Montana CNA case studies
Montana CNA · Put your knowledge to work in context.
The Montana Certified Nurse Aide (CNA) credential is the entry-level nursing assistant qualification used in Montana's long-term care facilities, nursing homes, home health agencies, and hospital aide roles. Certification is regulated at the state level, and the Montana Department of Public Health and Human Services (DPHHS) is the state agency whose website (dphhs.mt.gov) serves as the starting point for program information, applications, and required reports. Candidates typically complete a state-approved nurse aide training program and then sit a competency evaluation made up of two parts: a multiple-choice knowledge (written) test and a hands-on clinical skills demonstration in which the candidate performs selected skills while being observed. The knowledge test is organized around six content areas: the role of the nurse aide and resident rights; promotion of safety and infection control; promotion of function and health of residents; basic nursing care and personal care skills; specialized care and psychosocial needs; and clinical skills performance. The Montana CNA case studies are 5 cases and about 3,680 words.
1Refusing a Shower and a Family Request to Hand Over Pills
Halverson, 82, is on day 3 after hip replacement surgery. He has refused a shower each morning, saying the shower chair "hurts" and that he would rather wash at the sink.
708 words, about 4 min2Contact Precautions, a Call Light, and a Shared Blood Pressure Cuff
Okafor has active Clostridioides difficile diarrhea and is on contact precautions. You are her aide today.
792 words, about 4 min3Thickened Liquids, a Can of Soda, and a Fluid Restriction
Delgado, 78, had a stroke five weeks ago and has dysphagia. His care plan reads: nectar-thick liquids only, mechanical soft diet, no straws, sit upright at least 30 minutes after meals.
719 words, about 4 min4A Non-Blanching Red Mark and a Resident Who Refuses to Be Turned
Pruitt, 88, is largely bedbound after a hip fracture. She has a stage 1 pressure injury over her sacrum: a red area that does not blanch when pressed.
726 words, about 4 min5A Wandering Neighbor, an Angry Family Member, and a Question About Someone Else's Health
Byrne, 79, has moderate Alzheimer's disease. Three times this week he has walked into Mr.
735 words, about 4 min