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Occupational Therapy Approach to Assessment and Intervention in Dementia

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1.  Cognitive Features of Parkinson’s disease with dementia (PDD) may include: Impaired attention Deficits in visuo-spatial skills Hallucinations All of the above

2.  All of these changes may occur with Behavioral variant Frontal Temporal Dementia EXCEPT: Disinhibition and poor self-control Increase in executive function Decline in socially appropriate behavior Lack of empathy

3.  Symptom presentation of motor variant FTD may include: Ataxia Features of corticobasal syndrome or progressive supranuclear palsy Severe hypotonia None of the above

4.  In the Performance Assessment of Self Care Skills (PASS), the following is TRUE: A lower score indicates greater independence, safety, or adequacy It is a self-report measure. It assesses level of assistance needed and frequency of prompts. Therapist may not administer only tasks deemed relevant to client –the entire assessment must be performed.

5.  Goal attainment scaling can be a useful outcome measure by: Measuring the time it takes for a client to meet goals you have set for them Quantifying the level of cognitive impairment and dementia in a standardized fashion Providing a tool to approach intervention in a client-centered way, task-specific way None of the above

6.  Occupational therapy intervention approaches for dementia may include: Health promotion Cognitive remediation/retraining High-level equipment training High-level IADLs

7.  Appropriate intervention approaches to remediation for individuals with dementia include: Paper and pencil cognitive training exercises to restore cognitive skills Memorization of lists Use of a scheduler to address IADLs Routine exercise interventions to improve the performance of ADLs and functional mobility

8.  The DICE method stands for: Decision, Intervention, Collaboration, Example Describe, Intervene, Correct, Evaluate Describe, Investigate, Create, Evaluate Do, Integrate, Core, Excess

9.  Tailored Activities Program should include: Activities tailored to the interest and abilities of the person with dementia Computer-based tasks to improve and retrain cognitive abilities Activities the individual can do independently, with no assist from the carer Only interventions to support the person with dementia

10.  Activities for severe dementia Will require less cueing and set up by care partners than mid-stage dementia but will involve more time engaging in the activity Will most likely require more assist from care partners for set up and cueing, with less time engaged in the activity Should be complex Involve cueing less than 25% of the time