Mental HealthQuestion 131 of 200

Which cognitive change is considered a NORMAL part of aging rather than a sign of dementia?

a.Getting lost while driving on a familiar route across town
b.Wearing the same soiled clothes for days without noticing
c.Being unable to recognize close family members by name or by face, even in familiar surroundings
d.Slower processing speed and occasional word-finding difficulty, with intact judgment and ADLs

Explanation

Normal age-related cognitive change includes slower processing speed, occasional 'tip-of-the-tongue' word retrieval, and minor short-term forgetfulness — without loss of judgment, ADL independence, or recognition of loved ones. Failure to recognize family (c), getting lost on familiar routes (a), and decline in self-care (b) are red flags for dementia and must be reported. The CNA should never assume cognitive symptoms are 'just aging.' Per 42 CFR §483.40 the facility must assess and address behavioral and cognitive changes; Title 22 CCR §72315 requires ongoing nursing assessment of resident status.

Law Reference: 42 CFR §483.40; Title 22 CCR §72315

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