CNA Certification (Written Exam)Infection Control and SafetyMedium
A nurse aide is assisting a resident who has a history of wandering and attempts to leave the unit. What is the most appropriate initial action for the nurse aide to take?
- ABlock the exit door and tell the resident they are not allowed to leave.
- BGently redirect the resident with a calming voice and offer an activity.
- CPhysically restrain the resident to prevent them from leaving.
- DCall for help from other staff members immediately.
Show answer & explanationAnswer & explanation
Correct answer: B. Gently redirect the resident with a calming voice and offer an activity.
For residents who wander, the initial and most appropriate response is to gently redirect them using a calm and reassuring approach. Offering an engaging activity or distraction can help de-escalate the situation and guide them away from the exit without resorting to restrictive measures, which can increase agitation.
Why the other options are wrong
- A. Blocking the exit and using a confrontational tone can agitate the resident and worsen the situation.
- C. Physical restraints should be a last resort, used only for safety and with a physician's order, as they can cause harm and increase agitation.
- D. Calling for help is important if redirection fails, but the initial attempt should be a gentle, person-centered approach.
Managing Wandering Behavior
Techniques used by nurse aides to safely manage residents who exhibit wandering behavior, prioritizing de-escalation and resident dignity.
- Approach calmly and use a gentle, reassuring tone.
- Redirect the resident to another activity or a safe area.
- Avoid confrontation or physical restraint unless absolutely necessary for safety.
- Identify triggers or reasons for wandering if possible.
Memory trick: Calm words and a new path, prevent a dangerous wrath.