American Red Cross
5 RETPAHC · ANC
CNA
★
Nurse Assistant Training Program
EST. 1881
SAVING LIVES, CHANGING LIVES
CNA Chapter 5 — Final Examination
A L Z H E I M E R 'S D I S E A S E & D E M E N T I A C A R E · CO M M U N I C AT I O N · B E H AV I O R
M A N AG E M E N T
INSTITUTION American Red Cross — Nurse PROGRAM Certified Nursing Assistant (CNA)
Assistant Training
ACADEMIC YEAR EXAM TITLE Chapter 5 — Final Examination
TOTAL QUESTIONS 21 Questions COURSE TITLE Nurse Assistant Training —
Chapter 5
FORMAT Multiple Choice — Select the HQ Washington, D.C.
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers Alzheimer's disease, dementia care, communication strategies, behavior management,
and therapeutic approaches.
▸ Correct answers and detailed rationales appear below each question for certification preparation.
, CNA CHAPTER 5 — ALZHEIMER'S DISEASE & DEMENTIA
Questions 1 – 21
CARE
1. Which of the following should a nursing assistant do if a resident is confused?
A. Not mention the date or location, as it will further confuse the resident
B. Stay calm and provide a quiet environment
C. Leave the resident alone until he is acting normally
D. Avoid explaining care, as it will only agitate the resident
CORRECT ANSWER B — Stay calm and provide a quiet environment
RATIONALE A calm, quiet environment reduces overstimulation, which can worsen confusion.
The NA's calm demeanor also helps the resident feel safe. Avoiding orientation (A)
and avoiding explanations (D) are not recommended — gentle, simple
reorientation and explanation of care are appropriate. Leaving the resident alone
(C) may increase fear and should not be done unless the resident needs space to
de-escalate briefly.
2. Confusion may be caused by:
A. Too much television viewing
B. An unpleasant roommate
C. Exercise
D. A urinary tract infection
CORRECT ANSWER D — A urinary tract infection
RATIONALE UTIs are a classic and common cause of acute confusion (delirium) in elderly
residents — sometimes the ONLY sign is sudden confusion. Other medical causes
include dehydration, electrolyte imbalances, medication side effects, and
infections. TV (A), roommate issues (B), and exercise (C) are not direct medical
causes of confusion. Any sudden change in mental status should be reported to
the nurse immediately for medical evaluation.
5 RETPAHC · ANC
CNA
★
Nurse Assistant Training Program
EST. 1881
SAVING LIVES, CHANGING LIVES
CNA Chapter 5 — Final Examination
A L Z H E I M E R 'S D I S E A S E & D E M E N T I A C A R E · CO M M U N I C AT I O N · B E H AV I O R
M A N AG E M E N T
INSTITUTION American Red Cross — Nurse PROGRAM Certified Nursing Assistant (CNA)
Assistant Training
ACADEMIC YEAR EXAM TITLE Chapter 5 — Final Examination
TOTAL QUESTIONS 21 Questions COURSE TITLE Nurse Assistant Training —
Chapter 5
FORMAT Multiple Choice — Select the HQ Washington, D.C.
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers Alzheimer's disease, dementia care, communication strategies, behavior management,
and therapeutic approaches.
▸ Correct answers and detailed rationales appear below each question for certification preparation.
, CNA CHAPTER 5 — ALZHEIMER'S DISEASE & DEMENTIA
Questions 1 – 21
CARE
1. Which of the following should a nursing assistant do if a resident is confused?
A. Not mention the date or location, as it will further confuse the resident
B. Stay calm and provide a quiet environment
C. Leave the resident alone until he is acting normally
D. Avoid explaining care, as it will only agitate the resident
CORRECT ANSWER B — Stay calm and provide a quiet environment
RATIONALE A calm, quiet environment reduces overstimulation, which can worsen confusion.
The NA's calm demeanor also helps the resident feel safe. Avoiding orientation (A)
and avoiding explanations (D) are not recommended — gentle, simple
reorientation and explanation of care are appropriate. Leaving the resident alone
(C) may increase fear and should not be done unless the resident needs space to
de-escalate briefly.
2. Confusion may be caused by:
A. Too much television viewing
B. An unpleasant roommate
C. Exercise
D. A urinary tract infection
CORRECT ANSWER D — A urinary tract infection
RATIONALE UTIs are a classic and common cause of acute confusion (delirium) in elderly
residents — sometimes the ONLY sign is sudden confusion. Other medical causes
include dehydration, electrolyte imbalances, medication side effects, and
infections. TV (A), roommate issues (B), and exercise (C) are not direct medical
causes of confusion. Any sudden change in mental status should be reported to
the nurse immediately for medical evaluation.
