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Creating a Safe Environment Flashcards

7 cards from real ACC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Creating a Safe Environment flashcards as text
  1. A person with Alzheimer's repeatedly tries to leave through the back door at dusk. Which environmental modification best addresses this 'sundowning' exit-seeking behavior?

    Answer: Place a full-length mirror on or beside the back door

    A mirror on or beside an exit door can discourage wandering because many people with Alzheimer's do not recognize their own reflection and turn away.

  2. Which flooring characteristic poses the greatest fall risk for a person with Alzheimer's disease?

    Answer: High-gloss hardwood that creates light reflections

    High-gloss surfaces create light reflections that persons with Alzheimer's may perceive as water or obstacles, increasing fall and misstep risk.

  3. Why should caregivers remove or cover mirrors in some stages of Alzheimer's disease?

    Answer: The person may not recognize their reflection and become frightened or agitated

    In mid-to-late Alzheimer's, individuals often fail to recognize their own reflection, which can cause fear, confusion, or verbal/physical aggression.

  4. A caregiver notices the person with Alzheimer's keeps rummaging through a cabinet full of cleaning chemicals. What is the BEST intervention?

    Answer: Move chemicals to a locked cabinet or out of the home entirely

    Toxic substances must be secured in locked storage or removed from the home because labeling alone is not reliable for someone with cognitive impairment.

  5. What is the primary purpose of using contrasting colors (e.g., a brightly colored toilet seat) in a bathroom used by a person with Alzheimer's?

    Answer: To compensate for depth-perception and visual contrast deficits

    Alzheimer's disease impairs contrast sensitivity and depth perception, so contrasting colors help the individual locate fixtures and surfaces accurately.

  6. Which action BEST reduces the risk of scalding for a person with Alzheimer's who can no longer reliably judge water temperature?

    Answer: Set the water heater thermostat to 120°F (49°C) or lower

    Lowering the water heater to 120°F or below is a systemic fix that prevents scalding even when the person cannot safely test temperature themselves.

  7. A person with Alzheimer's living alone keeps turning on the stove and forgetting it. After other strategies fail, what environmental solution is MOST appropriate?

    Answer: Install an automatic stove shut-off device or remove the stove knobs when unsupervised

    Automatic shut-off devices or removing knobs eliminates the ignition hazard when the person cannot reliably remember to turn off the appliance.