Semi-Comatose & Low-Functioning 1-to-1 Activity Ideas with 91 Care Plan Goals
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Healthcare Training Institute - Quality Education since 1979
Activity Professional!

IMPORTANT NOTE
At this time, only the following course has been NAB approved:
"Vol. 2 Alzheimer's Interviews DVD: Low Functioning to
Semi-Comatose 1-to-1 & Small Group Activities
with 91 Care Plan Goals"


Should there be sufficient Administrator response, the course below will be submitted to NAB for Administrator credit.

Vol. 6: "I Want Bingo!"
How to Handle your Most Difficult
Domineering Complaining Residents

10 CE certificate for $95!
Answer Booklet

Answer questions below. Then click the "Check Your Score" button below. This Answer Booklet screen gives you FREE scoring and anonymous unlimited FREE trials. If you get a score of 80% or higher, and place a credit card order online, you can get an Instant Certificate for 10 CE's.
Questions:

1. In the anecdote about Earl, how did the speaker stop Earl’s manipulation of Activities?
            a. The speaker confronted Earl about his motivation for always asking about Bingo, and after Earl admitted he just wanted more Bingo games, he stopped persistently asking for Bingo.
            b. The speaker locked Earl in his room.
            c. The speaker was unable to stop Earl.

2. How do residents dominate and control a program?
            a. by complaining, or asking frequently for an activity
            b. with the arrow keys
            c. with frequent bed-wetting

3. According to the speaker, how are domineering residents damaging to Activities programs?
            a. Even though they are your friends, they are vocal and may be damaging to your Activities program because they are very controlling or manipulative.
            b. They throw things.
            c. They are not damaging.

4. What is the first step in dealing with a domineering resident?
            a. After deciding to change an activity, explain point-blank what the program change is going to be and the reason.
            b. Avoidance.
            c. Aggressive confrontation.

5. When planning an independent activity for a domineering resident, what did the speaker say are the three requirements for the activity?
            a. 1) be dangerous  2) be expensive  3) be messy
b. 1) not be dangerous  2) not be expensive  3) not be messy
            c. 1) be productive  2) be loud  3) make other residents jealous

6. What is an appropriate activity for a domineering resident?
            a. a crossword puzzle
            b. crafts with lots of glitter and glue
            c. learning how to throw flame balls

7. What is the ideal situation in regard to resident needs?
            a. When residents can meet other residents’ needs is the ideal situation
            b. When it makes you lots of money
            c. When your needs are met instead of theirs

8. How might you help motivate a domineering resident to do an independent activity?
            a. By giving him or her a choice of independent activities.
            b. By threatening punishment if they don't do it.
            c. By not letting them do anything else.

9. What can be two motivating criteria for a successful activity for a resident?
            a. The activity needs to be at the resident’s interest level and ability level.
            b. candy and prizes
            c. the chance to show off and food

10. If a resident becomes angry or upset, what is important to remember?
            a. It's not their fault.
b. You are stronger than them.
c. It is the resident's choice to be angry or upset.

11. What is the reason why it is important to incorporate the demonstration of a new independent activity into an already scheduled activity?
            a. The domineering resident should not be allowed to spend an extra time segment with Activities, since the goal is to reduce the time spent with that one resident
            b. It's easier.
            c. You don't want to spend more time with her than you have to.

12. Why is it important to tell other Staff about program changes that affect your Phyllis?
            a. Other staff members will be directly affected by the resident’s behavior during the independent activity time.
            b. You can show off what you got your resident to do.
            c. It's not important.

13. What is a crucial action to take with an attention-seeking resident?
            a. Put him or her in solitary confinement.
b. Give the resident attention when he or she is not actively seeking attention
            c. Ignore them when they really need you so they will learn not to "cry wolf."

14. According to the speaker, what is the goal of a ‘yes-butter’?
            a. According to the speaker, a good ‘yes-butter’ does not want a solution.  They want to be told that their problem is unsolvable, and that they have done all that they can do.
            b. They want a solution.
            c. They want butter with their bread.

