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Communication Techniques with Dementia & Alzheimers
Aging continuing education social worker CEUs

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content. (Because many computers will not accept "Cookies," when you close this page, your answers will not be retained. So if working in more than one session, write your answers down.)

Questions:
1. What question was asked to relate the Geometric Puzzle to Effie's life experiences?
2. What is said to compliment Marie for her success with Caps-in-a-Bowl?
3. What was said to help Freida identify pictures in the Reality Orientation Book?
4. What are three "Approaches" suggested for Fannie?
5. What was said to create a successful experience for Marie?
6. What three activities could you try with a resident like Mabel?
7. How was Scent Therapy reinforced?
8. What are sample Care Plan Goal starter phrases for Lillian?
9. What was done to communicate with Mary?

Answers:
A. a. To encourage her to say words; b. To repeat words she says that are understandable; c. If you don't understand simply say, "I don't understand what you said."
B. Commented on eyes open and noise; "You're looking right at me now. That makes me feel really good. And you're breathing harder.  That really makes me feel good; you're responding more."
C. "Did you and your sister ever play games or puzzles when you were a kid?"
D. To squeeze hand upon request; To roll Bean Bag with total physical assistance.
E. "What a good job! I could tell that that's clearly M-A-R-I-E."
F. "Great. Good job! I see you are using those fingers there. Ah, you even got the last one!"
G. Comment on opening and closing eyes; Comment on making noise; Getting in Mary's line of sight; Raising volume of voice; Use of an amplifier.
H. Yarn Winding, Magazine Folding, Grocery Bag Weaving.
I. "Can you see these trees right here?" Pointed to trees in picture.

Course Content Manual Questions The Answer to Question 10 is found in Section 10 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content.

Questions:
10. According to Douthit, how might it be possible to counteract the damaging effects of Alzheimer’s genes? 
11. What three areas involving counseling older adults are there few or inadequate ethical guidelines that currently exist? 
12. According to Tierney, what are the four most important predictors of harm for persons with cognitive impairment living alone?
13. According to Zarit, what manifestations of dementia are more responsive to behavioral and environmental intervention?
14. What is "pseudodementia"?  
15. As Alzheimer's disease advances, what two advance directives are important to bring up while the patient still has decision-making capacity?  
16. What are the eight intrapersonal issues older adults face near the end of life?
17. Past therapeutic work with older adults focused on having clients review their feelings about past negative events and relationships. What is the theme of newer therapeutic work with older adults?
18. According to Welfel, what are the five guidelines to assist counselors in reporting suspected cases of elderly maltreatment/abuse? 
19. What is the most common cause of dementia in clients younger than 50 years of age?
20. What three gerontological counseling methods have been proven effective with older clients? 
21. According to Roth and Fonagy, what are common interventions used with dementia clients?

Answers
A.  A theme in much of the newer therapeutic work is to help older adults rediscover and expand on existing competencies and improve their sense of perceived efficacy.
B.  by building complex verbal skills early in life
C.  Mutable conditions, such as client's behavior, mood and functional competency, should be the focus of treatment, though gains may be temporary.
D.  cognitive behavior, life review, and bibliotherapy
E. alcoholism and AIDS 
F. Autonomy/control, decision-making capacity, dignity, existential issues and spiritual beliefs, fear, grief, hopelessness, and psychodynamic issues and counter-transference.
G.  These three areas include the unique needs of older adults who have cognitive impairments, victims of abuse, and those with a terminal illness
H.  The two most common advance directives are the durable power of attorney for health care, which allows a family member or other person to make healthcare decisions in the event of the patient's incapacity, and the living will.
I. special design of the care environment, reality orientation, reminiscence, validation therapy, psychotherapy, cognitive-behavior
J. a syndrome of reversible objective or subjective cognitive problems caused by a non-organic disorder, such as clinical depression 
K. (1)  routinely consider elder maltreatment as a possibility when dealing with an older client who is dependent on family or others for care (2) provide an empathic and supportive atmosphere in which to discuss the older person's problems  (3) gather information related to the risk factors for abuse (4) interviewing family members separately is more likely to result in honest disclosures than is a multiple-person session (5) educate clients about the services available to assist them
L. (1) the etiology of the cognitive impairment; (2) the kinds of cognitive deficits exhibited; (3) the behavior disturbances present; and (4) existing social resources


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