Arizona Certified Nursing Assistant (CNA) Practice Test

If a typically alert resident is confused about their location, what is the CNA's first action?

1. Call the resident's family

2. Report the change to the charge nurse

3. Ask the resident simple questions

4. Provide reassuring comments

The correct answer is: Report the change to the charge nurse

In a situation where a typically alert resident is confused about their location, the appropriate first action for the CNA is to report the change to the charge nurse. This step is essential because sudden confusion can be indicative of an underlying medical issue, such as a urinary tract infection, dehydration, or a more serious neurological problem. The charge nurse is responsible for assessing the situation more thoroughly and determining the necessary interventions, including possible medical evaluations. While providing reassurance and asking simple questions can be supportive to the resident, those actions do not address the need for professional medical assessment when there's a sudden change in cognitive status. Involving the charge nurse ensures that the resident receives appropriate care and that any potential health concerns are addressed promptly.