Care Of The Dementia Patient

1.

If an at risk resident of the CLC is missing, which of the following areas should be included in the preliminary search?
- A.
  
  Wards 4B North and 4B South
- B.
  
  Offices near the CLC
- C.
  
  The areas out front where our residents go when taken outside
- D.
  
  All of the above
Correct Answer
D. All of the above

Explanation
The correct answer is "All of the above." If an at-risk resident of the CLC is missing, it is important to conduct a thorough preliminary search in all of the mentioned areas. This includes Wards 4B North and 4B South, offices near the CLC, and the areas out front where residents go when taken outside. By searching all of these areas, there is a higher chance of finding the missing resident and ensuring their safety.

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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?
- A.
  
  Pain
- B.
  
  Hunger or thrist
- C.
  
  Bladder problems
- D.
  
  Loneliness
- E.
  
  All of the above
Correct Answer
E. 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?
- A.
  
  Persoalized approaches to behavioral expressions of unment needs
- B.
  
  Supporting the resident through environmental cues
- C.
  
  Early use of antipsychotic medications to prevent the development of agitation
- D.
  
  Environmental measures that promote comfort
Correct Answer
C. 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:
- A.
  
  Senory capabilities
- B.
  
  Decision-making capacity
- C.
  
  Signs of depression
- D.
  
  Abnormal involuntary movements
- E.
  
  Only A, B, and C
Correct Answer
E. 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?
- A.
  
  Assume that if they really hurt, they would find a way to tell us
- B.
  
  Take assurance that dementia patients don't hurt like cognitively intact people
- C.
  
  Use a non-verbal/noncognitive pain assessment tool
- D.
  
  Enter a "99" on the pain assessment score
Correct Answer
C. 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:
- A.
  
  If the resident has had behavioral symptoms
- B.
  
  Identified causes of the behavioral symptoms
- C.
  
  Successful approaches to care
- D.
  
  Successful communication techniques with the resident and family
- E.
  
  All of the above
Correct Answer
E. 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:
- A.
  
  The resident's personal goals
- B.
  
  The resident's lifelong interests
- C.
  
  Whether the resident can spell "world" backwards
- D.
  
  Their preferences/routines for their activities of daily living
Correct Answer
C. 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:
- A.
  
  Motor restlessness
- B.
  
  Grimacing
- C.
  
  Rigidity of posture
- D.
  
  Resistance to care
- E.
  
  Elevated blood sugar
Correct Answer
E. 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?
- A.
  
  Move the resident to a quieter area
- B.
  
  Gentle massage
- C.
  
  Taking a walk with the resident
- D.
  
  Engaging the resident in conversation
- E.
  
  All of the above
Correct Answer
E. 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?
- A.
  
  The resident's Service-Centered status and eligibility for care
- B.
  
  A complete list of current medications
- C.
  
  Successful communication techniques
- D.
  
  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?

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?