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Psychosocial Care Skills · NC Nurse Aide I

Emotional and Mental Health Needs study guide

Practice respectful responses to anxiety, grief, dementia, and behavior changes. These questions focus on safety, listening, and timely reporting.

5 original questionsAnswers and sources includedFree to read

Practice set

Questions and answers

Choose an answer first, then compare your reasoning with the explanation.

Question 1Dementia care

A resident with dementia insists they need to go to work. What is the best response?

  1. Argue that they retired years ago
  2. Validate the feeling and redirect to a safe activity
  3. Laugh at the mistake
  4. Lock the resident in the room

Correct answer: B. Validate the feeling and redirect to a safe activity

CNA curriculum includes responding appropriately to cognitively impaired residents and reducing effects of cognitive impairment.

Remember: Do not argue with the disease; respond to the feeling.

Source: 42 CFR 483.152 nurse aide training program requirements

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Question 2Anxiety

A resident is crying before a procedure. Which response is best?

  1. You have no reason to cry
  2. Tell me what is worrying you
  3. Stop crying or I will leave
  4. Everyone hates this

Correct answer: B. Tell me what is worrying you

Therapeutic communication supports emotional needs by listening and inviting the resident to express concerns.

Remember: Open-ended, respectful questions beat dismissal.

Source: 42 CFR 483.152 nurse aide training program requirements

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Question 3Behavior response

A resident becomes angry during care. What should the nurse aide do first?

  1. Stay calm and keep the resident and self safe
  2. Argue loudly
  3. Restrain the resident for convenience
  4. Tell other residents about it

Correct answer: A. Stay calm and keep the resident and self safe

Training includes modifying aide behavior in response to residents' behavior while maintaining dignity and safety.

Remember: Calm tone, space, safety, report.

Source: 42 CFR 483.152 nurse aide training program requirements

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Question 4Family support

A resident is grieving and asks to talk about a deceased spouse. What should the nurse aide do?

  1. Change the subject immediately
  2. Listen respectfully and report ongoing distress
  3. Say grief is not part of care
  4. Tell the resident to stop thinking about it

Correct answer: B. Listen respectfully and report ongoing distress

Mental health and social service needs include emotional support and using family as a source of support.

Remember: Presence and listening are part of basic care.

Source: 42 CFR 483.152 nurse aide training program requirements

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Question 5Cognitive impairment

Which approach is most helpful for a resident with cognitive impairment during morning care?

  1. Give several complex instructions at once
  2. Use simple steps and allow time to respond
  3. Rush without explaining
  4. Speak only to the roommate

Correct answer: B. Use simple steps and allow time to respond

Training includes communicating with cognitively impaired residents and responding to individual needs.

Remember: One step at a time.

Source: 42 CFR 483.152 nurse aide training program requirements

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