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

The transfer board should be placed under the resident's thighs, not directly under the buttocks. Placing it too far back under the buttocks can cause the resident to slide forward off the board during the transfer, increasing the risk of a fall.

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

For residents with arthritis, a primary challenge is often a weak or painful grip. A utensil with a large, built-up, and soft handle is designed to be easier to hold, reducing strain on the joints of the hand. While other options may be useful for different conditions (like tremors or limited wrist motion), the built-up handle directly addresses the common issue of grip difficulty in arthritis.

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

Residents with contractures have joints that are fixed in a rigid position. It is crucial to support their limbs and position the sling in a way that does not force these joints, which could cause extreme pain or injury. All transfers with a mechanical lift require at least two staff members for safety.

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

When going downhill with a rolling walker, it can pick up speed and get ahead of the resident. Applying gentle, intermittent pressure on the brakes allows the resident to control the speed and maintain stability. Leaning forward, lifting the walker, or going straight down without controlling speed can increase the risk of a fall.

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 one-sided paralysis can use their unaffected hand to manipulate these adaptive tools. A sock aid and dressing stick help with reaching and pulling on clothes without bending, while a button hook allows for one-handed buttoning. These tasks would be very difficult for someone with severe bilateral tremors or confusing for a resident with significant dementia.

CNA Practice Test

CNA Practice Test

CNA Using Adaptive Devices 2