CNA Care for Residents with Cognitive Impairment 2

Question 1

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?

Accepted Answer

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

Answer

Tell her firmly that her husband is dead

Answer

Remind her every hour that her husband has passed

Answer

Ignore her questions so she forgets about it

Question 2

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

Accepted Answer

Place a large illuminated clock and nightlight in the room

Answer

Keep the room completely dark to promote sleep

Answer

Lock the door from outside to prevent wandering

Answer

Remove all furniture to reduce injury risk

Question 3

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

Accepted Answer

Document the refusal and try again later using a different approach

Answer

Force the bath quickly to minimize distress

Answer

Report immediately to the charge nurse and do nothing else

Answer

Skip bathing for the week to avoid upsetting the resident

Question 4

Which statement about sundowning in dementia residents is CORRECT?

Accepted Answer

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

Answer

Sundowning only occurs in residents with severe dementia

Answer

Sundowning is caused by sleeping too much during the day and is always preventable

Answer

Sundowning is a rare complication seen only in nursing homes

Question 5

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

Accepted Answer

Respond calmly and try to identify unmet needs behind the behavior

Answer

Ask the charge nurse to prescribe sedatives

Answer

Tell the resident to stop immediately and firmly

Answer

Restrain the resident to prevent self-harm

Question 6

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

Accepted Answer

Use short, simple sentences and speak slowly and clearly

Answer

Ask open-ended complex questions to stimulate thinking

Answer

Speak rapidly to hold the resident's attention

Answer

Use medical terminology so the resident feels respected

Question 7

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

Accepted Answer

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

Answer

Unlock the exit and accompany her outside

Answer

Lecture her about why she cannot leave

Answer

Call her family immediately and wait without engaging the resident