CNA Resident’s Rights 1

0%

Which of the following statements about aging is true?

Correct! Wrong!

Normal aging is a gradual process that is different for each individual. Body functions slow, but most people stay healthy. About 90% live alone. Less than 5% of elderly people live in nursing homes. Similarly, about 5% have dementia.

Residents have the right to

Correct! Wrong!

While every resident has rights that apply to their care and privacy, they do not have the right to complete freedom in regard to their surroundings and other residents. Their rights are personal and physical, pertaining only to their own care.

Which statement is TRUE concerning sexuality in the elderly?

Correct! Wrong!

Humans can remain sexual throughout their lives. They also can enjoy intimacy and touch at any age. Sexual expression may change as people age, but does not end. Residents have a right to express their sexuality as long as it is not public and does not harm the resident or others. Assure privacy for residents and avoid commenting to co-workers. Always treat residents with respect and dignity.

Mr. Smith, a 72-year-old male Alzheimer’s patient, has been stopped several times today while wandering from unit. He is ambulatory, but confused and combative. The CNA would first

Correct! Wrong!

Aways assess a resident's mental status before asking about restraints. The resident may feel restless, but still be able to be redirected to another activity. Restraint orders are only used when residents are a threat to themselves or others.

Which of the following is a right of residents in a nursing facility?

Correct! Wrong!

Residents have the right to be informed about their medical status, to choose their doctor, and make decisions about their care. They may refuse treatment and medication. These rights have been in place since 1987 when the Nursing Home Reform Law was put into place.

Which of the following statements about nursing home admissions is false?

Correct! Wrong!

Studies show that 90% of people want to get older "in place," near their families. Home care offers many benefits for both the elderly and their families. The decision to place a family member in a facility is difficult and often happens when there are no other options.

When assisting a client in resolving grievances, the nurse aide should report the grievance to the

Correct! Wrong!

Every health care facility has a procedure for handling client grievances. If the issue cannot be resolved, it moves to the next level of authority. For example, a if a client tells the nurse aide about a grievance, the nurse aide should notify the charge nurse. The charge nurse will attempt to resolve the issue before calling the Nursing or Administrative Supervisor. At the top of the chain are the Chief Medical Officer and the Hospital Administrator. Each level has increasing authority and responsibility to address the situation. The facility must address the issue promptly.

You observe two adult residents sharing the same bed after lunch. You know these residents are capable of exercising their own rights. This means

Correct! Wrong!

Humans can remain sexual throughout their lives. If residents are mentally competent, they can decide to seek intimacy. Residents have a right to express their sexuality as long as it is not public and does not harm the resident or others. Assure privacy for residents and avoid commenting to co-workers. Always treat residents with respect and dignity.

In giving care according to the 1987 Nursing Home Reform Law, the nurse aide SHOULD

Correct! Wrong!

Residents have rights which include privacy, property, and the grievance process. When a resident enters a facility, it becomes their home and they have many of the same rights that they would have had in their private residences.

Restraints should be unfastened or released

Correct! Wrong!

Restraints are used to keep a resident safe in special circumstances. They may only be applied with a physician's order and must be removed as soon as possible. If a restraint is used, the resident must be checked every 1-2 hours to make sure there is no skin damage or pain, that alignment is maintained, and that the resident physical needs are met.

If a client is sitting in a chair in his room masturbating, the nurse aide SHOULD

Correct! Wrong!

Humans can remain sexual throughout their lives. Residents have a right to express their sexuality as long as it is not public and does not harm the resident or others. Assure privacy for residents and avoid commenting to co-workers. Always treat residents with respect and dignity.

The Patient’s Bill of Rights includes

Correct! Wrong!

The Patient's Bill of Rights was put into place in 1998. It states that clients can choose their health care providers. Clients can also participate in planning their care and choosing treatment, even during a life-threatenting illness.

When giving care to a client, the nurse aide should avoid unnecessary exposure of the client in order to protect the client’s right to

Correct! Wrong!

Physical privacy is the right to do something without having someone witness. Examples are bathing a client without exposing parts of the body not being washed, or using the bedside commode with no one watching. Even reading a client's greeting cards without permission can be considered a violation of their physical privacy.

