“Becoming Dementia-Aware” online training for RN’s, LVN’s, & RCFE Administrators Caring for Dementia Challenged Adults Evaluation & Post Quiz Required for CE's (Please print how you wish your name to appear on the CE Certificate and the email you wish me to use to receive the certificate) Thank you for attending our training. In order to satisfy the California Board of Registered Nursing and Deparment of Social Services - Community Care Licensing Division continuing education requirements we will keep your evaluations on file, and your comments and feedback are valuable to us. Simply complete this evaluation form when you have watched the entire video and completed all four of the quizzes to receive your CE certificate. Please select the number that most applies to each of the statements below. First NameLast NameThis field is hidden when viewing the formEmail The information I received was relevant to my personal situation* 1 - Strongly Disagree 2 - Disagree 3 - Agree 4 - Strongly Agree The presenter was knowledgeable of the workshop topic* 1 - Strongly Disagree 2 - Disagree 3 - Agree 4 - Strongly Agree The workshop materials were interesting and helpful* 1 - Strongly Disagree 2 - Disagree 3 - Agree 4 - Strongly Agree I am glad to have attended. It was a good use of my time* 1 - Strongly Disagree 2 - Disagree 3 - Agree 4 - Strongly Agree I feel I can utilize the techniques presented in my current situation* 1 - Strongly Disagree 2 - Disagree 3 - Agree 4 - Strongly Agree What did you find most useful and/or enjoyable about the workshop?*What did you find least useful?*Please list any additional comments or suggestions:Do you feel the information presented will help you with your role as a family caregiver / professional care giver?* Yes No How did you learn about this training?*May we use your name and/or comments on future marketing materials?* Yes No SignatureDate MM slash DD slash YYYY May we contact you about upcoming trainings or classes?* Yes No PhoneEmail Post Presentation QuizDementia is a list of symptoms of many causes such as disease, illness or brain trauma.* True False You can always “win” an argument with a dementia challenged adult.* True False Confusion and disorientation are not common presentations of dementia.* True False The most effective way to communicate with dementia challenged adults is to join them in their feelings.* True False Decision making and judgment are not affected by dementia.* True False It’s easy to completely eliminate every day stress.* True False Excessive anger is a strong sign that you need to do something about the amount of stress in your life.* True False Your attitude and emotions have absolutely no affect on a person with Alzheimer’s.* True False Laughing has many healthy benefits and it is very relaxing.* True False Check the box before the answer that best applies to the following statements.The caregiver should focus on factual questions that begin with: Why did you… Who, What, Where, When or How Do you remember… Don't ask questions at all Dementia aware, positive action and affirmative response communication techniques work well for people:* Who suffer from certain types of dementia. Who can no longer communicate verbally. You come in contact with, and need to communicate with. All of the above
