What should you observe in a resident with cognitive impairment that should be reported?

• A. Sudden confusion changes
• B. New behavior or wandering
• C. Refusal of food or water
• D. All of the above

Answer: (D)

Any new or sudden change in a resident with cognitive impairment should be reported. Sudden confusion changes can signal delirium from infection, dehydration, or medication effects and require quick assessment. New behaviors or wandering can indicate increased disorientation, pain, unmet needs, or safety risks, and wandering raises the chance of injury. Refusal of food or water can lead to dehydration, illness, or weight loss and may reflect dental problems, swallowing issues, or pain. Because these signs can point to acute problems, they should be reported promptly to a nurse or supervisor with details about what was observed and when. All of these observations are important and should be reported.