2. As a caregiver, it s important to build a team/ support network around you (choose one):

Transcription

1 Test Questins (Part 1, Chapter 1) 1. Of thse affected by dementia: 50% are nt aware they are changing and 50% are aware they are changing. Of the 50% wh are aware, they will always respnd by becming anxius and clingy. True False 2. As a caregiver, it s imprtant t build a team/ supprt netwrk arund yu (chse ne): As sn as yu can get t it Late in the disease Early in the disease 3. As a caregiver, it s imprtant t learn t (chse ne): Respnd, nt react Pint ut what the persn with dementia is ding wrng Take ver 4. In care giving/ care partnering, If smething isn t wrking well, wh needs t change? Caregiver The persn with dementia (Part 1, Chapter 2) 5. As a care partner, it s imprtant t knw yur agenda, but nt shw yur agenda. True False 6. When cmmunicating with smene affected by dementia, using reality rientatin is an effective strategy. True False 7. Swearing, sex talk, and racial slurs can be part f the disease. True False 8. A cmmn mistake care partners make is trying t get the persn with dementia t understand the facts as they see them.

2 True False 9. Thrughut the disease, the mst imprtant aspect is: Being right The relatinship in the mment Cmpleting yur task list 10. Withut realizing it, care partners can be perceived by the persn with dementia as being cnfrntatinal thrugh bdy language and psitining. True False 11. Yu ve been Mary s favrite caregiver fr the three years she s lived in yur cmmunity. Yu walk int her rm as yu ve dne every mrning and she says t yu What are yu ding in my rm? Wh are yu? Please chse the best respnse: Mary, it s me, Dianne. I cme in every mrning, remember? I m srry, Mary. I shuld have asked yur permissin. May I cme in? (Part 1, Chapter 3) 12. If it s nt nrmal aging, it s always dementia. True False 13. Human beings take in data in 5 ways what we see, hear, feel/ tuch, smell, and taste. The mst pwerful sensry input is: Visual data Auditry data Kinesthetic data 14. Peple with dementia pay mre attentin t what they see than what they hear. True False 15. All frms f dementia attack the brain asymmetrically. What side is usually attacked first and mre severely? Right side Left side 16. Language n the : Left Right 17. Rhythm n the :

3 Left Right 18. When appraching smene affected by dementia, it s OK t tuch the persn befre yu ve make a visual and verbal cnnectin. True False 19. Please chse the crrect statement: It s mre effective t d T a persn, than With. It s mre effective t d With a persn, than T. 20. Peple find pressure in the palm f their hand cmfrting. True False 21. A persn affected by dementia retains safety awareness. True False 22. The amygdala and hippcampus are tw parts f the limbic system f the brain. Bth f these parts have primary functins that relate t memries and reactins t emtinal aspects. True False 23. With Alzheimer s disease, the hippcampus is ne f the first regins f the brain t suffer damage. True False 24. Wrking memry peaks at arund age:

4 25. Chse all that apply t nrmal aging : Can t recall a wrd, but can describe it Prcess infrmatin mre slwly May pause when wrd finding Wrds wn t cme even with verbal, visual, r tuch cues (Part 1, Chapter 4) 26. Chse all that apply t nt nrmal aging: Unable t get started n a task Will get stuck in a mment f time Unable t successfully place a persn Cnfused between past and present 27. Dementia will rb yu f skill befre it rbs yu f strength. True False (Part 1, Chapter 5) 28. Chse the crrect statement: Lse n the right, retain n the left Lse n the left, retain n the right 29. Early in the disease, peple will miss: 1 in every 10 wrds 5 f 5 wrds 1 in every 4 wrds 30. A persn affected by dementia ften retains the skill f scial chit chat. True False

5 31. A persn affected by dementia can get and give rhythm. True False 32. Early in the disease, a persn affected by dementia will retain rhythm, but lse the ability t understand cntent. Cntent includes (check all that apply): Vcabulary Cmprehensin Speech prductin % f peple affected by dementia will retain music, petry, prayer, rhythm. It s hked int the emtinal center. True False 34. Fr a persn affected by dementia, their visual field gets smaller and smaller. True False (Part 2, Chapter 1) 35. Dementia is an umbrella term that cver different cnditins. True False 36. Hw many ideas can the average persn hld in wrking memry? The Mini Mental State exam is cnsidered t be less effective when screening fr early dementia. Anther exam, believed t have the advantage f detecting early dementia is: Saint Luis University Mental Status exam (SLUMS) Vassar Medical exam (VM) Clrad State Cgnitive exam (CSC)

6 (Part 2, Chapter 2) 38. Please select the Fur Truths abut dementia: At least 2 parts f the brain area actively dying. It is chrnic there is nthing that will stp it, slw it, r turn it arund. The current drugs are designed t help cntrl sme symptms in sme peple. Drugs like Namenda can slw the prgressin f the disease It is prgressive it will get wrse It is terminal and results in death it kills s much f yur brain, yu can t keep ging 39. Out f 5 families dealing with the disease: 1 will fall apart 3 will fall apart 4 will fall apart 40. Dementia affects 1 f 5 families in the U.S. True False 41. The mst cmmn type f dementia is: Vascular Alzheimer s Lewy Bdy % f peple with Parkinsn s will develp dementia. True False 43. Depressin and ther mental health issues increase the chance f develping dementia.

