California Certified Nursing Assistant (CNA) Practice Exam

Which is the most appropriate action when a nursing assistant notices a patient showing signs of distress?

1. Leave the patient alone to gather their thoughts

2. Consult a nurse before addressing the patient

3. Engage the patient in conversation to understand their needs

4. Change the subject to lighten the mood

The correct answer is: Engage the patient in conversation to understand their needs

Engaging the patient in conversation to understand their needs is the most appropriate action when noticing signs of distress. This approach allows the nursing assistant to establish a connection with the patient, showing that they care and are attentive to the patient's feelings. By actively listening and encouraging the patient to express their concerns, the nursing assistant can identify specific issues contributing to the distress, which may include physical discomfort, emotional pain, or confusion. This interaction not only helps to alleviate the immediate anxiety or discomfort the patient may be experiencing but also empowers them by giving them a voice in their care. In contrast, leaving the patient alone may make them feel isolated or unsupported during a difficult time, leading to increased anxiety. Consulting a nurse before addressing the patient, while sometimes necessary for complex issues, can delay immediate support that the patient may need. Changing the subject to lighten the mood may also dismiss the patient's feelings and prevent them from communicating what they are actually going through. Empathic engagement is key in providing comfort and appropriate care in such situations.