CNA Preventing Patient Falls and Injuries 2

Question 1

A resident with orthostatic hypotension who has been dizzy upon standing is starting a new blood pressure medication. What is the MOST appropriate action for the CNA to take before assisting the resident to ambulate for the first time after receiving the new medication?

Accepted Answer

Ask the resident to sit on the edge of the bed for a few minutes before standing.

Answer

Orthostatic hypotension is a drop in blood pressure upon standing, which can be worsened by new medications. Having the resident dangle their legs at the bedside for a few minutes allows their body to adjust to the change in position, reducing dizziness and the risk of falling.

Question 2

You are caring for a resident with advanced dementia who becomes increasingly agitated and restless in the late afternoon, a behavior known as 'sundowning'. Which of the following interventions is most likely to decrease their risk of falling during this time?

Accepted Answer

Engaging the resident in a calm, familiar activity, such as folding laundry.

Answer

Engaging a resident with dementia in a simple, familiar, and calming activity can redirect their focus and reduce agitation and restlessness associated with sundowning. This structured activity provides a sense of purpose and can prevent aimless wandering, which increases fall risk. Increasing stimulation can worsen agitation, and isolation may increase anxiety.

Question 3

A patient is consistently trying to slide down in their wheelchair, increasing their risk of falling out. The CNA has already ensured the patient is comfortable and has no unmet needs. What is the best immediate action?

Accepted Answer

Place a wedge cushion in the wheelchair and reposition the patient.

Answer

A wedge cushion is designed to be higher in the front, which helps to prevent a patient from sliding forward and out of the chair. After placing the cushion, the CNA should properly reposition the patient to ensure they are seated safely and comfortably. This is a specific intervention to address the sliding issue without using a restraint.

Question 4

A facility has placed thick, cushioned floor mats next to the beds of high-risk residents to reduce injury from a fall. When is this floor mat MOST likely to become a hazard itself?

Accepted Answer

When a staff member is assisting the resident out of bed to a standing position.

Answer

While floor mats can cushion a fall from bed, their thickness can create an uneven surface and a significant trip hazard for both residents and staff, especially during transfers when a stable footing is crucial. The mat should be moved aside during assisted transfers.

Question 5

A resident expresses a significant fear of falling after a recent near-miss event and is now refusing to participate in their prescribed physical therapy. Which action by the CNA is most appropriate?

Accepted Answer

Ask the nurse or physical therapist to discuss alternative, less intimidating exercises with the resident.

Answer

Fear of falling is a legitimate concern that can impede recovery and increase fall risk. The CNA should report this to the nurse or therapist. They can then work with the resident to find alternative exercises, perhaps starting with chair-based exercises, to build confidence and strength without causing distress, which is a key part of patient-centered care.

CNA Practice Test

CNA Practice Test

CNA Preventing Patient Falls and Injuries 2