CNA Care for Residents with Cognitive Impairment

Question 1

A resident with Alzheimer's disease becomes agitated when the CNA tries to help with bathing. What is the most appropriate response?

Accepted Answer

Stop, calmly reassure the resident, and try again later or use a different approach

Answer

Restrain the resident so the bath can be completed quickly

Answer

Skip the bath to avoid upsetting the resident further

Answer

Administer extra medication to calm the resident

Question 2

Which communication technique is most effective when speaking with a resident who has moderate dementia?

Accepted Answer

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

Answer

Use complex, detailed explanations to keep the resident engaged

Answer

Correct the resident every time they say something inaccurate

Answer

Speak loudly and quickly to maintain their attention

Question 3

A resident with dementia says they need to go to work and tries to leave the facility. This is an example of:

Accepted Answer

Elopement behavior

Answer

Sundowning

Answer

Confabulation

Answer

Delirium

Question 4

What is 'sundowning' in residents with dementia?

Accepted Answer

Increased confusion, agitation, or behavioral changes that occur in the late afternoon or evening

Answer

A tendency to sleep most of the day

Answer

A side effect of pain medication

Answer

Improved mood and alertness in the evening hours

Question 5

When orienting a resident with mild dementia, which approach is most therapeutic?

Accepted Answer

Using reality orientation gently by providing time, place, and person cues in a non-confrontational way

Answer

Confronting and correcting all confused statements forcefully

Answer

Ignoring confused statements entirely

Answer

Telling the resident whatever they want to hear to avoid conflict

Question 6

Which of the following is an early sign of Alzheimer's disease that a CNA might observe in a resident?

Accepted Answer

Gradual memory loss, especially for recent events

Answer

Sudden paralysis on one side of the body

Answer

Rapid improvement in memory and orientation

Answer

High fever and confusion lasting one day