CNA Assisting with Daily Living 2

Question 1

A resident with severe rheumatoid arthritis has significant pain and stiffness in their hands in the morning.
Which of the following is the most appropriate technique for assisting this resident with dressing?

Accepted Answer

Encourage the resident to wear loose-fitting clothing with Velcro fasteners instead of buttons or zippers.

Answer

Complete the entire dressing process for the resident quickly to minimize their time in pain.

Answer

Insist the resident work through the pain to maintain their fine motor skills.

Answer

Schedule dressing for later in the afternoon when their stiffness has typically subsided.

Question 2

You are assisting a resident with dysphagia (difficulty swallowing) during breakfast. The care plan specifies a nectar-thick liquid consistency. You notice the resident is repeatedly coughing and clearing their throat after taking sips of their thickened juice. What is your immediate priority?

Accepted Answer

Stop feeding immediately and report the signs of potential aspiration to the nurse.

Answer

Offer the resident a sip of water to clear their throat.

Answer

Continue feeding the resident, but at a much slower pace.

Answer

Mix the juice with more thickener to make it honey-thick.

Question 3

A resident who has a glass prosthetic eye needs assistance with their morning care. The resident is capable of removing and inserting it but has poor vision in their remaining eye. What is the most important step for the CNA to take when preparing the supplies for this task?

Accepted Answer

Line the sink basin with a washcloth or soft towel before the resident handles the prosthesis.

Answer

Use an alcohol-based wipe to sterilize the prosthetic before insertion.

Answer

Instruct the resident to store the prosthesis in a dry cup overnight.

Answer

Apply a thick layer of petroleum jelly to the prosthesis for lubrication.

Question 4

A resident with moderate dementia insists on wearing a heavy sweater on a very hot day. Which of the following actions best respects the resident's autonomy while ensuring their safety?

Accepted Answer

Allow the resident to wear the sweater but monitor them closely for signs of overheating.

Answer

Tell the resident they are mistaken and firmly insist they wear a t-shirt.

Answer

Hide the sweater and provide two other appropriate shirts for them to choose from.

Answer

Explain the concept of heat stroke and why their choice is dangerous.

Question 5

When assisting a resident with one-sided weakness from a stroke to put on a button-up shirt, which principle should the CNA follow?

Accepted Answer

Dress the affected (weak) side first when putting the shirt on.

Answer

Dress the unaffected (strong) side first to anchor the shirt in place.

Answer

Slide both sleeves on simultaneously to save time and reduce movement.

Answer

Undress the affected (weak) side first when removing the shirt.

Question 6

A resident consistently refuses their morning shower, stating, "I don't need one." The resident is alert and oriented. After re-approaching later with the same result, what is the CNA's most appropriate next step?

Accepted Answer

Document the refusal and report it to the charge nurse.

Answer

Insist on the shower because it is part of the facility's required routine.

Answer

Ask a different CNA to try to convince the resident to shower.

Answer

Explain that refusing care can lead to skin infections and odor.