CARE OF COGNITIVELY IMPAIRED
CERTIFICATION EVALUATION SET 2026
PRACTICE QUESTIONS SOLUTIONS
VERIFIED
● When getting dressed, a client always wants to wear her favorite
outfit. What is a good solution? Answer: ask the family to get several
identical outfits
● the global deterioration scale aids caregivers in comprehending how
dementia patients deteriorate over time. which of the seven stages is
devoid of dementia symptoms Answer: stage 2.
-The GDS will become known to CNAs who work in a facility with
residents who have dementia or Alzheimer's disease. Pre-dementia
stages 1-3 are those with no or minimal evidence of decline. Inability to
concentrate, work completion, and social retreat are symptoms of stage
4. Stage 5 includes some ADL assistance and the inability to remember
recent facts, such as the present date or location. Stage 6 calls for
significant assistance with ADL, incontinence, and loss of family
recognition. Stage 7 calls for total care and the inability to walk or
speak.
● communication with a resident who has late stage dementia or
Alzheimer's includes Answer: speaking one or two word sentences .
,-Residents with late-stage dementia or Alzheimer's lose their ability to
communicate with speech. They are still able to understand some verbal
communication, so talking to them in simple sentences is useful. They
can also express themselves with facial expressions, emotions, and body
language.
● the primary reason for combative behavior in a resident is Answer:
confusion
-The most common cause for combative behavior in clients with
dementia is confusion about their care. Because of memory loss, clients
become confused when staff members try to help them. Clients may not
recognize their caregivers, or may not want to do what the caregiver is
telling them, such as getting up, eating, or taking a shower. The clients'
automatic reaction will be to say "No" and push, hit, or kick. Always
allow plenty of time when dealing with the clients. Speak softly and
explain what is happening. Don't argue. Remain calm and be prepared to
try again in a few minutes.
● reality orientation should include Answer: calling the resident by his
name.
-Reality orientation involves repeating information to help clients
understand their surrounding. To keep a client oriented, their name is
used frequently. Information such as date and time are reinforced with
calendars and clocks.
, ● a person with Alzheimer's illness cares for an carries about a baby
doll. she tears up when she can't find the doll. what ought to the nurse
assistant do? Answer: comfort the resident as if the doll were real.
-Alzheimer's patients may find doll treatment beneficial. Dolls,
according to studies, help relax and calm residents and reduce
wandering. Additionally, a doll can help with communication and
speaking. The loss is handled appropriately because the doll is viewed as
"genuine" by the resident. A fresh doll can eventually be introduced to
the resident. It's crucial to remember that men can also appreciate dolls.
● A resident who has not been discharged insists she is going home.
What should the nurse aide do? Answer: -notify the charge nurse
immediately.
-It is beyond the scope of practice for a nurse aide to deal with some
client situations, such as leaving against medical advice (AMA).
Immediately inform the nurse or a supervisor. Stay with the client and
reassure her that the nurse will help her. Try to redirect her focus or offer
a new activity.
● A way to make sure a resident with dementia gets adequate nutrition
is to Answer: offer small meals and snacks that match their limited
attention span.
-Eating can become a challenge for a resident with dementia. Start by
reducing distractions so that the resident can focus on the meal by
making the dining area quiet and calm. Make it easy for the resident to
eat by serving finger foods, using bowls instead of plates, and putting
CERTIFICATION EVALUATION SET 2026
PRACTICE QUESTIONS SOLUTIONS
VERIFIED
● When getting dressed, a client always wants to wear her favorite
outfit. What is a good solution? Answer: ask the family to get several
identical outfits
● the global deterioration scale aids caregivers in comprehending how
dementia patients deteriorate over time. which of the seven stages is
devoid of dementia symptoms Answer: stage 2.
-The GDS will become known to CNAs who work in a facility with
residents who have dementia or Alzheimer's disease. Pre-dementia
stages 1-3 are those with no or minimal evidence of decline. Inability to
concentrate, work completion, and social retreat are symptoms of stage
4. Stage 5 includes some ADL assistance and the inability to remember
recent facts, such as the present date or location. Stage 6 calls for
significant assistance with ADL, incontinence, and loss of family
recognition. Stage 7 calls for total care and the inability to walk or
speak.
● communication with a resident who has late stage dementia or
Alzheimer's includes Answer: speaking one or two word sentences .
,-Residents with late-stage dementia or Alzheimer's lose their ability to
communicate with speech. They are still able to understand some verbal
communication, so talking to them in simple sentences is useful. They
can also express themselves with facial expressions, emotions, and body
language.
● the primary reason for combative behavior in a resident is Answer:
confusion
-The most common cause for combative behavior in clients with
dementia is confusion about their care. Because of memory loss, clients
become confused when staff members try to help them. Clients may not
recognize their caregivers, or may not want to do what the caregiver is
telling them, such as getting up, eating, or taking a shower. The clients'
automatic reaction will be to say "No" and push, hit, or kick. Always
allow plenty of time when dealing with the clients. Speak softly and
explain what is happening. Don't argue. Remain calm and be prepared to
try again in a few minutes.
● reality orientation should include Answer: calling the resident by his
name.
-Reality orientation involves repeating information to help clients
understand their surrounding. To keep a client oriented, their name is
used frequently. Information such as date and time are reinforced with
calendars and clocks.
, ● a person with Alzheimer's illness cares for an carries about a baby
doll. she tears up when she can't find the doll. what ought to the nurse
assistant do? Answer: comfort the resident as if the doll were real.
-Alzheimer's patients may find doll treatment beneficial. Dolls,
according to studies, help relax and calm residents and reduce
wandering. Additionally, a doll can help with communication and
speaking. The loss is handled appropriately because the doll is viewed as
"genuine" by the resident. A fresh doll can eventually be introduced to
the resident. It's crucial to remember that men can also appreciate dolls.
● A resident who has not been discharged insists she is going home.
What should the nurse aide do? Answer: -notify the charge nurse
immediately.
-It is beyond the scope of practice for a nurse aide to deal with some
client situations, such as leaving against medical advice (AMA).
Immediately inform the nurse or a supervisor. Stay with the client and
reassure her that the nurse will help her. Try to redirect her focus or offer
a new activity.
● A way to make sure a resident with dementia gets adequate nutrition
is to Answer: offer small meals and snacks that match their limited
attention span.
-Eating can become a challenge for a resident with dementia. Start by
reducing distractions so that the resident can focus on the meal by
making the dining area quiet and calm. Make it easy for the resident to
eat by serving finger foods, using bowls instead of plates, and putting
