CNA Behavior And Mental Health - Provider #50-4558

1. You are taking care of a very angry patient that was just admitted to your facility. You should help the patient deal with his anger by:

Letting the patient discuss their feelings with you

Telling him he will be moved to another facility if he becomes violent

Letting him know he will be heavily medicated unless his anger goes away

Not allowing family members to see him until he is happy again

By letting the patient discuss their feelings with you, you are providing them with an outlet to express their anger and frustrations. This can help the patient feel heard and understood, potentially diffusing their anger. It also allows you to better understand the underlying causes of their anger and work towards finding a solution or providing appropriate support.

Explanation

By letting the patient discuss their feelings with you, you are providing them with an outlet to express their anger and frustrations. This can help the patient feel heard and understood, potentially diffusing their anger. It also allows you to better understand the underlying causes of their anger and work towards finding a solution or providing appropriate support.

2. You notice that your resident is less social than normal and tends to want to stay in bed all day. You notify the nurse because these are signs of:

Cancer

Psychotic disorder

Bipolar disorder

Depression

The resident's behavior of being less social and wanting to stay in bed all day are common signs of depression. Depression is a mental health condition characterized by persistent feelings of sadness, low energy, loss of interest in activities, and changes in sleep patterns. These symptoms can often lead to social withdrawal and a desire to isolate oneself. Therefore, it is important to notify the nurse about these signs so that appropriate support and treatment can be provided to the resident.

Explanation

The resident's behavior of being less social and wanting to stay in bed all day are common signs of depression. Depression is a mental health condition characterized by persistent feelings of sadness, low energy, loss of interest in activities, and changes in sleep patterns. These symptoms can often lead to social withdrawal and a desire to isolate oneself. Therefore, it is important to notify the nurse about these signs so that appropriate support and treatment can be provided to the resident.

3. Which of the following is not a sign of depression?

Change in eating habits

Change in sleeping habits

Too much energy

Loss of interest in social activities

Too much energy is not a sign of depression because one of the main symptoms of depression is feeling constantly tired, lethargic, and lacking energy. People with depression often experience a decrease in their energy levels and motivation to engage in activities. Therefore, having too much energy would be inconsistent with the typical symptoms of depression.

Explanation

Too much energy is not a sign of depression because one of the main symptoms of depression is feeling constantly tired, lethargic, and lacking energy. People with depression often experience a decrease in their energy levels and motivation to engage in activities. Therefore, having too much energy would be inconsistent with the typical symptoms of depression.

4. Which of the following is NOT a factor that can cause depression in a patient?

Loss of friends or family

The birth of a grandchild

Being diagnosed with a new disease

Lack of sleep

The birth of a grandchild is not a factor that can cause depression in a patient. While the other options - loss of friends or family, being diagnosed with a new disease, and lack of sleep - can all contribute to feelings of sadness and depression, the birth of a grandchild is typically seen as a joyful event that brings happiness and fulfillment to a person's life.

Explanation

The birth of a grandchild is not a factor that can cause depression in a patient. While the other options - loss of friends or family, being diagnosed with a new disease, and lack of sleep - can all contribute to feelings of sadness and depression, the birth of a grandchild is typically seen as a joyful event that brings happiness and fulfillment to a person's life.

5. Which of the following are nursing assistants allowed to do when they are taking care of a violent patient?

Move the patient to a private area and speak with them

Place restraints on the patients arms so they cannot hit

Inform the patient that what they are doing is illegal and it can be punished by law

Give the patient medication to calm them down

Nursing assistants are allowed to move a violent patient to a private area and speak with them. This approach helps to ensure the safety and privacy of the patient and others in the vicinity. By removing the patient from a potentially triggering or stressful environment, the nursing assistant can try to de-escalate the situation and communicate with the patient to understand their needs and concerns. This approach prioritizes the well-being of the patient while also maintaining a safe and secure environment for everyone involved.

Explanation

Nursing assistants are allowed to move a violent patient to a private area and speak with them. This approach helps to ensure the safety and privacy of the patient and others in the vicinity. By removing the patient from a potentially triggering or stressful environment, the nursing assistant can try to de-escalate the situation and communicate with the patient to understand their needs and concerns. This approach prioritizes the well-being of the patient while also maintaining a safe and secure environment for everyone involved.

