Arizona Certified Nursing Assistant (CNA) Practice Test

A resident with dementia is trying to get out of bed without help. What should the nurse aide do first?

1. Call for help immediately

2. Ensure safety by securing the resident in bed

3. Try to find out if there is something the resident needs

4. Assist the resident back to bed without speaking

The correct answer is: Try to find out if there is something the resident needs

When approaching a situation where a resident with dementia is trying to get out of bed without assistance, prioritizing communication and understanding the resident's needs is essential. The correct response involves trying to find out if there is something the resident needs. Residents with dementia may be confused and may not clearly communicate their desires or needs. By engaging them and seeking to understand their motivations, the nurse aide can assess whether the resident is trying to get out of bed for a specific reason, such as needing to use the restroom or feeling uncomfortable. This approach emphasizes patient-centered care, fostering an environment where residents feel their needs are acknowledged and respected. Additionally, it can help prevent potential accidents or injuries that could arise from unassisted movements. In this context, securing the resident's safety is crucial, but jumping to that action without understanding their needs first might not address the underlying issue leading to their attempt to get out of bed. Following a supportive inquiry can make all the difference in ensuring the resident's safety while also respecting their autonomy and dignity.