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Caring for a Person with Alzheimer's Disease

1. Characteristics of moderate Alzheimer’s disease (AD) include each of the following EXCEPT:

A. Individuals may need help getting dressed and may start having problems with incontinence

B. They may have some memory loss and exhibit small changes in their personality

C. They may have trouble recognizing family members and friends and may not know where they are or what day or year it is

D. They may lack judgment and begin to wander, or become restless and begin repeating movements late in the day


Understanding how AD Changes People-Challenges and Coping Strategies

2. When caring for someone with AD, the three main challenges that will likely be faced with the individual include changes in communication skills, changes in personality and behavior, and changes in intimacy and sexuality.

A. True

B. False


Helping a Person Who is Aware of Memory Loss

3. In order to help people who are beginning to experience difficulty with language, it is important to gently correct them when they forget or say something odd, as this will enhance their ability to maintain communication.

A. True

B. False


4. According to the authors, for the person with AD, changes in behavior may be caused by other factors rather than the disease itself, such as certain medicines, ____________, poor eyesight or hearing, and fatigue.

A. Reactions from others

B. Poor medical care

C. Loneliness or isolation

D. Severe pain


How to Cope with Paranoia

5. Paranoia that occurs with Alzheimer’s is often linked to memory loss, and may be the person’s response to experiencing loss and to not understanding what is happening.

A. True

B. False


Challenge: Changes in Intimacy and Sexuality-Hypersexuality

6. People with AD often experience hypersexuality, and because of the disease itself, they want and need to have more sex.

A. True

B. False


Helping Children Understand AD

7. When trying to help a child understand a loved one’s Alzheimer’s disease, how much and what kind of information to be shared depends on:

A. The child’s age and relationship to the person with AD

B. The child’s developmental level and coping skills

C. The child’s support system and emotional awareness

D. The child’s maturity and overall comfort level


Planning Ahead-Health, Legal and Financial Issues

8. When individuals are diagnosed with AD, they should begin getting their health, legal, and financial affairs in order while they can still make decisions that reflect their overall best interests.

A. True

B. False


Keeping the Person with AD Safe

9. AD research indicates that individuals who experience even slight memory loss will likely no longer be able to drive safely, so caretakers should immediately begin to make alternative arrangements.

A. True

B. False


Providing Everyday Care for People with AD

10. Which of the following is NOT likely one of the reasons that individuals with AD may have difficulty with activity and exercise according to the authors?

A. Trouble with endurance and poor coordination

B. Sore feet or muscles or an illness

C. Excessive fatigue due to sleep disturbances

D. Depression or general lack of interest


Everyday Care

11. When helping to bathe a person with AD, it is beneficial to follow his or her lifelong bathing habits and distract the individual by talking about something else if he or she is upset for any reason.

A. True

B. False


Dressing

12. Although people with AD often need more time to dress and may have difficulty choosing their clothes, it is important they be allowed to dress on their own for as long as possible.

A. True

B. False


Adapting Activities for People with AD-Daily Activities

13. For an AD caretaker, the tendency may be to try to match activities with what the person can already do, but in order to keep the individual interested and motivated, it is more beneficial to choose challenging and less-familiar activities that provide stimulation.

A. True

B. False


Traveling

14. AD individuals may feel worried and confused while traveling, so following a routine and planning limited activities is recommended.

A. True

B. False


Visitors

15. When visiting a person with AD, important considerations include each of the following EXCEPT:

A. Plan the visit when the person is at his or her best

B. When possible, initiate physical contact such as gentle touch or hugs in order to increase comfort

C. Be calm and quiet and don’t use a loud voice or talk to the person as if he or she were a child

D. Make eye contact and call the person by name to get his or her attention


When You Need Help: Direct Services

16. Home health care aids may be particularly helpful to provide care and comfort for the AD individual, and most home health service costs are covered by Medicare and private insurance.

A. True

B. False


Program of All-Inclusive Care for the Elderly (PACE)

17. PACE is a program that is available in certain states to help AD patients by:

A. Paying for some or all of the long-term care needs of the person with AD

B. Covering medical, social service, and long-term care costs for frail people

C. Permitting most people who qualify to continue living at home instead of moving to a long-term care facility

D. All of the above


Nursing Homes

18. Some nursing homes have special AD care units which are often in separate sections of the building, where staff members have special training to care for them, and where they are able to feel more like they are at home.

A. True

B. False


Medicines to Treat AD Symptoms

19. Many factors may play a role in Alzheimer’s disease and it’s progression, including genes, previous treatments, other illnesses or problems, the person’s surroundings, stages of AD, and:

A. Lifestyle

B. Emotional stability

C. Intellectual capacity

D. Age


20. Exelon, an AD medication that may deny or slow some symptoms, is most commonly used to treat moderate to severe Alzheimer’s disease.

A. True

B. False


21. Although certain medications may be used to help AD patients with depression, anxiety, aggression, and restlessness, sleep aids are not recommended as they may contribute to confusion and increase the likeliness of falling.

A. True

B. False


Common Medical Problems in People with AD

22. Which of the following is NOT recommended when helping an AD person prepare for a doctor’s visit?

A. Make an appointment during the person’s best time of day and when the office is not very crowded

B. Let the office staff know before the visit about the person’s AD, and ask them for help to make the visit go smoothly

C. If the person with AD is nervous about going to the doctor, make sure to give him or her several days’ notice in order to prepare

D. Take something he or she likes to eat or drink and any materials or activities the person enjoys


Coping with Late-Stage AD

23. When individuals are in the late stages of AD and can no longer move, caretakers should move them to a different position at least every four hours.

A. True

B. False


How to Take Care of Yourself

24. While caring for a person with AD, self-care can include asking for help, joining a support group, spending time with friends, and keeping up with hobbies and interests.

A. True

B. False


25. Connecting to spiritual supports may be especially beneficial for AD caretakers who are feeling powerless and hopeless and who may feel a sense of loss and sadness.

A. True

B. False


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