CNA Mental Health and Social Services Needs 1 4 — Questions and Answers
Question 1: Which behavior in a resident would MOST likely indicate a manic episode?
- Sleeping 14 hours a day and refusing meals
- Speaking rapidly, needing little sleep, and acting impulsively (Correct answer)
- Crying frequently and expressing hopelessness
- Repeating the same question every few minutes
Correct answer: Speaking rapidly, needing little sleep, and acting impulsively
Mania is characterized by elevated mood, decreased need for sleep, rapid speech, and impulsive or grandiose behavior.
Question 2: A resident with PTSD becomes very distressed during a thunderstorm. The CNA should:
- Tell the resident storms are not dangerous
- Remain calm, stay with the resident, and provide a safe, quiet environment (Correct answer)
- Insist the resident go to the common room with other residents
- Leave the resident alone to calm down
Correct answer: Remain calm, stay with the resident, and provide a safe, quiet environment
Staying calm, remaining present, and reducing stimulation helps a resident with PTSD manage a trauma-triggered response.
Question 3: The role of the CNA in supporting a resident's social needs BEST includes:
- Making decisions about which social activities the resident should attend
- Encouraging participation in activities based on the resident's own preferences (Correct answer)
- Limiting social contact to prevent overstimulation
- Reporting residents who decline activities as noncompliant
Correct answer: Encouraging participation in activities based on the resident's own preferences
Respecting resident autonomy means encouraging social activities that align with the resident's own interests and preferences.
Question 4: Which of the following is an example of a resident's psychosocial need?
- Receiving medications on time
- Feeling a sense of belonging and being respected (Correct answer)
- Getting adequate nutrition and hydration
- Having wound dressings changed regularly
Correct answer: Feeling a sense of belonging and being respected
Psychosocial needs include emotional, social, and spiritual well-being, such as feeling respected, valued, and connected to others.
Question 5: A resident with anxiety begins hyperventilating during a procedure. The CNA should:
- Continue the procedure quickly to get it over with
- Stop the procedure, stay calm, and notify the nurse (Correct answer)
- Tell the resident they are overreacting
- Leave to get other staff immediately without saying anything
Correct answer: Stop the procedure, stay calm, and notify the nurse
Stopping the procedure, remaining calm, providing reassurance, and notifying the nurse ensures the resident's safety and comfort.
Question 6: Validation therapy is MOST useful for residents who:
- Have mild forgetfulness but intact cognition
- Experience dementia-related confusion and disorientation (Correct answer)
- Have schizophrenia with active hallucinations
- Are adjusting to a new facility admission
Correct answer: Experience dementia-related confusion and disorientation
Validation therapy acknowledges and respects the feelings and reality of people with dementia rather than correcting or arguing with them.
Question 7: Which action by a CNA BEST protects the dignity of a resident with a mental health condition?
- Referring to the resident by their diagnosis when speaking to coworkers
- Discussing the resident's condition in the hallway to keep other residents informed
- Addressing the resident by their preferred name and maintaining confidentiality (Correct answer)
- Sharing the resident's history to explain their behavior to visitors
Correct answer: Addressing the resident by their preferred name and maintaining confidentiality
Using preferred names and maintaining confidentiality upholds resident dignity and protects their privacy rights regardless of mental health status.
CNA Mental Health and Social Services Needs 1 4
Which behavior in a resident would MOST likely indicate a manic episode?