CNA Resident Rights and Communication

Question 1

Which federal legislation established specific rights for nursing home residents?

Accepted Answer

OBRA (Omnibus Budget Reconciliation Act) of 1987

Answer

The Omnibus Budget Reconciliation Act (OBRA) of 1987 established a comprehensive set of rights for nursing home residents, including the right to privacy, dignity, autonomy, freedom from abuse and restraints, and the right to be fully informed of their medical condition.

Question 2

A resident's family member asks a CNA for details about the resident's medical condition. How should the CNA respond?

Accepted Answer

Verify consent and refer questions about medical details to the nurse or according to the resident's authorization

Answer

Under HIPAA, protected health information cannot be shared without the resident's consent. Even with family, the CNA should verify that the resident has authorized the sharing of their information. The CNA should refer the family to the nurse if in doubt.

Question 3

A resident tells a CNA that they do not want a specific treatment. What should the CNA do?

Accepted Answer

Respect the refusal, avoid performing the care, and report to the nurse immediately

Answer

Residents have the right to refuse treatment. The CNA should listen to the resident, avoid performing the refused care, and immediately report the refusal to the charge nurse. The nurse will document the refusal, notify the physician, and ensure the resident's decision is respected.

Question 4

What does the right to privacy mean for a nursing home resident?

Accepted Answer

Residents have the right to private communications, closed doors during care, and control over their personal information

Answer

Privacy rights include the right to private conversations, closed doors during care, control over who visits, and protection of personal information. CNAs must knock before entering a resident's room, close curtains during care, and avoid discussing resident information in public areas.

Question 5

Which communication technique is most effective when speaking with a hearing-impaired resident?

Accepted Answer

Face the resident, speak clearly at a normal pitch, and check for comprehension

Answer

When communicating with a hearing-impaired resident, the CNA should face the resident directly, speak clearly at a normal or slightly lower pitch (not shouting), use short sentences, check for understanding, and ensure hearing aids are in and working if prescribed.

CNA Practice Test

CNA Practice Test

CNA Resident Rights and Communication