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Hartman's Nursing Assistant Care Chapter 5, 6, & 7 exam
actual questions and answers with complete solutions verified
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Terms in this set (99)
Confusion The inability to think clearly or make decisions
Severe confusion which occurs suddenly -
Delirium usually temporary- Drugs and alcohol usually
involved but could also be due to disease,
illness, fluid imbalance, poor nutrition
Causes of Confusion UTI, Low Blood Sugar, Dehydration, Fever, Lack of
Oxygen, Infections, Brain Tumor
Guidelines of Care for Do NOT leave resident alone, provide a quiet
Residents environment, introduce self each time you see
experiencing the resident and use their name, Keep a
Confusion routine and talk to residents about plan for the
day, use calendars - remind them of date,
time, place
Signs of Delirium Agitation, Irritability, Anger, Depression,
Diorientation, Trouble focusing, Aphasia,
Changes in Perspective & Sensations, Changes
in Consciousness, STM loss
Goal of Treatment for Control or Reverse the cause
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Delirium
Cognition The ability to think logically and clearly & make
decisions
Cognitive Impairment Inability to think logically & clearly (Not rational)
Dementia Symptom not a diagnosis. Loss of thinking,
reasoning, remembering, & communicating. No
recovery. Difficulty to perform ADL's.
Cause Dementia Alzheimer's, Multi-Infarc/Vascular Dementia
(series of CVAs causes damage to the brain,
Lewy Body Dementia, Parkinson's,
Huntington's.
Most common type of dementia. It involves fluctuations
between alertness and
Lewy Body Dementia attention, meaning that one moment resident
may seem completely fine and the next he is
staring into space and drowsy. It also involves
frequent hallucinations and
gradual loss of motor skills.
Caused by a faulty gene on chromosome 4. The
faulty gene leads to a damage of the nerve
cells in areas of the brain, including the the
basal ganglia and cerebral cortex.
This leads to gradual physical, mental and
emotional changes. It is a dominant
hereditary disease.
Huntington's Disease The hallmark symptom is uncontrolled movement of the
arms, legs, head, face and
upper body. Also causes a decline in thinking and
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reasoning skills, including memory, concentration,
judgment and ability to plan and organize.
Other symptoms include alterations in mood,
especially depression, anxiety, and
uncharacteristic anger and irritability,
obsessive-compulsive behavior, leading a
person to repeat the same question or
activity over and over.
Most common cause of dementia in the
"elderly". Women are more prone to the
Alzheimer's Disease disease (possibly hormone imbalances). Causes
"tangled nerve fibers (tangles)" and protein
deposits to form in the brain. No known
cause or cure. Only sure way to
"diagnose is by autopsy".
Skills a person has used over a lifetime (playing
instruments) are usually kept longer.
Alzheimer's Care Encourage independence to keep mind and
Guidelines body active as possible. Problem solving,
socializing , reading, working/projects all
help slow the disease.
CNA's attitude when Empathetic, DON"T take things personally, "Let's..." Team
dealing with Effort Approach
Alzheimer's should
be:
Approach from front (so as not to startle)
Determine patient's "space
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