Safety & Infection ControlQuestion 55 of 200

A resident with dementia is found wandering toward an exit. The CNA should:

a.Let her walk out and watch from the doorway so she does not become agitated
b.Call out loudly across the hallway for her to stop before she reaches the door
c.Approach calmly from the front, use a calm voice, redirect with a familiar activity or snack, notify the nurse, and document; verify door alarms/wander-guard functioning
d.Take hold of both her arms and walk her firmly back to her own room

Explanation

Elopement is a leading sentinel event for residents with dementia. The CNA approaches calmly from the front to avoid startling, uses simple cueing and redirection (familiar activity, snack, walking together to room), and notifies the nurse. Document the event; the team reviews wander-guard placement, door alarms, and care-plan interventions. Yelling (b) or grabbing (d) escalate distress and may be abuse; allowing elopement (a) endangers the resident.

Law Reference: CMS F-tag 689; elopement prevention

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