CNA Care Of Cognitively Impaired Residents 4 2

Question 1

A resident with Alzheimer's disease becomes agitated every afternoon around 3 PM. This phenomenon is best described as:

Accepted Answer

Sundowning

Answer

Morning confusion

Answer

Delirium tremens

Answer

Nocturnal wandering

Question 2

When using validation therapy with a cognitively impaired resident who believes she needs to pick up her children from school, the CNA should:

Accepted Answer

Acknowledge her feelings and redirect gently

Answer

Firmly correct the resident and explain her children are adults

Answer

Ignore the request entirely

Answer

Tell her the children already came home

Question 3

To create a safe environment for a resident with dementia who wanders, the CNA should:

Accepted Answer

Ensure the unit has secured exits and visual cues

Answer

Lock the resident in their room

Answer

Use physical restraints in the bed

Answer

Ignore the wandering behavior

Question 4

A resident with moderate dementia resists bathing every morning. The most appropriate response is to:

Accepted Answer

Offer choices and try at a different time if needed

Answer

Force the bath to maintain hygiene standards

Answer

Document the refusal and skip hygiene indefinitely

Answer

Report the resident to the charge nurse as non-compliant

Question 5

Reminiscence therapy is most effective for cognitively impaired residents because it:

Accepted Answer

Accesses long-term memories that are often preserved

Answer

Teaches new skills to compensate for memory loss

Answer

Corrects disorientation to time and place

Answer

Prevents further cognitive decline

Question 6

A cognitively impaired resident becomes physically aggressive during personal care. The first action the CNA should take is to:

Accepted Answer

Stop the activity, ensure safety, and try again later

Answer

Restrain the resident to complete the care task

Answer

Call security immediately

Answer

Document the incident and provide no further care that day