This is a free practice test on CNA emotional and mental health needs. This practice test has 20 questions reviewed by expert and verified as National Nurse Aide Assessment Program (NNAAP) standard.
This is a timed quiz. You will be given 90 seconds per question. Are you ready?
A resident who consistently becomes more confused during dusk, early evening, or during the night is most likely suffering from ____.
Sundowners Syndrome is a term used when disorientation occurs primarily at night. The other options indicate disorientation but are not specifically consistent to a certain time of day.
A resident in your care has just received news of a death in the family. What is the best way to assist them with the grieving process?
Sitting quietly and listening makes the resident feel comfortable enough to talk through his or her feelings. The other options tend to discount the residents immediate feelings of despair.
A resident died and his roommate is upset and wants to discuss it with you. What is the best action to take?
Allowing the resident to talk about his roommates death will help him deal with his feelings and help alert you if further counseling or follow-up is needed. The other options discredit the patients feelings and are not therapeutic.
A resident is pacing around his room, yelling and swearing. What is the first action the nursing assistant should take?
Calling the charge nurse is the best option in this situation. The nurse may have to give the patient medication to calm him down or involve another member of the team to assist with the situation. The other options may aggravate the resident more and attempting to put restraints on the resident may place the nursing assistant in harms way.
A resident in your care is frustrated, upset, and raising his voice in complaint. Which of these is the best response to his actions?
Offering support and care to an unruly resident shows concern for his or her needs. A comforting and calming manner is a positive response. The other options are either negative and could escalate the residents agitation or they avoid dealing with the problem.
As a nursing assistant, you may encounter residents who are anxious or feeling unsettled about either their circumstances or surroundings. The best response in dealing with this anxiety is to ____.
Reducing stimuli during anxious times brings relief to anxiety. The other options bring additional stimuli into an environment that is already tense or may make the patient feel more anxious and confused.
You notice a change in a resident’s mental condition. The best course of action is to ____.
If a resident’s mental condition has changed, it is extremely important to report it immediately. Something more serious could have happened or could be prevented from happening by “cuing in” to subtle or overt changes. A resident may not notice the change, so asking him or her is not the correct choice. A sense of humor and increased patience is important and can help residents adjust to change; however, it should never be a substitute for reporting mental condition occurrences that deviate from normal behavior.
All of these are ways that a nursing assistant can help a resident who is dealing with his or her impending death, except ____.
Residents often want someone to just sit quietly so that they are not alone in dealing with their thoughts. They may want someone to sit and listen as they talk through their feelings and fears. Spending less time with a resident may add to feelings of isolation while dealing with the situation. The other options provide support, as needed, and respect the wishes of the resident.
One of the caring characteristics that helps a nursing assistant care for residents is empathy. Which of these is the best definition of this term?
All of these are part of the definition of empathy. It is one of the best qualities a caregiver can possess.
When a patient is dying, the last of the five senses the patient loses is ____?
Family members and visitors need to know that even if a patient cannot communicate, they may still hear what is being said to them. While the other senses may be lost, in most cases hearing is the last sense to be lost for a dying patient.
Which of these is not an appropriate way to deal with the stress of being a caregiver?
While it can be therapeutic to share similar problems and get advice from your peers, talking about the residents is a violation of their privacy. Exercise, getting outside for fresh air, learning something new, or joining a new club are all positive and healthy ways of dealing with something stressful.
Encouraging residents to participate in their care and in activities helps with emotional and mental health needs by ____.
One of the biggest struggles with residents who must rely on others for assistance is a loss of independence. This loss affects their personality and outlook. By having the residents participate in their care and in activities, even minimally, can cause a vast improvement in mood. Accountability should not be a primary motivator as it can add undue pressure. Mobility can contribute, but should not cause the participation to exceed what the resident is safe trying. Participation should not be encouraged solely to create fewer tasks for a caregiver.
Elizabeth Kübler-Ross describes the stages of grief a person goes through when they lose someone close to them. She believes the first stage of the grieving process is ____.
Kübler-Ross believes a persons first reaction when facing a death is denial. People normally move on to experience the other stages listed, but denial is typically the first.
Which of these is not a normal biological change to the body from the aging process?
The inability to make decisions is a process that would be linked to disease as opposed to a normal biological change that occurs during the aging process. Biologically, bones become thinner and less strong, joints become stiffer and less flexible, and the movement of food through our digestive system slows down.
Which of these could be a major contributing factor to a resident’s resentment of family members?
While all of these cases can contribute to resentment, it is extremely normal and common for residents to feel abandoned if family members can no longer assist them in the home or live with them. Having their care placed in strangers hands is both scary and not necessarily a choice they would make.
A resident recently learned that her spouse has died. The best response the nursing assistant can give is to ____.
A resident who has lost a loved one may need to talk about his or her feelings or memories of the lost loved one. Often, just sitting and holding the resident’s hand provides the comfort needed. Ignoring the topic, switching the conversation, using humor, or introducing others into the room when they may not know what to say prevents the resident from dealing with his or her grief.
A family member is angry that her loved one is unhappy. As a nursing assistant, the best way to handle the situation is to ____.
The best response is to listen politely and share any concerns with the nurse. The other options do nothing to give the family member hope of resolution. Asking her to put her complaint in writing or telling her that you cannot discuss it is dismissive and blocks further communication. Telling her you will leave until she calms down implies she is unjustified in being upset.
A resident catches you off guard with a comment that is sexual. Your best response would be to ____.
It is important for the resident to know you will not accept further comments of this nature. It establishes a boundary for his or her behavior with you in the future. It is also important you inform the supervising nurse.
Which of these is not a common cause of constipation?
When intestinal motility slows down, constipation can occur. So an increase in motility is the correct answer because it would not cause constipation. Lack of fiber in a diet, ignoring the urge to go, and not drinking enough water are all common causes of constipation.
Which of these is not a sign of depression?
When people are suffering from depression, their desire to be involved in activities does not increase, so this is the correct answer. A persons interest in activity actually decreases when he or she is suffering from depression. The other options are common signs of depression: an increase in the amount of time sleeping, a decrease in appetite, and withdrawal from socializing.