Law & Ethics/ Restraints
The nurse aide can not obtain this type of consent.
Written consent
This is an awareness and adjustment of care based on how slow or fast a resident is functioning
Pacing
How long after death does rigor mortis develop?
2-4 hours
This is used during conflict of potentially violent situations to reduce the intensity of behavior and make the situation less dangerous or difficulty.
De-escalation
This is when a resident has a false belief that appears to be real with evidence to the contrary.
Delusion
A resident that is withdrawn, passive, or acting helpless is showing signs of this type of abuse.
Emotional/Psychological Abuse
If a resident is agitated or escalated, where should my person be located in relation to the patient?
Same level, 6 feet away, between them and the door.
Pale or bluish color changes to the feet/hands/legs/arms when death is near.
Mottling
This is at the heart of de-escalation.
Supportive day to day relationships.
Severe confusion that has a sudden onset, usually reversible.
Untreated pressures ulcers are a sign of this.
Neglect
This occurs when a resident is rushed and begins to blame themselves and become more dependent.
Social Breakdown Syndrome
The stage of grief in which the resident may be upset by the smallest things and may target emotions towards the nurse aide. "Why me"
Anger
This type of mental disorder involves feelings of sadness, anxiety, or emptiness, hopelessness, guilt, worthlessness.
Mood Disorders (depression, dysthymia, bipolar)
This is an out of proportion, extreme response to activities or situations.
Catastrophic Reaction
The nurse aide knows that if a resident is in restraints they must
a. check on the resident this often
b. release the restrains this often.
a. every 15 minutes
b. every 2 hours for at least 10-15 min
Ive had a terrible day and I come home and yell at my family. What defense mechanism am I using?
Displacement
This is the goal of palliative care.
These types of disorders include symptoms like delusions and hallucinations, and can be highly distressing to the resident.
Psychotic Disorders such as schizophrenia, delusional disorder, substance/medication induced psycosis
Sundowning
What is the Nurse Aide guilty of if they witness abuse and do not report it.
Aiding and Abetting
Name two cognitive changes that happen as we age.
neurons decrease, response time slows, difficulty learning new motor sills, decreased processing/response/reaction time, mild short term memory loss, unable to ignore external stimuli, less frequent more deliberate responses, easily confused with multiple changes, slower
This culture believes in reincarnation and values quality of life over length of life.
Vietnamese culture
Older adults are at a greater risk of this mental illness due to unique factors such as life changes, chronic pain, financial stress, sense of lack of purpose.
Depression
You have rearranged the residents room during cleaning and the resident becomes agitated, yelling out. What type of trigger may have caused this reaction?
Environmental Trigger
Physical Trigger
Emotional trigger
Environmental Trigger