TP3 Final - Dementia Exam Latest Questions With Correct Answers

Dementia - ANS the loss of intellectual functions (such as thinking, remembering and reasoning) of sufficient severity to interfere with daily life Reversible dementia - ANS depression, medications, metabolic dysfunction, diet Nonreversible dementia - ANS small strokes (vascular dementia), Parkinson s disease, dementia with Lewy bodies, frontal lobe dementias and Alzheimer's disease (AD) How can ageism influence the diagnosis of dementia? - ANS Need to rule out other factors that may reversible Alzheimer's disease - ANS progressive, degenerative disease of the brain resulting in plaques built up in nerve cells of the brain Alzheimers result in a ___ injury to the brain. - ANS diffuse Changes in the brain may begin __years or more before being diagnosed with Alzheimers. - ANS 20 Half of nursing home residents in the US have some form of ___. - ANS dementia Treatment focus for individuals with dementia - ANS - ADLs- communication- strengthening- adaptations of purposeful activities - environmental modification How many stages of dementia are there? - ANS 7 Stage 1 of Dementia - ANS - No impairment of normal function- no signs of memory loss- no symptoms Stage 2 of dementia - ANS - very mild cognitive deficits- some loss of memory: forgetting familiar words, names, location of items- signs may be noticeable to fiends, family, coworkers Stage 3 of Dementia - ANS - mild cognitive decline- May be diagnosed in some individuals- forgets names of newly introduced people- work performance impacted- forgetfulness Stage 3 Dementia intervention - ANS - Memory aids: calendars, journals, medication reminders and routine schedules- Caregiver training - ANS Stage 4 Dementia - ANS - moderate cognitive decline- fail to recollect recent incidents/current events- can't perform challenging mental arithmetic- cant plant/organize complex tasks- social withdrawal/silent Stage 5 dementia - ANS - moderately sever cognitive decline- Assistance with ADLs for sequencing/motor planning- procedural memory intact- cannot recall current address, phone number, etc.- retains knowledge of their name, others close to them Stage 5 Dementia interventions - ANS - caregiver training: encourage independence- ADL training, balance training Stage 7 dementia - ANS - terminal stage- bed/wheelchair- limited visual tracking- mute/incoherent- lost spontaneous movement leads to contractures, skin breakdown- severe weight loss (T/F) A person at stage 5 dementia would be independent in eating/toileting. - ANS True (T/F) A person at stage 6 dementia would be independent in toileting. - ANS False- need assistance for toileting Activity-focused care for those with dementia focuses on.... - ANS - abilities- promoting purpose/meaningful use of time- supporting sense of belonging- positive behaviors- holistic approach Validation therapy or creative reality in dementia treatment involves the use of ___. - ANS therapeutic fibs As the ability for a person with dementia to speak decreases, the therapist should tune into their ___. - ANS non-verbal language How can a therapist improve communication with a person who has advanced dementia? - ANS - use simple commands- attract attention of client- give choices rather than questions- do not apply logic- use positive language when making requests- listen carefully- understand that person with AD understands words literally Common behaviors associated with AD/dementia - ANS - Wander, pacing- Rummaging or redistribution of personal belongings- Combativeness and aggression- Sun-downing- Inappropriate sexual conduct- Withdrawal from activities- Apathy- Perseveration Sundowning refers to - ANS increased behavioral responses occurring mid to late afternoon Common behavioral issues associated with dementia are often attempts to ___. - ANS communicate What can be used to determine behavioral patterns involving time of day or antecedents? - ANS Behavior Observation Form Observatio