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

Sundowning refers to increased confusion, agitation, and behavioral changes that occur in the late afternoon or early evening in people with dementia.

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

Validation therapy involves acknowledging the resident's feelings and emotional reality rather than correcting factual errors, which reduces distress.

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

Secured exits with camouflaged doors and visual cues like stop signs or grid patterns on floors help prevent elopement while preserving the resident's freedom to move.

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

Offering choices and flexibility with timing respects the resident's autonomy and often reduces resistance in cognitively impaired individuals.

Question 5

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

Accepted Answer

Accesses long-term memories that are often preserved

Answer

Long-term memories are often preserved in Alzheimer's and dementia even when short-term memory is severely impaired, making reminiscence therapy effective.

CNA Practice Test

CNA Practice Test

CNA Care Of Cognitively Impaired Residents 4 2