CNA Promoting Resident Independence and Choice 3 — Questions and Answers
Question 1: When a resident expresses a preference to shower instead of taking a tub bath, the CNA should:
- Explain that tub baths are facility policy
- Accommodate the preference and document it in the care plan (Correct answer)
- Ask the nurse to override the preference if it complicates the schedule
- Ignore the preference since both methods achieve the same result
Correct answer: Accommodate the preference and document it in the care plan
Accommodating personal hygiene preferences respects autonomy and should be reflected in the care plan.
Question 2: A resident with limited mobility wants to walk to the dining room rather than use a wheelchair. What should the CNA do?
- Use the wheelchair regardless to save time
- Assess safety and assist with walking if it is allowed per the care plan (Correct answer)
- Tell the resident walking is too dangerous
- Let the resident walk without any supervision
Correct answer: Assess safety and assist with walking if it is allowed per the care plan
CNAs should support the resident's choice to walk while ensuring it aligns with the care plan and safety needs.
Question 3: Which of the following is an example of undermining resident independence?
- Encouraging a resident to button her own shirt
- Completing grooming tasks for a resident who can do them independently (Correct answer)
- Asking a resident what time he prefers to wake up
- Letting a resident choose her meal from the menu
Correct answer: Completing grooming tasks for a resident who can do them independently
Doing tasks for residents who can do them independently removes their sense of control and capability.
Question 4: A resident tells a CNA she does not want a male aide helping with her personal care. The CNA should:
- Tell her that staff assignments cannot be changed
- Respect her preference and arrange for a female aide whenever possible (Correct answer)
- Explain that gender preferences are not a legal right
- Ask the charge nurse to speak with the resident about changing her mind
Correct answer: Respect her preference and arrange for a female aide whenever possible
Residents have the right to refuse care from specific staff, and this preference should be honored when possible.
Question 5: How should a CNA respond when a resident makes a choice that the CNA personally disagrees with?
- Try to change the resident's mind through repeated persuasion
- Respect the choice as long as it does not harm the resident or others (Correct answer)
- Refuse to carry out the care until the resident reconsiders
- Report the resident's choice to family members without consent
Correct answer: Respect the choice as long as it does not harm the resident or others
Personal disagreement does not override a resident's right to make informed choices about their own life.
Question 6: A resident with dementia insists on wearing the same sweater every day. The CNA should:
- Remove the sweater without permission to launder it
- Work with the care team to find a solution that respects the resident's attachment (Correct answer)
- Tell the resident the sweater is dirty and unavailable
- Distract the resident with activities until she forgets about it
Correct answer: Work with the care team to find a solution that respects the resident's attachment
Behavioral preferences in residents with dementia should be respected while creatively meeting hygiene needs.
Question 7: Which statement best reflects the principle of least restrictive care?
- Use physical restraints whenever a resident shows any fall risk
- Use the minimum level of intervention necessary to keep a resident safe (Correct answer)
- Limit all resident movement to prevent accidents
- Apply side rails on all beds as a standard safety measure
Correct answer: Use the minimum level of intervention necessary to keep a resident safe
Least restrictive care means using the minimum intervention needed, preserving as much freedom as safely possible.
CNA Promoting Resident Independence and Choice 3
When a resident expresses a preference to shower instead of taking a tub bath, the CNA should: