Certified Nursing Assistant (CNA) Prometric Practice Exam

If a resident frequently pushes food off the plate while trying to eat, what should the nurse aide do?

1. Provide a larger plate

2. Use a smaller fork

3. Discuss using a plate guard with the charge nurse

4. Feed the resident directly

The correct answer is: Discuss using a plate guard with the charge nurse

When a resident frequently pushes food off the plate while trying to eat, discussing the use of a plate guard with the charge nurse is a proactive approach. A plate guard is a device that can be attached to the edge of a plate, providing a barrier that helps prevent food from sliding off. This intervention is designed to promote independence during meals and can significantly enhance the resident's ability to self-feed without unnecessary frustration or waste of food. Collaborating with the charge nurse allows for an assessment of the resident’s specific needs and tailoring the solution appropriately. It also ensures that any new equipment is safe and appropriate for the resident's individual situation. Engaging in this dialogue allows for a more comprehensive care approach and brings in the nurse's expertise regarding the appropriate use of feeding aids specific to the resident's condition and capabilities. Using a larger plate or a smaller fork, while they may seem helpful, do not address the underlying issue of food falling off the plate. Additionally, feeding the resident directly would limit their independence and may not be suitable unless they have serious difficulties in self-feeding. Therefore, proposing a plate guard is the most effective solution in enhancing the resident's dining experience while promoting their independence.