GNA - Geriatric Nursing Assistant Mental Health and Dementia Care Questions and Answers

Question 1

A resident with dementia becomes increasingly agitated and confused in the late afternoon. The GNA recognizes this behavior as sundowning. Which of the following interventions is most appropriate?

Accepted Answer

Increase the lighting in the resident's room before dusk.

Answer

Encourage a long nap after lunch to ensure they are well-rested.

Answer

Turn on the television to a lively program for distraction.

Answer

Ask the resident to explain why they are feeling so upset.

Question 2

A GNA is caring for a resident with advanced dementia who is pacing the halls and appears distressed, repeatedly saying, "I need to go home! I need to go home!" Which communication technique is most therapeutic?

Accepted Answer

Asking the resident to describe what their home is like.

Answer

Gently reminding the resident that this is their home now.

Answer

Offering to walk them to their room to rest.

Answer

Administering their prescribed PRN medication for anxiety.

Question 3

When assisting a resident with dementia who has become combative during morning care, which of the following actions should the GNA take first?

Accepted Answer

Stop the care task and step back to ensure safety.

Answer

Continue with the care task quickly to finish.

Answer

Leave the resident alone to calm down.

Answer

Firmly tell the resident to stop the behavior.

Question 4

A resident with moderate dementia frequently wanders into other residents' rooms. Which of the following is the best initial approach for the GNA to manage this behavior?

Accepted Answer

Redirect the resident by inviting them to a scheduled activity.

Answer

Apply a restraining device to keep the resident in their chair.

Answer

Scold the resident for not respecting others' privacy.

Answer

Lock the resident's door from the outside.

Question 5

Which of the following is a key principle of providing care for a person with dementia?

Accepted Answer

Maintaining a consistent and predictable routine provides a sense of security.

Answer

It is best to frequently change the daily routine to provide stimulation.

Answer

Correcting all of the resident's misstatements will help their memory.

Answer

Communicating primarily with the family to avoid confusing the resident.

Question 6

A GNA is trying to communicate with a resident who has a significant hearing impairment and dementia. Which action is most effective?

Accepted Answer

Using simple sentences and gesturing or pointing.

Answer

Shouting the information so the resident can hear.

Answer

Approaching the resident from behind to avoid startling them.

Answer

Writing down complex instructions for them to read.

A resident with dementia becomes increasingly agitated and confused in the late afternoon.The GNA recognizes this behavior as sundowning.Which of the following interventions is most appropriate?

A resident with dementia becomes increasingly agitated and confused in the late afternoon.
The GNA recognizes this behavior as sundowning.
Which of the following interventions is most appropriate?