CNA Care of Cognitively Impaired Residents 1

Question 1

A resident with Alzheimer’s disease tells the nurse aide that she smells smoke. The nurse aide should

Accepted Answer

look around for a fire.

Answer

reassure the patient that there is no fire.

Answer

put the patient to bed because she is clearly tired.

Answer

tell her that no one is allowed to smoke in the building.

Question 2

The primary reason for combative behavior in a resident is

Accepted Answer

confusion

Answer

hunger

Answer

stubbornness

Answer

resentment

Question 3

When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?

Accepted Answer

Ask the family to get several identical outfits.

Answer

Hide the favorite outfit for a few days so she forgets.

Answer

Explain the benefits of variety and offer several other outfits.

Answer

Tell the resident that the outfit is dirty and she will have to choose another.

Question 4

All of the following are clues to aggressive behavior EXCEPT

Accepted Answer

depressed mood

Answer

clenched jaw

Answer

rocking

Answer

pacing

Question 5

Reality orientation should include

Accepted Answer

Calling the resident by his name

Answer

Telling imaginative stories to the resident

Answer

Using nicknames like "Granny"

Answer

Talking about your interests

Question 6

A way to make sure a resident with dementia gets adequate nutrition is to

Accepted Answer

offer small meals and snacks that match their limited attention span.

Answer

turn on the television so they will be distracted and eat more.

Answer

give the resident 10 minutes to eat, then feed them the rest of the meal.

Answer

only provide their favorite foods to ensure the resident will eat.

Question 7

Communication with a resident who has late-stage dementia or Alzheimer's includes

Accepted Answer

speaking one- or two-word sentences.

Answer

encouraging them to be more expressive.

Answer

hiring a speech therapist.

Answer

eliminating all conversation.

Question 8

A resident who has not been discharged insists she is going home. What should the nurse aide do?

Accepted Answer

Notify the charge nurse immediately.

Answer

Tell her she cannot leave without a doctor’s order.

Answer

Put her in physical restraints until she calms down.

Answer

Advice her that she can leave if she wants to.

Question 9

A resident has difficulty remembering what day it is and where they are. How can you best help the resident?

Accepted Answer

Tell the resident often what day it is and where the resident is.

Answer

Keep the resident from talking about the past.

Answer

Agree with whatever the resident says.

Answer

Joke with the resident about their forgetfulness.

Question 10

The following are all indicators of aggressive behavior. EXCEPT

Accepted Answer

depressed mood

Answer

pacing

Answer

clenched jaw

Answer

rocking