CNA Certification (Written Exam)Resident Rights and Legal/EthicalEasy
A nurse aide is assisting a resident with dementia who frequently wanders. The resident attempts to leave the facility through an exit door. Which action is most appropriate for the nurse aide to take?
- APhysically block the resident from opening the door and firmly tell them to return to their room.
- BAllow the resident to go outside briefly, as long as the nurse aide accompanies them.
- CApply a vest restraint to prevent the resident from wandering again.
- DGently redirect the resident by engaging them in a preferred activity or conversation.
Show answer & explanationAnswer & explanation
Correct answer: D. Gently redirect the resident by engaging them in a preferred activity or conversation.
Redirecting the resident gently and engaging them in a preferred activity is the most appropriate and person-centered approach. It respects their dignity while ensuring their safety without resorting to restrictive measures.
Why the other options are wrong
- A. Physically blocking and firm commands can escalate agitation and violate resident rights.
- B. Allowing a resident with dementia to wander outside, even with supervision, could pose safety risks and is generally against facility policy for wander-risk residents.
- C. Applying a restraint without a physician's order and proper justification is a violation of resident rights and facility policy.
Resident Elopement Prevention
Strategies used to prevent residents, especially those with cognitive impairments, from leaving a care facility unsupervised and potentially endangering themselves.
- Prioritize resident safety and dignity.
- Use non-pharmacological interventions first.
- Redirection and engagement are key techniques.
Memory trick: Wanderers need gentle guiding, not gates.