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Innovations in Geriatric Care: Multisensory Environments; A Non-Pharmacological Intervention for Managing Behaviors in Clients with Dementia (Day 3)

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1.  Which of the following items would not typically be used in a MSE? Fiber optic spray Sound machine Walker Rocking chair

2.  Which of the following is NOT an outcome of MSE supported by research? Improved client-caregiver relationship Improved performance of ADLs Decreased agitation & anxiety Increased attention & recall

3.  Who can benefit from use of a multisensory environment? Only clients with dementia Only clients with dementia & their caregivers Only clients with dementia & their families Clients with dementia, their caregivers, families, & facility administration

4.  The first step in using a MSE environment with a client is: Taking the client into the room to determine if he/she likes it Assessing the client's sensory preferences with an inventory/checklist Review the client's medical record to ensure he/she is already on medications to control the behaviors Observe the client's interactions with his/her family

5.  Which of the following would not be an appropriate action for an occupational therapy practitioner conducting a MSE session? Turn all the electronic sensory items on before taking the client into the room Ensure the client's basic needs have been met before the session begins Do not project expectations onto the client during the session Act as facilitator and monitor the client's responses

6.  All of the following are necessary components for documenting a sensory-based session except: The client's preferences and dislikes of equipment Who is present during the session The client's mood, facial expressions, or verbalizations The client's UE ROM and manual muscle strength

7.  Occupational therapys role in the use of MSE is all of the following except: Assess a client's sensory preferences Decrease the amount of medications given to a client Determine the best setup of a MSE for a particular client Training caregivers in how to use MSE with each individual client

8.  Which of the following would not be an appropriate OT goal for use of MSE? Client will demonstrate decreased agitated behaviors, via use of sensory techniques, as evidenced by at least a 10-point decrease on the Agitated Behavior Scale. Client will independently access items in a multisensory environment to calm him/herself. Client will decrease aggressive behaviors to no more than 2 per day, with use of a multisensory environment. Client will demonstrate decreased anxiety via use of sensory techniques as evidenced by the ability to remain calm throughout completion of ADL.

9.  Which of the following statements is not true about use of MSE? Use of some items in a MSE may be contraindicated if a client has seizures. A client with contact precautions should not be permitted to use a MSE. MSE can be considered a treatment modality for all therapy disciplines. Family and caregivers with appropriate training can use a MSE with a client.

10.  How should a MSE and sensory items be accessed? The client should be allowed to use only with supervision from staff/caregivers The client should be allowed to access only if his/her behaviors are escalating The client should be allowed to access during therapy treatment only The client should be allowed to access independently on his/her own