15. When working with Martha, a Stage-3 Alzheimer’s resident, why did the speaker have to take the Approach of not speaking to the resident during the Block-Stacking Activity?
            a. The speaker found that, if she directed the activity verbally, Martha would repeat words and talk to herself, distracting herself from the original task.
            b. Because Martha was deaf.
            c. Because the speaker only knew Spanish.

16. What is the first step in preparing staff for the elimination of some group activities?
            a. Eliminate the activities.
            b. Ask for a raise.
            c. Talk to your administrator.

17. When confronted in a conflict about an Activities issue, what are the two steps in the process to resolve the conflict?
            a. 1) Accuse the other person of being confrontational.  2) Run away.
            b. 1) Give in to their request.  2) Talk about them behind their back.
c. 1) Find some legitimate, sincere point of agreement between yourself and the other person. 2) Invite the other person to offer advice

18. What is the problem regarding changing the Activities program without talking to the administrator and other staff members first?
            a. Any change in the program can affect other staff. These staff members may complain to the administrator about any unexpected problems they are having resulting from the program change, of which they were uninformed.
            b. It messes up your schedule.
            c. There is no problem.

19. What mistake did the speaker make when implementing her One-to-One program?
            a. She did not take the time to communicate her program changes to the Director of Nursing, the nurse aides, and the Administrator,
            b. She wore navy pants with black shoes.
            c. She did not make a mistake.

20. How can problems with nursing, like transporting residents and getting cooperation, be solved?
            a. Buy each nurse a pair of new scrubs.
b. Nursing can be resentful of the fact that Activities can pick and choose whom they work with, while Nursing has to attend to every resident. If Activities works to spend time with all of the residents, Nursing may be more responsive.
            c. Punish nurses who act resentful.

21. What is meant by an Activities ripple effect?
            a. The ripple effect means that as staff see you working with all of the resident population, they may become more supportive and receptive to your program.
            b. Activities that take place outside near a pond.
            c. Activities that affect crippled residents.

22. What is an example of staff misuse of Activities materials that may indicate the need for an inservice training program?
            a. A brown paper bag taped to the nightstand used as a trash bag.
            b. Staff treating the residents with kindness and respect.
            c. Staff helping residents who are having trouble using the glue.

23. When is a good time to hold your first staff Inservice training regarding your One-to-One activity program?
            a. Three to four months after you have started the program.
            b. Five years
            c. Ten years

24. What is the main reason why communication with other staff members is so important for Activities?
            a. It's a good way to pick up dates.
b. One-to-one activities are invisible to most people outside of the Activities Department, and other staff members need to be aware of
those activities when they do  not see a large group in the lounge or Activities room
            c. Communication with other staff members is never important.

25. Whom should you speak with first about your One-to-One activity program?
            a. Residents
b. The Nursing Home Administrator
            c. Your brother

26. What is one step based on Rational Emotive Therapy you might use when dealing with your domineering residents?
            a. The next time the resident asks, make a neutral one-line statement in a neutral tone.
            b. Yell at them.
            c. Make fun of them.

27. If only one tenth of your residents can benefit from a Travel Club, how much programming time should you spend with these residents?
            a. You should spend all of your time with them.
            b. You should spend none of your time with them.
c. You should spend one tenth of your time with them.

28. What is involved in the rationalizing form of denial?
            a. Offering reasons or justifications for the behavior of the domineering resident.
            b. Abusing others.
            c. Eating smaller meals.

