CNA Using Adaptive Devices 3

Question 1

A resident with severe rheumatoid arthritis has been provided with weighted, large-handled utensils. During a meal, the CNA notices the resident is still struggling to scoop food onto their spoon and is becoming frustrated. What is the CNA's most appropriate *next* action?

Accepted Answer

Ask the resident if a plate guard or a scoop dish might also be helpful.

Answer

While all other options have some merit, the most appropriate *next* action is to proactively problem-solve with an additional adaptive device. A plate guard or scoop dish provides a high-sided surface to push food against, making it easier to load onto a utensil, and can be used in conjunction with the adaptive silverware.

Question 2

A long-handled shoe horn is an adaptive device primarily designed to assist residents with what specific limitation?

Accepted Answer

Reduced hip flexion or back mobility.

Answer

The primary purpose of a long-handled shoe horn is to allow a person to guide their foot into a shoe without bending at the waist or hip. This is crucial for individuals with mobility restrictions, such as those recovering from hip surgery or experiencing severe back pain.

Question 3

A CNA is assisting a resident who has had a stroke, resulting in one-sided weakness (hemiparesis). Which of the following adaptive devices requires the most specific, mandatory training for both the CNA and the resident to prevent serious injury?

Accepted Answer

A mechanical lift (e.g., Hoyer lift).

Answer

Mechanical lifts are complex pieces of equipment used for non-weight-bearing residents. Improper use, such as incorrect sling placement or operational errors, can lead to severe injury or even death for the resident and injury to the caregiver. Formal, hands-on training and competency checks are mandatory.

Question 4

A CNA observes a resident using a rolling walker by pushing it several feet ahead and then hunching over to catch up to it. This incorrect usage significantly increases the resident's risk of:

Accepted Answer

A fall due to an unstable center of gravity.

Answer

Proper walker use requires keeping the device close to the body to maintain a stable center of gravity. Pushing the walker too far forward causes the resident to lean and become off-balance, which dramatically increases the risk of a forward fall.

Question 5

Before assisting a resident with a lower-limb prosthesis with ambulation, what is a critical but sometimes overlooked check the CNA should perform?

Accepted Answer

Checking the skin of the residual limb for redness or irritation.

Answer

The skin of the residual limb (stump) is highly susceptible to pressure sores, irritation, and breakdown from the prosthetic socket. It is essential for the CNA to inspect the skin for any signs of redness, abrasions, or sores before and after the prosthesis is worn to prevent serious complications.

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CNA Using Adaptive Devices 3