Care Of Cognitively Impaired Residents 4 Flashcards
7 cards from real CNA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Care Of Cognitively Impaired Residents 4 flashcards as text
A resident with dementia confabulates (makes up stories) when asked about their day. The CNA should:
Answer: Listen respectfully without arguing about the accuracy of the story
Confabulation is an involuntary symptom of memory damage; arguing is harmful while respectful listening preserves dignity.
Which approach is MOST appropriate when bathing a resident with dementia who becomes upset during the process?
Answer: Stop, allow the resident to calm down, and try a modified bathing method
Pausing and trying an alternative method such as a towel bath reduces distress and maintains dignity during personal care.
When communicating with a resident who has severe dementia, the CNA should use:
Answer: Short, simple sentences with a calm tone and direct eye contact
Simple sentences, calm tone, and eye contact optimize understanding and connection for residents with severe cognitive impairment.
A resident with Alzheimer's disease repeatedly asks for their deceased spouse. The BEST response is to:
Answer: Ask the resident to tell you about their spouse while offering comfort
Inviting the resident to share memories honors their feelings and redirects gently without causing repeated grief from reminding them of the death.
Which behavior is a recognized sign of pain in a nonverbal resident with advanced dementia?
Answer: Facial grimacing, guarding, or increased agitation during movement
Nonverbal pain indicators in dementia include facial grimacing, body guarding, and agitation especially during repositioning or care activities.
The PRIMARY goal of reminiscence therapy for cognitively impaired residents is to:
Answer: Improve mood and sense of identity by recalling past positive experiences
Reminiscence therapy uses long-term memories — often better preserved in dementia — to boost self-esteem and emotional well-being.
A cognitively impaired resident hoards food in their room. The CNA should FIRST:
Answer: Report the behavior to the nurse and assess for safety concerns such as spoilage or choking risk
Hoarding can pose safety risks from spoiled food or choking hazards, so the nurse must be informed and a care plan developed.