29. What are the three Stages of Stress?
            a. Alarm, Alert State, Exhaustion
            b. Upstage, Downstage, Stage Left
            c. Stressed, More Stressed, Heart Attack

30. What does the view of human transactions in simple, cause-and-effect terms lead someone to think?
            a. That the other person is always right.
            b. That the Activities Director is a genius.
c. If they are angry, someone else caused it, or, if they are the target of someone else’s anger, they must be to blame

31. You begin to use your anger or other negative emotions as a vehicle for change when you stop _______ yourself for the reactions that other people have in response to your choices and actions.
            a. blaming
            b. rewarding
            c. high-fiving

32. What are the two components of the view that your thoughts, rather than the actual events themselves, create your moods?
            a. 1) arousal (physical sensations—gut churning, butterflies, dizziness, profuse sweating, etc.), and 2) a label so the mind knows what to call it.
            b. 1) happiness, and 2) sadness
            c. The actual events themselves create your moods.

33. Initial reactions to a Domineering Resident’s misconduct are typically ________.
            a. correct
b. emotional     
            c. happy

34. What are the two parts to a rephrasing statement when attempting to de-escalate a conflict with a domineering resident?
            a. 1) what you think the resident feels, and 2) what you think the issue is.
            b. 1) what is grammatically correct, and 2) what is easy to understand.
            c. 1) what you think of the resident, and 2) what you think of your co-workers.

35. Be certain that you describe the resident’s position in a ________ and ________ way.
            a. sarcastic; judgmental
            b. sweet; childlike
c. neutral; non-judgmental

36. What are three parts to an assertive statement?
            a. 1) I think  2) I feel  3) I want
            b. 1) I guess  2) I mean  3) I wonder
            c. 1) I like  2) I don't like  3) I wish

37. How are you most likely to get other staff members' or residents' cooperation when attempting to reduce a resident's angry temper tantrum?
            a. by insulting them
b. by stating the facts with an objective statement
                        c. by making them laugh

38. What do the three As refer to in the Triple A Approach?
            a. Awareness, Analysis, Action
            b. Awards, Advocacy, Anything          
            c. Annual Aid Addition

39. A stress _________ will help you to become aware of when you are feeling stressed and be able to identify the sources of that stress.
            a. journal
            b. ball
            c. scapegoat

40. What technique might you use to try and disrupt your train of self-defeating thinking?
                        a. the "thinking-train" technique
            b. the "glass-half-empty" technique
c. the "thought-stopping" technique

41. Your inner critic is constantly trying to ________ everything you do.
            a. encourage
            b. copy
c. undermine

42. Which word should you definitely avoid during centering?
            a. "don't"
            b. "can"
            c. "will"

43. What is the "negative feedback syndrome"?
            a. Domineering residents who constantly complain to authorities.
                        b. The more tense you are, the more poorly you perform; the more poorly you perform, the more tense you become.
c. Authorities who criticize you.

44. What is one of the seven steps to centering?
            a. Find your center
            b. Keep your eye on the prize
            c. Forgive and forget

45. The whole idea behind finding your _____ is to feel rooted, grounded, stabilized - and in control of your energy.
            a. center
            b. resident
            c. perfect job

46. The tyranny of _______ is the absolute nature of belief, the unbending sense of right and wrong.
            a. moral ambiguity
            b. the "shoulds"
c. uncertainty

47. Why should you try to avoid using the words “I’m sorry” when saying “no” to a domineering resident?
            a. Apologizing is often unnecessary and dishonest, and it also tends to compromise your basic right to say “no.”
            b. It will make the resident feel guilty for being domineering.
            c. You should always say "I'm sorry" when saying "no."

48. In which one of the following situations would it be appropriate to use the "power of silence"?
            a. The first time a resident makes a request.
            b. When your boss asks you a question.
c. When a resident refuses to relent even after you have tried the "firm no" and "broken record" approaches.

49. According to Richardson, what three ideas are needed to prepare for a courageous act?
            a. When, what, why
            b. Support, a history of success, and a courage talisman.
            c. Peace, love, understanding

50. In order to have an evenly balanced program, you need to continually be _______________ the one or two domineering residents you have in your facility.
            a. setting limits with
            b. demoralizing
            c. uplifting