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

A consistent and predictable daily schedule provides structure and reduces anxiety for residents with dementia. Familiar routines help them anticipate events, minimize confusion, and create a sense of security, which can significantly reduce agitation and promote a calmer environment.

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

When a confused resident expresses a desire related to their past life, such as going to work, it's best to validate their feelings and gently redirect them. Asking about their job and if they are hungry acknowledges their current state of mind and opens an opportunity to address an immediate need (hunger) in a compassionate way, rather than confronting their confusion directly.

Question 3

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

Accepted Answer

With a relaxed and cheerful manner.

Answer

Approaching a resident with dementia in a relaxed and cheerful manner helps create a calm and positive environment. This demeanor can reduce anxiety and confusion in the resident, making them more receptive to care and interaction. A positive attitude fosters trust and cooperation, which is essential when caring for individuals with cognitive impairments.

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

When providing peri-care to a resident with dementia, it's crucial to anticipate a range of reactions due to their confusion, fear, or perceived invasion of privacy. They may become combative, tearful from embarrassment, or feel sexually assaulted if they don't understand the procedure. Therefore, CNAs must be prepared for any of these responses and approach care with sensitivity and caution.

Question 5

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

Accepted Answer

Communicate calmly while stepping out of the way.

Answer

If a resident becomes combative, the nurse aide's priority is safety for both the resident and themselves. Communicating calmly can help de-escalate the situation, while stepping out of the way prevents injury and gives the resident space. This approach avoids confrontation, which can worsen combative behavior, and allows the CNA to assess the situation safely before seeking further assistance.

CNA Practice Test

CNA Practice Test

CNA Care of Cognitively Impaired Residents 2