General CNA Practice CNA Practice Communication and Interpersonal Skills 5

Question 1

When communicating with a patient who has dementia, the CNA should:

Accepted Answer

Speak in short, simple sentences and use a calm, reassuring tone

Answer

Use complex explanations to stimulate cognitive function

Answer

Correct the patient every time they say something inaccurate

Answer

Avoid speaking to the patient and communicate only with family

Question 2

A confused patient with dementia insists it is 1985 and they need to go to work. The best CNA response is to:

Accepted Answer

Enter their reality gently and redirect to a calming activity

Answer

Firmly correct them and explain the current year repeatedly

Answer

Ignore the statement and continue with care tasks

Answer

Ask family to come in and correct the patient

Question 3

A terminally ill patient says, "I just want this to be over." The most appropriate CNA response is:

Accepted Answer

"I hear you. This must be very hard. I'm here with you."

Answer

"You shouldn't say that, you need to stay positive."

Answer

"Would you like me to call the doctor to discuss treatment options?"

Answer

"Let me go get the chaplain right away."

Question 4

A patient who is visually impaired is being moved to a new room. The CNA should:

Accepted Answer

Announce your presence, explain every step of the move, and describe the new environment

Answer

Move them without explanation since they cannot see the new room anyway

Answer

Ask a family member to explain the new room later

Answer

Hand the patient a written description of the new room

Question 5

A patient who was previously talkative has become withdrawn and stops participating in activities. The CNA should:

Accepted Answer

Document the behavioral change and report it to the charge nurse

Answer

Respect the change and avoid approaching the patient

Answer

Tell the patient they need to socialize for their health

Answer

Assume the patient is just having a bad day and take no action

Question 6

Which of the following best supports therapeutic communication with a patient in pain?

Accepted Answer

Sit at eye level, acknowledge the pain, and ask what makes it better or worse

Answer

Tell the patient to rate pain only on a scale rather than describing it

Answer

Advise the patient to distract themselves until medication arrives

Answer

Keep the interaction brief to avoid tiring the patient

Question 7

When a patient refuses a procedure, the CNA's primary responsibility is to:

Accepted Answer

Respect the refusal, do not force the procedure, and report the refusal to the nurse

Answer

Proceed with the procedure anyway to ensure the patient's health

Answer

Try to convince the patient they are making a mistake

Answer

Document the refusal only at the end of the shift