Oregon Certified Nursing Assistant State Practice Exam

What is the best response for a nursing assistant when a resident appears confused?

1. Avoid discussing the date or location

2. Stay calm and create a quiet environment

3. Leave the resident alone

4. Avoid explaining care procedures

The correct answer is: Stay calm and create a quiet environment

When a resident appears confused, staying calm and creating a quiet environment is the best response because it helps to reduce anxiety and allows the resident to feel more secure. Confusion can often be exacerbated by overstimulation, noise, or stressful situations. By maintaining a calm demeanor and ensuring that the environment is peaceful, the nursing assistant can help the resident regain focus and potentially clarify their thoughts. Providing a stable and calming atmosphere also encourages communication, making it easier for the nursing assistant to assess the resident’s needs and offer appropriate support. This supportive approach fosters trust and safety, which are crucial in handling residents who may be feeling vulnerable due to confusion. Such practices are integral to maintaining a dignified and respectful caregiving experience. In contrast, other responses may not effectively address the resident's needs. For instance, avoiding discussion about the date or location could deprive the resident of valuable context that may help them orient themselves. Leaving the resident alone risks increasing their confusion and anxiety, while avoiding the explanation of care procedures might leave them feeling insecure and unsure about what is happening to them. These alternatives do not prioritize the emotional and psychological support that is essential for someone experiencing confusion.