California Nursing Home Administrator License Practice Exam

How should a facility handle a resident with dementia who believes they are being kidnapped?

1. Contact the family to remove the resident from the facility

2. Provide additional support and address the behavior

3. Remove the telephone from the resident's room

4. Ask the family to speak to the resident about their behavior

The correct answer is: Provide additional support and address the behavior

Providing additional support and addressing the behavior is essential when dealing with a resident who has dementia and believes they are being kidnapped. This approach acknowledges the resident's feelings and perceptions, which may not align with reality but are very real to the individual experiencing them. In dementia care, validation and reassurance are key strategies. Providing a calming presence, reassurance of safety, and responding to the resident’s concerns can help alleviate their distress. Implementing a supportive environment can also involve engaging the resident in familiar activities or redirecting their attention, which can soothe anxiety and confusion. Such a supportive response contrasts with the other options. For example, contacting the family to remove the resident may exacerbate their fear and sense of abandonment. Removing the telephone could further isolate the resident and might increase feelings of helplessness. Asking family members to address the resident's behavior may not consider the immediate emotional needs of the resident, and could unintentionally increase their anxiety rather than providing comfort and support in the moment. Overall, focusing on supportive care creates a safer and more compassionate environment for residents with dementia.