CNA Mental Health and Social Services Needs 2
Delusions are defined as
Delusions are false beliefs that involve a misinterpretation of experiences. A person may believe that they are being followed, tricked, or spied on. They may also be convinced that songs or books contain special information meant for them. Attempts to show the person that their belief is wrong or irrational are not accepted by the person.
Whenever a patient visits the care facility for a short period of time only, to give their usual caregivers a 'break,' this is called
Caregiving is demanding, both physically and mentally. Respite care gives family and caregivers a chance to temporarily rest while the patient is cared for in a facility. Respite care can be during the day, for a weekend, or for a few days. It can also take place in the patient's home.
Death of a partner results in the loss of a _____.
Loss of a spouse is considered the most stressful event in a person's life. Even when the death is anticipated, the sense of loss can be overwhelming. The remaining spouse must cope and rebuild a life without their partner. Grief can be profound, so the person needs time and support. There is no timeline for recovery or correct way to grieve; each person is different.
Sexuality includes all of the following EXCEPT
Sexuality is expressed in many ways besides having sex. People are molded by their cultural and religious beliefs, as well as how they see themselves. Sexuality develops through all relationships. It includes how we look, dress, walk, smile, laugh, and cry. Sexuality continues to develop throughout our entire lives.
While helping a resident, the resident hits you. What should you do?
If you are hit by a resident while giving care, notify the nurse. You may be asked to complete an Incident Report. If you are injured, get treatment. Always remove yourself from harm by stepping out of the way of the resident's reach. Remain calm and explain that hitting is not acceptable.
What are the parts that make up the whole person?
Each human being has five parts that make up the entire person: 1. Social: relationships, friendships, and community; 2. Physical: health, illness, hygiene, fitness, diet, disability, and disease; 3. Emotional: awareness of feelings and how they impact behavior; 4. Cognitive: thinking and learning; and 5. Spiritual: personal beliefs about religion and ethics.
Mr. Schwartz is concerned about his son and asks to speak to his rabbi. The nurse aid should
Every client has different religious needs. When a client requests to speak with their rabbi, pastor, imam, or other leader, the nurse aide should help arrange the visit. Notify the nurse or social worker who can contact the clergy. Spiritual care can be as important as physical care.
Depression is a common mental disorder. Which symptom is often associated with it?
Depression has several symptoms that signal the need for treatment. Sleep problems can be a significant sign, either too much or too little. Other symptoms include feeling sad or hopeless, difficulty concentrating and making decisions, irritability, loss of interest in favorite activities, weight gain or loss, or even thoughts of suicide.
A rehabilitation patient is experiencing anger, depression, and hostility. What action should the CNA take?
Loss from independence or a life change triggers the same grief experience as a death. In rehabilitation, a patient faces rebuilding their life after an injury or illness. Progress can be slow and frustrating. Provide support and compassion for the patient, but use honesty when offering resassurance. Do not give false hope or promises.
Which statement is true about residents who are restrained?
Restraints can lead to serious safety and medical issues, even when properly applied. Some of the safety issues are an increased risk of falls, asphyxiation, and strangulation. Medical consequences include greater risk of pressure sores, skin damage, bone loss, muscle atrophy, respiratory infections, and pain. The emotional issues include loss of dignity, reduced quality of life, isolation, and depression. Restraints may never be applied without a physician's order.
The doctor has told a resident that his cancer is growing and there are no more treatment options. When the resident tells the nurse aide that there is a mistake, the nurse aide should
Even people who are very ill can experience shock and denial when they realize that they are going to die. Denial is the first and natural response to loss. It serves as a temporary defense mechanism that prevents being overwhelmed by what has happened. During the denial phase, people may ignore facts because they are too painful to face. Do not confront the resident or suggest they continue to seek medical advice. Allow them to think about the news and to reach their own understanding of the situation.
One of the major causes of depression in the elderly is
Elderly people can become depressed because of the losses they experience. Loss of independence, loss of health and mobility, loss of spouse and friends, and loss of career are examples. These types of losses involve the grief process, which includes depression. The elderly can also have lower levels of important chemicals in the brain (norepinephrine and serotonin) that protect against depression.
The learning and behaviors of a group passed from one generation to the next is
Cutlure is the knowledge and all the characteristics of a group that are shared by a group. It includes behavior, language, religion, food, etiquette, holidays, symbols, art, dancing, and music. Even possessions that are passed down are part of the culture. Cuture is shared by communication and imitation from one generation to the next.
A resident’s wife recently died. The resident is now staying in his room all the time and eating very little. What is the best response by the nurse aide?
Following the death of a loved one, grief is a natural reaction that allows a person to work through their loss. Initial grief can hurt physically, with a tight throat, headaches, insomnia, aches, and weakness. Offer the resident soft, comforting foods such as soup or pudding, but don't push them to eat. They may also need to be alone for awhile, but do not leave them isolated. Visit their room and ask how they are doing. Let them talk and cry without judgment or interference. Watch for signs of depression and report them to the nurse.
Mrs. Thompson is confused. The nurse aide should _____.
When a client becomes confused, try to figure out the cause. It can often be a change of routine, care giver, or a sudden memory. Start with basic reasons for the confusion. Has their schedule been changed? Is there a change in staff? Are they wearing their glasses or hearing aids? Perhaps the client saw an object or someone that reminded them of the past. A good technique is to spend time with the client reviewing familiar things and people. Look at objects and photos to reassure them and help them calm down.
After the death of a loved one, how long should a client grieve?
Each person's grief is different and personal. There is no specific timeframe to heal after a loved one's death. Culture, religion, and the amount of support can affect the grieving process. Always support the client and do not rush them. The entire process can last from 6 months to 4 years.
