It’s important that CNAs know their duties, limitations, and responsibilities as well as the rights of patients in their care. CNA’s are responsible for assisting patients with their basic needs and ensuring that they have an enjoyable experience while receiving care at home or in a healthcare facility. This CNA patient rights practice test is designed to help students prepare for the Certified Nurse Assistant (CNA) exam. The test contains 20 questions which must be completed within 20 minutes. It is 100% free of charge and includes detailed instructions on how to use it effectively as well as answers after you complete the quiz so you know what your score was right away!
This is a timed quiz. You will be given 60 seconds per question. Are you ready?
“Any threat to the psychological well-being of a resident that results in psychological or emotional distress” is the definition of ____.
This is the definition of mental abuse. Depriving a resident of any of the rights listed in the “Residents Bill of Rights” constitutes mental abuse. Financial exploitation and verbal assault are other examples of mental abuse.
Which of these statements is true for “restorative nursing”?
The other options do not provide restorative care.
A resident is to be discharged from your facility for failure to pay for his care. According to the “Residents Bill of Rights,” what is the proper amount of notice that he must be given?
The “Residents Bill of Rights” states that in the case of a transfer or discharge for medical reasons, the welfare of the resident or that of other residents, and for non-payment (excluding becoming Medicaid-eligible), the resident or representative must be given written notice 30 days prior to the change.
As a nursing assistant, when a resident refuses a bath it is your responsibility to ____.
Respecting the resident’s rights includes the right to refusal of care. However, the supervising nurse should be notified as early as is convenient.
When a resident has visitors, it is important for a nursing assistant to ____.
A resident has the right to visitors and privacy. The other options are not appropriate actions for the nursing assistant to take.
A resident in your care tells you that he does not like his current physician and wishes to be seen by another doctor. Your response to this should be ____.
Each resident has the right to choose his or her own physician and pharmacy. Your opinion of a physician is not relevant to that decision and should not be shared with the resident, whether it is positive or negative. The assistance of the facility social worker or an RN should be sought in this case.
You have two residents in your care who belong to your church. Both have been asking you questions about the medical condition of the other. They are both worried and know you care. What is your best response?
The other options either disregard your code of conduct about keeping patient information amongst the members of the residents healthcare team, or only avoid the problem.
It would not be appropriate to share health care information about a resident with ____.
The members of the resident’s healthcare team need access to the resident’s health information in order to provide the best treatment. Friends are not allowed to have access to the resident’s records.
The family members of a resident ask you to check what the resident’s record says about resuscitation wishes in the event the resident was to expire. Upon looking at the records, you see that the resident has given permission to share all medical information with these family members. You also see the initials DNR in the resident’s advance directive. You tell the family ____.
DNR is an universal term abbreviation for “DO NOT RESUSCITATE”. Note: You would not release any information to the family unless permission to do so was found in the resident’s files. To do so would be in violation of HIPAA regulations, which should be known, understood, and followed at all times.
Which of these is included in the “Residents Bill of Rights”?
The “Residents Bill of Rights” is a policy that expands upon the “Patients Bill of Rights”, formulated by the American Hospital Association (AHA). It serves as a guide for those who are living in long-term care facilities. The right to be informed about the facilitys services and charges is an issue addressed in this bill of rights.
A residents right to information involves all of these except ____.
The staff divulging the complete medical history of the residents roommate is a violation of the roommates privacy. All of the other options are part of a residents right to information.
Which resident right is being violated if a nursing assistant enters the hospital cafeteria and hears another assistant talking about a resident with co-workers?
All of these are resident rights; however, the only one that applies to this particular situation is the right to privacy. The other rights are incorrect for this situation.
You have taken care of the same pleasant female resident daily for the past 6 months. Very suddenly, she demonstrates a drastic personality change. She exhibits frequent crying and withdrawal from activities. She refuses her ADLs and becomes fearful of physical contact with you and other caregivers. She seems very anxious and nervous when she is around others. As her CNA, your most appropriate course of action would be to ____.
This scenario includes many clues that suggest this resident is being abused. In this case, it is your moral, ethical, and legal duty to report your suspicion of resident abuse. You should do so following the policies of your facility and avoid any personal opinions or assumptions as you do. Always be as factual as possible about your observations. Do not worry about whether your suspicion is correct; your duty to protect your resident outweighs all else.
Beneficence is defined as ____.
Beneficence is defined as doing good for others. It is one of the ethical principles that should always guide you in your daily work as a CNA.
It is appropriate for the nursing assistant to share personal client information with ____.
HIPAA privacy laws dictate that healthcare professionals only share relevant client information with those directly involved in caring for the patient.
