This is our first communication skills practice test for CNAs. 25 practice questions have been given and you have to answer at least 20 questions correctly to pass this test. The question pattern verified by the expert as (NNAAP) standard and up to date for 2021.
This is a timed quiz. You will be given 90 seconds per question. Are you ready?
What is the most likely diagnosis for a resident who cannot smell smoke, increases their use of sugar or salt on foods, asks for a magnifying glass to read, and asks for the volume to be turned up while watching television?
Sensory impairment is when a resident loses or has a reduction in the use of the sight, hearing, smell, or taste senses. Sensory overload and sensory stimulation is an increase to the senses and sensory deprivation is a deliberate reduction or elimination of stimuli to the senses.
Which of these contributes to bad communication between a nursing assistant and a resident?
Each of these individually can interfere with communication between a health worker and a resident. All of them combined make matters even more difficult. By listening carefully to a resident and observing behavior, a nursing assistant can sometimes “read between the lines” and be even more understanding of what type of response is needed. Take time to explain procedures and ask if the resident has any questions.
When you are documenting in a medical record, which of these is not part of the process?
You must consider that a medical record is a legal document. Entries are not erased. The other options are part of the process.
A resident tells you that he feels like he’s “got a lump in his chest.” An example of clarifying the message he’s communicated to you would be to ask him ____.
Part of effective communication is to clarify the message that has been communicated to you by your resident. This involves repeating back to him or her the information that you believe was communicated to ensure that everyone is on the same page. These questions usually start with, “Let me see if I understand what you mean…?” or “Is this what I am hearing you say…?”.
A patient is having surgery the following day. Which of these notations in the orders indicates the patient should have nothing by mouth?
NPO is the medical abbreviation for “nothing by mouth”. It is from the Latin “nil per os”. NOC stands for night, NKA stands for no known allergies, and MN stands for midnight.
The nurse has just told you that you left something important off the charting of a resident’s input for the day. All of these should be included except ____.
A nurse charts intravenous fluids. All of the other options would be required documentation on the resident’s intake record.
A resident calls his relatives and then tells you he is frustrated and plans on leaving the building without medical approval. Your first line of communication should be ____.
The nurse is the person who should report the incident to other staff who are part of the healthcare team, including the physician.
If you have a resident who is completely deaf, which of these would be the most important for effective communication?
It is important when dealing with a resident who hears no sound to have an easy, alternative form of communication. The other options might be acceptable for someone who still has some percentage of hearing.
Which of these is not part of the process upon entering a resident’s room for the first time?
The resident doesn’t need to see your licensing. The other options establish courtesy, respect for privacy, and personal engagement with the resident.
A resident with memory difficulties often needs a nursing assistant who will ____.
A resident with memory difficulties can feel worse if he or she is constantly reminded of his or her forgetfulness. Joking and laughing can cause embarrassment and shows disrespect. Memory difficulties may require more of your time rather than less. Time spent actively listening and showing care is the best answer.
A resident’s input and output must be documented in a patient’s record ____.
As a nursing assistant, you record the amounts occurring throughout your shift, as they occur. Then, the intake and output totals must be documented in the patient’s record before you leave for the day. The other options are incorrect because it is your job to do this and there is no way to predict how often or when there will be intake or output.
Which of these would not be helpful when dealing with a patient with a speech impairment?
Completing the resident’s sentence will only frustrate him or her and make him or her feel like you are rushing through the conversation. The other options are all appropriate actions to take when dealing with a patient with a speech impairment.
Which of these is not considered to be a good communication skill of a CNA?
Good, effective communication skills of a CNA include listening, responding, and documenting what residents tell you about themselves and their unique needs. While you may need to develop or use the skill of delegating as a CNA, it is not considered an essential skill for good communication.
Which of these should be reported to the charge nurse “STAT”?
A normal adult’s radial pulse is 60-100, depending on activity level. 135 is above normal and should be addressed. The respiratory rate falls in a “normal” category and cloudy urine or loose stools may be a problem but not something necessitating the label “STAT.”
There are certain steps to follow from start to finish when beginning a procedure on a patient. As a nursing assistant, it is extremely important to start with which of these tasks?
While the other options are correct steps, the first step is to check the resident’s identification.
Which of these is a form of non-verbal communication that might send a poor message to a resident?
This question is to test understanding of unsaid actions or behavior that signal a negative message. Having your hands on your hips with lips pursed sends a poor message whether a word is uttered or not. All of the other choices are poor communication techniques that are verbal.
All of these are indications of visual impairment except ____.
While a resident may withdraw from social activities that require visual acuity, withdrawing from social interaction is not a classic sign of visual impairment and may be caused from a variety of other unrelated factors. All of the other choices are common indicators that visual impairment exists.
Which of these practices is not part of good verbal communication with a resident?
You should avoid using medical jargon when speaking to a patient. Speak clearly, using words and phrases that your resident can understand, and ask open-ended questions that discourage yes or no answers but encourage further exploration of the resident’s thoughts and feelings instead. Always make sure to clarify the message you receive by repeating what you’re told back to the resident. These steps ensure good verbal communication.
When a resident is upset and frustrated, a nursing assistant should ____.
Trying to reason with a resident or asking the resident to remember details can aggravate his or her agitation. Telling the resident there are circumstances everyone gets upset over does not give validation that he or she has a right to be upset. Offering to listen and to tell the health care team allows the resident to vent frustrations and to know you care enough to try to get additional help.
Which of these describes the most likely reaction a resident has upon hearing a nursing assistant criticize fellow co-workers?
When a nursing assistant criticizes fellow co-workers, it makes residents feel uncomfortable. The resident might fear you doing the same thing to them when they are not present. It shows a lack of empathy for others and tends to make a resident feel less likely to open up or feel your care may be insincere.
A patient’s care plan indicates that she should be ambulated BID. How many times a day would ambulation be required?
BID is a common medical abbreviation that originates from the Latin “Bis in die” and means twice a day. QD is once a day, TID is three times a day, and QID is four times a day.
Sometimes the best response for a nursing assistant is to assure the resident you are listening. Which of these behaviors is the best way to exhibit good listening skills?
Stopping, facing the resident, and making eye contact are all ways to signal that you are listening and that what they are saying is important. The other options may dissuade future conversations.
Which of these is most important when a resident is being initially admitted to a care facility?
The resident needs to have input about his or her needs and wishes. Family members can supplement with additional or corrected information if the resident confuses details. The care facility needs to build a rapport with the resident and the resident needs to feel he or she is part of the process. Oftentimes, family members have as much difficulty accepting the placement as the resident. Therefore, it is comforting for both to have facility members take a personal interest in the residents.
Which of these is not a primary reason for an indwelling catheter to be taped down?
While the taping may inadvertently signal to family members and visitors that the indwelling catheter is not to be removed, it is not a primary reason it is done. All of the other options are correct.
It is important to report which of these conversations between a CNA and a resident to ensure his or her safety and well-being?
Developing a good interpersonal relationship with your resident will facilitate effective communication. While you should get to know him or her as well as you can, certain conversations should be reported to ensure the well-being and safety of your resident. Reporting specific requests, evaluations, concerns about care, or safety considerations, as well as a change in condition, are examples of such conversations.