CNA Certification (Written Exam)Communication and Psychosocial NeedsEasy

A nurse aide needs to enter the room of a resident with moderate dementia to provide care. Which approach is best to avoid frightening or agitating the resident?

  1. AApproach from the front, identify yourself, and speak in a calm, gentle voice
  2. BQuickly walk up from behind the resident and begin the task
  3. CTouch the resident immediately to get their attention before speaking
  4. DTurn off all the lights first to reduce stimulation before entering
Show answer & explanation

Correct answer: A. Approach from the front, identify yourself, and speak in a calm, gentle voice

Residents with dementia can startle easily and misinterpret sudden movement or unexpected touch as a threat. Approaching from the front, identifying yourself, and using a calm tone helps orient the resident and reduces fear or agitation.

Why the other options are wrong

  • B. Approaching from behind can startle and frighten a resident with dementia.
  • C. Touching before speaking can be perceived as an unexpected threat.
  • D. Darkening the room can increase confusion rather than calm the resident.

Approaching the Dementia Resident

Always approach a resident with dementia from the front, identify yourself, and speak calmly to reduce fear and confusion.

  • Sudden movement or touch can startle a confused resident
  • Approach from the front within their line of sight
  • Use a calm, reassuring tone of voice

Memory trick: Front, Friendly, Familiar voice — approach like you're greeting a friend.

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