CNA - Certified Nurse Aide Resident Rights and Communication Questions and Answers 1 — Questions and Answers
Question 1: A resident who is alert and oriented tells the Certified Nurse Aide (CNA) that they do not want to take a shower, even though it is their scheduled day. Which of the following is the CNA's BEST response?
- Tell the resident they must shower to stay clean and prevent infection.
- Respect the resident's decision, document the refusal, and report it to the nurse. (Correct answer)
- Ask a family member to convince the resident to take the shower.
- Proceed with the shower anyway, explaining that it is the facility's policy.
Correct answer: Respect the resident's decision, document the refusal, and report it to the nurse.
Residents have the right to refuse care and treatment. The CNA's responsibility is to respect this right, ensure the resident's choice is documented accurately, and communicate the refusal to the supervising nurse for follow-up.
Question 2: A resident's family member, who is not listed on the resident's authorized contact list, asks the CNA to see the resident's medical chart. How should the CNA respond?
- Allow the family member to look at the chart briefly.
- Tell the family member that information cannot be shared and refer them to the nurse. (Correct answer)
- Ask the resident if it's okay to show the chart to the family member.
- Provide a verbal summary of the resident's recent condition.
Correct answer: Tell the family member that information cannot be shared and refer them to the nurse.
Sharing a resident's medical information is a violation of HIPAA and outside the CNA's scope of practice. The correct procedure is to politely decline and direct the family member to the licensed nurse, who can verify permissions and provide appropriate information.
Question 3: Which of the following actions best demonstrates effective communication with a resident who has a hearing impairment?
- Shouting loudly into the resident's ear.
- Speaking very quickly to get the information across efficiently.
- Facing the resident and speaking clearly at a normal pace. (Correct answer)
- Covering your mouth while speaking to project your voice.
Correct answer: Facing the resident and speaking clearly at a normal pace.
When communicating with a resident with hearing loss, it is crucial to face them so they can see your lip movements and facial expressions. Speaking clearly at a normal pace and volume, rather than shouting, enhances understanding. Reducing background noise is also helpful.
Question 4: The Omnibus Budget Reconciliation Act (OBRA) of 1987 was a landmark federal law enacted to improve the quality of care in long-term care facilities by:
- Establishing a national price control for private pay residents.
- Mandating specific architectural designs for all new nursing homes.
- Focusing primarily on reducing facility operational costs.
- Establishing a Resident's Bill of Rights and minimum standards for nursing assistant training. (Correct answer)
Correct answer: Establishing a Resident's Bill of Rights and minimum standards for nursing assistant training.
The OBRA '87 law significantly reformed nursing home standards. Key provisions included establishing a Resident's Bill of Rights, setting minimum training requirements for nursing assistants (at least 75 hours), and emphasizing quality of life.
Question 5: A resident explains that their spiritual beliefs require them to pray at specific times of the day, which sometimes conflicts with the facility's activity schedule. Which action by the CNA shows respect for the resident's rights?
- Telling the resident they should adjust their prayer times to fit the schedule.
- Informing the resident that facility activities take priority.
- Acknowledging the resident's needs and informing the nurse to see if accommodations can be made in the care plan. (Correct answer)
- Documenting that the resident is non-compliant with scheduled activities.
Correct answer: Acknowledging the resident's needs and informing the nurse to see if accommodations can be made in the care plan.
Residents have the right to practice their own beliefs. The CNA should show respect for cultural and spiritual differences by acknowledging the resident's needs and communicating them to the nurse. This allows the care team to create a plan that accommodates the resident's preferences while meeting their care needs.
Question 6: Which of the following is a direct violation of a resident's right to privacy and confidentiality?
- Using the intercom to call for assistance in the resident's room.
- Discussing the resident's medical condition with a coworker in the cafeteria. (Correct answer)
- Reporting a change in the resident's condition to the charge nurse in a private area.
- Knocking on the resident's door before entering.
Correct answer: Discussing the resident's medical condition with a coworker in the cafeteria.
Discussing a resident's private health information in a public area where it can be overheard by others is a clear violation of their right to confidentiality under HIPAA. All communications about residents should occur in a private and secure setting.
CNA - Certified Nurse Aide Resident Rights and Communication Questions and Answers 1
A resident who is alert and oriented tells the Certified Nurse Aide (CNA) that they do not want to take a shower, even though it is their scheduled day.
Which of the following is the CNA's BEST response?