Communication & CultureQuestion 35 of 200
A CNA observes that a resident who was alert yesterday is now confused, mumbling, and unable to follow simple instructions. The CNA should:
a.Encourage the resident to nap and recheck afterward, since new confusion in older adults usually clears on its own once they have rested for a few hours
b.Document the change and check on the resident again in a few hours
c.Report the change in mental status to the nurse immediately—acute changes may signal infection (e.g., UTI), stroke, hypoglycemia, or other emergencies
d.Ask the family whether this level of confusion is normal for the resident
Explanation
Acute mental status change is a 'red flag' that often signals serious underlying conditions—UTI (a leading cause of delirium in elders), stroke, hypoglycemia, sepsis, dehydration, or medication reaction. Per ANA and facility standards, the CNA must report immediately so the nurse can assess and intervene. Delay (b), reliance on family normalization (d), or attributing to fatigue (a) can result in deterioration or death.
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