The nurse aide is caring for a client who is agitated. The nurse aide SHOULD
When a client is agitated or frstrated, do not elevate the situation by raising your voice, arguing with, or ignoring the client. Speak in a calm and reassuring voice, and try to find out what is causing the client's behavior. Listen to their frustration. Offer a favorite object or go for a walk. Look to see if there is something in the environment that triggers the agitation: loud noises, open spaces, unfamiliar people, fatigue, hunger, or need to use the toilet. Over time, you may recognize warning signs of agitation and be able to intervene quickly.
The nurse aide finds Miss Jones alone in her room. She is sad and crying. Which is the best statement to tell Miss Jones?
No matter a client's age or mental status, sadness can occur. While crying can make some people uncomfortable, the nurse aide is in the best position to ask the client about their feelings and to offer comfort. Do not leave the client alone. Do not try to distract the client. Simply sit with the client and ask gentle questions. Listen and do not offer solutions. During sadness, people seek comfort and a kind presence. They may not be asking for a solution, but simply someone to listen. If you can help, do so.
A terminally ill resident, John Castillo, visits with his family. He discusses his funeral arrangements with them. He lets them know that he is concerned about their well-being after he is gone. He says he wants to spend as much time as possible with them before he dies. Mr. Castillo is going through the ________ stage of grief.
The five stages of grief and dying are a model that explain the emotional response to death. Both the client and the client's loved ones can experience these emotions. The stages are denial, anger, bargaining, depression, and acceptance. The stages are not linear; most people move back and forth. Acceptance is the final stage, when the client reflects on their life and understands that it is ending. They feel at peace and want to share their time with loved ones.
Ms. Fleming, a resident who has recently been diagnosed with terminal pancreatic cancer, has accused the nursing assistants in her unit of taking poor care of her and causing her disease to get worse. What stage of grief is Ms. Fleming in?
When Dr. Elisabeth Kubler-Ross identified the five stages of grief and dying, she stated that anger is the only stage that everyone goes through. Residents can show anger in different ways. They can be angry with themselves, or with with others, especially those close to them or those who try to help them. If a resident becomes angry, undersand why. Stay detached and non-judgemental when experiencing the anger of someone who is very upset.
Sexual desire and activity in the elderly
Humans can remain sexual throughout their lives. If residents are mentally competent, they can decide to seek intimacy. Residents have a right to express their sexuality as long as it is not public and does not harm the resident or others. Assure privacy for residents and avoid commenting to co-workers. Always treat residents with respect and dignity.
A patient with Stage IV lung cancer has not been eating or sleeping well and has lost interest in activities. These behaviors may indicate
The five stages of grief and dying are a model that explain the emotional response to death. Both the client and the client's loved ones can experience these emotions. The stages are denial, anger, bargaining, depression, and acceptance. Depression serves as the beginning of the client's understanding that they are going to die. It is also called "preparatory grieving" as the client feels sadness, fear, and uncertainty about what is ahead.
Treatment for mental disorders can include
Patients with mental disorders have many treatment options. No single treatment works for everyone, so patients work with their doctors to find the best combination. Psychotherapy is important to help patients learn about their thoughts, feelings, and behaviors. Medication is not a cure by itself, but when paired with therapy, it can be very effective at managing symptoms. Support groups allow people with similar disorders help each other.
Mr. Tyler states that he wants to commit suicide. What should the CNA do?
Do not dismiss a threat of suicide, Stay with the person and get help. if someone is thinking about suicide, some of the warning signs are: Talking about death, losing interest in favorite things, expressing a sense of feeling hopeless or worthless, putting affairs in order, or calling others to say good-bye. Another sign is when someone has been very depressed and suddenly becomes happy and calm. if someone says, "I'd be better off dead," immediately get help for them.
A client’s psychological needs
Care for a client should include both health and psychological needs. Clients who are ill feel stressed and anxious. They require support and understanding from their care providers. Each client has a unique situation and unique needs in order to successfully cope. The CNA should take time to learn about each client and how to respond to their individual culture and experience.
The term used when a person repeats a phrase or action over and over is called
Perseveration is the repetition of a word, phrase, or gesture. The person cannot control the repetition and continues to say or do it even after the reason to say or do it has stopped. For example, a person may answer a question, but then repeats the answer for every other question or after questioning stops. Perseveration can be caused by a brain injury or in schizophrenia.
A way to care for a resident suffering from depression would be to
Residents who are depressed may tend to withdraw and avoid activities. If their symptoms last more than a week, tell the nurse. Encourage the resident to sit in a common space, even if they don't actively participate. Make sure they have their glasses and hearing aids so they are not isolated from communication. Another important thing staff can do is to allow residents with depression to express their feelings. Use active listening and respond in a kind tone of voice. Studies have shown that depressed people remember the tone of voice more than the words that were spoken.
Which statement is false?
Health care agencies should always respect the religious and cultural practices of their clients. Each agency should learn as much as possible about the religious and ethnic groups they treat and how the groups view medical interventions so that appropriate communication can take place. Even if clients do not strictly follow all aspects, there may be beliefs that are important to them.
When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to
Combativeness is usually more than fatigue. It can also be a sign of confusion, depression, or fatigue. If it happens in late afternoon, it can be a sign of Sundowners Syndrome. Step out of the way to avoid getting hit and speak in a calm voice. Try to redirect the resident to another activity or offer to go for a walk to help them relax. Be patient and go slowiy.
Which question is best for getting a client engaged in a conversation?
Avoid using close-ended questions that can be answered with a "Yes" or "No" when trying to engage a client. Use open-ended questions to get answers that require some thought. The answers will be longer than a word or two, and can provide information about the client. Good conversations require open-ended questions.