Intro to Healthcare
A patient receives treatment at a clinic and returns home without staying overnight. What type of care is this?
Outpatient care
A CNA closes the curtain and keeps a resident covered during personal care. What right is being protected?
Privacy and dignity.
Does CNA certification make someone a licensed nurse?
No. Certification and nursing licensure are different.
In EAT UP, what do A and P stand for?
Ambulating and Positioning.
A CNA records that a resident received care that was never provided. What is this called?
Falsification: intentionally recording false information.
A CNA promises to return to help a resident and keeps that promise. Which ethical principle is demonstrated?
Fidelity: keeping promises and commitments.
What type of care focuses on comfort and quality of life for someone nearing the end of life?
Hospice care
Giving the healthcare team an accurate medication and allergy history is a patient right or a patient responsibility?
A patient responsibility.
What term means the legal limits of what a healthcare worker may do?
Scope of practice.
What does TAPE stand for?
Teaching, Assessment, Planning, Evaluation.
A CNA explains that they will check a resident’s blood pressure. The resident holds out their arm. What type of consent is this?
Implied consent: permission shown through an action.
A CNA provides the same respectful care to a resident who is friendly and a resident who often complains. Which ethical principle is demonstrated?
Justice: providing fair care without favoritism.
What is the difference between an acute illness and a chronic illness?
Acute: sudden or short-term. Chronic: long-lasting or recurring.
A resident chooses an outfit that the CNA thinks looks mismatched. What should the CNA do?
Respect the resident’s choice and support independence.
What is the purpose of the Nursing Assistant Registry?
To maintain an official record of nursing assistant status and relevant findings.
A CNA understands a task but does not know which changes require an immediate report. Which Right of Delegation needs clarification?
Right directions and communication.
A CNA suspects a coworker is mistreating a resident but has no proof. Should the CNA report it or investigate first?
Report the suspicion promptly through required channels. Proof is not required, and the CNA should not investigate independently.
A CNA realizes they forgot an assigned task. Instead of making an excuse, they tell the nurse exactly what happened. Which ethical principle is demonstrated?
Veracity: telling the truth.
Two residents have the same illness, but one prefers morning showers and the other prefers evening showers. Why should staff consider each resident’s preference?
Patient-centered care respects each person’s individual needs and choices.
A resident wants to complain about care but is afraid of upsetting staff. How should the CNA respond?
Listen respectfully, report the concern, and help the resident access the complaint process.
An employer includes a task outside the CNA’s legal role in the job description. Does that make the task allowed? Explain.
No. A job description cannot expand legal scope of practice.
A CNA cannot finish an assigned task because the necessary equipment is unavailable. What should the CNA do?
Notify the nurse promptly and ask for a revised plan or needed assistance.
A CNA ignores required transfer precautions, causing a resident to fall and become injured. What legal term best describes this failure to provide reasonable care?
Negligence. The failure to follow precautions caused harm.
The CNA asks whether they would like the blinds adjusted. Which ethical principle does this demonstrate, and why?
Beneficence means acting for the resident’s benefit. The CNA notices discomfort and offers a simple way to help without waiting to be asked. Asking before adjusting the blinds also respects the resident’s choice, supporting autonomy
Who is Medicare mainly for, and who may qualify for Medicaid? How are the programs funded?
Medicare: Mainly for people 65 and older and some younger people with certain disabilities or conditions. Funded at the federal level.
Medicaid: For eligible people with limited income who meet program requirements. Funded by federal and state governments.
A patient asks a visiting family member to leave before discussing a personal concern. Give two ways staff can support the patient’s rights.
Help arrange privacy and respect the patient’s choice about who participates in the conversation.
A CNA records that a resident ate very little and reports the observation. The nurse determines whether the care plan needs to change. Why are these different responsibilities?
The CNA collects and reports observations. The nurse interprets findings and makes nursing care decisions.
A nurse delegates a task to a CNA, who accepts it. The CNA says, “If something goes wrong, only the nurse is responsible because they assigned it.” Is that correct? Explain each person’s accountability.
No. The nurse is accountable for making an appropriate delegation decision and providing supervision. The CNA is accountable for their own actions, performing the task safely, and reporting concerns.
A CNA threatens to slap a resident but does not touch them. Another CNA deliberately slaps a resident. Name the wrongful act in each situation and explain the difference.
The threat is assault if it causes reasonable fear of immediate harmful contact. The slap is battery because harmful contact occurred. A visible injury is not required for battery.
A resident quietly tells a CNA, “The aide on evenings threatens to leave me in wet clothing if I use my call light too much. Please don’t tell anyone! I’m afraid they’ll treat me worse.” The CNA wants to keep the resident’s trust. What should the CNA do, why should they do it, and which ethical principle supports their response?
Listen, reassure the resident, and explain that the concern must be reported to help protect them. Share it only through appropriate reporting channels. Nonmaleficence means preventing harm; keeping a harmful secret does not protect the resident.