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1. A standard of care tells you A) about the scope of CNA Practice B) state laws that affect CNAs C) what you must minimally do D) all the steps of a procedure
Consider what guidelines define the basic requirements for ensuring patient safety and appropriate care in a healthcare setting.
2. A resident has no physician order for restraints; he is indicating he wants to leave the facility. The nurse says she will restrain the resident if necessary to keep him from leaving the facility. This would be considered:
Consider the legal rights of residents and the requirement for proper authorization when it comes to restricting a person’s freedom. Look for terms related to unlawful confinement.
3. Your nursing home’s Ethics Committee meets on a monthly basis. You attend one of these meetings and you hear committee members discussing beneficence. At the beginning of the meeting, they are discussing which of the following?
Consider the ethical implications of actions that prioritize the well-being and care of residents when discussing beneficence.
4. Mrs. Steven’s husband has just left after a visit. She is confused and non-verbal. While providing care, you notice a new bruise on her upper right arm. You should:
Consider the importance of patient safety and the need to follow proper protocols when observing concerning signs. Reporting your findings to the appropriate healthcare professional is crucial.
5. What is the purpose of writing an incident report?
Think about how documenting events can lead to improvements in care and safety within a healthcare setting. Consider the role of record-keeping in addressing and preventing future issues.
6. CNAs are personally responsible in terms of:
Consider the core principles that guide a caregiver’s actions and decisions in patient care. Focus on their obligations to uphold ethical standards and maintain trust with patients and families.
7. A CNA sees a former patient across the store. The CNA cared for this former patient for 6 months and got to know her well. Based on that scenario, which of the following is accurate with regards to HIPAA?
Remember that patient confidentiality must always be maintained, even outside of a healthcare setting. Consider the implications of discussing or acknowledging a former patient in public.
8. Where can you find scopes of practice for nurses, doctors, and nursing assistants?
Check the regulations set by your state’s licensing board or health department, as these documents outline the legal parameters for healthcare professionals.
9. You are a CNA in a skilled facility caring for a resident Al when you go to the grocery store Ella’s granddaughter stops you and asks you how her grandmother is doing. What is your best response?
Consider the importance of maintaining confidentiality and patient privacy when approached by family members outside of a healthcare setting.
10. Mr. Miller keeps calling out loudly and banging on his wheelchair tray; another nursing assistant pushes him into his room, locks the wheelchair brakes, and closes the door. You come to his aid knowing this action is considered a:
Consider the implications of isolating a resident against their will, especially in relation to patient rights and ethical caregiving practices.
11. Mr. Golden is not able to ambulate independently; he keeps trying to get out of his wheelchair and the staff must repeatedly respond to his wheelchair alarm. What action would be appropriate?
Consider addressing Mr. Golden’s underlying needs for mobility and engagement, while ensuring his safety during the process.
12. Two female nursing assistants are caring for a male resident while performing care; they discuss dates with their boyfriends, including intimate details. This inappropriate action could be:
Consider how conversations between caregivers and loved ones may affect a resident’s comfort and dignity. Reflect on the importance of maintaining professional boundaries in a care setting.
13. Define prejudice.
Consider how preconceived judgments about individuals or groups, often rooted in stereotypes, can shape attitudes and lead to unfair treatment.
14. Which federal agency is responsible for infection control in hospitals and skilled facilities?
Think about the federal agency primarily focused on public health and disease prevention in communities, particularly in healthcare settings. This agency provides guidelines that help reduce infection risks in hospitals and skilled facilities.
15. Mrs. Sanchez is a slow eater who usually has a poor intake. The nursing assistant is running behind and decides not to feed her since she takes a long time to feed but eats very little. The dietary department reports the tray is returned untouched. What charge could this nursing assistant be found guilty of?
Consider the responsibilities of caregivers in ensuring that all patients receive adequate nutrition, regardless of the circumstances or time constraints they may face. Reflect on the implications of neglecting a patient’s basic needs.
16. Patients have a right to:
Think about the principles of transparency, autonomy, and empowerment in healthcare.
17. Which of the following is an example of physical abuse?
Consider actions that directly harm or injure a person, such as hitting or slapping, as indicative of physical abuse. Look for behaviors that threaten someone’s physical safety and well-being.
18. As a CNA in a rehabilitation facility, which of the following may negatively affect the progress of the person’s rehabilitation and need to be reported?
Pay attention to signs of social withdrawal, refusal of assistive devices, and any behaviors indicating a lack of motivation or engagement, as these can hinder rehabilitation progress and should be reported.
19. You are a CNA who works at two different skilled facilities. It is your opinion that Shady Oaks is cleaner and better staffed than China Hill. You have a resident at China Hill whose family is always complaining about her care. The family complains to you. What can you do?
Focus on listening to the family’s concerns without expressing personal opinions about the facilities. Ensure you guide them to the appropriate channels for addressing their complaints, while maintaining professionalism and supporting the resident’s rights.
20. Which of the following is an example of physical neglect?
Consider situations where a person’s basic needs for hygiene, nutrition, or safety are not met, leading to potential health risks or discomfort.
21. Which of the following is an example of emotional abuse?
Consider behaviors that damage self-esteem and create fear or anxiety without physical harm. Look for examples where emotional manipulation or threats are evident.
22. Negligence occurs when a CNA does which of the following?
Think about the essential tasks a CNA is expected to perform in patient care, and consider how failing to execute these responsibilities could affect a patient’s health and safety.
23. You are caring for a group of patients in the nursing home. The highest priority greatest need for this group of patients is the need for which of the following?
Consider which fundamental requirement ensures the well-being of patients in a vulnerable setting, especially in preventing harm and ensuring overall security. Prioritize actions that safeguard against immediate risks.
24. A family member requests information about a resident assigned to you. Which answer contains appropriate information?
Remember to prioritize the resident’s privacy and confidentiality when sharing information. Stick to general updates about their well-being and routine care, and avoid discussing any sensitive medical details. If the inquiry goes beyond basic information, refer the family member to a nurse for further assistance.
25. The CNA can legally:
Remember that CNAs operate under strict regulations that prioritize patient safety and are not authorized to perform tasks that require oversight or instruction of other CNAs. Focus on their direct patient care roles within defined legal limits.