Aging, Dementia and Alzheimer’s Disease Training

Welcome to the Aging, Dementia and Alzheimer’s Disease Training. This quiz contains 10 questions. In order for you to pass, you must answer 8 of 10 correctly. At the end of the quiz you will be notified of the number of questions you answered correctly. If you did not get at least 8 correct, you must take the quiz again.

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Question 1. People with Down Syndrome are at a higher risk of developing Alzheimer's dementia in their 40's and 50's. This due to?

Accelerated aging caused by Chromosome 21

Normal aging in adults

Because they “slow down” when they reach their 40’s and 50’s

Question 2. People with Down Syndrome have common medical issues throughout adulthood and into older age.

Sensory Loss including vision and hearing

Hyperthyroidism

Obstructive sleep apnea

Osteoarthritis/Osteoporosis

All of the above

Question 3. The span of Alzheimer's dementia has 3 stages. Early Stage-Middle Stage-Advanced Stage.

What can you expect to see in the Early Stage of Alzheimer's dementia?

Decreased ability performing everyday tasks or self-care skills

Significant memory impairment( loss of short term memory and long term memory, loss of recognition of family members faces and familiar faces(staff)

Behavior changes and or personality changes.

Question 4. A large part of the management of dementia consists of providing appropriate support as the disease progresses. To help effectively care for an individual with Alzheimer's disease/dementia, it is extremely important to learn general care giving principles and strategies to their specific needs.

Which facts about Alzheimer's disease/dementia are accurate?

Alzheimer’s Disease and Dementia is a normal part of aging

With new treatments available in the treatment of Alzheimer’s disease /Dementia, the disease can be halted.

Alzheimer’s Disease/Dementia is not a normal part of aging. It is progressive and ultimately fatal and there is no cure for Alzheimer’s/Dementia.

Question 5. Traditional methods of offering incentives or rewards become counterproductive, as they require the individual to remember incentives in the short term. Based on this information, caregivers should:

Attempt to negotiate with the individual

Use logic in an attempt to help them understand

Know and understand that behavioral changes are beyond the individual’s control

Correct the negative behavior

Question 6. As dementia progresses, individuals rely more heavily on emotional cues to interpret communication, tuning into the tone of voice, facial expressions and body language. Based on this information the best approach to use when communicating is done by using:

short simple words like “no”, “stop”, or “don’t”

facial expressions such smiles or frowns to communicate positive/negative outcomes based on their actions

Paying attention to non-verbal communication, create an atmosphere that conveys safety and nurturing. Smile and avoid negative voice tones.

Question 7. Steps to improve communication include, looking for opportunities to offer comfort and reassurance. Join in the person's reality; begin where they are. Don't correct them. Always look for emotions behind words or actions and connect there.

The best way to accomplish this includes:

Try to convince, negotiate or appeal to logic or reason

Provide choices and ask questions. Example; Ask what do you want or breakfast?

Use short simple words and sentences. Provide one step directions, asking one question at a time. Turn negative statements into positive statements. Example; instead of saying “Don’t go in the Kitchen”. Say, “Come with me, I need your help with something”.

Question 8. In people with Alzheimer's disease/dementia, behavior can be a form of communication, although it's not always clear what these behaviors might communicate. Problem behaviors can pose a risk to self and others. These include physical and verbal aggressiveness, self-injury, inappropriate sexual behavior, wandering or getting lost. Nuisance behaviors increase frustration and anxiety for self and others, but generally are not a safety risk. These include pacing, hiding, hoarding, rummaging or clinging.

Causes of behaviors in people with Alzheimer's disease/dementia include all of the following except one. Check the answer that is not correct.

Communication problems ( misunderstanding what is being said)

Frustration due to tasks that is too difficult or overwhelming

Environmental stressors ( loud sounds, including loud voices, disruptive housemate)

Old behaviors seem to resurface with Alzheimer’s disease/ Dementia

Question 9. Caregivers can attempt to modify the trigger by intervening before, or at the onset of agitation in the following ways. Select the answer that is not the best intervention.

Implement a behavior plan with rewards and consequences.

Provide reassurance and if appropriate, gentle touch

Use redirection techniques or distraction to something pleasurable

Keep in mind different approaches work at different times

Be patient and flexible

Question 10. Coordination of Care is important to meet the changing needs of a person with Alzheimer's disease/dementia. Coordination, collaboration and communication are called the 3 C's. The most important person in the coordination of care is:

Community Services

Family

Day Program Staff

Group Home Staff

Person Served

Health Care Providers

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Employee Resources
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