Dressing & Undressing the Resident

A confused resident needs help with dressing. When you ask what she wants to wear, she describes her purple plaid pants and a yellow top with flowers. This outfit clearly does not match. What is an acceptable response?

• "Miss Lilly, no! You know those two don't go together and you don't want to look foolish!"

• "Okay, if that's what you want to wear, it's no skin off my nose."

• "What about this white top? That would look really nice with those pants."

• "Are you blind? A child can see that those two don't go together. Pick another shirt."

A patient who is recovering from a stroke needs help with dressing. What information is critical for the CNA to know to perform this skill safely?

• If the patient has difficulty chewing or swallowing

• If the patient is color-blind

• If the patient has family to assist them when they are discharged home

• If the patient has a weak or paralyzed arm and if so, which arm is affected

When a patient has weakness, paralysis or limited mobility in one arm, what type of clothing is preferred?

• snug fitting clothing for compression

• Front-fastening shirts

• pull-over shirts

• hospital gowns only

When lifting an extremity, lift from:

• below with a flat palm for support

• above with a firm grip around the ankle or wrist

• below with a firm grip around the joint

• above with a claw-like grip

Which of the following statements is true regarding dressing patients?

• The bed should remain in the flat position for this skill

• Appearance counts so all clothing must be fastened appropriately

• Privacy is not expected since you are getting the patient dressed

• Explanations are not required since everyone knows how to get dressed

Dressing the resident in their own clothes helps to keep them _____________________.

Which of the following statements are true

• Dressing a resident in his/own clothes during the day is State mandated

• Dressing in your own clothes makes a resident feel more in control of their lives

• It is not necessary to give the resident an option of what to wear

• If the resident picks an outfit that does not match but insists on wearing it, it's ok for the NA to choose something else.

• OBRA gives us guidance on allowing the resident to assist with dressing.

When dressing a resident with a weak arm, which arm should be UNDRESSED first?

• either arm, it doesn't matter

• weak arm

• strong arm

• OBRA says all patients must dress themselves