IV-12.1 Assignt - Module 11 Cognitive Impairment-I

Module 11 – Cognitive and
Mental Health Issues and Brain

Issues - Assignment
General Direction:
A. The assignment will count for 20% of your final mark in Module 11.
Name: ________________________________________________________
Date: _________________________________________________________
©N A C C P S W 2 0 2 2 Section IV. Module 11. Cognitive and Mental

Health Issues and Brain Injuries 1 | 5
1. Cognitive impairment can disrupt the person’s ability to participate in their ADL’s. List
three examples of specific difficulties with ADL’s that could arise, and then provide one
action the PSW could implement to support and assist the client to promote autonomy
and dignity with the task. (6 marks)
i) ADL task: __________________________________________________
PSW support: ______________________________________________
ii) ADL task: __________________________________________________
PSW support: _______________________________________________
iii) ADL task: __________________________________________________
PSW support: ______________________________________________
2. Mr. Heron is a 78-year-old client of the agency you are employed with. He lives in a
retirement home but is supported by your agency two mornings each week. He has
been a client of yours for a month. Mr. Heron’s forgetfulness is progressing slowly, but
he remains a person with precise ideas and preferences regarding how things should be
done. Mr. Heron’s occupation was a high school principal. He held that position for over
thirty years. He is married and has two adult children and five grandchildren.
Three times in the last two weeks when you have visited Mr. Heron you have found him
hovering near the elevator in his building. He has appeared slightly agitated and has not
been fully dressed. Today you find him in the same location wearing a suit jacket with
no shirt underneath, and he seems particularly upset. He says to you, “The train is
leaving, and I’ve got to be on it or I will be late for school.”
a. How might Mr. Heron’s personality and past experiences influence the behaviour
you witness today? (2 marks)
______________________________________________________________
______________________________________________________________
______________________________________________________________

b. What actions or verbal direction might you do or suggest in order to make Mr.
Heron more comfortable? (2 marks)
______________________________________________________________
______________________________________________________________
3. Why is depression often mistaken for dementia? (1 mark)

________________________________________________________________
4. Using the three stages of dementia, explain how you would support your client with
their mealtimes and eating in each of the stages. (3 marks)
Mild Stage: ______________________________________________________
Moderate Stage: __________________________________________________
Severe Stage: ____________________________________________________
5. A client you are assigned by your home care agency has been diagnosed with
Alzheimer’s Disease – Stage 2. List five safety concerns you would have in the client’s
home. (5 marks)
i) _________________________________________________________
ii) _________________________________________________________
iii) _________________________________________________________
iv) _________________________________________________________
v) ________________________________________________________

6. Mrs. Green is a client of your agency. She has been diagnosed with multi-infarct
(vascular) dementia. She has been assessed to be in the first stage and is only mildly
forgetful the majority of the time. She is most comfortable when she gets the answers
she needs, although she may forget them in a short period of time. Today she asks you,
“Have you seen my daughter? I haven’t seen her in a very long time.” You know that
Mrs. Green’s daughter visits on a regular basis but you are unsure as to when she was
last in. (5 marks)
i) What is dementia? __________________________________________________
_____________________________________________________________________
ii) What is meant by multi-infarct dementia? ________________________________
_____________________________________________________________________
iii) How might Mrs. Green’s forgetfulness interfere with her safety needs?
____________________________________________________________________
iv) Considering effective communication techniques, how would you respond to Mrs.
Green?
____________________________________________________________________
____________________________________________________________________
v) Explain how this approach would be helpful. _____________________________
____________________________________________________________________
7. “When a resident is cognitively impaired, does it really matter whether he/she is

attractively dressed? Are we just trying to make an impression on visitors and other
residents? If the confused resident doesn’t know or care how he/she is dressed, why
should we? It’s not bothering him/her.” (2 marks)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

8. You have been assigned a client with a diagnosis of schizophrenia. At the time of their
in-home assessment, the client was well controlled on medication and had excellent
outside support from social work and family who live in the area. Desiring to be
prepared for any change that could potentially occur from non-compliance with their
medication regime, what are three signs that you would take note of that your client
may be in mental health crisis? (3 marks)
___________________, _____________________, _____________________
9. “The elderly are not at risk of committing suicide.” Do you agree or disagree?
_______________
Explain your answer: (2 marks) ______________________________________
________________________________________________________________
________________________________________________________________
10. Define: (4 marks)
i) Affective disorder:
__________________________________________________________
Give one example:

__________________________________________________________
ii) Anxiety disorder:

__________________________________________________________
Give one example:

__________________________________________________________
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Module 11 – Cognitive and

Mental Health Issues and Brain

©N A C C P S W 2 0 2 2 Section IV. Module 11. Cognitive and Mental

i) ADL task: __________________________________________________

PSW support: ______________________________________________

ii) ADL task: __________________________________________________

PSW support: _______________________________________________

iii) ADL task: __________________________________________________

PSW support: ______________________________________________

©N A C C P S W 2 0 2 2 Section IV. Module 11. Cognitive and Mental

3. Why is depression often mistaken for dementia? (1 mark)

Mild Stage: ______________________________________________________

Moderate Stage: __________________________________________________

Severe Stage: ____________________________________________________

©N A C C P S W 2 0 2 2 Section IV. Module 11. Cognitive and Mental

i) What is dementia? __________________________________________________

ii) What is meant by multi-infarct dementia? ________________________________

v) Explain how this approach would be helpful. _____________________________

7. “When a resident is cognitively impaired, does it really matter whether he/she is

©N A C C P S W 2 0 2 2 Section IV. Module 11. Cognitive and Mental

___________________, _____________________, _____________________

Explain your answer: (2 marks) ______________________________________

10. Define: (4 marks)

Give one example:

ii) Anxiety disorder:

Give one example:

©N A C C P S W 2 0 2 2 Section IV. Module 11. Cognitive and Mental

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_________, _, ___________