Which of these describes the job of an Ombudsman Committee?
An Ombudsman Committee is a group of concerned citizens usually appointed by the state governor to investigate all complaints of resident abuse. The committee members are not affiliated with a healthcare facility.
Which of these does not show caring behaviour?
This is the only option that does not show that resident care is your primary concern.
Which of these is a violation of a residents right to privacy?
A residents right to privacy allows members of the immediate healthcare team who are treating him or her to discuss his or her condition. All of the other options involve members of that team. Talking to a fellow nursing assistant, who may or may not be part of the team, in a lunchroom where conversations could be overheard by others, is a violation.
When you walk in to begin your shift, a resident is being put in restraints by the charge nurse. This means ____.
It is important that restraints are recognized as a way to keep a resident from harming themselves and not as a form of punishment. Nursing assistants can still care for a resident in restraints.
Residents have a right to telephone privileges. Which of these correctly describes these rights?
Residents have the right to have access to a phone and privacy to use it. Supervised phone calls violate the resident’s privacy and scheduled hours only restricts rights. A resident does not have to bring their own phone to be able to use one.
Tips to Support Patients Rights as a CNA
The Patient’s Bill of Rights was introduced during the early 1970s. Since then, there have been many changes as and when some unusual incidences occurred during patients’ treatment. As the years progressed, healthcare technology changed, compelling the America Healthcare Association to present a new bill. This bill has included the process and policies of insurance companies. It has also refined and laid rules in dealing with specific situations that may happen during treatment.
If you are in the nursing profession, it is your duty and responsibility not to violate or disregard a patient’s rights. Failing in respecting and following the basic rules of healthcare will damage your as well as the employer’s reputation.
Every individual, group, or institution has certain rights. Nobody loses his or her rights under any circumstances. Every citizen of the U.S. Country has the right to information, even when they are admitted to any medical care facility for treatment. Being a CNA, it is your duty to respect this act and provide information to patients relating to their treating. As a CNA, you must go through these tips for supporting patients’ rights:
The first thing you should do while providing care to patients is to introduce yourself. Tell them what care you will be providing them. This conversation will start to build an understanding of each other. Encourage them to open up and listen to their problems carefully. Try to find out what they need to know. Try to provide individual care to each patient.
Treat each patient with respect. Do not allow them to have a feeling of discrepancies just because they belong to a certain race, creed, age, status, or any disability. Try to be honest and ethical and never indulge in any abusive or delinquency matters.
Make a Good Relationship
Speak to the patients’ relatives and share with them about the treatment their family member is going through. This will win their confidence, and they will start trusting you. If patients need to know what treatment doctors have planned, and how long it will take to complete the course, you have to oblige it in a convincing manner. Let them know why the planned treatment is necessary and what benefits it will bring to them.
Be More Considerate
Be considerate of your duty. Take care of patients’ feelings and rest. If something that can be postponed for an hour or two, do not disturb them while they are in sleep. Even when they are awake, inform them what step you are about to take. For example, if you need a blood sample for the lab test, first intimate them and then proceed.
Respect Patients Privacy
Respect patients’ privacy. During your shift, you may be assigned to look after more than one patient. When walking towards each bed, take care that the details about the previous patient in the file are not visible.
Don’t Break Trust
Do not entertain any gossip from the staff and other patients. It is possible that a patient on bed no. 4 will ask you about a patient on bed no. 1. You cannot judge whether the intention of no. 4 is just to calm down his/her curiosity or simply to share sympathy. Therefore, the best policy is to turn over the question and divert their attention to something they are interested in.
Don’t Be Over Smart
As you get closer to patients and their relatives, they may ask you several related questions. Answer only those you are sure about. Do not assert anything based on your assumption. The least you can do is to pass it to the supervisor if they are not satisfied with the care provided.
If patients raise any doubts about their treatment, it is your duty to communicate it to the medical team. Remember, patients can also refuse the treatment if they are not convinced. They even have the right to complain about you to your supervisor.
Remember Your Safety & Precautions
Apply all sorts of safety and precautions while working with sharp objects. As a CNA, you will use injections, catheters, scissors, and tongs. All these instruments may inflict injury to patients and yourself if you are negligent.
Protect Patients Rights
Whenever you see any patients’ rights violations committed by the staff, it is your moral responsibility to inform the concerned supervisor. This will stop negligence and abuse in the facility. Health care rights are very important to the people of America. The healthcare bill of patient’s rights has outlined specific instructions for people working in the medical field. Responsibilities of nursing professionals are also included in this bill. Therefore, you must abide by the instruction.
Follow these tips that will help you in supporting patient rights.