Emotional and Mental Health Needs

Question 1 of 20

A resident in your care is frustrated, upset, and raising his voice in complaint. Which of these is the best response to his actions?

Report the incident to the supervising nurse.
Walk away from the patient in an effort to show you won't tolerate the behavior.
Offer support and care using a comforting and calming manner.
Ask the resident to lower his voice in courtesy to other residents who are getting upset.

Question 2 of 20

When a patient is dying, the last of the five senses the patient loses is ____?

Hearing
Touch
Taste
Sight

Question 3 of 20

A resident in your care has just received news of a death in the family. What is the best way to assist them with the grieving process?

Tell the resident about an experience you had with death and what helped you cope with it.
Remind the resident that death is inevitable.
Spend some time with the resident, particularly offering support if he or she wishes to talk about it.
Suggest that the resident get his or her mind off of things by thinking of something pleasant.

Question 4 of 20

Elizabeth Kübler-Ross describes the stages of grief a person goes through when they lose someone close to them. She believes the first stage of the grieving process is ____.

Acceptance
Anger
Depression
Denial

Question 5 of 20

As a nursing assistant, you may encounter residents who are anxious or feeling unsettled about either their circumstances or surroundings. The best response in dealing with this anxiety is to ____.

Open the shades to let in more light and brighten the surroundings.
Leave the room so the resident can re-group and re-focus in private.
Speak in a calm voice and exhibit a calm and comforting demeanor.
Turn on the radio or television to distract the resident from their immediate thought.

Question 6 of 20

A resident who consistently becomes more confused during dusk, early evening, or during the night is most likely suffering from ____.

Psychosis
Alzheimer's disease
Sundowners Syndrome
Dementia

Question 7 of 20

A resident catches you off guard with a comment that is sexual. Your best response would be to ____.

Change the conversation to a different subject.
Walk away and pretend you did not hear it.
Make a humorous comment in return.
Let the resident know that the comment is not acceptable to you.

Question 8 of 20

A resident died and his roommate is upset and wants to discuss it with you. What is the best action to take?

Remind the patient that death is a natural part of life and reassure him his roommate had a great life and is in a better place.
Talk to the patient about a time you lost someone you loved and how you dealt with it.
Try and distract the patient by changing the subject and bringing up something happy.
Talk with the roommate and allow him to express his feelings.

Question 9 of 20

A resident is pacing around his room, yelling and swearing. What is the first action the nursing assistant should take?

Tell the resident to calm down.
Call the residents family to assist with the situation.
Call the charge nurse.
Attempt to apply restraints.

Question 10 of 20

Which of these is not a normal biological change to the body from the aging process?

The ability to make decisions is weakened.
Joints become stiffer and less flexible.
Bones become thinner and less strong.
The movement of food from the digestive system becomes slower.

Question 11 of 20

Which of these is not a common cause of constipation?

An increase in intestinal motility.
A low fiber diet.
Ignoring the urge to go.
Not drinking enough water.

Question 12 of 20

Which of these is not a sign of depression?

Increased amount of time sleeping.
A decrease in appetite.
Withdrawal
Increased interest in participating in social activities.

Question 13 of 20

All of these are ways that a nursing assistant can help a resident who is dealing with his or her impending death, except ____.

Spending more time with the resident than you normally would so you are available to offer support.
Sitting and listening if the resident wants to talk about it.
Giving the resident privacy if they ask for it.
Spending less time with the resident so there is no pressure to be sociable.

Question 14 of 20

A resident recently learned that her spouse has died. The best response the nursing assistant can give is to ____.

Sit and offer support if the resident wants to talk about it.
Introduce humor to lighten the mood.
Bring in other residents frequently so it occupies the residents time.
Ignore the topic and switch the conversation if the resident gets emotional so it takes his or her mind off of it.

Question 15 of 20

Which of these is not an appropriate way to deal with the stress of being a caregiver?

Join a new club.
Talk to your co-workers about your patients during lunch to vent frustrations.
Exercise and get outside for fresh air.
Learn something new.

Question 16 of 20

A family member is angry that her loved one is unhappy. As a nursing assistant, the best way to handle the situation is to ____.

Ask her to put the complaints in writing.
Tell her you will leave for a few minutes so she can calm down.
Calmly explain it is not your responsibility to discuss the residents care.
Listen politely and tell her you will share her concerns with the nurse.

Question 17 of 20

Encouraging residents to participate in their care and in activities helps with emotional and mental health needs by ____.

Improving their sense of independence and outlook.
Making them more mobile.
Relieving the burden on the caregiver, who already has too many tasks to complete.
Holding them accountable for completing tasks.

Question 18 of 20

Which of these could be a major contributing factor to a resident’s resentment of family members?

A feeling of abandonment because of being placed in others care.
Missing annual birthday parties.
A feeling of spiritual unrest by missing church attendance with family.
Missing family meals together.

Question 19 of 20

One of the caring characteristics that helps a nursing assistant care for residents is empathy. Which of these is the best definition of this term?

Being aware of what you say and what effect it has on others.
All of these.
Seeing yourself in others situations without pitying them.
Taking time to try to understand the cause of misbehavior.

Question 20 of 20

You notice a change in a resident’s mental condition. The best course of action is to ____.

Try to use a sense of humor to lighten the mood of the resident.
Report the change immediately to the charge nurse.
Ask the resident if he or she has noticed a change in his or her personality.
Plan to spend extra time with this resident as he or she may need more assistance than normal.

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