Vol. 3 Seminar DVD: Advanced-Stage Alzheimer's & Low Functioning Small Group Activities with 99 Care Plan Goals - NCCAP28046-09
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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. 3 Seminar DVD: Advanced-Stage Alzheimer's & Low Functioning Small Group Activities with 99 Care Plan Goals - NCCAP28046-09

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. How might you change the environment of the resident’s room to increase his or her alertness?
a. Turn on all the lights and open the drapes, as long as this is not counter-indicated in the resident’s Care Plan.
b. Turn the air conditioning on or the heat off so the room becomes cold.
c. Play loud music, as long as this is not counter-indicated in the resident’s Care Plan.

2. What were the two goals that Activities had for the resident when he was shown the picture of his family?
a. To show a change of facial expression upon seeing picture of “family,” and to make a noise reacting to the picture
b. To name the people in the picture, and to name his relationship with each person in the picture.
c. To point to a specific family member with verbal prompting, and to name a specified person on request.

3. What are the responsibilities of working with a bedridden, non vocal resident?
a. You don’t know what gets through to the resident, and you have a responsibility to recognize attempts at expression since the resident cannot tell you his or her needs or wants.
b. Take time to observe bedridden residents, and talk to the nurse aid to see how the resident normally interacts
c.  Both (a) and (b)

4. What does the author suggest if you become uncomfortable getting extremely close to a resident?
a. Have a talk with yourself.  Remind yourself this is not a social situation, you are really trying to get through and reach this person.
b. If you become uncomfortable, move back to a comfortable distance, or stop working with that resident for the day.
c. Switch to a different activity that does not require you to be so close to the resident.

5. What problem did the speaker identify in the initial Push Ball slides?
a. The Activity Director was using a cheap Styrofoam ball instead of a name brand ball.
b. The resident in the slide did not have the ability to be independent.  The speaker suggested taping a piece of yarn around the ball so a resident may be able to retrieve the ball independently.
c. The activity was at too low a level for the resident.  The speaker suggested trying the Geometric Puzzle with this resident.

6. What are two reasons why Caps does not seem like an appealing activity for staff?
a. It’s not fun, and it’s not product producing.
b. It is challenging to implement with residents, and the materials are expensive.
c. It cannot be implemented with low functioning residents, and it is messy.

7. How might you adapt the Bank to decrease the difficulty level?
a. Increase the size of the hole
b. Glue colored paper or yarn around the lid to make the hole more visible.
c. Both (a) and (b)

8. In the slide with the Activity Director holding the bowl for the Bank Exercise, what was discussed as the problem with the Approach?
a. The Activity Director is holding the bowl for the resident so he can put the cap in the bowl, therefore the resident cannot be independent.
b. The Activity Director is too close to the resident.
c. The Activity Director is not providing the resident with enough assistance for a successful experience.

9. Which of the residents below might benefit from Color Patterns?
a. Ethel, who can only understand simple directions.
b. Howard, who is alert, but has stiff fingers.
c. Both Ethel and Howard may benefit from Color Patterns.

10. What is the reason you would not want to give a Parkinson’s resident an activity like Color Patterns?
a. The resident might be insulted, because the activity has a very simple concept.
b. Someone with shaky fingers will be very frustrated with a precision activity like Color Patterns.
c. No reason, Color Patterns is a good activity to use with a Parkinson’s resident.

11. Which of the following approaches is mentioned as a good approach to use when presenting Paper Balling?
a. Introduce the activity as a hand exercise to preserve mobility.
b. Introduce the activity as a craft project.
c. Introduce the activity as a task with which you need help.

12. If you want to implement Can Rolling with a resident who will eat, or who cannot roll clay, what was the suggested adaptation to the activity?
a. Place a terry cloth towel on the working surface to avoid a scrubbing motion, while allowing the resident to get the flattening motion of rolling.
b. Have the resident roll dough instead.
c. Can Rolling cannot be adapted for a resident who will eat or cannot roll clay.

13. What makes a Styrofoam spool a good choice for Spool Winding?
a. A Styrofoam spool is too large for the resident, or another wandering resident, to eat.
b. If a resident whirls the spool around inappropriately, they are unlikely to injure themselves, another resident, or a staff member.
c. Both (a) and (b).

14. How was the 100 year old resident motivated to do Shape Sorting?
a.  The resident had no dietary restrictions, and was rewarded with marshmallow circus peanuts for doing the activity.
b. The activity was introduced as a fun game.
c. The activity was introduced as a hand exercise.

15. How is the Three Piece Puzzle most often introduced to a resident?
a. Hand the resident the puzzle pieces and ask him or her to construct the puzzle.
b. Place the assembled puzzle on a flat surface and discuss the content of the picture with the resident.
c. Place the pieces in a box, and hand the box to the resident with verbal instruction.

