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

Even if a resident with Alzheimer's disease is confused, their perception of smelling smoke should always be taken seriously as a potential safety concern. The nurse aide must prioritize safety by investigating the environment for any actual signs of fire or smoke, as ignoring such a complaint could have serious consequences.

Question 2

The primary reason for combative behavior in a resident is

Accepted Answer

confusion

Answer

Confusion is the primary reason for combative behavior in residents, especially those with dementia or cognitive impairments. When residents are confused, they may misinterpret their environment, feel threatened, or be unable to communicate their needs effectively, leading to frustration and aggressive outbursts.

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

For a client who always wants to wear their favorite outfit, providing several identical outfits respects their preference and promotes their comfort and sense of control. This solution avoids conflict, maintains their routine, and ensures they always have a clean version of their preferred clothing available.

Question 4

All of the following are clues to aggressive behavior EXCEPT

Accepted Answer

depressed mood

Answer

Depressed mood is typically associated with sadness, withdrawal, and lack of energy, not with aggressive behavior. Clenched jaw, rocking, and pacing are all physical indicators that can signal increasing anxiety, agitation, or frustration, which often precede or accompany aggressive outbursts.

Question 5

Reality orientation should include

Accepted Answer

Calling the resident by his name

Answer

Reality orientation aims to help residents stay connected to their current environment and identity. Calling a resident by their name is a fundamental aspect of person-centered care that reinforces their identity and shows respect, helping to ground them in reality.

CNA Practice Test

CNA Practice Test

CNA Care of Cognitively Impaired Residents 1