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

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

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

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

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

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

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

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

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

CNA Practice Test