CNA Care Of Cognitively Impaired Residents 4 3

Question 1

A resident with dementia repeatedly tries to remove their catheter. What is the BEST initial intervention?

Accepted Answer

Notify the nurse and assess for discomfort or infection

Answer

Repeated attempts to remove a catheter may indicate pain or infection, so the nurse must be notified for assessment before other interventions.

Question 2

When providing personal care to a resident with Alzheimer's disease, the CNA should:

Accepted Answer

Explain each step before performing it and allow extra time

Answer

Explaining each step and allowing extra time reduces anxiety and promotes cooperation in residents with Alzheimer's disease.

Question 3

A cognitively impaired resident wanders into another resident's room and becomes combative when redirected. The CNA should FIRST:

Accepted Answer

Speak calmly and use gentle redirection with a familiar activity or object

Answer

Calm verbal redirection paired with a familiar distraction is the safest first response to combative wandering behavior.

Question 4

Which environment modification BEST helps prevent elopement in residents with dementia?

Accepted Answer

Installing door alarms and using camouflaged exit doors

Answer

Door alarms and camouflaged exits are evidence-based environmental strategies to prevent elopement without using restrictive measures.

Question 5

A resident with dementia refuses to eat breakfast but was hungry an hour earlier. The BEST response is to:

Accepted Answer

Offer small portions later and try favorite foods

Answer

Offering small portions of preferred foods later accommodates the fluctuating appetite and preferences common in dementia.

CNA Practice Test