Gerontology & Resident Needs Assessment Flashcards

Polypharmacy in older adults, defined as taking five or more medications, most commonly affects activity participation by causing:

Answer: Sedation, dizziness, and cognitive changes

Polypharmacy frequently leads to sedation, dizziness, and cognitive side effects that directly impair an older adult's ability to engage in activities.

The 'reminiscence therapy' technique is MOST grounded in which developmental theory?

Answer: Erikson's stage of ego integrity vs. despair

Reminiscence therapy aligns with Erikson's final stage, helping older adults achieve ego integrity by reviewing and finding meaning in their life history.

Which of the following is the MOST appropriate indicator of a successful activity program for a resident with advanced dementia?

Answer: Observable signs of positive affect during engagement

For residents with advanced dementia, observable positive affect (smiling, calm engagement) is the most meaningful and realistic indicator of program success.

Under the Americans with Disabilities Act (ADA), long-term care facilities are required to provide activity programming that:

Answer: Ensures equal access and reasonable accommodations for residents with disabilities

The ADA requires equal access and reasonable accommodations, ensuring residents with disabilities can participate in programming to the fullest extent possible.

A newly admitted resident expresses that religion and prayer are central to their daily life. According to the NCCAP standards, this information should be used to:

Answer: Incorporate spiritual activities and preferences into the individualized activity care plan

NCCAP standards require that spiritual preferences be documented and meaningfully incorporated into the individualized activity care plan.

The geriatric syndrome known as 'sundowning' is characterized by:

Answer: Increased confusion, agitation, and behavioral changes in the late afternoon or evening

Sundowning refers to the worsening of confusion, agitation, and behavioral symptoms in persons with dementia during the late afternoon and evening hours.

Which documentation format is MOST commonly required for activity care plans in long-term care facilities regulated under OBRA?

Answer: DAP (Data, Assessment, Plan) or narrative format aligned with the interdisciplinary care plan

Activity care plan documentation in OBRA-regulated facilities typically follows DAP or narrative formats integrated into the interdisciplinary care plan process.