CNA Ch. 5 Test Review Sample Questions

The ability to think logically & clearly is called _____.

• Cognition

• Dementia

• Awareness

• Dysphagia

Which of the following statements is true of using validation therapy?

• An NA makes not attempt to reorient the resident to actual circumstances.

• An NA reminds the resident that he is not living in the past.

• An NA reminds the resident about what is real and what is not real.

• An NA tells the resident he is having delusions.

When a person with AD gets restless & agitated in the late afternoon, evening, or night, it is called sundowning. This may be caused from hunger, fatigue, a change in routine or caregiver or any new or frustrating situation. If a resident experiences this, what are some ways an NA can respond?

Answer explanation

1. Avoid stressful situations during this time; activities, appointments, & visits should be limited.

2. Play soft music

3. Set a bedtime routine & keep it.

4. Recognize when sundowning occurs. A calming activity can be done just before.

5. Remove caffeine from the diet (or limit it)

6. Provide snacks

7. Give a soothing back massage

8. Distract the resident with a simple, calm activity like looking at a magazine.

9. Maintain a daily exercise routine.

True or False:

When a resident with AD shows memory loss, the NA should repeat herself using the same words.

• True

• False

If a resident shows violent behavior, the NA should:

Answer explanation

1. Call for help if needed

2. Block blows; never hit back

3. Step out of reach; stay calm

4. Avoid leaving the resident alone

5. Try to remove triggers.

Recall "Activity Therapy" is a creative therapy for improving the lives of residents living AD.

Check the following boxes that are true of activity therapy

• Activity therapy is a good therapy & useful in most stages of AD

• Activities promote self-esteem

• Activities should ONLY be done one-on-one; NO groups

• Activity therapy helps to prevent boredom & frustration

True or False:

A helpful way for an NA to respond to hallucinations is to argue with a resident who is imagining things; doing so serves a purpose & can improve the situation.

• True

• False

Answer explanation

1. Ignore harmless hallucinations.

2. Reassure a resident who seems agitated or worried.

3. Do NOT argue with a resident; challenging the resident serves no purpose & only makes matter worse. Do not go along with the hallucination however telling them you see or hear what they see & hear. REDIRECT them to another activity or thought.

4. Be calm; reassure them you are there to help.

True or False:

It is helpful to lay out clothes in the order they should be put on for a resident with AD who has problems with getting dressed.

• True

• False