Wisconsin Certified Nursing Assistant (CNA) Practice Exam

How should a caregiver respond to a resident with dementia experiencing a delusion?

1. Argue with the resident

2. Reassure and assist in looking for the doll

3. Ignore the behavior

4. Redirect to a different topic

The correct answer is: Reassure and assist in looking for the doll

Reassuring the resident and assisting in looking for the doll is an effective approach when a person with dementia is experiencing a delusion. This strategy fosters a sense of security and validation for the resident, helping them feel understood and supported. By engaging with the resident's experience and providing assistance, the caregiver can help alleviate distress and confusion. Supporting the resident in searching for the item they believe is lost allows for a compassionate response that respects their feelings and reality at that moment. When caregivers confront or argue with the resident about their delusion, it can lead to increased agitation and frustration, worsening the situation. Ignoring the behavior may convey a lack of empathy or concern, potentially exacerbating the resident's feelings of isolation or anxiety. Redirecting to a different topic can sometimes be useful, but in instances where the delusion is causing significant distress, it may not address the underlying need for reassurance or validation that the individual is seeking. Providing support and reassurance creates a more positive environment for the resident, which is crucial in dementia care.