Care Of The Dementia Patient

2.

A resident's unmet needs may manifest as wandering or exit seeking. Which of the following unmet needs might cause a demented resident to wander?

Pain
Hunger or thrist
Bladder problems
Loneliness
All of the above

Correct Answer

A. All of the above

Explanation

A demented resident may wander due to unmet needs such as pain, hunger or thirst, bladder problems, and loneliness. Pain can cause restlessness and discomfort, leading the resident to wander in an attempt to find relief. Hunger or thirst can make the resident feel agitated and restless, leading them to wander in search of food or drink. Bladder problems can cause discomfort and the need to urinate frequently, prompting the resident to wander in search of a bathroom. Loneliness can lead to feelings of anxiety and restlessness, causing the resident to wander in search of social interaction or companionship.

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3.

Which of the following is NOT considered a current best practice in dementia?

Persoalized approaches to behavioral expressions of unment needs
Supporting the resident through environmental cues
Early use of antipsychotic medications to prevent the development of agitation
Environmental measures that promote comfort

Correct Answer

A. Early use of antipsychotic medications to prevent the development of agitation

Explanation

Early use of antipsychotic medications to prevent the development of agitation is not considered a current best practice in dementia. Antipsychotic medications should only be used as a last resort for managing severe agitation and behavioral symptoms, and only after non-pharmacological approaches have been attempted. The focus should be on personalized approaches to behavioral expressions of unmet needs, supporting the resident through environmental cues, and implementing environmental measures that promote comfort.

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4.

The CLC staff tries to involve the resident and their family in assessing (and reassessing) which of the following:

Senory capabilities
Decision-making capacity
Signs of depression
Abnormal involuntary movements
Only A, B, and C

Correct Answer

A. Only A, B, and C

Explanation

The CLC staff involves the resident and their family in assessing (and reassessing) sensory capabilities, decision-making capacity, and signs of depression. This suggests that these three factors are important in evaluating the resident's overall well-being and determining appropriate care and support. The inclusion of "Only A, B, and C" implies that assessing abnormal involuntary movements is not part of this particular assessment process.

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5.

What does the CLC staff do with a resident with dementia that cannot communicate the presence of pain?

Assume that if they really hurt, they would find a way to tell us
Take assurance that dementia patients don't hurt like cognitively intact people
Use a non-verbal/noncognitive pain assessment tool
Enter a "99" on the pain assessment score

Correct Answer

A. Use a non-verbal/noncognitive pain assessment tool

Explanation

The CLC staff uses a non-verbal/noncognitive pain assessment tool with a resident with dementia who cannot communicate the presence of pain. This tool helps them assess and identify any pain the resident may be experiencing, despite their inability to verbally express it. By using this tool, the staff can effectively address and manage the resident's pain, ensuring their comfort and well-being.

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6.

Nursing shift report for residents with dementia should include:

If the resident has had behavioral symptoms
Identified causes of the behavioral symptoms
Successful approaches to care
Successful communication techniques with the resident and family
All of the above

Correct Answer

A. All of the above

Explanation

The nursing shift report for residents with dementia should include all of the mentioned elements because they are crucial for providing comprehensive care. Including information about behavioral symptoms helps the incoming nurse understand the resident's current condition. Identifying the causes of these symptoms allows for targeted interventions. Knowledge of successful approaches to care ensures continuity in providing effective treatment. Communication techniques with the resident and their family are essential for maintaining positive relationships and understanding their needs. Therefore, including all of these aspects in the shift report is necessary for providing quality care to residents with dementia.

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7.

The care plan for a resident with dementia should include all of the following except:

The resident's personal goals
The resident's lifelong interests
Whether the resident can spell "world" backwards
Their preferences/routines for their activities of daily living

Correct Answer

A. Whether the resident can spell "world" backwards

Explanation

The care plan for a resident with dementia should include the resident's personal goals, lifelong interests, preferences/routines for their activities of daily living. However, whether the resident can spell "world" backwards is not relevant to their care plan as it does not directly impact their well-being or quality of life.

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8.

Behavioral expressions of unment needs may include all of the following except:

Motor restlessness
Grimacing
Rigidity of posture
Resistance to care
Elevated blood sugar

Correct Answer

A. Elevated blood sugar

Explanation

Behavioral expressions of unmet needs refer to non-verbal actions or behaviors that individuals may exhibit when their needs are not being met. Motor restlessness, grimacing, rigidity of posture, and resistance to care are all examples of behavioral expressions that can indicate unmet needs. However, elevated blood sugar is a physiological response and not a behavioral expression. Therefore, it does not fit into the category of behavioral expressions of unmet needs.

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9.

What can staff do to alleviate behavioral expressions of unment needs?

Move the resident to a quieter area
Gentle massage
Taking a walk with the resident
Engaging the resident in conversation
All of the above

Correct Answer

A. All of the above

Explanation

Staff can alleviate behavioral expressions of unmet needs by implementing various strategies. Moving the resident to a quieter area can help reduce overstimulation and create a calmer environment. Gentle massage can provide comfort and relaxation, which can help address any physical discomfort the resident may be experiencing. Taking a walk with the resident can provide a change of scenery and promote physical activity, which can improve mood and reduce agitation. Engaging the resident in conversation can help address their emotional and social needs, providing them with a sense of connection and support. All of these strategies can be effective in addressing behavioral expressions of unmet needs.

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10.

Which of the following items does not need to be communicated to the receiving providers when a patient with dementia is sent for a procedure?

The resident's Service-Centered status and eligibility for care
A complete list of current medications
Successful communication techniques
Successful personalized anxiety-reducing interventions

Correct Answer

A. The resident's Service-Centered status and eligibility for care

Explanation

When a patient with dementia is sent for a procedure, it is important to communicate the resident's Service-Centered status and eligibility for care to the receiving providers. This information ensures that the patient receives appropriate and necessary care during the procedure. However, a complete list of current medications, successful communication techniques, and successful personalized anxiety-reducing interventions are also important to communicate to the receiving providers as they help in providing comprehensive and effective care for the patient with dementia.

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care Of The Dementia Patient

If an at risk resident of the CLC is missing, which of the following areas should be included in the preliminary search?

Quiz Preview

A resident's unmet needs may manifest as wandering or exit seeking. Which of the following unmet needs might cause a demented resident to wander?

Which of the following is NOT considered a current best practice in dementia?

The CLC staff tries to involve the resident and their family in assessing (and reassessing) which of the following:

What does the CLC staff do with a resident with dementia that cannot communicate the presence of pain?

Nursing shift report for residents with dementia should include:

The care plan for a resident with dementia should include all of the following except:

Behavioral expressions of unment needs may include all of the following except:

What can staff do to alleviate behavioral expressions of unment needs?

Which of the following items does not need to be communicated to the receiving providers when a patient with dementia is sent for a procedure?