CNA Certification (Written Exam)Activities of Daily LivingEasy
A CNA is assisting a resident with dementia with their morning care. The resident becomes agitated and resistant when the CNA tries to brush their teeth. What is the MOST appropriate action for the CNA to take?
- ADocument the refusal and skip oral care for the day.
- BForce the resident to brush their teeth to maintain oral hygiene.
- CStop the activity, offer a choice, and try again later.
- DTell the resident that brushing their teeth is required.
Show answer & explanationAnswer & explanation
Correct answer: C. Stop the activity, offer a choice, and try again later.
When a resident with dementia becomes agitated during care, it's crucial to prioritize their comfort and avoid escalating the situation. Stopping, offering choices, and re-attempting later respects their autonomy and can lead to better cooperation.
Why the other options are wrong
- A. Skipping oral care entirely neglects an essential aspect of hygiene and health.
- B. Forcing care can increase agitation, cause injury, and damage trust.
- D. Stating it's required often escalates resistance in residents with dementia.
De-escalation in Dementia Care
Techniques used to calm and redirect residents with dementia who are experiencing agitation or resistance during care activities.
- Prioritize resident comfort and safety.
- Avoid direct confrontation or force.
- Offer simple choices and re-approach later if needed.
Memory trick: PACE Yourself: Pause, Ask, Calm, Engage.