Certified Nursing Assistant (CNA) Prometric Practice Exam

A CNA is caring for an elderly patient who is more confused today. What is an appropriate action?

1. Ask the patient if they remember their family

2. Ignore the change as it is likely temporary

3. Report the change to the nurse

4. Conduct a memory test

The correct answer is: Report the change to the nurse

Reporting the change in the patient's level of confusion to the nurse is essential for several reasons. Firstly, any alteration in a patient's cognitive status may indicate a medical issue that requires further assessment, such as a urinary tract infection, dehydration, or other underlying conditions. Promptly informing the nurse enables timely intervention and appropriate evaluation of the patient's health. Additionally, communication within the healthcare team is critical for ensuring continuity of care. Changes in a patient's condition should always be documented and conveyed to a supervising nurse or physician, who can then take necessary steps to investigate and address the situation. This action prioritizes patient safety and health outcomes, making it a responsible practice for a certified nursing assistant. Engaging with the patient about their memory or conducting a memory test, while potentially useful in certain contexts, is not the most immediate and effective response to a sudden change in cognitive ability. It's important to allow trained medical professionals to assess and diagnose any significant changes in a patient's condition. Ignoring the situation altogether could lead to further deterioration of the patient's health and wellbeing.