CNA Promoting Resident Independence and Choice 2 — Questions and Answers
Question 1: A resident with mild cognitive impairment wants to choose her own clothing each morning. What is the CNA's best approach?
- Choose clothes for her to save time
- Offer two outfit options and let her decide (Correct answer)
- Ask the family to decide what she wears
- Skip clothing decisions to reduce confusion
Correct answer: Offer two outfit options and let her decide
Offering limited choices respects autonomy while supporting residents with cognitive limitations.
Question 2: Which action by a CNA best supports a resident's right to participate in their own care planning?
- Informing the resident of decisions already made by the care team
- Excluding the resident to avoid overwhelming them
- Inviting the resident to attend and speak at their care conference (Correct answer)
- Having family members attend in place of the resident
Correct answer: Inviting the resident to attend and speak at their care conference
Residents have the right to attend and actively participate in their own care planning meetings.
Question 3: A resident refuses to take a bath on the scheduled day. The CNA should:
- Proceed with the bath anyway to maintain hygiene
- Document the refusal and offer the bath at another time (Correct answer)
- Report the refusal as noncompliance
- Ask another CNA to convince the resident
Correct answer: Document the refusal and offer the bath at another time
Residents have the right to refuse care; the CNA should document and offer alternatives.
Question 4: What does 'promoting resident independence' primarily mean in long-term care?
- Allowing residents to do everything without any assistance
- Encouraging residents to perform tasks they are capable of doing themselves (Correct answer)
- Completing all tasks for residents to ensure safety
- Letting residents make only medical decisions
Correct answer: Encouraging residents to perform tasks they are capable of doing themselves
Independence is promoted by encouraging residents to do what they can, with assistance only as needed.
Question 5: A resident who is able to feed himself slowly wants to eat independently. The CNA should:
- Feed him to ensure he finishes his meal on time
- Allow him to eat at his own pace and offer help only if needed (Correct answer)
- Ask the nurse to assess if self-feeding is safe
- Discourage self-feeding to prevent choking
Correct answer: Allow him to eat at his own pace and offer help only if needed
Supporting self-feeding, even if slow, maintains the resident's dignity and independence.
Question 6: Which of the following best describes 'person-centered care' in the CNA role?
- Following the facility schedule strictly for all residents
- Tailoring care to each resident's individual preferences and needs (Correct answer)
- Providing the same care routine to all residents equally
- Prioritizing medical tasks over resident preferences
Correct answer: Tailoring care to each resident's individual preferences and needs
Person-centered care individualizes approaches based on each resident's unique preferences, history, and needs.
Question 7: A resident asks to stay up later than the facility's usual bedtime. The CNA should:
- Insist the resident follow the standard bedtime schedule
- Honor the request if it does not endanger the resident or others (Correct answer)
- Tell the resident that facility rules cannot be changed
- Inform the family about the resident's unusual request
Correct answer: Honor the request if it does not endanger the resident or others
Residents have the right to set their own schedules when doing so is safe and feasible.
CNA Promoting Resident Independence and Choice 2
A resident with mild cognitive impairment wants to choose her own clothing each morning.
What is the CNA's best approach?