Unit 4

Communication

Critical thinking

Work-Life balance

Planning & Observing

100

What is communication?

A) The exchange of information between people
B) A medical procedure
C) A type of documentation
D) A way to diagnose illness

A — The exchange of information between people

100

What does engagement mean in a healthcare setting?

A) Avoiding interaction with residents
B) Being actively involved and attentive in interactions
C) Only talking to residents when necessary
D) Completing tasks without communicating

B) Being actively involved and attentive in interactions

100

What does work-life balance mean?

A) Working as many hours as possible
B) Maintaining a healthy balance between work and personal life
C) Avoiding responsibilities outside of work
D) Never taking time off from work

B) Maintaining a healthy balance between work and personal life

100

What is the purpose of observing a resident?

A) To diagnose the resident's illness
B) To notice changes in the resident's condition
C) To decide what medications the resident needs
D) To replace the nurse's assessment

B) To notice changes in the resident's condition

200

What is nonverbal communication?

A) Speaking to a resident
B) Writing in a resident’s chart
C) Communicating through body language, facial expressions, and gestures
D) Giving a resident written instructions

C — Communicating through body language, facial expressions, and gestures

200

Which action demonstrates critical thinking by a CNA?

A) Doing every task exactly the same way regardless of the situation
B) Ignoring changes in a resident's condition
C) Observing a situation, considering the information, and deciding what action is appropriate
D) Waiting for another CNA to notice a problem

C) Observing a situation, considering the information, and deciding what action is appropriate

200

Which is an example of a healthy work-life balance?

A) Getting enough rest and making time for personal activities
B) Skipping meals to finish work
C) Working every day without breaks
D) Ignoring stress until it becomes overwhelming

A) Getting enough rest and making time for personal activities

200

Which information should a CNA report to the nurse?

A) A resident's usual behavior
B) A change in the resident's condition
C) What the CNA ate for lunch
D) The resident's favorite television show

B) A change in the resident's condition

300

Why is active listening important when communicating with a resident?

A) It allows the CNA to finish tasks faster
B) It helps the CNA understand the resident’s needs and feelings
C) It prevents the resident from asking questions
D) It allows the CNA to avoid difficult conversations

B — It helps the CNA understand the resident’s needs and feelings

300

Which is an example of effective communication with a resident?

A) Using complicated medical terms
B) Interrupting the resident to save time
C) Maintaining appropriate eye contact and listening carefully
D) Talking about the resident with another staff member while the resident is present

C) Maintaining appropriate eye contact and listening carefully

300

Why is getting enough sleep and rest important for a CNA?

A) It allows CNAs to avoid communicating with residents
B) It can help improve concentration, energy, and job performance
C) It means the CNA will never experience stress
D) It eliminates the need for breaks at work

B) It can help improve concentration, energy, and job performance

300

When reporting care, a CNA should:

A) Give accurate and objective information
B) Include personal opinions about the resident
C) Guess when information is unknown
D) Only report information if the resident asks

A) Give accurate and objective information

400

A resident is upset and begins crying while telling a CNA about a personal problem. What is the most appropriateresponse?

A) Change the subject so the resident doesn't become more upset
B) Tell the resident that other people have bigger problems
C) Listen attentively and allow the resident to express their feelings
D) Tell the resident not to worry about it

C — Listen attentively and allow the resident to express their feelings

400

A resident tells a CNA, “I don't feel like myself today.” What should the CNA do first?

A) Tell the resident that everyone has bad days
B) Ignore the comment because the resident didn't specifically ask for help
C) Listen to the resident, ask appropriate questions, and observe for changes that may need to be reported
D) Tell the resident to speak with the nurse later

C) Listen to the resident, ask appropriate questions, and observe for changes that may need to be reported

400

A CNA is feeling overwhelmed by work responsibilities and personal responsibilities. Which action would best support work-life balance?

A) Take on additional shifts to avoid thinking about the stress
B) Ignore the problem and hope it goes away
C) Set reasonable boundaries, prioritize responsibilities, and make time for rest
D) Stop communicating with coworkers

C) Set reasonable boundaries, prioritize responsibilities, and make time for rest

400

A CNA notices that a resident who normally walks independently is suddenly having difficulty walking. What should the CNA do?

A) Assume the resident is just tired
B) Encourage the resident to walk faster
C) Observe the change and report it to the nurse
D) Wait until the end of the week to mention it

C) Observe the change and report it to the nurse

500

A resident who normally communicates clearly has become withdrawn and is giving very short answers. The CNA notices the resident avoiding eye contact and appearing tense. What should the CNA do first?

A) Assume the resident is simply having a bad day
B) Tell the resident they need to communicate more clearly
C) Pay attention to the resident’s verbal and nonverbal cues and use therapeutic communication to determine what may be wrong
D) Immediately report the resident for refusing to communicate

C — Pay attention to the resident’s verbal and nonverbal cues and use therapeutic communication to determine what may be wrong

500

A CNA notices that a resident who is usually talkative is suddenly quiet, has not eaten much, and seems less interested in participating in activities. What demonstrates the best use of engagement, critical thinking, and communication?

A) Assume the resident is tired and leave them alone
B) Encourage the resident to participate without asking questions
C) Observe and communicate with the resident, consider the changes together, and report significant changes to the nurse according to facility policy
D) Wait until the resident's next scheduled appointment

C) Observe and communicate with the resident, consider the changes together, and report significant changes to the nurse according to facility policy

500

A CNA has been working extra shifts, sleeping poorly, and becoming increasingly irritable with residents and coworkers. What is the best approach to address the situation?

A) Continue working extra shifts until things become less stressful
B) Recognize the signs of stress, evaluate priorities, use healthy coping strategies, and seek support when needed
C) Avoid coworkers so they do not notice the changes
D) Ignore the symptoms because stress is a normal part of healthcare

B) Recognize the signs of stress, evaluate priorities, use healthy coping strategies, and seek support when needed

500

A CNA is caring for a resident who has become unusually confused, has eaten very little, and appears weaker than usual. Which action demonstrates the best use of planning, observing, and reporting?

A) Document only the resident's food intake and continue the normal routine
B) Decide that the resident is probably having a bad day and leave them alone
C) Observe the resident carefully, provide care within the CNA's scope, document accurately, and promptly report the changes to the nurse
D) Ask another resident whether they think the resident is sick

C) Observe the resident carefully, provide care within the CNA's scope, document accurately, and promptly report the changes to the nurse