CNA Care Of Cognitively Impaired Residents 4 4

Question 1

A resident with dementia confabulates (makes up stories) when asked about their day. The CNA should:

Accepted Answer

Listen respectfully without arguing about the accuracy of the story

Answer

Confabulation is an involuntary symptom of memory damage; arguing is harmful while respectful listening preserves dignity.

Question 2

Which approach is MOST appropriate when bathing a resident with dementia who becomes upset during the process?

Accepted Answer

Stop, allow the resident to calm down, and try a modified bathing method

Answer

Pausing and trying an alternative method such as a towel bath reduces distress and maintains dignity during personal care.

Question 3

When communicating with a resident who has severe dementia, the CNA should use:

Accepted Answer

Short, simple sentences with a calm tone and direct eye contact

Answer

Simple sentences, calm tone, and eye contact optimize understanding and connection for residents with severe cognitive impairment.

Question 4

A resident with Alzheimer's disease repeatedly asks for their deceased spouse. The BEST response is to:

Accepted Answer

Ask the resident to tell you about their spouse while offering comfort

Answer

Inviting the resident to share memories honors their feelings and redirects gently without causing repeated grief from reminding them of the death.

Question 5

Which behavior is a recognized sign of pain in a nonverbal resident with advanced dementia?

Accepted Answer

Facial grimacing, guarding, or increased agitation during movement

Answer

Nonverbal pain indicators in dementia include facial grimacing, body guarding, and agitation especially during repositioning or care activities.

CNA Practice Test