Michigan CNA case studies

Michigan CNA · Put your knowledge to work in context.

The Michigan Certified Nurse Aide (CNA) competency examination is the assessment that nurse aide candidates in Michigan sit for as part of the certification process. It is intended for people preparing to work as nursing assistants - most often in nursing homes and long-term care settings - as well as for aides who need to demonstrate continued competence. The Michigan CNA case studies are 5 cases and about 4,389 words.

Coughing at Lunch: Aspiration Risk vs. a Resident's Wishes

R, 82, has dysphagia after a stroke and is on nectar-thick liquids and mechanical soft foods; he has had aspiration pneumonia twice. At lunch in the dining room he coughs after each of his first three spoonfuls, his voice sounds wet and gurgly, and he says, "It went down wrong, but my daughter is coming at 1:30 and I want to finish." He is alert, speaking in full sentences, and not cyanotic.

832 words, about 4 min 2

Two Contact-Precautions Rooms, Three Gowns, and a Shortcut

A has had four loose stools today and is on contact precautions for C. difficile; he needs a full bed bath and a linen change.

815 words, about 4 min 3

The Care Plan Says Standby Assist; She Says She Doesn't Need a Babysitter

K, 78, has mild dementia and walks with a front-wheeled walker. She has fallen twice in three months, both times when rushing to the bathroom at night, and was not injured either time.

812 words, about 4 min 4

Twelve Pounds Down, a Fluid Restriction, and a Thermos of Soup

T, 88, has heart failure and is on a 2 g sodium diet with a 1500 mL daily fluid restriction; intake and output are being recorded. He has lost 12 pounds in six months (140 to 128) and eats about 25% of most meals.

943 words, about 5 min 5

"What's the Point?" - New Confusion After Hip Surgery

L, 70, was independent at home until a hip fracture three days ago. Since surgery he has refused to get out of bed for physical therapy twice, has not showered, sleeps most of the day, and ate about 10% of breakfast, saying, "What's the point?" Last night at 2 am he tried to climb over the side rail saying he had to get to work, and did not recognize you when you came in.

987 words, about 5 min