Mental Health and Social Services Needs Flashcards

A resident with dementia becomes agitated every evening around 5 PM. This pattern is best described as:

Answer: Sundowning syndrome

Sundowning syndrome refers to increased confusion, agitation, and behavioral changes that occur in the late afternoon or evening in residents with dementia.

When a resident tells the CNA that their family never visits and they feel forgotten, the BEST response is:

Answer: 'Would you like to tell me more about how you're feeling?'

Open-ended responses that invite the resident to share more demonstrate empathy and active listening, which are key therapeutic communication techniques.

A resident diagnosed with schizophrenia tells the CNA that government agents are watching through the TV. The CNA should:

Answer: Acknowledge the resident's distress without reinforcing the delusion

CNAs should neither agree with nor directly challenge delusions, but instead acknowledge the resident's feelings and report observations to the nurse.

Which of the following is a sign that a resident may be experiencing depression rather than normal sadness?

Answer: Persistent loss of interest in activities lasting more than two weeks

Depression is characterized by persistent symptoms lasting at least two weeks, including loss of interest in previously enjoyed activities.

A resident who previously enjoyed group activities now refuses to leave their room and stops eating regularly. The CNA should FIRST:

Answer: Report these behavioral changes to the charge nurse

Significant behavioral changes such as social withdrawal and appetite loss are important observations that must be reported to the nurse promptly.

When assisting a resident who has experienced a recent loss, which action by the CNA is MOST therapeutic?

Answer: Sitting quietly with the resident and offering a comforting presence

Simply being present and offering quiet companionship validates grief and provides comfort without minimizing the resident's feelings.

A resident with a history of alcohol use disorder is admitted to a long-term care facility. The CNA notices the resident is sweating, trembling, and appears anxious on day two. The CNA should:

Answer: Report these symptoms to the nurse immediately as they may indicate withdrawal

Sweating, trembling, and anxiety in a resident with alcohol use disorder may indicate alcohol withdrawal, which is a medical emergency requiring prompt nursing assessment.