16. What adaptations to the Three Piece Puzzle can be used to change the difficulty level to be resident-appropriate?
a. The border, or the content of the picture.
b. The way the pieces are cut, or the number of pieces.
c. Both (a) and (b)

17. When implementing Magazine Folding, what adaptation was discusses as a means encourage more independence?
a. Place clay in a spray paint lid to hold the folded pages flat.
b. Give the resident a glue stick to hold the folded pages together.
c. None, the presenter states that Magazine Folding should not be given to a resident to do independently.

18. Which of the following residents might benefit from Magazine Folding?
a. Frank, who is blind, deaf, chair-bound, and has mobility only in one hand.
b. Harvey, who is alert and mobile, but has stiff fingers.
c. Magazine folding can be implemented with both of these residents, and can have benefits for both.

19. Why is Lacing Cards a good activity to implement?
a. Lacing Cards in non-messy, inexpensive, and not dangerous.
b. Lacing Cards is an involved project that can keep a resident busy for a long time.
c. Both (a) and (b)

20. What materials are used to construct Lacing Cards?
a. Poster board, magazine pictures, plastic darning needles, and yarn.
b. Corrugated cardboard, magazine pictures, yarn, and scotch tape.
c. It is more efficient to purchase pre-made Lacing Cards.

21. What does the speaker suggest concerning the content of the Concentration Game cards?
a. Use a mix of open and closed shapes, with as much color as needed to differentiate between the shapes.
b. Use primarily closed shapes, with muted colors.
c. Use playing cards, since they are easy to obtain.

22. According to the speaker, if the initial Goal for a resident is “To name or indicate shapes in the Concentration Game,” what might be an appropriate 6-month revised Goal?
a. In six months, name one of the shapes that is hidden or turned over.
b. In six months, to play the Concentration Game with 24 playing cards.
c. In six months, to match 6 pairs of cards with no mistakes.

23. What mistake was made with the resident who was asked to use the adaptive handle?
a.  She was not asked if she could write with a regular pen, or if she was right handed.
b.  Her cognitive abilities were not assessed.
c.  She was not asked which color crayon she preferred.

24. How was the resident with poor grasping able to write with a pencil?
a. The pencil was slid through a Styrofoam ball so she could have a larger surface to grasp onto.
b. With total physical assistance.
c. Since she did not have the grasp to hold a pencil independently, the Activity Director decided that writing was a poorly chosen activity.

25. What is the purpose of a Days Diary?
a.  It provides the resident with the therapeutic benefits of journaling.
b. It is a reality orientation device to remind resident of different activities performed throughout the day
c. It reminds the resident how many days he or she has been in the facility.

26. In the slide shown, what was the problem illustrated with the Activity Director’s Approach?
a. The Activity Director’s arm was blocking the resident’s line of vision.
b. The Activity Director was too close to the resident.
c. Both (a) and (b).

27. What is the progression of difficulty of the shapes in Stenciling from easiest to most challenging?
a. Circle, heart, triangle, square, star.
b. Star, heart, square, triangle, circle.
c. Triangle, circle, square, star, heart.

28. How can you adapt a Paper Balling activity to increase or decrease the difficulty?
a. Change the height of the bag into which the resident places the balls by cuffing or uncuffing the top of the bag.
b. Change the weight of the paper to make it more or less difficult to crumple.
c.  Hold the bag for the resident and move it around as the resident tries to put the ball into the bag.

29. Why are Yarn Winding on a Donut and Magazine Folding the only two craft-producing Success Therapy® projects?
a. Low Functioning and Alzheimer’s residents usually have low attention spans, which prevents them from doing the crafts often found in a Senior Daycare.
b. Low Functioning and Alzheimer’s residents usually have poor eyesight and stiff fingers, which prevent them from doing the crafts often found in a Senior Daycare.
c. Both (a) and (b)

30. Why do some residents have difficulty with a heart-shaped Stencil?
a. At the point at the top of the heart, the resident’s pencil might wander into the center of the heart, and the resident might be unable to find their way back to the edge of the stencil. 
b. At the point at the bottom of the heart, the resident’s pencil might get caught.
c. Both (a) and (b)

31. What are the four parts to the instructor’s implementation planning process?
a. Observation, Assessment, Creativity, and Sensitivity.
b. Observation, Assessment, Structure, and Determination.
c. Assessment, Analysis, Decision, and Generalization.

32. What is a key point in implementing Push Ball with a low-functioning resident?
a. Position the ball immediately in front of his or her wrist and hand.
b. Attach the ball to a string so the resident can do the activity independently.
c. Push Ball should not be implemented with a low-functioning resident.

33. How might you adapt Paper Balling to be more challenging and enhance a resident’s success?
a. Uncuff the top of the paper bag to make it taller, which encourages the resident to move his or her arm further up and out.
b. Attach the bag to the wall several feet from the resident, and score ‘points’ based on how many ‘baskets’ the resident makes.
c. Have the resident ball something stiff, like cardboard.

