CNA Using Adaptive Devices 2

Question 1

A resident with severe right-sided weakness following a stroke needs to be transferred from their bed to a wheelchair using a transfer board.
Which action by the CNA indicates a need for further training?

Accepted Answer

Placing the transfer board under the resident's buttocks rather than their thighs.

Answer

Positioning the wheelchair at a 45-degree angle to the bed on the resident's left (strong) side.

Answer

Instructing the resident to lean left while placing the board under their right side.

Answer

Ensuring the surfaces of the bed and wheelchair are at similar heights before the transfer.

Question 2

When assisting a resident with severe arthritis to eat, they have difficulty holding a standard fork. Which type of adaptive utensil would be MOST appropriate to offer first?

Accepted Answer

A fork with a built-up, soft-grip handle.

Answer

A weighted utensil with a standard-sized handle.

Answer

A swivel spoon to minimize wrist movement.

Answer

A rocker knife for one-handed cutting.

Question 3

A CNA is caring for a resident with severe contractures in their legs who requires a mechanical lift for all transfers. What is a critical safety consideration specific to this resident's condition?

Accepted Answer

Carefully positioning the sling and the resident's limbs to avoid forcing joints into painful positions.

Answer

Ensuring the lift's battery is fully charged before starting.

Answer

Using a smaller sling to accommodate the resident's flexed position.

Answer

Performing the transfer with only one caregiver to be more efficient.

Question 4

A resident is using a rolling walker for the first time on a slight downhill ramp. The CNA should instruct the resident to do which of the following to ensure safety?

Accepted Answer

Apply light, steady pressure on the brakes to control speed.

Answer

Lean heavily forward into the walker to increase momentum.

Answer

Lift the walker completely with each step to control its movement.

Answer

Walk in a straight line directly down the center of the ramp.

Question 5

Which of the following residents would be the best candidate for using a sock aid, dressing stick, and button hook for upper body dressing?

Accepted Answer

A resident with hemiplegia (one-sided paralysis) after a stroke.

Answer

A resident with dementia who is often confused by multi-step tasks.

Answer

A resident with severe bilateral hand tremors due to Parkinson's disease.

Answer

A resident who is temporarily non-weight-bearing on one leg.

Question 6

A CNA notices that a resident's alternating pressure mattress pump is set to 'Static' mode. What is the most appropriate immediate action for the CNA?

Accepted Answer

Inquire if a procedure was recently performed and, if not, switch the pump back to 'Alternating' mode per the care plan.

Answer

Increase the firmness setting on the pump to compensate.

Answer

Document the finding and wait for the nurse to address it.

Answer

Unplug the pump for 10 minutes to allow it to reset.