Oregon Certified Nursing Assistant State Practice Exam

If a resident with AD has lost most of his verbal skills, what should the NA do?

1. Assume the resident cannot understand what is being said

2. Use touch, smiles, and laughter

3. Ask the resident questions

4. Avoid involving the resident in activities because it will only frustrate him

The correct answer is: Use touch, smiles, and laughter

When a resident with Alzheimer's disease (AD) has lost most of his verbal skills, using non-verbal communication methods such as touch, smiles, and laughter is essential. These forms of communication can help establish a connection with the resident and create a more comfortable environment. Touch can be comforting and convey care and support, while smiles and laughter can uplift the resident’s mood and encourage engagement without relying on verbal exchange. Using these non-verbal techniques allows the nursing assistant to communicate feelings of warmth and understanding, helping to bridge the gap created by the loss of verbal skills. It can also promote a sense of belonging and security for the resident. Involving them in this manner can positively impact their emotional well-being and encourage participation in social interactions and activities, which are vital for their overall health. Assuming the resident cannot understand what is being said is not an effective approach, as many individuals with Alzheimer's retain their ability to comprehend non-verbal cues, and withdrawing from communication can lead to increased isolation and potential agitation. Asking questions may not be appropriate if the individual has significant verbal deficits, as this may lead to frustration for both the resident and the caregiver. Avoiding involvement in activities altogether is counterproductive, as meaningful engagement can enhance the quality of life for individuals