Employee Name
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First Name
Last Name
Email Address
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When a person with dementia can no longer communicate clearly with words, their body and behavior often become their:
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a) Secondary language
b) Emotional barrier
c) Automatic reflex
d) Confused response
Which of the following is the most accurate reason people with dementia communicate non-verbally?
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a) They prefer gestures over speech
b) The language center of the brain is affected, limiting word use
c) They don’t trust caregivers
d) They are mimicking others
A sudden frown or grimace during movement is usually a sign of:
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a) Fatigue
b) Physical discomfort or pain
c) Lack of attention
d) Hunger
When a caregiver notices a person pulling away during care, the best first response is to:
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a) Hold them still so the task can be finished quickly
b) Pause, observe, and reassure the person calmly
c) Leave the room without explanation
d) Tell them they are safe and continue anyway
If someone begins pacing and rubbing their back in the evening, this might indicate:
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a) Confusion about bedtime
b) Physical discomfort, restlessness, or a toileting need
c) Aggressive behavior
d) Attention-seeking
Repeating words like “no,” “stop,” or “help me” can mean:
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a) The person is trying to manipulate staff
b) The person is confused, afraid, or in discomfort
c) The person doesn’t like their caregiver
d) The person is bored
A caregiver who pauses before reacting to behavior is practicing:
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a) Avoidance
b) Power control
c) Emotional observation
d) Mindful care
When observing behavior, which of the following should you always pay attention to?
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a) The person’s personal history
b) The time, situation, what you saw, and how the person responded afterward
c) Only what you assume is the cause
d) The caregiver’s emotions
Good observation and communication should always be:
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a) Quick, emotional, and instinctive
b) Based on guessing what the person feels
c) Calm, objective, and specific, focused on what you actually see and hear
d) Focused on correcting the person
When someone says “I want to go home,” it most likely means:
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a) They are homesick and must be taken home
b) They are tired or seeking comfort and familiarity
c) They want to leave their facility permanently
d) They are being disrespectful
Which action best shows compassionate caregiving?
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a) Correcting the person’s confusion immediately
b) Reassuring and validating their feelings
c) Ignoring the person’s statements
d) Explaining facts louder and more clearly
Why is pattern observation important?
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a) Because dementia symptoms only happen at night
b) Because repeated behaviors often point to a specific cause
c) Because staff must fill out more paperwork
d) Because all behaviors are random
A caregiver notices Ms. Patel is quieter than usual and rubs her forehead during lunch. The best interpretation is:
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a) She’s being stubborn
b) She may have a headache or be tired
c) She doesn’t like her caregiver
d) She’s refusing to eat out of protest
Which caregiver response shows the best awareness and communication?
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a) “Hold still, I’m almost done.”
b) “Stop that, you’re making this hard.”
c) “During dressing, the person said ‘stop’ and looked tense. Caregiver paused, reassured, and continued slowly.”
d) “You’re fine, let’s finish this quickly.”
Adjusting lighting, noise, and room temperature are examples of:
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a) Environmental responses
b) Personal care tasks
c) Emotional correction
d) Behavior modification
Why is responding with compassion better than correction?
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a) Correction can cause shame or fear, while compassion builds safety and trust
b) Compassion takes less time
c) Correction improves memory
d) Compassion avoids responsibility
A blank facial expression and still body posture could mean:
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a) The person is ignoring you
b) Emotional shutdown, sadness, or fatigue
c) Strong disagreement
d) Satisfaction and relaxation
The first thing to check when someone shows sudden distress should be:
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a) Their medication chart
b) The basic physical needs — pain, hunger, restroom, comfort
c) The care plan file
d) Their schedule for the day
Which statement best represents person-centered communication?
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a) “You have to finish your bath now.”
b) “You seem cold — let’s warm the room before we continue."
c) “You’re not cooperating again.”
d) “Stop that, you’re making it harder.”
What’s the most important purpose of observing and communicating about non-verbal signs?
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a) To control behavior
b) To provide accurate, compassionate care and prevent distress
c) To satisfy agency requirements
d) To make caregivers look good