CNA Promoting Resident Independence and Choice 2

Question 1

A resident with dementia who is otherwise calm insists on wearing a heavy wool sweater on a very hot summer day.
Which action by the CNA BEST promotes the resident's choice while ensuring their well-being?

Accepted Answer

Acknowledge the choice, find a much lighter sweater of a similar color, and offer it as an alternative.

Answer

Explain to the resident that it is too hot and they will be uncomfortable, then put a summer shirt on them.

Answer

Allow the resident to wear the sweater but insist they stay indoors in the air conditioning all day.

Answer

Remove the sweater from the resident's closet to prevent the choice from being made again.

Question 2

A resident has a legal guardian who has provided strict instructions for their daily care. The resident, who is alert and can express their preferences, tells you they would prefer to shower at night instead of the morning as the guardian stipulated. What is the CNA's most appropriate action?

Accepted Answer

Inform the nurse of the resident's expressed wish so it can be discussed with the resident and guardian.

Answer

Follow the guardian's instructions exactly as written to avoid legal issues.

Answer

Allow the resident to shower at night and simply don't mention it to the guardian.

Answer

Tell the resident that their guardian makes the decisions and you cannot change the schedule.

Question 3

A resident who had a stroke has expressive aphasia, making it difficult to state their needs. They become visibly frustrated during morning care and begin refusing assistance. What is the CNA's BEST initial response?

Accepted Answer

Stop the task, make eye contact, and use a communication board or simple yes/no questions to determine the cause of their frustration.

Answer

Continue with the care tasks quickly to get them done before the resident becomes more upset.

Answer

Leave the room to give the resident space and return in an hour to try again.

Answer

Inform the resident that the care must be completed and ask a coworker to help you finish.

Question 4

Which of the following is an advanced application of promoting independence for a resident who frequently tries to stand from their wheelchair without assistance?

Accepted Answer

Engaging the resident in a scheduled activity like folding laundry while seated to provide purposeful engagement.

Answer

Applying a lap belt to keep them securely in the chair.

Answer

Placing the resident in a geri-chair with a locked tray table.

Answer

Reminding the resident loudly and frequently not to stand up without help.

Question 5

In a new 'person-centered' dining program, what is the CNA's MOST impactful role in promoting resident choice and independence?

Accepted Answer

Learning and honoring individual resident preferences for seating, meal choices, and the pace of the meal.

Answer

Ensuring all residents arrive at the dining room at the exact same time for efficiency.

Answer

Serving pre-plated trays as quickly as possible to all residents.

Answer

Completing all feeding assistance before other residents begin to eat.

Question 6

Which of the following CNA actions best demonstrates advanced respect for a resident's right to choose their social interactions?

Accepted Answer

Knocking and waiting for a response before entering a resident's room, even when the door is partially open.

Answer

Insisting a quiet resident join a large, loud group activity to 'bring them out of their shell'.

Answer

Deciding which residents should sit together at lunch based on their medical conditions.

Answer

Turning on the television in the common room to a program the CNA enjoys.