Maude - 83 year old woman admitted to assisted living

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Author:
Juliamills17
ID:
264607
Filename:
Maude - 83 year old woman admitted to assisted living
Updated:
2014-03-02 00:41:43
Tags:
OCCTH518
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Description:
Maude had been living with her daughter for the last year following the sudden death of her husband. She has macular degeneration and is legally blind.
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  1. Which of the following if any, “conditions” would you need to rule out before proceeding?

    a. Depression or history of depression
    b. Delirium
    c. Medical conditions
    d. 309.xx Adjustment Disorders
    e. All of the above
    e. All of the above
  2. In assessing for depression, what symptoms need to be investigated? 

    A. Sleep
    B. a., b., and d.
    C. Problem solving
    D. Somatic complaints
    E. Appetite
    B. a., b., and d.
    (this multiple choice question has been scrambled)
  3. What evidence do you have of dysexecutive function?

    a. Disinhibition
    b. Poor motivation and initiative
    c. Poor problem solving
    d. Poor insight
    e. All of the above
    e. All of the above
  4. New info: Maude's daughter reports that she has never been independence and relied on him to make all decisions.

    Given this new information, are there any other diagnostic considerations?

    A. 301.4 Obsessive-Compulsive Personality Disorder
    B. No other provisional diagnoses
    C. 301.82 Avoidant Personality Disorder
    D. 301.6 Dependent Personality Disorder
    D. 301.6 Dependent Personality Disorder
    (this multiple choice question has been scrambled)
  5. If reversible causes
    are ruled out for Maude’s presentation, what is your recommendation regarding housing?

    a. Return to the daughter’s home
    b. Move Maude to her own home with home
    care supports
    c. Encourage Maude to stay in her present
    setting
    d. Move Maude to long term care
    c. Encourage Maude to stay in her present setting
  6. What management strategies would you recommend to the assisted living staff?                                    
    a. Validate client’s losses and then
    provide distraction                                     
    b. Provide a schedule of events and
    encourage Maude to plan to attend activities independently
    c. Tell Maude she is not going home or to her daughter’s home so she needs to get used to her new home                                                                                                                                                               d. Provide structure to maximize engagement in occupation                                                                   e. a. and d.
    e. a. and d.

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