Oregon Certified Nursing Assistant State Practice Exam

What should a nursing assistant do if they notice a resident's sudden change in mental status?

1. Continue normal care procedures

2. Document the change and wait for the shift supervisor

3. Immediately report it to the nurse

4. Ask the resident if they are feeling okay

The correct answer is: Immediately report it to the nurse

When a nursing assistant observes a sudden change in a resident's mental status, it is crucial to prioritize the resident's safety and health, making immediate reporting to the nurse the most appropriate action. A sudden change could indicate various underlying health issues, such as a stroke, infection, or other medical emergencies, and swift intervention is critical for proper assessment and treatment. Reporting to a nurse allows for urgent evaluation and necessary medical response, ensuring that the resident receives the appropriate care without delay. This action aligns with the protocols of patient care, emphasizing communication among healthcare team members regarding changes in a resident’s condition to promote safety and well-being. Continuing normal care procedures disregards the potential seriousness of the situation, while documenting the change and waiting for the shift supervisor may lead to delays that could impact the resident's health. Simply asking the resident how they feel does not provide the necessary medical assessment and could lead to overlooking critical symptoms. Therefore, notifying the nurse is the most responsible course of action in ensuring appropriate care.