California Certified Nursing Assistant (CNA) Practice Exam

If a client with Alzheimer's disease shouts angrily when asked to brush their teeth, what is the best response?

1. Ignore the outburst and repeat the request

2. Give him step-by-step directions

3. Change the subject to something pleasant

4. Leave the room for a moment

The correct answer is: Give him step-by-step directions

The best response is to give the individual step-by-step directions. People with Alzheimer's disease often experience confusion and frustration, which can lead to outbursts. By providing clear, straightforward instructions, the caregiver helps reduce anxiety and creates a sense of structure, which can be comforting. Breaking down tasks into manageable steps makes it easier for the person to understand what is expected and may lessen feelings of overwhelm, allowing them to engage in the activity without feeling frustrated or angry. Other responses might not address the underlying issue effectively; for instance, ignoring the outburst does not validate the individual's feelings or help them understand the request. Changing the subject may redirect attention but does not facilitate the task at hand, while leaving the room could exacerbate feelings of abandonment or confusion. Providing step-by-step directions is a practical approach that fosters communication and supports the client's ability to engage in self-care.