Question

35. Your client is disoriented, has limited thinking ability and has difficulty making decisions. The best way to care for her is to:

a) Offer her a variety of choices

b) Give her simple directions

c) Increase her recreational activities and activation

d) Provide variety in her daily routine

36. Moving to a long-term care facility can improve a person’s mental health by:

a) Forcing compliance

b) Lowering self-esteem

c) Diminishing independence

d) Increasing socialization

37. Conditions that start with physical symptoms but will progress to dementia are:

a) Parkinson’s disease

b) Huntington’s disease

c) Acquired immunodeficiency syndrome

d) All of the above

38. All persons, when moved from a personal residence into a nursing home, will experience:

a) Loss and separation

b) Guilt

c) Gains and further independence

d) Anger and hostility

39. A false belief of being persecuted or of being superior to everyone else is a:

a) Hallucination

b) Obsession

c) Delusion

d) Defense mechanism

40. Mr. Baer, a normally independent and cooperative resident, has become hostile and aggressive lately. In dealing with Mr. Baer’s aggressive episodes, the PSW should:

a) Try to physically restrain him

b) Punish him by withholding his dinner

c) Isolate him in a room by himself

d) Encourage him to tell you why he is angry

Answer 1

35. Answer) Increase her recreational activities and activation.

Explanation:

Mental Health Improvements

Mental wellness is critical to overall physical health. Participating in recreational activities helps manage stress. Taking time to nurture oneself provides a sense of balance and self-esteem, which can directly reduce anxiety and depression.

Recreational activities improve her:

• improve concentration and learning.
• increase personal confidence and self-awareness.
• reduce feelings of depression and anxiety.
• enhance self-esteem.
• improve quality of life.

36 Answer) Increasing socialization.

Explanation:

Socialization builds confidence and encourages individual engagement. Research suggests that social interaction provides health benefits, which may be of particular importance to the elderly. For older people, an inevitable decline in their level of socialization occurs due to a variety of factors, which include the following:

• retirement and the resulting reduced interaction with former colleagues at work;
• deaths of friends and family members; as well as
• moving away from loved ones.  

37. Answer) All of the above ( Parkinson's disease, Huntington's disease, Acquired immunodeficiency syndrome)

Explanation: Many people with advanced Parkinson’s disease will develop dementia. Early signs of this type of dementia are problems with reasoning and judgment. For example, a person with Parkinson’s disease dementia might have trouble understanding visual information or remembering how to do simple daily tasks. They may even have confusing or frightening hallucinations.

This type of dementia can also cause a person to be irritable. Many people become depressed or paranoid as the disease progresses. Others have trouble speaking and might forget words or get lost during a conversation.

Huntington’s disease is a genetic condition that causes dementia. Two types exist: juvenile and adult onset. The juvenile form is rarer and causes symptoms in childhood or adolescence. The adult form typically first causes symptoms in a person when they’re in their 30s or 40s. The condition causes a premature breakdown of the brain’s nerve cells, which can lead to dementia as well as impaired movement.

Symptoms associated with Huntington’s disease include impaired movements, such as jerking, difficulty walking, and trouble swallowing. Dementia symptoms include:

difficulty focusing on tasks

impulse control problems

trouble speaking clearly

difficult learning new things.

38. Answer) Gains and further independence.

Explanation: When living in a nursing home, the elderly are protected from harm that could come their way. This is especially important when you have a patient with a serious disease like dementia. If they forgot to lock their door, they would not be safe in their homes. Nursing homes have a great level of security.

39. Answer) Delusion

Explanation: Delusional disorder, previously called paranoid disorder, is a type of serious mental illness — called a “psychosis”— in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.