CARE OF COGNITIVELY IMPAIRED RESIDENTS

Question 1

When caring for a confused resident what should a
nursing assistant do?

Answer 1

GIVE SIMPLE DIRECTIONS

Question 2

When getting dressed, a client always wants to
wear her favorite outfit. What is a good solution?

Answer 2

ASK THE FAMILY TO GET SEVERAL IDENTICAL
OUTFITS

Question 3

What is an important way to help the resident feel
comfortable in a long-term facility?

Answer 3

PROVIDE SPACE FOR PERSONAL POSSESSIONS

Question 4

If a resident becomes confused, you should

Answer 4

HELP THE RESIDENT RECOGNIZE FAMILIAR ITEMS.

Question 5

Some patients may exhibit some “false beliefs” not
supported by facts or reality. This is known as

Answer 5

DELUSION.

Question 6

Mr. Russell keeps getting up from his wheelchair. In-
stead of using a restraint, you should ask him if

Answer 6

HE NEEDS TO GO TO THE TOILET

Question 7

Mrs. Johnson, a resident with dementia, loves to
wear her favorite blue plaid shirt with her favorite
green striped pants. What should you do?

Answer 7

RESPECT HER CHOICE OF CLOTHING

Question 8

A good way to reduce confusion or agitation for
residents with dementia is

Answer 8

FOLLOW A FAMILIAR SCHEDULE EVERY DAY.

Question 9

The Global Deterioration Scale (GDS) helps caregivers understand how people decline when they have dementia. Of the seven stages, which stage has no
sign of dementia?

Answer 9

Stage 2

Question 10

A resident is standing in the hallway holding a
bag, and asks the nurse aide when the train is due.
The aide should tell her

Answer 10

WHERE SHE IS, IN A MATTER-OF-FACT TONE OF
VOICE.

Question 11

The primary reason for combative behavior in a
resident is

Answer 11

CONFUSION.

Question 12

A resident who has not been discharged insists
she is going home. What should the nurse aide do?

Answer 12

NOTIFY THE CHARGE NURSE IMMEDIATELY

Question 13

A client with dementia has developed a fear of
taking a shower. What can a nurse aide do?

Answer 13

GIVE A BED BATH AND TRY A SHOWER ON ANOTHER DAY

Question 14

The end of the day can bring a common behavior
for residents with dementia, called

Answer 14

SUNDOWN SYNDROME.

Question 15

15.While the nurse aide tries to dress a resident who is
confused, the resident keeps trying to grab a hair-
brush. The nurse aide should

Answer 15

GIVE THE RESIDENT THE HAIRBRUSH TO HOLD

Question 16

A nurse aide finds a resident looking in the refrigerator at the nurses’ station at 5 a.m. The resident, who is confused, explains that he needs breakfast
before he leaves for work. The best response by the
nurse aide is to

Answer 16

ASK THE RESIDENT ABOUT HIS JOB AND IF HE IS
HUNGRY

Question 17

Reality orientation therapy should include

Answer 17

ADDRESSING THE RESIDENT BY THEIR PROPER
NAME.

Question 18

Reality orientation should include

Answer 18

CALLING THE RESIDENT BY HIS NAME.

Question 19

A resident with Alzheimer’s disease tells the nurse
aide that she smells smoke. The nurse aide should

Answer 19

LOOK AROUND FOR A FIRE.

Question 20

A confused resident tells you there is a monster in
the closet. The nurse aide should

Answer 20

OPEN THE CLOSET AND SHOW THE RESIDENT
NOTHING IS THERE.

Question 21

A way to make sure a resident with dementia gets
adequate nutrition is to

Answer 21

OFFER SMALL MEALS AND SNACKS THAT MATCH
THEIR LIMITED ATTENTION SPAN.

Question 22

Residents with cognitive impairments often have
difficulty sleeping. What can be helpful?

Answer 22

ESTABLISH A BEDTIME SCHEDULE AND MAKE
SURE THE RESIDENTS GO TO BED WITHIN 15
MINUTES OF THAT TIME

Question 23

If a resident displays paranoid behavior, what is
important for the nurse aide to know?

Answer 23

DELUSIONS ARE A NORMAL PART OF THE
PROGRESSION OF THE DEMENTIA PROCESS

Question 24

Communication with a resident who has late-
stage dementia or Alzheimer’s includes

Answer 24

SPEAKING ONE- OR TWO-WORD SENTENCES.

Question 25

A resident with dementia has wandered to another unit. What should the nurse aide say after finding
the resident?

Answer 25

«LET’S WALK BACK TOGETHER, OKAY?.»

Question 26

If a resident’s behavior becomes combative, the
nurse aide should

Answer 26

COMMUNICATE CALMLY WHILE STEPPING OUT OF
THE WAY.

Question 27

As dementia progresses, incontinence can become an issue. How can the nurse aide assist?

Answer 27

WATCH FOR SIGNS OF DISCOMFORT SO YOU CAN
TAKE THE RESIDENT TO THE BATHROOM

Question 28

A resident with Alzheimer’s disease has a baby doll that she carries with her and cares for. When she misplaces the doll, she begins to cry. What should the nurse aide do?

Answer 28

COMFORT THE RESIDENT AS IF THE DOLL WERE
REAL

Question 29

When caring for a confused resident what should
a nursing assistant do?

Answer 29

GIVE SIMPLE AND DIRECT INSTRUCTIONS

Question 30

While the nurse aide is giving care to Mr. T., he calls the nurse aide by the name of his son who died several years ago. The nurse aide’s BEST response is to

Answer 30

ASK MR. T ABOUT HIS FAVORITE MEMORIES OF HIS
SON.

Question 31

A resident has difficulty remembering what day
it is and where they are. How can you best help the
resident?

Answer 31

TELL THE RESIDENT OFTEN WHAT DAY IT IS AND
WHERE THE RESIDENT IS

Question 32

A 90 year-old resident tells you that his mother is coming to visit on Sunday. What is your most appropriate response?

Answer 32

«ARE YOU WISHING YOU COULD SEE YOUR
MOTHER?»

Question 33

When you approach a resident with dementia, how should you behave?

Answer 33

WITH A RELAXED AND CHEERFUL MANNER