Which of the following best describes the daily routine needs of residents with dementia?
It is important that the residents day be kept full of activities.
Changing daily routine is often helpful to residents with dementia.
Providing opportunities for activity and periods for rest is important.
Following a strict schedule is required to decrease confusion.
Correct Answer :
C. Providing opportunities for activity and periods for rest is important.
Related Questions
When helping admit a new resident, the nurse aide notices the residents rightsided weakness from a stroke. The resident asks for help to the bathroom. Before assisting the resident, the nurse aide should
ask how the resident went to the bathroom at home.
ask the resident to wait until the care plan is completed.
get instructions from the nurse about how to toilet the resident.
help the resident to the bathroom immediately, supporting the right-side.
A resident must stay in bed for long periods of time. Which of the following actions will best prevent the resident from developing pressure ulcers?
Put hand rolls in the residents hands.
Avoid raising the head of the residents bed.
Turn and position the resident according to schedule.
Provide range of motion (ROM) exercises every two hours.
Which of the following is most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation?
The residents shoe-fit
The residents pulse rate
The way the resident walks
The color of the residents toes
A residents care plan provides the nurse aide with information about
the financial arrangements made for the residents care.
specific care required for the resident and the goals of care.
facility procedures for performing different nursing care procedures.
the nurse aides assignments and when care is provided to each resident.
What is the main purpose of a restorative care program?
Ensure the resident can return home
Provide meaningful activities for the resident
Help the resident improve his/her level of functioning
Provide assistance with activities of daily living (ADLs)
The nurse aide receives resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the nurse aide to
decide break times with other nurse aides.
review assignments with others to check if residents are divided evenly.
check all assigned residents to see if anyone has immediate needs.
check what the activity department has scheduled for residents during the shift.
A resident with dementia says, I need to get home. My daughters school bus is coming soon. The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide?
Lets go see if Bingo has started yet. You love Bingo.
Remember you are in a nursing home. Your daughter is all grown up.
Do you mean your great-granddaughter? Your daughter just turned 60.
What do you like to do with your daughter when she gets home from school?
While helping the resident to get dressed, the nurse aide observes that the residents breathing is faster. The resident says she feels tired. What should be the nurse aides first action?
Dress the resident quickly.
Check the residents vital signs.
Stop the dressing to let the resident rest.
Go to find a nurse to check the resident.
The nursing home is having a Christmas party. A resident who is Jewish is not interested in going to the party. The nurse aide should
remind the resident how much the resident enjoys parties.
encourage the resident to go since so many other residents are attending.
respect the residents decision and ask what the resident would like to do.
ask if the resident participated in any activities for the Jewish Hanukah holiday.
When a resident is not able to stand, the residents height is usually measured by
having coworkers hold the resident upright to allow for the measurement.
adding the length of legs, chest, and neck/head to determine the height.
asking the residents height and subtracting an inch for age-related shrinkage.
taking the measurement from head to heels while the resident is flat in bed.
The care plan requires that the resident be ambulated 100 feet twice a day at 10 a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the resident refuses. Which of the following is the best response by the nurse aide?
Maybe you can plan to walk a little further this afternoon.
The doctor ordered your walking exercise. You really need to try.
You have the right to refuse. Do you want me to tell the nurse?
Would you prefer to walk a little later?
Which of the following is the most appropriate schedule for residents who are incontinent to receive perineal care?
In the morning and at bedtime
At the beginning and near the end of a shift
Whenever the resident is soiled with urine or stool
Every two hours when the nurse aide checks on the resident
Which of the following is considered a normal age-related change seen in elderly residents?
Increase in appetite
Decrease in constipation
Decrease in taste sensation and smell
Increase in amount of confusion experienced daily
The use of a physical restraint helps
control a residents behavior.
protect the resident from injury.
make staff members jobs easier.
decrease how often staff need to check the resident.
A resident, who is on bed rest, asks for a bedpan. The resident is not able to lift own hips to help with the placement of the bedpan. The best action by the nurse aide is to
ask the nurse if the resident should have a urinary catheter.
turn the resident onto one side to place the bedpan under the residents hips.
place an under pad on incontinent brief under the resident to collect the urine.
have another nurse aide assist to lift the resident onto the bedpan.
Which of the following describes a residents concern that needs to be reported to the charge nurse immediately?
A residents complaint of not getting to activities on time.
A resident who states a need for a new pair of elastic stockings.
A resident with dementia who states the need to talk to the residents son.
A resident who has always been oriented is suddenly scared and confused.
A resident with advance directives has a DNR order. This means that the resident
does not remember.
should not be restrained.
does not respond to instructions.
should not be resuscitated.
A resident is restrained. What observation should the nurse aide report to the nurse immediately?
The resident states, I do not like this thing.
The residents position needs to be adjusted.
The resident has suddenly become very agitated.
The restraint was removed according to the care plan schedule.
When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques?
Place a gait belt around the residents waist
Position the chair as close to the bed as possible
Signal the resident to stand by saying, 1, 2, 3, stand
Follow the transfer technique as described in the care plan
What is the best reason for giving frequent perineal care to residents?
It increases comfort.
It decreases sexual responses.
It helps prevent skin breakdown.
It prevents incontinence.
A resident reports having a very large bowel movement two days ago. What should the nurse aide do first?
Report this to the charge nurse.
Ask if this is a normal pattern for the residents body.
Suggest the resident drink more water and increase foods with fiber.
Check if the resident is getting a medication to help with bowel movements.
A resident says she is 5 feet 6 inches tall. When the nurse aide measures the residents height, the resident is 5 feet 4 inches. What should the nurse aide do?
Record the residents height as 5 feet 4 inches.
Record the residents height as 5 feet 6 inches.
Explain that older people shrink with aging.
Measure the resident again.
A resident with an indwelling catheter says, I need to urinate. Which of the following is the best response by the nurse aide?
Check to see if the tubing is kinked and draining properly.
Report to the charge nurse that the resident is very confused.
Remind the resident this is impossible since a catheter is in place.
Tell the resident to try to urinate since the urine will collect in the bag.
Which of the following statements is true about how people experience pain?
Pain is usually worse in the morning.
Residents with dementia do not feel pain
A persons culture can affect response to pain.
Younger people handle pain better than older adults.
A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the following is the most appropriate response by the nurse aide?
Ask another nurse aide to trade assignments.
Provide the care since the resident cannot be harmed.
Talk to other nurse aides about how to perform the procedure.
Discuss the nurse aides lack of experience with the nurse.
Which of the following is a right of nursing home residents?
To select the staff that will provide their care
To have designated smoking areas in the facility
To make decisions about their care and treatment
To have activities offered throughout the day and evening shift
A resident with a feeding tube is scheduled for a shower. The residents feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide?
Disconnect the feeding tube temporarily to give the shower.
Protect the pump with a plastic bag before bringing into the shower room.
Ask the charge nurse for assistance with the feeding pump.
Give the resident a bed bath since the resident has a feeding tube.
A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to
explain that the shower is required to keep clean and healthy.
try to motivate the resident by collecting clothing and supplies.
ask if the resident has another preference for bathing today.
remind the resident, You do have the right to refuse care.
A nurse aide enters a room just as a residents wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do?
Leave the room and close the door to allow privacy.
Consider if this is normal behavior for this couple.
Report the observation to the charge nurse immediately.
Tell the wife that she must leave the facility for the day.
A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first?
Speak loudly and directly into the hearing aid.
Check that the hearing aid is in the correct ear.
Ask when the hearing aid battery was replaced.
Make sure the hearing aid is turned on.