CNA Care of Cognitively Impaired Residents 2

Question 1

A good way to reduce confusion or agitation for residents with dementia is

Accepted Answer

follow a familiar schedule every day.

Answer

include a variety of activities for stimulation.

Answer

ask them what they want to do.

Answer

trade assignments so they get to know all staff.

Question 2

A nurse aide finds a resident looking in the refrigerator at the nurses’ station at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to __________.

Accepted Answer

ask the resident about his job and if he is hungry

Answer

remind him that he is retired from his job and in a nursing home

Answer

tell him that residents are not allowed in the nurses’ station

Answer

help the resident back to his room and into bed

Question 3

When you approach a resident with dementia, how should you behave?

Accepted Answer

With a relaxed and cheerful manner.

Answer

With an "I'm busy, let's get this done" behavior.

Answer

With a meek, submissive demeanor.

Answer

With a cold, professional attitude.

Question 4

When preparing to give peri-care to an incontinent female resident with dementia, the CNA knows

Accepted Answer

all of the above

Answer

the resident may become combative.

Answer

the resident may become tearful.

Answer

the resident may feel sexually assaulted.

Question 5

If a resident's behavior becomes combative, the nurse aide should

Accepted Answer

Communicate calmly while stepping out of the way.

Answer

Tell him to calm down or restraints may be necessary.

Answer

Ask a co-worker to witness the situation.

Answer

Show him that the nurse aide is in control.

Question 6

A 90 year-old resident tells you that his mother is coming to visit on Sunday. What is your most appropriate response?

Accepted Answer

"Are you wishing you could see your mother?"

Answer

"Okay, let's figure out how old your mother could be."

Answer

"That is impossible! Your mother is dead."

Answer

"How nice! What are you going to do when she gets here?"

Question 7

Which of the following can be a cause of intellectual disability?

Accepted Answer

All of the above

Answer

Childhood illness

Answer

Down syndrome

Answer

Birth complications

Question 8

If a resident becomes confused, you should

Accepted Answer

Help the resident recognize familiar items.

Answer

Put him in restraints so he won’t fall.

Answer

Sit him down until you have time to assist him.

Answer

Place him in his room so he won't wander.

Question 9

Reality orientation therapy should include

Accepted Answer

Addressing the resident by their proper name

Answer

Creating imaginative stories to amuse the resident

Answer

Calling the resident by a name such as "Gramps."

Answer

Telling the resident that they will be going home soon.

Question 10

What of the following can lead to intellectual disability?

Accepted Answer

All of the above

Answer

Birth complications

Answer

Down syndrome

Answer

Childhood illness