Dementia Inservice Quiz
After you’ve completed the Dementia Inservice Review, please take the quiz below.
The quiz is based off 3 case study examples. Please read through the case studies and refer to them to answer the questions accordingly on how to give the best care possible for that specific resident.
When you are finished, please double-check to make sure you’ve answered all of the questions, and then hit “Submit.”
CASE STUDY 1
Mr. Joseph Lewis
LIFE STORY
Mr. Joseph Lewis spent his career in the Air Force and lived all around the world. When he retired, he and his wife moved to northern Wisconsin. From the day he moved to the community, Mr. Lewis has insisted that everyone he meets call him Joe. Joe’s wife passed away about four years ago.
When Joe was 74, he slid on his wet driveway and broke his arm. He decided to sell his home and move to Leisure Living Community Based Residential Facility (CBRF). Joe said it was the best decision he’s made since he married his wife because there is always someone around to talk to. Joe is an early riser. When he moved to Leisure Living, he would spend his days reading the newspaper, either in the neighborhood park or at the bakery down the street. He ate in the dining room each evening and greeted everyone as they came through the door.
Lately, one of the resident assistants, Mai, has noticed some changes in Joe’s schedule and behavior. Joe has stopped taking his daily walks after losing his way home. The newspaper sits on the table unopened. Instead of coming to the dining room for dinner, Joe stays in his apartment to eat. Mai has noticed that his clothes are looser than when she met him. When Joe leaves his apartment, he no longer greets his friends with a smile. One of the other residents mentioned that Joe became angry with her when she stopped to speak to him.
CASE STUDY 2
Mrs. Rose Rondoni
LIFE STORY
Mrs. Rondoni is a 91-year-old woman who moved to Honeysuckle Haven one week ago. Mrs. Rondoni was considered the head of her family and has spent her entire life caring for others. She was the one everyone came to with their problems. After she raised her own children, she raised five of her grandchildren and also helped care for several of her nieces and nephews.
Mrs. Rondoni has always been very independent and resourceful. When she first began forgetting things and misplacing items around the house, she was extremely impatient with herself. It has now progressed to the point where Mrs. Rondoni has trouble finding the right word. She also has made several mistakes writing out checks to pay bills. Recently, she lost her way going to her granddaughter’s house, which is only three blocks away.
When her family first approached Mrs. Rondoni about moving to Honeysuckle Haven, she was very resistant. She said, “I was born in this house and I’m gonna die in this house.” Suddenly, Mrs. Rondoni made a complete turn around and said, “All right, I’ll do whatever you say.” The family made arrangements for her to move to Honeysuckle. They told the staff that Mrs. Rondoni was a very independent person who liked to make her own decisions and do for herself. They also told the staff that Mrs. Rondoni had surprised them by agreeing to move to Honeysuckle Haven. When Mrs. Rondoni arrived at Honeysuckle, she was very quiet and kept to herself. She did whatever the staff asked of her and seemed to be a model resident.
Challenging Situation #1: Physical and Verbal Aggression
On Thursday, Teresa, the CNA, came to Mrs. Rondoni’s room to help her dress for the day. Teresa knocked on the door and entered the room. “Good morning, Mrs. Rondoni,” she said. Mrs. Rondoni looked up at her and said nothing. Teresa got out the washcloth and washed her face. Then Teresa chose an outfit for Mrs. Rondoni from her closet and helped her put it on. Finally, Teresa held up Mrs. Rondoni’s toothbrush and toothpaste. Suddenly, Mrs. Rondoni grabbed the toothbrush out of Teresa’s hand and yelled, “I hate you! Get the hell out of my room!” Then Mrs. Rondoni threw the toothbrush at Teresa. Teresa was shocked at Mrs. Rondoni’s behavior. She ran crying from the room.
Challenging Situation #2: Wandering
It is Mrs. Rondoni’s seventh day at Honeysuckle Haven. At her one-week evaluation meeting with staff, CNA Ashanti mentions that Mrs. Rondoni is doing a lot of walking up and down the halls. She seems to walk aimlessly. Ashanti is afraid that Mrs. Rondoni will hurt herself. She always escorts Mrs. Rondoni back to her room, telling her to stay put. This wandering usually occurs about 5:00 in the afternoon.
CASE STUDY 3
Mrs. Ruth Stone
Challenging Situation #1: Anger & Agitation
Mrs. Stone is in the sunroom, acting very restless and agitated. She is moving about the room, wringing her hands and obviously searching for something. She stops to talk to another resident who is also in the sunroom. The other woman does not understand what Mrs. Stone is saying, and she is starting to get angry with Mrs. Stone for bothering her. Sally, a CNA assigned to the floor, has been observing the two women while dispensing medication to the other residents in the room. She approaches them and asks if she can help. Mrs. Stone tells her that someone has stolen her purse, and she needs it because she has to go out. She says that her daughter, Mary, is waiting for her. If she doesn’t go now, she will be late and Mary will be upset with her. She asks Sally if she can help her find her purse. She is close to tears.