CNA Practice Test: Mental Health and Dementia Care
- Mental Health and Dementia Care
- 10 questions
- 12 minutes
These 10 questions cover caring for residents with dementia, depression, anxiety and sudden confusion. Calm, simple communication and quick reporting of changes are the core of this area.
Tap an option to mark your answer. You can change your mind, or tap the same option again to leave the question blank. The correct answers and explanations appear when you finish the test.Tap an option to answer; tap it again to leave the question blank.
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Question 1
A resident with dementia becomes more confused and restless every late afternoon and evening. What is this called?
Correct answer: C
Sundowning is increased confusion or agitation in the late afternoon and evening in people with dementia. Delirium is a sudden change in thinking that is not tied to the time of day.
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Question 2
A resident with Alzheimer's disease insists she must go home to feed her children, who are grown adults now. What is the best response?
Correct answer: B
Arguing with a person who has dementia usually increases distress. Acknowledging her feelings and redirecting her attention calms her without confronting her.
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Question 3
How should you give instructions to a resident with dementia?
Correct answer: D
Short, one-step directions are easier to follow because people with dementia have trouble holding several steps in memory.
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Question 4
A resident with dementia suddenly screams and hits during a noisy shower. What should you do?
Correct answer: C
This is a catastrophic reaction to too much stimulation. Stopping, lowering noise and speaking softly helps; you can try the care again later.
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Question 5
Which may be a sign of depression in a resident?
Correct answer: D
Loss of interest, withdrawal, sleep and appetite changes and sadness can signal depression, which should be reported.
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Question 6
A resident gives away his favorite watch and says, "You won't need to worry about me much longer." What should you do?
Correct answer: A
Giving away belongings and talking about not being around can be warning signs of suicide. The resident should not be left alone, and the nurse must be told immediately.
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Question 7
Which is the best approach for a resident with dementia who wanders?
Correct answer: B
Walking can meet a need such as exercise or restlessness. A safe area and supervision protect her without restraints or seclusion.
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Question 8
Which statement about Alzheimer's disease is correct?
Correct answer: D
Alzheimer's disease slowly gets worse over time and has no cure. Memory loss that disrupts daily life is not a normal part of aging.
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Question 9
A resident who was alert yesterday is suddenly confused and seeing things today. What should you do?
Correct answer: A
A sudden change in thinking may be delirium, often caused by infection, medicines or dehydration, and it needs prompt attention.
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Question 10
A resident is anxious and breathing fast before a medical test. Which response helps most?
Correct answer: C
A calm presence and listening to her worries helps lower anxiety. Telling someone not to worry dismisses their feelings.
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