Care for Residents with Cognitive Impairment Flashcards

A resident with dementia repeatedly asks where her husband is, not knowing he passed away years ago. What is the BEST response for the CNA?

Answer: Say 'He's not here right now' and redirect her to a pleasant activity

Therapeutic fibbing or gentle redirection prevents unnecessary grief while keeping the resident calm and engaged.

Which environment modification BEST reduces confusion and wandering at night for a resident with dementia?

Answer: Place a large illuminated clock and nightlight in the room

A visible clock and nightlight help orient the resident to time and surroundings, reducing nighttime confusion.

A resident with Alzheimer's disease refuses to bathe and becomes agitated. What should the CNA do FIRST?

Answer: Document the refusal and try again later using a different approach

Documenting the refusal and trying a different approach later respects the resident's autonomy and uses person-centered care strategies.

Which statement about sundowning in dementia residents is CORRECT?

Answer: Sundowning refers to increased confusion and agitation in late afternoon or evening

Sundowning describes worsening confusion, restlessness, and agitation that typically occurs in the late afternoon or evening hours.

When a cognitively impaired resident uses repetitive speech or actions, the CNA should PRIMARILY:

Answer: Respond calmly and try to identify unmet needs behind the behavior

Repetitive behaviors often signal an unmet need such as pain, hunger, or the need for reassurance.

Which communication technique is MOST effective when speaking with a resident who has moderate dementia?

Answer: Use short, simple sentences and speak slowly and clearly

Short, simple sentences spoken slowly and clearly are easiest for residents with dementia to process and understand.

A resident with dementia tries to leave the building, saying she needs to pick up her children from school. The CNA should:

Answer: Validate her feelings, gently redirect her, and engage her in an activity

Validating feelings and redirecting to an engaging activity is the safest and most therapeutic response to elopement attempts.