distract
26
If resident can't remember basic tasks
Break activity in simple tasks with simple directions
27
If resident insists on doing something that is not allowed,
Redirect activities towards something else
28
If resident hallucinates, is paranoid or accusing
Don't take personally, Redirect or ignore behavior Will usually pass quickly
29
If resident is depressed or lonely
Ask how they're feeling and listen Involve resident in activities
30
If resident asks to go home
Ask what their home was like. Redirect conversation towards something they like
31
If resident is verbally abusive
Ignore language and redirect attention
32
If resident lost most verbal skills, use
Nonverbal skills, smile
33
People with AD can understand more than they can express t/f?
True
34
Being ____ is important for taking care of residents who are confused and easily upset
Consistent. Develop a routine and stick to it
35
If a resident has problems bathing
Schedule bathing when resident is least agitated Prepare him for what you're about to do Walk with them and stop at bath if needed
36
If resident has problems with grooming and dressing
Help them Avoid interruptions Show them their clothes
37
How should clothes be laid out?
In order of dressing
38
Never withhold or discourage fluids because of incontinence t/f?
True
39
Mark bathroom with
Sign or picture
40
Note when resident is incontinent after ___-___ days
2-3
41
How to determine bathroom times
Check incontinent residents every 2-3 mins
42
Take resident to bathroom after drinking ___. Before and after ____ and before ____
Fluid Before and after Meals Bedtime
43
Meals should be served at
Same time
44
What kind of foods make eating simple?
Finger foods
45
Table setting for AD residents should be
Simple
46
True of false: multiple kinds of food on a plate might be overwhelming
True
47
Pain assessment in advanced dementia scale
Measures pain in dementia patients
48
Agitation
Excited, restless or troubled resident
49
Trigger
Leads to agitation
50
Sundowning
Getting agitated in the late afternoon
51
To avoid sundowning
Encourage regular clothes vs PJs Low caffeine Calming activity before bed
52
Catastrophic reactions
Person with AD overreacts
53
Wandering
Walking around aimlessly around facility
54
Pacing
Walking back and forth in same area
55
Elope
Leave facility unnoticed
56
Hallucinations
Seeing, hearing, smelling or tasting things that aren't there
57
Delusions
Believing things that aren't true
58
Should you pretend to see hallucinations?
No
59
Inappropriate social behavior
Try to find what caused it
60
Hoarding
Collecting and putting things away in a guarded way
61
Rummaging
Goings through drawers or personal items of self or others
62
Rummaging and hoarding should not be considered
Stealing
63
People with AD commonly collect things that catch their attention t/f?
True
64
To help resident find his own door, door should be
Labeled
65
True false: you should ask family to let someone know if they find items that don't belong to resident
True
66
How to handle sleep disturbance
Help resident get excercise Discourage sleeping during day Reduce light and noise as much as possible
67
If an NA needs help with coping to take care of AD residents they should
Ask supervisor for resources
68
Validation therapy
Let residents believe they live in the past
69
Reminisce therapy
Encouraging residents to remember and talk about past
70
When is validation therapy useful?
Advanced dementia
71
When is reminisce therapy useful
Moderate to advanced dementia
72
Activity therapy
Uses activity resident enjoys to prevent boredom and frustration Useful in most stages of AD
73
Is there a cure for AD?
No
74
T/f symptoms of AD typically appear suddenly
False
75
Resident keeps asking same question when you want to bathe him
Answer him the same way until he stops
76
If a resident is frightened or anxious, what should an NA do?
Check body language so he doesn't appear tense or hurried
77
Can you leave violent resident alone?
No
78
How do you deal with delusions
Ignore harmless ones Reassure residents Do not argue Redirect thoughts Be calm
79
How to deal with hoarding
Label belongings Label door Tell family to tell staff about unfamiliar items. Give rummage drawer
80
How to handle inappropriate sexual behavior
Don't overreact Distract or guide to private area
81
How do you deal with a pacing resident?
Remove causes give snacks Excercise routine Maintain elimination schedule Wander in safe area Watch them Suggest walk together
82
How to deal with disruptiveness
Gain attention Be calm and friendly Direct resident to more private area Ask resident Inform changes early Involve resident in developing routines Encourage to join activities
83
How to deal with depression
Report signs immediately Encourage independence Self care Activity Listen Encourage socializing
84
Deal with aggression
Remove triggers Constant routines Soothing familiar activities Low, soothing voice
85
Deal with violent behavior
Removes triggers Never hit back Block blows or step out of way Soothing familiar activity Use low, soothing voice
86
Dealing with Sundowning
Remove triggers Give snacks or encourage rest Avoid stressful situations. Limit activities, appointments, Trips, Play soft music Set and keep bedtime routine Remove caffeine Distract with simple calm activity
87
Causes of confusion
UTI Low blood sugar Injury Low temp Low O2 Meds Infection Tumor Lack of sleep Seizures
88
Common causes of dementia
AD Cvas Lewy body dementia Parkinson's Huntingtons
89
Diagnosing AD requires many
Physical and mental tests
90
Only sure way to determine AD is through
Autopsy
91
Average life expectancy with AD
4-8 years or as long as 20
92
T/f other words can be used when a resident forgets
Yes nap, lie down instead of bed

CNA (10 decks)

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