Resident Rights
A resident has the right to say no to this, even when staff believe it is important.
care/treatment
This term describes what a CNA is allowed to do as part of their job.
Scope of practice
This type of facility provides care for people who need help over a long period of time
Long-term care
Which of the following is PHI: a resident’s insurance ID number, their favorite television show, or the facility’s visiting hours?
Insurance ID number
Intentionally causing physical, emotional, or sexual harm to a resident is called this.
Abuse
A resident who normally walks to the dining room says, “I feel a little dizzy today, but I can still make it.” What should the CNA do before helping the resident walk?
Stop, keep the resident safe, assess what you can observe, and report the dizziness to the nurse before ambulating them.
This person advocates for residents in long-term care facilities and helps investigate complaints.
Ombudsman
This healthcare professional should be notified when a CNA notices a significant change in a resident.
The Nurse
This type of care is usually provided in a hospital for a sudden illness, injury, or surgery.
Acute care
A CNA discusses a resident’s diagnosis in the hallway where visitors can hear. What rule is being violated?
confidentially/HIPAA
Failing to provide the care, food, hygiene, supervision, or protection a resident needs is called this.
Neglect
A resident refuses a bath and says, “You people never listen to me anyway.” What should the CNA do?
Respect the refusal, ask why the resident does not want the bath, listen to their concerns, offer another time or option if possible, and report the refusal as appropriate.
Allowing a resident to choose what clothing to wear is an example of this type of care.
Person-Centered Care
A resident asks a CNA to perform a task the CNA has never been trained to do. What should the CNA do?
refuse/stop and ask the nurse for guidance rather than performing a task outside their training or scope of practice
This type of care helps a person recover strength and function after an illness, injury, or surgery.
Rehab center
CNA needs to talk with the nurse about a resident’s condition. Which location is most appropriate: the resident’s room with visitors present, a crowded cafeteria, or a private area away from others?
Private area away from others
A resident tells a CNA, “That staff member keeps yelling at me and calling me names.” What type of abuse may this be?
Emotional or psychological abuse
While helping a resident get dressed, the CNA notices the resident is much more short of breath than usual. The resident says, “I’m fine, don’t bother the nurse.” What should the CNA do?
stop the activity, keep the resident safe, and report the change to the nurse despite the resident saying they are fine?
A CNA enters a resident's room without knocking and begins changing the resident while the door is open. Name one resident right being violated
Right to privacy/dignity?
A CNA notices a resident is much weaker than usual and needs more help getting out of bed. What is the CNA's role in this situation?
Assist the resident safely, observe the change, and report it to the nurse.
This type of care is provided in a person’s own home by healthcare workers.
Home health care
A CNA leaves a resident’s chart open on a computer screen and walks away. Why is this a problem?
Because unauthorized people could see protected health information
A CNA notices unexplained bruises on a resident but doesn't know how they happened. What should the CNA do?
Report the suspected abuse immediately according to facility policy
A resident who is usually alert tells the CNA, “There are strangers standing in my room,” but no one else is there. The resident has also barely eaten today. What should the CNA do?
Recognize that this is a change from the resident’s normal condition, ensure safety, observe carefully, and report both the confusion and decreased intake to the nurse promptly?
A resident refuses a shower. State three things the CNA should do.
Respect the refusal, determine the reason/explain the care if appropriate, and report the refusal to the nurse.
The CNA spends more direct time with residents than many other members of the healthcare team. What is one of the CNA’s most important responsibilities because of this?
observing residents for changes and reporting those changes to the nurse.
This type of care focuses on comfort and quality of life for a person who is seriously ill, has 6 months to live or is nearing the end of life
Hospice Care
A family member asks the CNA for details about a resident’s diagnosis and test results. What is the CNA’s responsibility?
protect the resident’s privacy and refer the family member to the nurse or appropriate healthcare provider
A resident tells the CNA that another employee hurt them but says, “Please don’t tell anyone.” What is the CNA’s responsibility?
Report the allegation and protect the resident's safety; the CNA cannot promise to keep suspected abuse secret. Reassure the resident.
Two residents need help at the same time. One is calling for help to get to the bathroom, while the other suddenly says, “My chest feels tight and I don’t feel right.” Who should the CNA respond to first, and why?
Resident with chest tightness, because a sudden change that may indicate a serious medical problem takes priority; the CNA should get the nurse immediately while making sure the other resident is safe and gets assistance?