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Effective Interventions with Dementia and Difficult Behaviors
6 CEUs Effective Intervention with Dementia and Difficult Bahaviors

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs | Geriatric & Aging CEU Courses

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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 close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are four basic rules for positive interactions?
2. What are the five steps regarding analyzing behavior?
3. What are 9 steps for managing catastrophic reactions?
4. What are three factors regarding excess disability concerning dementia related cases?
5. What are two important aspects of care for the caregiver?
6. What are three basic steps to the application of cognitive retraining techniques?
7. What are the six domains of validation?
Answers:
A. Reassure, reduce outside, relocating. reassure again, redirect, be patient, relocate to a safe, don’t rediscuss, and analyze the reaction
B. The six domains of validation are the physical, functional, social, communication, sensory, and emotional domains.
C. Key factors regarding excess disability concerning dementia related cases are understanding excess disability and avoiding excess disability and finding the right approaches.
D. The four basic rules for positive interactions discussed on this track are stay pleasant, calm, and reassuring, help maintain self-esteem, use simple sentences, and use nonverbal clues.
E. The five steps regarding analyzing behavior are deciding if the behavior is a problem, what the problem really is, with whom the problem occurs, where the problem occurs, and when the problem occurs.
F. Three basic steps to the application of cognitive retraining techniques are to acknowledge the cognitive deficit, base interventions on relatively well preserved skills, and enhance the encoding and retrieval memory processes.
G. Two important aspects of care for the caregiver are mandatory self care and warning signs of emotional overload. 

Course Content Manual Questions The Answer to Question 8 is found in Section 8 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 close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
8. What are the seven components of the complementing team approach?
9. What are the eight most common behavioral problems in dementia?
10. In McCallion’s study, what four factors most influenced a caregiver’s desire to be referred to an AA chapter?
11. What are three components of the SET intervention approach?
12. According to Mitrani, what is an important factor in the caregiver's ability to successfully balance her or his own personal needs with the demands of caregiving?
13. According to Lou, what are four uses of music with clients with dementia?
14. According to Gottlieb, what does research indicate about caregivers’ use of respite care?
15. What were five sources of nonsupport arising from unmet expectations?
16. According to Neufield, why is it difficult for a caregiver to eliminate contact with persons who are sources of negative or nonsupportive interactions?
17. In Robinson’s study, what factor was the most highly associated with caregiving impact?
Answers:
A.  According to Gottlieb the program effects showed small but statistically significant reductions in subjective but not objective burden, and a significant improvement in morale
B.  1. Communication; 2. Collaboration; 3. Teamwork; 4. Shared value system; 5. Acceptance of complementary roles; 6. Therapeutic relationships; 7. Knowledge
C.  Because support and nonsupport may coexist in the same relationship, and many potential supporters are kin, eliminating contact with sources of negative or nonsupportive interactions may result in loss of existing support for a caregiver.
D.  The caregiver’s reaction was more highly associated with the impact on caregiving as compared to the actual frequency of behavior.
E. This approach involves: 1. developing a clear understanding of the nature of supportive and problematic interactions, 2. understanding how these interactions are related to the family's current level of functioning, and 3. intervening in a very deliberate fashion to enhance supportive and reduce maladaptive  interactions.
F. Four factors were: 1. caregivers with a high school education or less; 2. unmarried caregivers; 3. caregivers who felt that more services would make it easier to provide care; 4. caregivers who believed more services would help ensure that the person with dementia remained at home.
G.  An important factor is the nature of the boundaries between the caregiver and care recipient.
H.  Music has been used to promote food intake, improve mood and behavior, trigger memory, and decrease need for physical restraints among elderly clients with dementia.
I.  1. Agitation; 2. delusions; 3. hallucinations; 4. resistance to care; 5. disinhibition; 6. wandering; 7. sleep disturbance; 8. apathy and depression.
J.  Nonsupport arising from unmet expectations included: unfulfilled or missing offers of assistance, unmet expectations for social interaction, mismatched aid, or incompetence on the part of the potential helper


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