Nur 421 Final Exam Questions SOLVED 100%
CORRECT!!!
no decline
global deterioration scale stage 1
deficit in word finding
forget location of items
gds stage 2 (age related memory changes)
some decline in performing complex tasks (esp in work)
decline in organization
deficit possibly noted by others
gds stage 3 (mild cognitive impairment)
diminished ability to perform complex tasks (balancing checkbook)
decreased knowledge of current event
flat affect
noticeable loss of short term memory
GDS stage 4 (mild dementia)
obvious cog decline
req supervision for complex daily tasks
difficulty remembering names of familiar people
decreased ability to express needs
GDS stage 5 (moderate dementia)
sig short term memory impairment disorientation personality and emotional changes
difficulty understanding language
,GDS stage 6 (mod severe dementia)
difficulty dressing
req assistance with bathing
req assistance with toiletings
occasional incontinence (urine then fecal)
GDS stage 6 loss of abilities in the following order
progressive loss of verbal and psychomotor ability
limit to 6 or less words
single intelligible word
unable to walk w/o assistance
unable to smile
cannot hold head up
GDS stage 7 (severe dementia)
accept meet
caregiver principles include _____ where the individual is at and _____ them there
introduce
caregiver approaches - changes in memory should involve always ________yourself
doing eye contact
caregiver approach with changes in memory explain what you are __________ and always
maintaining
don't point out that they can't remember
don't argue
don't ask open ended questions
caregiver approach changes in memory Don'ts
,repeat
visual cues
be patient
do's for working memory and caregiver approach
ability to progress through steps of an activity
ability declines as dementia progresses
sequencing is one's _____
verbal visual and tactile
3 types of cues
to find the right amount of cueing needed and the right combo (of tactile verbal and visual)
what is the key with providing cues to the older adult with dementia
strength
procedural memory is a
decline are noticeable
attention
selective
divided
switching
sustained
attention 4 types
behavior and psychological symptoms of dementia
BPSD
, 97%
what is the percentage of individuals with dementia who experience at least one behavioral
symptom
resistance to care
aggression
wandering rummaging
repetitive behavior
sexual inappropriateness
behavioral symptom include
increased confusion anxiety beginning late in the afternoon or early evening
sundowning
fatigue overstimulation adverse dreg reactions altered circadian rhythm sleep impairment
what are the triggers for sundowning
hallucinations and delusions (false perception of objects or events caused by changes in brain
in later stages)
eyesight and hearing issues
BPSD psychological symps include
validate feeling do not confront
offer reassurance
distract with meaningful activity
modify environment (cover mirror, turn off tv turn on lights remove from area)
BPSD interventions
nonpharm prevention and management
with BPSD it is important to focus on _______________
CORRECT!!!
no decline
global deterioration scale stage 1
deficit in word finding
forget location of items
gds stage 2 (age related memory changes)
some decline in performing complex tasks (esp in work)
decline in organization
deficit possibly noted by others
gds stage 3 (mild cognitive impairment)
diminished ability to perform complex tasks (balancing checkbook)
decreased knowledge of current event
flat affect
noticeable loss of short term memory
GDS stage 4 (mild dementia)
obvious cog decline
req supervision for complex daily tasks
difficulty remembering names of familiar people
decreased ability to express needs
GDS stage 5 (moderate dementia)
sig short term memory impairment disorientation personality and emotional changes
difficulty understanding language
,GDS stage 6 (mod severe dementia)
difficulty dressing
req assistance with bathing
req assistance with toiletings
occasional incontinence (urine then fecal)
GDS stage 6 loss of abilities in the following order
progressive loss of verbal and psychomotor ability
limit to 6 or less words
single intelligible word
unable to walk w/o assistance
unable to smile
cannot hold head up
GDS stage 7 (severe dementia)
accept meet
caregiver principles include _____ where the individual is at and _____ them there
introduce
caregiver approaches - changes in memory should involve always ________yourself
doing eye contact
caregiver approach with changes in memory explain what you are __________ and always
maintaining
don't point out that they can't remember
don't argue
don't ask open ended questions
caregiver approach changes in memory Don'ts
,repeat
visual cues
be patient
do's for working memory and caregiver approach
ability to progress through steps of an activity
ability declines as dementia progresses
sequencing is one's _____
verbal visual and tactile
3 types of cues
to find the right amount of cueing needed and the right combo (of tactile verbal and visual)
what is the key with providing cues to the older adult with dementia
strength
procedural memory is a
decline are noticeable
attention
selective
divided
switching
sustained
attention 4 types
behavior and psychological symptoms of dementia
BPSD
, 97%
what is the percentage of individuals with dementia who experience at least one behavioral
symptom
resistance to care
aggression
wandering rummaging
repetitive behavior
sexual inappropriateness
behavioral symptom include
increased confusion anxiety beginning late in the afternoon or early evening
sundowning
fatigue overstimulation adverse dreg reactions altered circadian rhythm sleep impairment
what are the triggers for sundowning
hallucinations and delusions (false perception of objects or events caused by changes in brain
in later stages)
eyesight and hearing issues
BPSD psychological symps include
validate feeling do not confront
offer reassurance
distract with meaningful activity
modify environment (cover mirror, turn off tv turn on lights remove from area)
BPSD interventions
nonpharm prevention and management
with BPSD it is important to focus on _______________
