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CNA > Chapter 5 > Flashcards

Chapter 5 Flashcards

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
Q

If resident wants to say something, but cant

A

Ask to point or act out

If can’t explain, try to comfort or distract

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26
Q

If resident can’t remember basic tasks

A

Break activity in simple tasks with simple directions

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27
Q

If resident insists on doing something that is not allowed,

A

Redirect activities towards something else

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28
Q

If resident hallucinates, is paranoid or accusing

A

Don’t take personally,
Redirect or ignore behavior
Will usually pass quickly

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29
Q

If resident is depressed or lonely

A

Ask how they’re feeling and listen

Involve resident in activities

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30
Q

If resident asks to go home

A

Ask what their home was like.

Redirect conversation towards something they like

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31
Q

If resident is verbally abusive

A

Ignore language and redirect attention

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32
Q

If resident lost most verbal skills, use

A

Nonverbal skills, smile

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33
Q

People with AD can understand more than they can express t/f?

A

True

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34
Q

Being ____ is important for taking care of residents who are confused and easily upset

A

Consistent. Develop a routine and stick to it

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35
Q

If a resident has problems bathing

A

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

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36
Q

If resident has problems with grooming and dressing

A

Help them
Avoid interruptions
Show them their clothes

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37
Q

How should clothes be laid out?

A

In order of dressing

38
Q

Never withhold or discourage fluids because of incontinence t/f?

A

True

39
Q

Mark bathroom with

A

Sign or picture

40
Q

Note when resident is incontinent after ___-___ days

A

2-3

41
Q

How to determine bathroom times

A

Check incontinent residents every 2-3 mins

42
Q

Take resident to bathroom after drinking ___. Before and after ____ and before ____

A

Fluid

Before and after Meals
Bedtime

43
Q

Meals should be served at

A

Same time

44
Q

What kind of foods make eating simple?

A

Finger foods

45
Q

Table setting for AD residents should be

A

Simple

46
Q

True of false: multiple kinds of food on a plate might be overwhelming

A

True

47
Q

Pain assessment in advanced dementia scale

A

Measures pain in dementia patients

48
Q

Agitation

A

Excited, restless or troubled resident

49
Q

Trigger

A

Leads to agitation

50
Q

Sundowning

A

Getting agitated in the late afternoon

51
Q

To avoid sundowning

A

Encourage regular clothes vs PJs

Low caffeine

Calming activity before bed

52
Q

Catastrophic reactions

A

Person with AD overreacts

53
Q

Wandering

A

Walking around aimlessly around facility

54
Q

Pacing

A

Walking back and forth in same area

55
Q

Elope

A

Leave facility unnoticed

56
Q

Hallucinations

A

Seeing, hearing, smelling or tasting things that aren’t there

57
Q

Delusions

A

Believing things that aren’t true

58
Q

Should you pretend to see hallucinations?

A

No

59
Q

Inappropriate social behavior

A

Try to find what caused it

60
Q

Hoarding

A

Collecting and putting things away in a guarded way

61
Q

Rummaging

A

Goings through drawers or personal items of self or others

62
Q

Rummaging and hoarding should not be considered

A

Stealing

63
Q

People with AD commonly collect things that catch their attention t/f?

A

True

64
Q

To help resident find his own door, door should be

A

Labeled

65
Q

True false: you should ask family to let someone know if they find items that don’t belong to resident

A

True

66
Q

How to handle sleep disturbance

A

Help resident get excercise

Discourage sleeping during day
Reduce light and noise as much as possible

67
Q

If an NA needs help with coping to take care of AD residents they should

A

Ask supervisor for resources

68
Q

Validation therapy

A

Let residents believe they live in the past

69
Q

Reminisce therapy

A

Encouraging residents to remember and talk about past

70
Q

When is validation therapy useful?

A

Advanced dementia

71
Q

When is reminisce therapy useful

A

Moderate to advanced dementia

72
Q

Activity therapy

A

Uses activity resident enjoys to prevent boredom and frustration
Useful in most stages of AD

73
Q

Is there a cure for AD?

A

No

74
Q

T/f symptoms of AD typically appear suddenly

A

False

75
Q

Resident keeps asking same question when you want to bathe him

A

Answer him the same way until he stops

76
Q

If a resident is frightened or anxious, what should an NA do?

A

Check body language so he doesn’t appear tense or hurried

77
Q

Can you leave violent resident alone?

A

No

78
Q

How do you deal with delusions

A

Ignore harmless ones
Reassure residents
Do not argue
Redirect thoughts
Be calm

79
Q

How to deal with hoarding

A

Label belongings
Label door
Tell family to tell staff about unfamiliar items.
Give rummage drawer

80
Q

How to handle inappropriate sexual behavior

A

Don’t overreact
Distract or guide to private area

81
Q

How do you deal with a pacing resident?

A

Remove causes
give snacks
Excercise routine
Maintain elimination schedule
Wander in safe area
Watch them
Suggest walk together

82
Q

How to deal with disruptiveness

A

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
Q

How to deal with depression

A

Report signs immediately
Encourage independence
Self care
Activity
Listen
Encourage socializing

84
Q

Deal with aggression

A

Remove triggers
Constant routines
Soothing familiar activities
Low, soothing voice

85
Q

Deal with violent behavior

A

Removes triggers
Never hit back
Block blows or step out of way
Soothing familiar activity
Use low, soothing voice

86
Q

Dealing with Sundowning

A

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
Q

Causes of confusion

A

UTI
Low blood sugar
Injury
Low temp
Low O2
Meds
Infection
Tumor
Lack of sleep
Seizures

88
Q

Common causes of dementia

A

AD
Cvas
Lewy body dementia
Parkinson’s
Huntingtons

89
Q

Diagnosing AD requires many

A

Physical and mental tests

90
Q

Only sure way to determine AD is through

A

Autopsy

91
Q

Average life expectancy with AD

A

4-8 years or as long as 20

92
Q

T/f other words can be used when a resident forgets

A

Yes nap, lie down instead of bed

CNA (10 decks)

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