- Health Care Assistant Cognitive and Mental Health Questions and Answers Flashcards
6 cards from real HCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 - Health Care Assistant Cognitive and Mental Health Questions and Answers flashcards as text
What is 'sundowning' in a resident with dementia, and how should an HCA respond?
Answer: Increased confusion and agitation in the late afternoon or evening; maintain a calm environment and consistent routine
Sundowning is a recognized pattern of increased behavioural symptoms in the evening; environmental and routine management is the evidence-based response.
A resident with schizophrenia tells you that the staff are putting poison in their food. What is the most appropriate HCA response?
Answer: Listen calmly, do not argue with the belief, and report the statement to the nurse
Arguing reinforces the delusion through engagement; agreeing is dishonest. Calm listening and reporting preserves therapeutic relationship and safety.
Which of the following is a risk factor for elder abuse in a care setting that an HCA should recognize?
Answer: Caregiver burnout and high workload combined with inadequate supervision
Caregiver burnout, stress, and lack of oversight are documented risk factors for elder abuse.
Which approach best supports a resident with depression who refuses to participate in activities?
Answer: Offer choices and start with low-demand, enjoyable activities; be consistently warm and available without pressure
A low-pressure, choice-based approach respects autonomy while gently encouraging engagement, which supports depression management.
What is the HCA's role when a resident is experiencing a mental health crisis such as acute suicidal ideation?
Answer: Stay with the resident, remain calm, and call for the nurse immediately while ensuring a safe environment
HCAs must never leave a resident in acute crisis; immediate nursing notification while maintaining presence is the correct response.
A resident with dementia is undressing in the common area. How should the HCA manage this situation?
Answer: Calmly and discreetly redirect the resident to their room, assist with redressing, and report the behaviour to the nurse
Calm redirection preserves the resident's dignity and the dignity of other residents in the common area, while reporting allows care plan updates.