CNA CHAP 5-6

Mrs. Hays, a resident with Alzheimer's disease, has awakened from her nap and does not recognize her room or anyone around her. What is an appropriate response?

• Calmly reassure her and remind her where she is.

• Ignore her confusion and leave the room.

• Tell her she should remember her surroundings.

• Scold her for not recognizing her room.

Kena, a nursing assistant, has been trying to give Mr. Collins, a resident with AD, a bath. Mr. Collins has become agitated and is asking Kena “Who are you?” over and over again, although Kena has already identified herself twice. What should Kena do in this situation?

• Kena should calmly reintroduce herself each time and provide reassurance.

• Kena should ignore Mr. Collins and continue with the bath.

• Kena should scold Mr. Collins for forgetting her.

• Kena should leave the room immediately and not return.

Mrs. Hays is telling Kena a story and is having trouble remembering the word "necklace" while showing it to Kena. What should Kena do?

• Gently suggest the word "necklace" to help Mrs. Hays remember.

• Ignore Mrs. Hays and change the subject.

• Laugh at Mrs. Hays for forgetting the word.

• Take the necklace and walk away.

Kena is helping Mr. Collins get ready to go to dinner. When Mr. Collins does not understand what Kena wants him to do when she asks him to put on his shoes, Kena should:

• show him how to put on his shoes

• ignore him and leave

• get angry with him

• take him to another room

When communicating with a resident with Alzheimer’s disease, the NA should:

• Quietly approach the resident from behind

• Stand as close as possible to the resident

• Communicate in a loud area to help cheer up the resident

• Speak slowly, using a lower tone of voice than normal

If a resident is frightened or anxious, which of the following should the NA do?

• Check his body language so he does not appear tense or hurried

• Turn up the television to try to distract the resident

• Use complex, longer sentences to calm the resident

• Give multiple instructions at one time so that the resident has time to understand them

If a resident perseverates, this means they are:

• Repeating words, phrases, questions, or actions

• Suggesting words that sound correct

• Hallucinating

• Gesturing instead of speaking

If a resident does not remember how to perform basic tasks, the NA should:

• Do everything for him

• Encourage the resident to do what he can

• Skip explaining each activity

• Say “don’t” as often as the NA feels is necessary

Mr. Noble is playing chess with a friend and becomes angry when he loses the game. He shoves his friend, and when the NA approaches, he tells her he is going to hit her. What is the behavior and what should you do?

• Behavior: Violent behavior; Response: Call for help if needed

• Behavior: Passive behavior; Response: Ignore the situation

• Behavior: Cooperative behavior; Response: Praise him for his actions

• Behavior: Confused behavior; Response: Leave him alone

Mrs. Martin gets very upset every time she sees the President on television. She yells at the screen and tells everyone what a poor state our country is in. What is the behavior and what should you do?

• Behavior: Agitation; Response: Stay calm and use a lower soothing voice

• Behavior: Happiness; Response: Encourage her to watch more television

• Behavior: Confusion; Response: Turn off the television and ignore her

• Behavior: Excitement; Response: Join her in yelling at the screen