6. A patient tells you they have been thinking about hurting themselves because they are depressed. You should:

Get the nurse immediately

Stay with the patient and have someone get the nurse

Listen to the patient and then check back on them later

Call the patient's family to come in and cheer them up

In this situation, the correct answer is to stay with the patient and have someone get the nurse. This is the appropriate response because the patient has expressed thoughts of self-harm, indicating a potential risk for suicide. By staying with the patient, you can provide immediate support and ensure their safety. Getting the nurse involved is essential as they are trained to handle such situations and can provide the necessary professional assistance and intervention.

Explanation

In this situation, the correct answer is to stay with the patient and have someone get the nurse. This is the appropriate response because the patient has expressed thoughts of self-harm, indicating a potential risk for suicide. By staying with the patient, you can provide immediate support and ensure their safety. Getting the nurse involved is essential as they are trained to handle such situations and can provide the necessary professional assistance and intervention.

7. You are taking care of a confused patient that is a fall-risk and keeps trying to get out of their wheelchair. You should:

Place the patient in a well-monitored area

Take the patient to their room and turn on the TV

Laying the patient in bed even if they aren't tired

Restrain them to their chair to prevent falling

Placing the patient in a well-monitored area is the correct answer because it ensures the safety of the confused patient who is at risk of falling. By keeping them in a well-monitored area, healthcare providers can closely observe the patient's behavior and intervene if they attempt to get out of their wheelchair. This approach allows for a balance between providing a safe environment and maintaining the patient's mobility and independence.

Explanation

Placing the patient in a well-monitored area is the correct answer because it ensures the safety of the confused patient who is at risk of falling. By keeping them in a well-monitored area, healthcare providers can closely observe the patient's behavior and intervene if they attempt to get out of their wheelchair. This approach allows for a balance between providing a safe environment and maintaining the patient's mobility and independence.

8. You are taking care of an alzheimer's patient who is very confused. The following is an inappropriate way to deal with this type of patient:

Re-directing the patient

Explaining everything with great detail until it is understood

Giving the patient a task that will occupy their time, such as setting the dinner tables

Taking the patient to participate in an activity

Explaining everything with great detail until it is understood may not be an appropriate way to deal with an Alzheimer's patient who is very confused. Alzheimer's patients often have difficulty processing and retaining information, so providing excessive detail may overwhelm and confuse them further. It is more effective to use simple and clear communication techniques, such as re-directing the patient or engaging them in activities that they can easily understand and participate in.

Explanation

Explaining everything with great detail until it is understood may not be an appropriate way to deal with an Alzheimer's patient who is very confused. Alzheimer's patients often have difficulty processing and retaining information, so providing excessive detail may overwhelm and confuse them further. It is more effective to use simple and clear communication techniques, such as re-directing the patient or engaging them in activities that they can easily understand and participate in.

9. The following statement is NOT true regarding mental health in the elderly:

Alzheimer's is the most common type of dementia

1 in 4 women are at risk for depression

Age plays a large role in a patient's mental health status

Psychosis is not considered a mental health disorder

Psychosis is a symptom of mental illness rather than a specific mental health disorder. It refers to a loss of contact with reality, which can include hallucinations, delusions, and disorganized thinking. Psychosis can occur in various mental health conditions such as schizophrenia, bipolar disorder, and severe depression. Therefore, it is incorrect to say that psychosis is not considered a mental health disorder.

Explanation

Psychosis is a symptom of mental illness rather than a specific mental health disorder. It refers to a loss of contact with reality, which can include hallucinations, delusions, and disorganized thinking. Psychosis can occur in various mental health conditions such as schizophrenia, bipolar disorder, and severe depression. Therefore, it is incorrect to say that psychosis is not considered a mental health disorder.

10. Your patient told you that when his roommate is angry, he tries to hit him. The first thing you should do is:

Remove the violent patient

Notify the nurse

Remove the non-violent patient

Inform the violent patient that his actions are inappropriate

The correct answer is to remove the non-violent patient. This is because the non-violent patient is at risk of harm from the violent patient. By removing the non-violent patient from the situation, their safety can be ensured. It is important to prioritize the safety and well-being of all patients involved in order to prevent any harm or escalation of violence.

Explanation

The correct answer is to remove the non-violent patient. This is because the non-violent patient is at risk of harm from the violent patient. By removing the non-violent patient from the situation, their safety can be ensured. It is important to prioritize the safety and well-being of all patients involved in order to prevent any harm or escalation of violence.