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Question 1
What position should a resident be placed in before assisting them with eating?
Answer: The resident should be in an upright sitting position, ideally at a 90-degree angle, to reduce the risk of aspiration during eating.
Question 2
How long should a CNA wait between offering bites of food to a resident who needs feeding assistance?
Answer: The CNA should wait until the resident has fully chewed and swallowed the previous bite before offering the next one, typically allowing enough time to prevent choking.
Question 3
What is the CNA's responsibility when a resident refuses to eat?
Answer: The CNA must respect the resident's right to refuse, document the refusal, and report it to the nurse so the care plan can be re-evaluated.
Question 4
Which observation during mealtime should be reported to the nurse immediately?
Answer: Coughing, choking, gagging, or difficulty swallowing during meals must be reported immediately, as these can indicate dysphagia and risk of aspiration.
Question 5
What does the term 'dysphagia' mean, and why is it important for a CNA to know?
Answer: Dysphagia means difficulty swallowing. CNAs must recognize it because it increases the risk of aspiration, which can lead to aspiration pneumonia.