Healthcare Settings
Name one type of long-term care facility.
Skilled nursing, residential care
Define person-directed care in one phrase.
Care that puts resident’s needs/choices first
What are CNAs not allowed to do?
Give meds, sterile procedures, chart for nurses
What year was OBRA passed?
1987
What are the 3 basic parts of communication?
Sender, message, receiver
What type of care focuses on comfort, dignity, and end-of-life?
Hospice care
Which principle is ignored if CNA insists bath at 7 AM without asking?
Person before task
What are the Five Rights of Delegation?
Task, circumstance, person, direction, supervision
True/False – Residents can refuse treatment.
True
Give an example of a non-verbal communication cue.
Facial expression, posture, gesture
True/False – Home health care is provided only in hospitals.
False
True/False – Residents should have individualized choices about meals, routines.
True
Nurse asks CNA to take vitals & report back. Is this within scope?
Yes, appropriate
Who is the Ombudsman & what do they do?
Resident advocate; investigates complaints
Resident offers CNA $20. Response? Scope?
No. Politely decline, report to nurse
Which facility focuses on helping patients regain skills after injury or illness?
Rehabilitation center
Name two person-directed qualities CNAs should practice.
Communication, advocacy, relationship building, teamwork
Nurse asks CNA to give insulin. Scope?
No, politely refuse, outside scope
Name 3 Resident Rights under OBRA.
Privacy, info, grievance, choice, belongings, etc.
Resident says 'I miss my home.' CNA response?
Acknowledge feelings: 'You miss your home, that must be hard.'
What type of facility provides short-term, acute care for serious illnesses or injuries?
Hospital
What’s difference between person-directed vs task-centered care?
Resident choices & dignity vs staff convenience/routine
What is CNA’s role as para-professional?
Provide care within scope, report observations, maintain certification
What should CNA do if resident refuses shower?
Respect refusal, document, report to nurse
Name 2 communication barriers & how to overcome.
Noise→turn off TV; language→interpreter; hearing loss→speak clearly