Care Scorecard › CNA › Dementia, behavior and trauma-informed care

CNA exam topic: dementia, behavior and trauma-informed care

6 exam-style questions with the answer and the exact rule from federal regulations or CDC guidance.

CNA training program or healthcare employer? Feature it at the top of this page — $49 for 30 days →

1. What environmental condition must the facility maintain regarding pests to ensure a safe environment for residents?The facility must maintain an effective pest control program so that it is free of pests and rodents. The regulation specifically requires an effective pest control program to ensure the facility remains free of pests and rodents.
   42 CFR § 483.90(i): “Maintain an effective pest control program so that the facility is free of pests and rodents.”
2. When caring for residents with cognitive impairments such as dementia, what is a required focus of the nurse aide's training?Techniques for addressing the unique needs and behaviors of individuals with dementia. The rule specifies that training must include techniques for addressing the unique needs and behaviors of individuals with dementia.
   42 CFR § 483.152(b): “Techniques for addressing the unique needs and behaviors of individual with dementia (Alzheimer's and others);”
3. What is the minimum experience requirement for supplemental personnel who assist in training nurse aides?At least 1 year of experience in their fields. Unlike the primary instructor who needs 2 years of nursing experience, supplemental experts like therapists or dietitians require a minimum of one year of experience in their respective fields.
   42 CFR § 483.152(a): “Supplemental personnel must have at least 1 year of experience in their fields;”
4. What is the required approach for providing care to a resident who is a trauma survivor?Provide culturally-competent, trauma-informed care that accounts for the resident's experiences and preferences. Trauma-informed care requires accounting for the resident's experiences and preferences to mitigate re-traumatization triggers.
   42 CFR § 483.25(m): “The facility must ensure that residents who are trauma survivors receive culturally-competent, trauma-informed care in accordance with professional standards of practice and accounting for residents' experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident.”
5. A resident wishes to speak with a representative from the Office of the State Long-Term Care Ombudsman regarding a concern about their care. According to federal regulations, how should the nurse aide handle this request?Allow the resident to communicate with the ombudsman representative. The regulation mandates that facilities must not prohibit or discourage residents from communicating with ombudsman representatives regarding any matter.
   42 CFR § 483.10(k): “A facility must not prohibit or in any way discourage a resident from communicating with federal, state, or local officials, including, but not limited to, federal and state surveyors, other federal or state health department employees, including representatives of the Office of the State Long-Term Care Ombudsman, and any representative of the agency responsible for the protection and advocacy system for individuals with mental disorder (established under the Protection and Advocacy for Mentally Ill Individuals Act of 2000 (42 U.S.C. 10801 et seq.), regarding any matter, whether or not subject to arbitration or any other type of judicial or regulatory action.”
6. Regarding resident rights and dignity, how should a nurse aide approach a resident's personal choices?Allow the resident to make personal choices, providing and reinforcing other behavior consistent with the resident's dignity. The regulation requires aides to allow residents to make personal choices and reinforce behavior consistent with dignity.
   42 CFR § 483.152(b): “Allowing the resident to make personal choices, providing and reinforcing other behavior consistent with the resident's dignity;”

Take a CNA practice test →