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

Educating the resident and family about the importance of the fluid restriction is crucial for their health and safety. Offering to save the item for another time respects the family's gesture while still adhering to the care plan. Taking it away can be confrontational, and allowing consumption violates the prescribed medical order. All intake, regardless of source, must be counted.

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

Utensils with built-up handles are easier to grip for individuals with limited finger function, such as those with severe arthritis. Weighted handles help to stabilize hand tremors. This combination directly addresses the resident's specific physical challenges, promoting self-feeding and dignity.

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

For a resident with paranoia or delusions about food, seeing it come from a sealed, unopened container can provide reassurance that it has not been tampered with. This approach addresses their specific fear directly and non-confrontationally. Tasting the food might sometimes work but can also be incorporated into the delusion. Insisting they eat will likely increase agitation.

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

Honey-thick liquids are moderately thick and flow off a spoon slowly in a drizzle, similar to the consistency of honey or molasses. Nectar-thick is thinner, and pudding-thick is the thickest consistency, requiring a spoon.

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

A key part of end-of-life care is educating the family. It's important to gently explain that as the body's systems slow down, the need and desire for food decrease. Forcing nutrition can cause nausea, bloating, and other distress. The focus shifts from caloric intake to comfort.

CNA Practice Test

CNA Practice Test

CNA Nutrition and Hydration Management 2