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1. What percentage of residents in assisted living and nursing homes have some form of dementia or cognitive impairment?
A. More than 50%
B. Less than 40%
C. No more than 20%
D. Less than 5%
2. Inadequate consumption or inappropriate food and fluid choices can contribute directly to a decline in a resident's health and well-being.
A. True
B. False
3. Pain is under-recognized and undertreated among people with dementia, primarily because they can have difficulty:
A. Breathing
B. Walking
C. Communicating
D. Sleeping
4. Which of the following is NOT a goal of social engagement for the care of dementia:
A. Respect resident preferences
B. Offer many opportunities each day for providing a context with personal meaning and a sense of community
C. Limit resident choices of meaningful social activities
D. Design interactions to do with the resident
5. The fundamentals for effective dementia care include:
A. Optimal care occurs within a social environment that supports the development of healthy relationships
B. Staff can determine how best to serve each resident by knowing as much as possible about each resident's life story
C. Good dementia care involves using information about a resident to develop "person-centered" strategies
D. All of the above
6. A holistic assessment of the resident's abilities and background is necessary to provide care and assistance that is tailored to the resident's needs.
A. True
B. False
7. Effective care planning does NOT need to include family, when appropriate or staff (including direct care staff) who regularly interact with the resident throughout the process.
A. True
B. False
8. It is important to give residents opportunities and sufficient time to express themselves. Which of the following examples demonstrate this best:
A. Speaking in simple, direct language to residents.
B. Residents may need to work with a speech-language pathologist to maximize their communication skills.
C. Speaking rapidly to relay the most information in the least amount of time
D. A and B
9. Poor dental health, swallowing difficulties, and distractibility during meals are nutritional problems and resident characteristics that:
A. Contribute to the need for restraints
B. May affect food and fluid consumption
C. Reduce the risk of falls
D. None of the above
10. Which of the following is not part of an effective pain assessment:
A. Family history of pain
B. Pain triggers
C. Positive and negative consequences of treatment
D. Site of pain
11. Wandering, like all behavioral symptoms of dementia, occurs for understandable reasons. Which of the following are reasons for dementia associated wandering:
A. Behavioral expression of a basic human need
B. A response to voices in their heads
C. Physical discomfort or psychological distress
D. A and C
12. Non-pharmacological strategies to ease chronic pain and promote well being include:
A. Relaxation
B. Physical activities
C. Superficial heat
D. All of the above
13. A few isolated programs are preferred to frequent, meaningful activities.
A. True
B. False
14. People with dementia are at risk of falls because of their neurological impairments. The environment may also contribute to risk conditions.
A. True
B. False
15. Physical restraints may be used in the mistaken belief that they help ensure safety, but they generally harm residents. Recommendations are based on these goals:
A. Foster a restraint-free community in the nursing home or assisted living residence.
B. Identify the underlying problems or needs that prompt the use of restraints, and address them using restraint-free methods.
C. Provide staff with techniques they can use to prevent, reduce and eliminate use of restraints.
D. All of the above
16. All of the following drug classes are commonly associated with an increased risk of falls EXCEPT:
A. Sleep medications
B. Tranquilizers
C. Diet medications
D. Anti-anxiety medications
17. Providing non-slip floor treatments, maintaining a clear path to the bathroom, and making sure furniture is in good condition are all examples of:
A. Alternatives to physical restraints
B. Ways to modify the environment to prevent falls
C. Methods to maintain a regular sleep-wake cycle
D. Means to assess a resident's functional mobility
18. Physical restraints are generally harmful to residents because of:
A. Negative effects on multiple body systems
B. Interference with normal functioning
C. Prohibits resident from socializing
D. All of the above
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