7 True False (Part 2, Chapter 3) 44. Frntal lbe abilities include (check all that apply): Impulse cntrl Reasn Lgic Decisin Making Emtinal respnse 45. The limbic system is in the center f the brain and includes (check all that apply): The hippcampus The hypthalamus The amygdala 46. Stress and duress can cause changes in the brain similar t mild cgnitive impairment f early Alzheimer s: True False 47. A healthy respnse t viewing images f the brain is t: Fcus n what s missing Fcus n what remains 48. By the end f the disease, the hippcampus is: 1/2 f it s riginal size The same size 1/3 f it s riginal size 49. Please chse the crrect definitin f cnfabulatin :

8 When the brain makes up memry t fill in the gaps When the brain shrinks When a persn respnds negatively t a situatin 50. Cnfabulatin is mst prevalent with which type f dementia: Alzheimer s Lewy Bdy Vascular 51. As the left tempral lbe shrinks, what areas are impacted (chse ne): Language, vcabulary, speech Emtinal respnse, mtr skills, reasning (Part 2, Chapter 4) 52. Teepa created the Gems t serve as a classificatin mdel that fcuses n what remains, rather than what is lst in the disease. True False 53. In the Right Setting, with the Right Care, All Gems Can Shine True False 54. Please chse what best describes a Sapphire: Nrmal aging Likes authrity Stuck in a mment in time 55. Please chse what best describes a Diamnd:

9 Language is vague Likes authrity N safety awareness 56. Please chse what best describes an Emerald: May resist care Needs help, but desn t knw it Ability t meet the changing needs f thers 57. Please chse what best describes an Amber: Nrmal aging Rigid May resist care; lw sensry tlerance 58. Please chse what best describes a Ruby: Fine mtr and skill stps Trapped in a shell Will tuch and take 59. Please chse what best describes a Pearl: Ruled by reflexes Messes and mistakes Likes cmpany (Part 2, Chapter 5) 60. When it cmes t visin, peple with dementia lse safety visin first. True False 61. Withut realizing it, when yu get in frnt f persn and yu lean in s they can see yu clearly, it feels like yu are cnfrnting them and can be unsettling. True False

10 62. A supprtive stance invlves yu standing directly in frnt f the persn yu are trying t help. True False 63. There are 3 znes f Space and Awareness. Please select the three znes: Public Business Friendly Persnal Intimate 64. Please chse the crrect statement related t care partnering: Practice the art f crrecting, nt supprting. Practice the art f substitutin, nt subtractin. Practice the art f cnversing and reacting. 65. We shuld always pause at the beginning f smene s persnal space, which is: 20 feet ut 3 feet ut 6 feet ut 66. The main reasn nt t tuch smene wh has nt acknwledged yur apprach is that: Yu might startle them and get a negative impulsive respnse They will prbably hit yu Yu will get hurt every time yu d this They are prbably needing their sleep and yu shuld leave them alne 67. What is the recmmended type f respnse t a persn with dementia wh is becming distressed? Use a psitive physical apprach, empathy, then redirectin r distractin Get clse the them, hug them and then use empathy Tell them it is OK and that they dn t need t wrry, and then encurage them t have smething t drink r eat Try t leave them alne and let them settle themselves back dwn, rather than interfering 68. Care partnering means:

11 Ding t, nt with Ding with, nt t Crrecting mistakes 69. Hand under Hand technique requires practice. True False 70. It s helpful t knw the persn s dminate r preferred side. True False (Part 2, Chapter 6) 71. Late in the disease the wiring between visual and sensry mtr is failing. True False 72. It s nt uncmmn fr peple t experience grief when they realize the persn they care fr is declining. It s OK fr the persn t grieve in the cmpany f the persn affected by dementia. True False 73. Fr many, as in the tthbrush example in the vide, pinting ut mistakes is a habit that can be brken. An effective alternative t pinting ut mistakes is: Offer a tthbrush withut taking the hair brush away Apprach, Cnnect, and Redirect Take the tthbrush away immediately they knw better Use reality rientatin and let the persn knw they re nt using the right tl 74. Nine f ten peple will develp mncular visin and lse depth perceptin. True False 75. The seeking f an emtinal r physical need mst ften drives behavir.

12 True False 76. Please chse the crrect rder when assisting smene with dementia (Tip: remember the mst pwerful sensry input): Tuch first, then let them knw what yu re ding Visual, verbal, tuch Verbal, visual, tuch (Part 3, Chapter 1) 77. In rder t survive, there are 5 basic physical needs that must be met: (1) Hunger and thirst, (2) wake /sleep cycles and rest, (3) eliminatin, (4) cmfrt/ persnal preferences, (5) pain relief True False 78. When yu want t wake smene up, it s best t: Wake them up quickly by tapping them n the shulder and saying their name Wake them up slwly by saying their name, pausing at the beginning f their persnal space, lwering yurself t their level and applying light pressure t the knee. (Part 3, Chapter 2) 79. Left brain includes (chse three that apply): Vcabulary Cmprehensin Rhythm Speech prductin 80. If smene with dementia respnds t the rhythm f yur vice, it als means they cmprehend what yu re saying. True False

13 81. Pre-frntal crtex primary skills include (chse all that apply): Initiating Sequencing Terminating Mving On Seeing frm anther persn s pint f view 82. When smene experiences bincular visin, they can engage in bth scial visin and task visin simultaneusly. True False 83. Psitive and negative emtinal cnnectins cntinue t frm in all stages f dementia. Fr that reasn, it s imprtant t: Nt verreact t surprising behavirs. Pause and give yurself time t respnd in a psitive way. Acknwledge their reality and let it g Use the phrase Dn t yu remember? t prmpt a memry (Part 3, Chapter 3) 84. MCI (Mild Cgnitive Impairment) is the first sign f dementia. True False 85. Effective care partners learn t change the setting and care as needed, while recgnizing the persn with dementia is ding the best they can in that mment. True False