Arizona Certified Nursing Assistant (CNA) Practice Test

When a nurse aide notices a resident with Alzheimer's pacing and rubbing his stomach, what action should be taken?

1. Ignore the behavior as it is typical for Alzheimer's

2. Offer the resident a snack

3. Report the change and check for hunger or need for the bathroom

4. Call the nurse for a medication adjustment

The correct answer is: Report the change and check for hunger or need for the bathroom

When observing a resident with Alzheimer's who is pacing and rubbing his stomach, the most appropriate action is to report the change and check for hunger or the need for the bathroom. This response is crucial because it addresses the possibility that the resident may be experiencing physical discomfort or a need that they cannot verbally express due to their cognitive condition. Pacing and stomach rubbing can indicate that the resident is feeling anxious, uncomfortable, or hungry. By reporting the behavior to the supervising nurse, you are ensuring that the resident receives prompt attention and assessment. Checking to see if the resident has an unmet need—whether it be hunger or the need for a bathroom—demonstrates a compassionate approach while also adhering to best practices in caring for individuals with cognitive impairments. While offering a snack may seem helpful, it’s essential to gather more information first, as the behavior could arise from other needs or discomforts that may not be related to hunger. Ignoring the behavior overlooks the potential for underlying issues that could require further evaluation. Calling the nurse for a medication adjustment may not address immediate physical needs and should only be considered after assessing the situation and discussing it with a supervisor. Thus, the correct action prioritizes a thorough and considerate approach to the resident’s well-being.