Question

1. nelson has late stage dementia, uses a wheelchair, and no longer communicates. what step is best when helping nelson get dressed in the morning?

give nelson a choice of two outfits and ask him what he wants to wear.
introduce yourself and tell nelson that you are going to get him dressed.
leave nelson in his pajamas all day, getting dressed takes too much time.
make sure nelson is wearing clothing that does not have buttons or ties.

1. sam has late stage dementia. what common late stage risk should staff be most concerned about?

risk for pressure injuries
risk for sleep disturbances
risk for losing track of time
risk for losing the ability to talk

1. which of the following demonstrates providing person - centered care?

focusing on the task that needs to be completed
focusing on the things that a person cannot do
focusing on the family’s desires for care
focusing on the individual’s personal history and preferences

1. what stage of dementia does the risk for developing contractures occur?

early stage
middle stage
late stage
end stage

1. true or false: once someone has lost the ability to communicate, you no longer have to talk with them or explain who you are and what care you are going to provide.

true
false

Explanation:

• Question 6: Introducing oneself and telling Nelson about getting dressed respects his dignity and is a basic communication step even if he can't respond. Giving choices (he can't communicate), leaving in pajamas (not caring for hygiene/dignity), or just clothing type (not the best first step) are less appropriate.
• Question 7: In late - stage dementia, pressure injuries (from immobility) are a major risk. Sleep disturbances, losing track of time, and losing ability to talk (already may have lost) are not as critical as pressure injuries which can lead to serious health issues.
• Question 8: Person - centered care focuses on the individual's personal history and preferences. Focusing on tasks, what they can't do, or family desires (not individual - centered) are incorrect.
• Question 9: Contractures (permanent shortening of muscles/tendons) occur in the late stage due to immobility. Early and middle stages have more mobility, and end - stage is more about near - death functions.
• Question 10: Even if someone can't communicate, talking to them (explaining care) is important for their emotional well - being and dignity.

Answer:

1. Introduce yourself and tell Nelson that you are going to get him dressed.
2. Risk for pressure injuries
3. Focusing on the individual's personal history and preferences
4. Late stage
5. FALSE