34. What is a benefit of having a resident tear the newspaper for Paper Balling into quarter sheet size?
a. Some residents who are more alert find pleasure and success in knowing they are helping a resident with less capability.
b. It is cost-effective.
c. Both (a) and (b).

35. What makes Spool Winding more difficult than Caps in a Bowl?
a. Nothing, Spool Winding is a step down in difficulty from Caps in a Bowl.
b. Spool Winding requires continuous effort. The resident needs to hold the concept of what he or she is doing in his or her mind over the course of the activity.
c. Spool Winding can only be done in the Activity room.

36. How long of an attention span does a resident usually need to have in order to be successful at Yarn Winding on a Donut?
a. At least 1 minute
b. At least 30 seconds
c. At least 10 seconds

37. Why is a four piece puzzle, cut in rectangular shaped pieces, by far much harder to put together than a Three Piece Puzzle cut into a “Y” shape?
a. When a Three Piece Puzzle is cut into a “Y” shape, the resident can put the puzzle together based upon the shape of the pieces, without having to recognize the content of the picture.  When all of the pieces are the same size, the resident needs to rely on the visual cues of the picture’s content for assembling the puzzle.
b. With a four piece puzzle, the pieces are smaller.
c. This is not accurate, it is easier for residents to put together a Four Piece Puzzle with the pieces all the same size and shape.

38. What technical term is defined as “to reward with verbal praise any attempt, response, or approximation a resident makes regarding the activity being conducted.”
a. Successive approximation
b. The Sesame-Street Technique
c. Apraxia

39. Why does the author recommend not spending much time on trying to plan crafts for advanced stafe Alzheimer’s residents?
a. Many residents never made crafts in the first place
b. Many residents who used to make crafts are no longer alert enough to be aware of a craft by the time they meet admission standards.
c. Both (a) and (b)

40. What is one crucial idea to remember when demonstrating Magazine Folding to a resident?
a. Make sure the content of the magazine is interesting.
b. Make sure that your arm is not blocking the resident’s line of sight.
c. Both (a) and (b)

41. Although Lacing Cards can be purchased from a supply company, why does the author recommend constructing your own?
a. Items constructed at no cost are more likely to be left in resident’s rooms.
b. Homemade Lacing Cards are better looking.
c. None of the above, purchasing Lacing Cards is better.

42. If a resident doing Yarn Weaving makes a mistake and states “This looks terrible,” what would be a constructive response?
a. “I think the pattern you are making looks really good.  Try another row, I am anxious to see how that one is going to look.”
b. “Well, you did make a mistake.  Let me pick that part out for you.”
c. Either (a) or (b)

43. When implementing the Concentration game with four cards, which shape makes it easier for the resident to find the matching cards?
a. L-shape
b. Square
c. Line

44. What is the first step in implementing Same and Different Cards, after assessing hand coordination?
a. Assess whether the resident can identify the shapes on an easy card.
b. Ask the resident if the sides of a simple card are the same or different.
c. Show the resident 5 cards, and ask him or her to identify which cards are the same on both sides.

45. Which of the following objects might be used with an Adaptive Handle?
a. Spoon
b. Pencil
c. Any narrow object a resident needs to grasp might be used with an Adaptive Handle.

46. What is a good way to assess if a resident might benefit from using an Adaptive Handle?
a. Place a pencil in the resident’s hand and observe the thumb and index finger’s ability to grasp.
b. Place a pencil in an Adaptive Handle in the resident’s hand and observe his or her grasp.
c. Ask the resident if he or she needs an Adaptive Handle.

47. When asking a resident to try Writing his or her name with a Styrofoam Ball Adapter, what should you provide for the resident?
a. A handwritten sample of his or her name for the resident to use as a guide.
b. A stencil
c. An eraser

48. What is a key benefit of helping to construct a Days Diary with a resident?
a. Helping a resident with early Alzheimer’s to maintain his or her awareness that there are certain activities that they do differently in the morning than in the afternoon.
b. Helping a resident with advanced Alzheimer’s to remember the day of the week.
c. Helping the resident remember his or her medication schedule.

49.  In Stenciling, what makes a square more difficult for a resident to trace than a circle?
a. When Stenciling a square, the resident has to change direction with his or her pencil, and some residents may not have the physical or cognitive ability to do so.
b. The square has a larger circumference than the circle.
c. Nothing, the circle is more difficult for a resident to trace.

50. What is implied if your resident is able to successfully stencil a star independently?
a. The resident should be able to do the next level up in difficulty, the square.
b. The resident is able to do an activity of a more productive nature and also will need the motivation of seeing a finished product, perhaps decorations for the facility.
c. The resident needs an easier activity.