LT Care & Resident
List some ADL's
Dressing, eating, toileting
A resident with dementia begins to scream and cry when you offer her a choice between oatmeal or cereal. This is an example of what type of reaction?
Catastrophic reaction
Your resident is experiencing big mood swings. They are either excessively happy and sometimes impulsive, or sad and hopeless. What disorder might they have?
Bipolar disorder
Where are the bedpan and urinal stored in a pt's room?
In the bedside table
You've just taken a pt's vitals and their temperature is 104.2. What should you do?
Take it again to confirm, then report to the nurse
How do most people pay for an Assisted Living Facility?
Private pay (out of their own pocket)
You know that your pt with dementia has a hard time getting up and getting ready for the day. What can you do to make things go smoothly?
Prepare in advance. Have supplies ready and in place.
You are working in the ER and a new pt is admitted with body tremors, hallucinations, anxiety, fear, and sweating? What are these symptoms of?
Withdrawl
At what point do preparations for discharging a pt begin?
At admission
You are taking a rectal temp on a 69 y.o male. How far should you insert the thermometer?
1 inch
What is the name of the act that protects resident's basic needs and quality of life and also requires in-services for employees?
The Omnibus Budget Reconciliation Act (OBRA)
Your pt with dementia has begun taking things from other people's rooms. You quite often find them going through other people's belongings. What is this called?
Rummaging
What is the difference between a psychologist and a psychiatrist?
A psychiatrist can prescribe drugs, but a psychologist can't
What action will help protect your back while making a bed?
You are hurrying to get a pt out of bed for an appt. The pt collapses to the floor after standing from a sitting position. What are they likely experiencing?
Orthostatic hypotension
If you were explaining long-term care insurance to a family, what would you explain isn't covered?
It doesn't cover pre-existing conditions
Your pt with dementia is talking about their duties as a police chief. They want you to help find they're badge. You know that they were never a police chief. What should you do?
Offer to help look for the badge, remember this is their reality, talk with the resident about being a police chief
A resident is upset that her husband hasn't brought her favorite blanket to the care center, but she is taking it out on her CNA. What defense mechanism is she displaying?
Displacement
A preferred/private room becomes available, but several people want it. How is it decided who will get the room?
The next person on the waiting list gets it.
The difference between the apical pulse rate and the radial pulse rate is known as?
Pulse deficit
Which conditions do younger residents usually require care for?
Degenerative neurologic diseases (i.e.: cerebral palsy, muscular dystrophy)
What situations can cause dementia-related behaviors, but the person doesn't actually have dementia?
Infections, nutritional deficiencies, and side effects of medications
At what age does schizophrenia usually present?
Between 16-30 years old
When changing bed linens, what should you do with any call lights, tubes or drains that are connected to bed linens?
Disconnect them
Where should you assess the pulse rate of a pt receiving CPR? (Name 2 locations)
Carotid or femoral artery