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WorksheetsModule 4 Knowledge Check
Total questions: 20
Worksheet time: 10mins
A resident with dementia says, "I need to get home. My daughter's school bus is coming soon." The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide?
Let's go see if Bingo has started yet. You love Bingo!
Remember, you are in a nursing home. Your daughter is all grown up.
Do you mean your great-granddaughter? Your daughter just turned 60.
What do you like to do with your daughter when she gets home from school?
A resident who has dementia is usually able to get dressed with some prompting. This morning the resident is more confused and needs more help with all activities of daily living. What should the nurse aide do?
Tell the resident not to feel bad about needing more help today.
Provide extra help as needed to avoid the resident becoming frustrated.
Ask if the resident would prefer to stay in night clothes for the day.
Check if the resident will get dressed for another nurse aide.
A resident with dementia tries to get out of bed without help during the night. The care plan states the resident needs assistance to get out of bed. What should the nurse aide do first?
Wait until the morning to assist the resident.
Encourage the resident to get out of bed without help.
Tell the resident to never get out of bed without assistance.
Try to find out if there is something the resident needs.
What is chronic dementia, and what are some of the characteristic features of this medical condition?
A medical condition that causes temporary decline in memory and one other cognitive area in a previously alert individual.
A curable disease process that causes gradual decline in memory and at least one other cognitive area in a resident who was previously alert.
A medical condition caused by any number of different disease processes that cause a progressive, subtle decline in memory and at least one other cognitive area in a resident who was previously alert.
A medical condition caused by any number of different disease processes that causes a sudden, significant decline in memory and at least one other cognitive area in a resident who was previously alert.
You notice that a resident with dementia is walking with a limp on their left foot. Your first response should be to:
Return the resident to bed.
Provide the resident with a cane.
Tell the nurse the resident is having foot pain.
Remove the resident's shoe and inspect the foot.
True or False. Everyone who has dementia has Alzheimer’s.
T
True
F
False
You notice that a resident with dementia keeps walking over to the piano, pausing there, touching the piano, and then walking away only to return again. Which of the following is the best action for you to take?
Take the resident back to the resident’s room.
Distract the resident by asking about the resident’s family.
Invite the resident to sit down at the piano with you.
Ask the activity director to find something for the resident to do.
Which of the following guidelines should be followed when speaking with a resident who has cognitive impairments?
Rush through the conversation to save time.
Use judgmental phrases to prompt the resident's memory.
Speak slowly and calmly.
Give complex instructions with multiple steps.
Alzheimer’s is a progressive disease. It is the gradual decrease in memory, thinking and physical ability over several years.
T (True)
F (False)
Which of the following are different behaviors that may be seen in a resident with dementia? Choose all that apply.
Aggression and anger
Anxiety and agitation
Hallucinations
Repetition
Sleep issues and sundowning
__________ is a far less common form of dementia, accounting for approximately only 4% of cases.
Alzheimer's
Dementia with Lewy Bodies
Dehydration
Frontotemporal Dementia
Which of the following is a symptom commonly associated with Dementia with Lewy Bodies?
Loss of smell
Loss of hearing
Loss of taste
Visual hallucinations
A resident with dementia has wandered into another resident's room. What should you say to the resident?
Let's go! Don't you know I have work to do!
Let's walk back together, ok?
How did you get in here?
Do you think you're Christopher Columbus?
If a resident's behavior becomes angry and combative, you should:
Tell the resident to calm down or restraints may be necessary.
Show the person that you are in control.
Communicate calmly while stepping out of the way.
Ask a co-worker to witness the situation.
A catastrophic reaction is:
An emotional outburst.
A type of allergic reaction to a specific food or medication.
A reaction to an unexpected event that causes overwhelming joy.
A type of emotional reaction to a natural disaster or tragic event.
Which of the following is NOT a feature of the best living environment for a resident with dementia?
Familiarity with environment and routines.
Clear signage.
Availability of staff to assist residents.
Confusing and complicated hallways.
A nurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that today the resident is restless and is pacing a lot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and
Ask the resident when he had his last bowel movement.
Check if the resident is hungry or needs to go to the bathroom.
Try to keep the resident close to observe the resident throughout the shift.
Allow the resident to move around as long as they do not harm other residents.
What should you do when handling wandering in nursing home residents with dementia?
Allow the resident to wander unsupervised at all times.
Lock doors and windows to restrict the resident's freedom.
Look for the cause of wandering.
Don't follow the behavior management plan.
True or False. A resident who experiences delirium will need emergency care.
True
False
Which type of dementia is the most common, accounting for approximately 60-80% of all cases?
Lewy Body Dementia
Frontotemporal Dementia
Vascular Dementia
Alzheimer's Disease
