CNA Nutrition and Hydration Management 2

Question 1

A resident with congestive heart failure (CHF) is on a fluid restriction of 1500 mL per day.
During your shift, you observe their family brought a large cup of what appears to be a smoothie.
The resident has already consumed their lunch fluids.
What is the MOST appropriate initial action?

Accepted Answer

Politely explain the fluid restriction to the family and resident, and offer to put the smoothie in the refrigerator for later.

Answer

Take the smoothie away and explain that it violates the fluid restriction.

Answer

Allow the resident to have a few sips and then document the approximate amount consumed.

Answer

Ignore the situation as it is a gift from the family and does not involve facility-provided fluids.

Question 2

You are assisting a resident with severe rheumatoid arthritis during mealtime. They have difficulty holding standard utensils due to joint pain and stiffness. Which of the following adaptive devices would be MOST beneficial to promote their independence?

Accepted Answer

Utensils with built-up, weighted handles

Answer

A plate guard

Answer

A nosey cup

Answer

A bib-style clothing protector

Question 3

A resident with dementia often becomes agitated and refuses to eat, stating they believe the food is poisoned. Which strategy is most likely to be effective in encouraging nutritional intake?

Accepted Answer

Serving meals in the original packaging, such as a yogurt container or pre-packaged sandwich.

Answer

Insisting they eat because it is required for their health.

Answer

Offering to taste the food first in front of the resident.

Answer

Asking a different staff member to attempt feeding the resident.

Question 4

Which of the following is considered a 'honey-thick' liquid consistency according to the National Dysphagia Diet (NDD)?

Accepted Answer

A liquid that pours very slowly, like molasses, and drizzles off a spoon.

Answer

A liquid that is slightly thicker than water and flows like apricot nectar.

Answer

A liquid that is very thick, holds its shape, and must be eaten with a spoon.

Answer

A thin liquid, like water or clear juice, with no modifications.

Question 5

You are caring for a resident who is receiving end-of-life care. Their appetite has significantly decreased, and they often refuse meals. The family is very distressed, believing the resident is 'starving.' What is the CNA's most appropriate response?

Accepted Answer

Explain that loss of appetite is a natural part of the dying process and forcing food can cause discomfort.

Answer

Encourage the family to bring in the resident's favorite high-calorie foods to tempt them.

Answer

Suggest the family speak with the doctor about getting a feeding tube placed.

Answer

Document the refusal and say nothing to the family to avoid upsetting them further.

Question 6

A resident who had a stroke has dysphagia and is at high risk for aspiration. Which of the following observations, if made during or after a meal, would require IMMEDIATE reporting to the nurse as a possible sign of silent aspiration?

Accepted Answer

The resident develops a frequent, wet-sounding cough or gurgly voice.

Answer

The resident complains that the pureed food is bland.

Answer

The resident pockets food in one side of their mouth.

Answer

The resident eats only half of the meal provided.