Mental HealthQuestion 134 of 200
A resident with dementia repeatedly wanders out of her room and into other residents' rooms. The MOST appropriate first response is to:
a.Apply a vest restraint to keep her in bed
b.Gently redirect her, walk with her, and engage her in a familiar activity, then notify the nurse to update the care plan
c.Lock her room door from the outside
d.Place her in a wheelchair with the tray locked in front to prevent her standing up
Explanation
Wandering is common in dementia and is best managed with redirection, supervised walking, scheduled activity, environmental cues (clear signage, safe walking paths), and care-plan review. Restraints (a, d) without medical necessity and informed consent constitute false imprisonment and abuse under 42 CFR §483.12 and 42 CFR §483.10(e) (right to be free from restraints). Locking residents in (c) is also unlawful restraint. The CNA reports patterns so the IDT can identify triggers (boredom, pain, toileting needs) and adjust the plan.
Law Reference: 42 CFR §483.10; 42 CFR §483.12Practice all 200 questions free — no signup required.
Related questions on this topic
- Which cognitive change is considered a NORMAL part of aging rather than a sign of dementia?
- A previously cheerful resident now sleeps most of the day, eats only a few bites at meals, has lost five pounds in two weeks, and tells the CNA, 'What's the point of getting out of bed?' The CNA should:
- Which behavior in an elderly LTC resident should the CNA report as a POTENTIAL warning sign of suicide risk?
- A resident becomes verbally aggressive and raises a fist toward the CNA during a bath. The BEST de-escalation response is to:
- Under federal regulations, physical restraints in a nursing facility may be used only when:
- A widowed resident with no nearby family says, 'No one ever comes to see me.' Which CNA action BEST addresses her psychosocial well-being?
Last reviewed: · editorial process
PrepPass Editorial Team · Verified against California CNA Certification Exam · How we review