Dementia and Alzheimer's Care Flashcards

A resident with dementia insists they must go home to take care of their children. What is the best response?

Answer: Acknowledge their feelings and redirect them to another activity

Arguing or correcting residents with dementia increases agitation. Responding to their feelings and redirecting them to a pleasant activity is the preferred approach.

What is "sundowning"?

Answer: Increased confusion, restlessness or agitation in the late afternoon or evening

Sundowning is a pattern of worsening confusion and agitation late in the day. A calm environment, consistent routines and good lighting can help.

Which approach helps reduce agitation in a resident with Alzheimer's disease?

Answer: A consistent, predictable daily routine

Predictable routines and a calm environment decrease confusion and stress. Give simple, one-step directions.

A resident with dementia becomes combative during a bath. What should the nursing assistant do first?

Answer: Stop, stay calm, make sure everyone is safe, and try again later or in a different way

Combative behavior may come from fear, pain or misunderstanding. Stop, remain calm, ensure safety, and try again later. Report the behavior and never use restraints without proper authorization.

Which method of communication is most helpful for a resident with moderate dementia?

Answer: Using short, simple sentences and giving one instruction at a time

Short, simple sentences, a calm tone, eye contact and a single instruction at a time help residents with dementia understand and respond.

A resident with dementia wanders around the unit. Which action is most appropriate?

Answer: Provide a safe environment and supervised walking, and follow the care plan for wandering

Wandering can be reduced by safe, supervised activity and meeting needs such as toileting, hunger or pain. Restraining or confining a resident is not an acceptable response.