HARTMAN'S NURSING ASSISTANT
CARE CHAPTER 5, 6, & 7 EXAM
QUESTIONS AND ANSWERS
When Alzheimer's resident wants to go home -Answer-"Tell me about your home"
Redirect conversation to activities or other interests
Be patient and gentle ALWAYS
When Alzheimer's resident has lost verbal skills -Answer-Use nonverbal skills such
as smiles, laughter, & touch (if ok with resident)
Show affection
Use signs, labels & gestures often
Validation Therapy -Answer-To go along with what a patient says to avoid causing
trauma or undue stress. Keep 'em happy.
Usually used with patients who are delusional or having hallucinations that are
harmless
Perseveration -Answer-To repeat words, phrases, questions or actions in a soothing
manner
Guidelines for problems with ADL's in patients with AD or experiencing dementia -
Answer-1. Develop a routine and stick with it
2. Promote Self-Care
3. Take Good Care of YOURSELF. You don't want to be on the next episode of
Snapped.
Guidelines for problems with BATHING in patients with Dementia -Answer-Schedule
bathing when resident is least agitated & after bowel movement
Be sensitive, calm & quiet
Be organized so bath is quick
Sponge bath instead
Prepare the resident by handing the supplies B4 hand (washcloths, etc) & walking
them to the shower bath b4
DO NOT LEAVE RESIDENT ALONE
PROVIDE PRIVACY
Bathroom well lit? Water comfortable temp?
Non-slip mats, tub seats and hand holds
Guidelines for problems with GROOMING in patients with AD -Answer-Help
residents to feel attractive
Show resident what they are going to wear/provide choice b4 hand
Lay out clothes in order that they are put on (Toddler logic while respecting resident
is an adult)
Avoid delays
Dress resident in their room, provide privacy
, Clothing Order -Answer-Underwear, Tee Shirt, Socks, Pants, Shoes -
Jacket/Pullover last
Guidelines for problems with TOILETING in patients with Dementia -Answer-
Encourage Fluids - advise nurse if not drinking enough
Mark bathroom with picture
Check lighting
Remember residents respond to physical needs however they can
Observe toilet patterns 2-3 nights
Take resident to bathroom before/after meals and before bed
Put lids on trash cans or other containers the resident might urinate or defecate in
Guidelines for FEEDING patients with AD -Answer-Encourage healthy foods
Have meals at regular times
Remind resident it's meal time
Proper lighting
No distractions (TV RADIO OFF)
KISS
Finger foods - sandwiches, chicken nuggets, fish sticks, cheese cubes, hb eggs
Check temp of food
Use a "spoon" only and plates without patterns
One item of food on the plate at a time
Seat residents with AD with other residents with AD
Triggers -Answer-Action or thing that causes/promotes a reaction.
Agitated -Answer-Restless excitement
If a resident is agitated or is "sundowning:" a CNA should -Answer-remove triggers
redirect resident's focus to a soothing activity (folding towels)
give snacks/encourage rest if bedtime & limit activities
place an arm around the resident
play soft music
calming activities before bed
set a bedtime routine and keep it
no caffeine
maintain daily exercise routine
Catastrophic Reaction -Answer-Over reacting to something usually triggered by
fatigue, change of routine/environment/caregiver, overstimulation, difficult choices or
tasks, physical pain, hunger, or need to go to the bathroom
Violent behaviour -Answer-is usually triggered in AD patients when they are
frustrated, when change overwhelms them, or overstimulated
A CNA should block blows but never hit back
Step out of reach
Call for help
Avoid leaving resident alone
CARE CHAPTER 5, 6, & 7 EXAM
QUESTIONS AND ANSWERS
When Alzheimer's resident wants to go home -Answer-"Tell me about your home"
Redirect conversation to activities or other interests
Be patient and gentle ALWAYS
When Alzheimer's resident has lost verbal skills -Answer-Use nonverbal skills such
as smiles, laughter, & touch (if ok with resident)
Show affection
Use signs, labels & gestures often
Validation Therapy -Answer-To go along with what a patient says to avoid causing
trauma or undue stress. Keep 'em happy.
Usually used with patients who are delusional or having hallucinations that are
harmless
Perseveration -Answer-To repeat words, phrases, questions or actions in a soothing
manner
Guidelines for problems with ADL's in patients with AD or experiencing dementia -
Answer-1. Develop a routine and stick with it
2. Promote Self-Care
3. Take Good Care of YOURSELF. You don't want to be on the next episode of
Snapped.
Guidelines for problems with BATHING in patients with Dementia -Answer-Schedule
bathing when resident is least agitated & after bowel movement
Be sensitive, calm & quiet
Be organized so bath is quick
Sponge bath instead
Prepare the resident by handing the supplies B4 hand (washcloths, etc) & walking
them to the shower bath b4
DO NOT LEAVE RESIDENT ALONE
PROVIDE PRIVACY
Bathroom well lit? Water comfortable temp?
Non-slip mats, tub seats and hand holds
Guidelines for problems with GROOMING in patients with AD -Answer-Help
residents to feel attractive
Show resident what they are going to wear/provide choice b4 hand
Lay out clothes in order that they are put on (Toddler logic while respecting resident
is an adult)
Avoid delays
Dress resident in their room, provide privacy
, Clothing Order -Answer-Underwear, Tee Shirt, Socks, Pants, Shoes -
Jacket/Pullover last
Guidelines for problems with TOILETING in patients with Dementia -Answer-
Encourage Fluids - advise nurse if not drinking enough
Mark bathroom with picture
Check lighting
Remember residents respond to physical needs however they can
Observe toilet patterns 2-3 nights
Take resident to bathroom before/after meals and before bed
Put lids on trash cans or other containers the resident might urinate or defecate in
Guidelines for FEEDING patients with AD -Answer-Encourage healthy foods
Have meals at regular times
Remind resident it's meal time
Proper lighting
No distractions (TV RADIO OFF)
KISS
Finger foods - sandwiches, chicken nuggets, fish sticks, cheese cubes, hb eggs
Check temp of food
Use a "spoon" only and plates without patterns
One item of food on the plate at a time
Seat residents with AD with other residents with AD
Triggers -Answer-Action or thing that causes/promotes a reaction.
Agitated -Answer-Restless excitement
If a resident is agitated or is "sundowning:" a CNA should -Answer-remove triggers
redirect resident's focus to a soothing activity (folding towels)
give snacks/encourage rest if bedtime & limit activities
place an arm around the resident
play soft music
calming activities before bed
set a bedtime routine and keep it
no caffeine
maintain daily exercise routine
Catastrophic Reaction -Answer-Over reacting to something usually triggered by
fatigue, change of routine/environment/caregiver, overstimulation, difficult choices or
tasks, physical pain, hunger, or need to go to the bathroom
Violent behaviour -Answer-is usually triggered in AD patients when they are
frustrated, when change overwhelms them, or overstimulated
A CNA should block blows but never hit back
Step out of reach
Call for help
Avoid leaving resident alone
