CNA Certification (Written Exam)Communication and Psychosocial NeedsEasy

A nurse aide is caring for a resident with moderate dementia who becomes agitated when asked multiple questions at once. What is the best approach when giving instructions?

  1. AExplain all steps of care in detail before starting
  2. BAsk the resident to repeat instructions back word for word
  3. CGive one simple instruction at a time
  4. DSpeak loudly so the resident pays closer attention
Show answer & explanation

Correct answer: C. Give one simple instruction at a time

Residents with dementia often have difficulty processing multiple pieces of information at once. Giving one simple, clear instruction at a time reduces confusion and agitation.

Why the other options are wrong

  • A. Too much information at once can overwhelm and confuse.
  • B. This can cause frustration if the resident cannot recall exact words.
  • D. Speaking loudly does not help with cognitive processing and may seem aggressive.

Communicating with Dementia Residents

Use short, simple, one-step instructions and allow extra time for the resident to respond.

  • Break tasks into single steps
  • Use calm, simple language
  • Avoid overwhelming with too many choices

Memory trick: One step, one thought, keep it slow.

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