Shared Flashcard Set

Details

CNA
Chapter 5
45
Health Care
Not Applicable
05/06/2016

Additional Health Care Flashcards

 


 

Cards

Term
A NA should stay calm when a resident is__________?
Definition
Confused, upset,
Term
Define Cognition
Definition
The ability to think logically and clearly
Term
Cognitive Impairment
Definition
When a person has lost some of the ability to think logically and clearly
Term
Dementia
Definition
General term referring to serious loss of mental ability.
There are many types of dementia
Term
Alzheimer's disease (AD)
Definition
A disease that causes tangled nerves fibers and protein deposits to form in the brain.

This will cause DEMENTIA
Term
True or False

AD symptoms appear quickly?
Definition
FALSE, the symptoms appear gradually
Term
True or False:
Dementia is a Normal Part of Aging
Definition
FALSE Dementia is NOT a normal part of aging
Term
If a resident with AD has trouble finding words what should the NA do to assist?
Definition
Suggest a word that sound correct- Do NOT try to correct.

Ask the resident to point, gesture or act it out
Term
When a resident with AD is frightened, upset, or anxious what can the NA try
Definition
Speak in slow, low, calm voice
Use simple words and sentences
Check NA body language
Term
What is perseveration
Definition
repeating words, action, phrases, questions
Term
How does the NA communicate with a resident that is persevering
Definition
Use the same words everytime
Term
If a resident with AD is repeatedly asking to go home what can the NA do to redirect
Definition
Ask the resident to tell you about "home" be patient and gentle,
Term
When should you schedule bathing for a resident that has issues with bathing
Definition
When the resident is least agitated
Term
When working with a resident that has issues with toileting should you withhold or restrict fluids?
Definition
Absolutely NO, encourage fluids
Term
What are some mechanisms to assist a resident that is incontinent?
Definition
-Place sign on bathroom-picture
-Over a 2-3 day period check every 30 minutes to determine times
-Take resident to bathroom before and after meals and before bed
Term
Ways to assist a resident with AD maintain their nutrition
Definition
-Meals at regular times
-Keep noise and distractions low
-Avoid very hot drinks
-Use PLAIN plants, no patterns
-One item on plate at a time
-simple clear instructions
Term
Triggers
Definition
Something that upsets the residents routine or state of mind

Remove Triggers when a resident becomes upset

Remove Triggers if resident is upset
Term
Sundowning
Definition
When a person gets restless and agitated in the late afternoon, evening or night
Term
Mechanisms to use for Sundowning
Definition
-Set a bedtime routine and keep it
-play soft music
-Soothing back massage (use lotion)
-Remove triggers
-avoid activities, apt and visits during this time
Term
Pacing
Definition
Walking back and forth
Term
Wandering
Definition
aimlessly walking
Term
Hallucination
Definition
Seeing, hearing, smelling, tasting: senses that which is not there
Term
Delusions
Definition
A false belief
Term
Perseveration
Definition
Repetitive, repeats same word, same question, same activity
Term
If a resident is displaying inappropriate sexual acts in place what is the best way to handle
Definition
provide privacy for the resident
Term
TRUE or FALSE:
When a resident shows violent tendencies towards us, we hit them
Definition
FALSE, we stay calm and try to remove any trigger that could be causing the behavior
Term
When is it appropriate to provide a 'rummage" drawer?
Definition
When a resident is pillaging (taking things that belong to someone else
Term
What is hoarding?
Definition
Collecting & putting things away in a guarded manner.
Term
Validation
Definition
Giving Value or approval , NOT attempting to reorient the resident with AD
Term
A UTI can cause what behaviors
Definition
confusion,
hallucinations
combativeness
Term
What is the best way to lay out clothing for a resident?
Definition
Put clothes in the order in which they are put on
Term
Delirium
Definition
Rapid onset, caused by infection, dehydration, constipation, illness and medications
Term
Reminiscence therapy
Definition
reminiscing about the past, talking about the past
Term
Who are GREAT STUDENT
Definition
YOU!!!!!!!!!!
Term
Which skills does the resident with AD keep the longest?
Definition
Usually, the skills that have been used over a lifetime. Newer skills are lost sooner.
Term
TRUE or False: A staff members body language can be frightening to a AD resident.
Definition
TRUE; Staff must always be aware of their body language
Term
What can take the place of verbal communication in the case of receptive ashagia
Definition
Touch, smile, laughter, pictures, gestures
Term
The best types of place settings for people with AD are
Definition
Plain White and simple
Term
How does the nursing staff respond to hallucinations?
Definition
Reassure the resident, distract.
Do NOT tell them that what they think they see is NOT there or that we Can see it- just reassure and distract
Term
Reality Orientation
Definition
Using lists, white boards, calendars, etc.. This is ONLY helpful in the earliest stages of AD.
Term
AD causes the person to lose short term memories first, what does that mean?
Definition
The things they have learned most recently will be lost first
Term
Reassurance is
Definition
something that is said or done to make someone feel less afraid, upset, or doubtful
Term
To reminiscent with a residents is to
Definition
Talk about the past
Term
If a NA is listening attentively to a resident's concerns and does not just dismiss the issue the NA is
Definition
Validating the resident and their concerns, whether they are real or not
Term
What is the first thing we try to do when someone is acting out
Definition
Determine and remove the TRIGGER
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