Behavioral Management Flashcards

Music therapy is effective for behavioral management in dementia primarily because:

Answer: Musical memory is often preserved even in advanced dementia

Music associated with long-term autobiographical memory is processed in brain regions less affected early in dementia, making it a powerful therapeutic tool.

Which of the following is considered a 'least restrictive' intervention when a resident attempts to elope?

Answer: Increased one-on-one supervision and engagement in meaningful activity

Least restrictive alternatives prioritize engagement and supervision over physical or chemical restraint, in alignment with person-centered care ethics.

A person with Lewy body dementia experiences vivid visual hallucinations. The CDP's best behavioral approach is to:

Answer: Avoid arguing; assess for distress and respond to the emotional experience

Visual hallucinations in Lewy body dementia are neurologically driven; engaging with the emotional response without confrontation reduces distress.

The primary goal of structured behavioral observation charting is to:

Answer: Identify patterns to inform individualized intervention strategies

Systematic behavioral charting reveals frequency, duration, and contextual patterns that enable care teams to design targeted, evidence-based interventions.

Which statement about the use of antipsychotic medications for behavioral symptoms of dementia is most accurate?

Answer: They carry a black-box warning for increased mortality risk in elderly patients with dementia

The FDA issued a black-box warning that antipsychotics increase the risk of death in elderly patients with dementia-related psychosis.

'Shadowing' behavior, where a person with dementia follows their caregiver constantly, is best managed by:

Answer: Providing reassurance, structured activity, and brief, calm separations

Shadowing reflects anxiety and need for security; gradual, calm reassurance paired with meaningful engagement reduces dependency without increasing distress.

During morning care, a caregiver uses a calm voice, explains each step before performing it, and maintains eye contact. These actions collectively demonstrate:

Answer: Person-centered communication to reduce care-related resistance

Narrating care steps, using calm tone, and maintaining eye contact are evidence-based communication strategies that reduce anxiety and resistance during personal care.