CNA Certification (Written Exam)Restorative SkillsMedium
A resident uses a cane for ambulation. The CNA observes the resident consistently leaning heavily on the cane and dragging their foot on the affected side. What is the most appropriate action for the CNA?
- AReport the observation to the nurse for further assessment.
- BAdjust the cane to a longer height to provide more support.
- CEncourage the resident to walk faster to improve their gait.
- DSuggest the resident switch to a walker for better stability.
Show answer & explanationAnswer & explanation
Correct answer: A. Report the observation to the nurse for further assessment.
Leaning heavily on a cane and dragging a foot indicates potential instability or a change in condition that requires professional assessment. The CNA should report this to the nurse, as they are not authorized to make clinical judgments or modify assistive devices.
Why the other options are wrong
- B. Adjusting the cane height without a nurse's assessment or order is outside the CNA's scope of practice and could worsen the resident's stability.
- C. Walking faster could increase the risk of falls given the observed instability.
- D. Suggesting a different assistive device is outside the CNA's scope of practice.
CNA Reporting Responsibilities
CNAs must report changes in a resident's condition, functional ability, or safety concerns to the nurse immediately.
- Includes changes in gait, balance, or use of assistive devices.
- CNAs do not diagnose or prescribe interventions.
- Reporting ensures timely assessment and appropriate care planning.
Memory trick: Report, don't diagnose; assist, don't adjust.