Arizona Certified Nursing Assistant (CNA) Practice Test

What should a nurse aide report immediately if a resident is restrained and suddenly becomes very agitated?

1. Document the agitation in the resident's chart

2. Check if the resident is in pain

3. Report the agitation to the nurse

4. Ask the resident about their feelings

The correct answer is: Report the agitation to the nurse

Reporting the agitation to the nurse is essential because it allows for immediate assessment and intervention regarding the resident's well-being. The nurse has the training and authority to evaluate the situation properly, determine the cause of the agitation, and decide on the best course of action to ensure the resident's safety and comfort. Timely communication is critical in nursing care, especially when a resident is restrained, as it can prevent potential harm or distress to the individual. While documenting the agitation is important for maintaining accurate records and monitoring the resident's condition, it does not provide immediate assistance to the resident. Checking if the resident is in pain is a valid action but should ideally be done after informing the nurse, as they can facilitate a rapid response. Asking the resident about their feelings is also beneficial for understanding their emotional state, but in urgent situations, the priority should be to alert the nurse who can take necessary medical actions.