Mrs. Featherhat is a Native American who has been diagnosed as near death. Her family wishes to perform a ceremony with candles and incense. The facility should

Correct! Wrong!

Every culture and religion celebrates the end of life in a different way. As a health care professional, the nurse aide should support the resident and family in a positive and safe manner.

You are sitting at the dining room table feeding a total care resident. You are talking with the resident, but another CNA who is also feeding a resident keeps trying to talk to you about last night’s party. You should

Correct! Wrong!

The primary responsibility of the CNA is to give hands-on care to residents. The residents have a right to the full attention of their caregivers. Meals should be a pleasant social time for both the resident and the nurse aide. In addition, the CNA should focus on safely feeding the resident.

All of the following situations are examples of abuse or neglect EXCEPT

Correct! Wrong!

Neglect is failure to provide appropriate care of a client. Leaving a client in an unsafe situation or in need of physical care are two examples. Verbal abuse (also called bullying) is a form of emotional abuse that can be as harmful as physical abuse. It includes yelling, criticism, blaming, insulting, belittling, or threatening. Restraints may only be applied with a physician's order.

Mr. Jackson is having a phone conversation with his son. You accidentally pick up the line and hear the conversation. You should

Correct! Wrong!

Residents have a right to personal privacy. This means they can have private time with visitors, make and receive private phone calls, as well as send or receive mail and emails. Honoring personal privacy is an important part of treating residents with dignity and respect.

A patient tells a nurse aide that the foods on her tray conflict with her religious beliefs. The nurse aide should

Correct! Wrong!

Cultural diversity includes diets for religious reasons. There may be foods that are not allowed, strict rules for preparation, or fasting on certain days. Diets may be important in the healing process for these clients. Not getting what they need can feel like a sin or violation of their faith. Health care professionals must make sure their client's dietary needs are met and their religious beliefs are supported.

A nursing assistant closes the door, pulls curtains between beds, and covers the resident with a bath sheet when giving a bath. This is an example of maintaining a resident's

Correct! Wrong!

Physical privacy is the right to do or say something without having someone witness. Examples are bathing a resident without exposing parts of the body not being washed, and closing the curtains between beds when giving care. Even reading a resident's greeting cards without permission can be considered a violation of their physical privacy.

A client wakes up during the night and asks for something to eat. The nurse aide SHOULD

Correct! Wrong!

According to Medicare, residents have the right to make decisions regarding their schedule, including when to eat meals. Remember that for residents, the facility is their home now. They are able to choose their own schedule and activities. The nurse aide should check the diet orders, then bring a snack to the resident.

A nurse aide reclines a resident in a geri-chair so the resident cannot attempt to stand. This is a violation of

Correct! Wrong!

One of the basic rights of a resident is to be free from restraints. Restraints can never be used as a means of discipline or punishment. Nor can they be used for staff convenience. Physical restraints are anything that restrict movement. This includes positioning a resident so they are unable to get up or stand.

It is appropriate for a nurse aide to share the information regarding a client’s status with

Correct! Wrong!

HIPAA (Health Insurance Portability and Privacy Act) is the Federal law that protects a client's privacy about their medical information. This can even include the client's family, if the client wishes. Medical information includes documentation, records, and communications. There are severe penalties for sharing information, even if it is unintentional, such as being overheard in the hospital cafeteria.

Mr. Smith has started yelling after being in a restraint for about two hours. The CNA should

Correct! Wrong!

Restraints may only be ordered by a physician to keep a resident safe, or to protect the resident from himself or others. They are not meant to be a form of punishment. The resident should be monitored for signs of skin damage, distress, and physical needs, such as food and toileting.

When getting ready to dress a client, the nurse aide SHOULD

Correct! Wrong!

By giving clients choices throughout the day, you are encouraging them to be independent. They have the right to be treated with dignity and respect, which includes being involved in making decisions about clothing, schedule, and activities.

What happens to the resident's personal possessions in a long-term facility?

Correct! Wrong!

One of the resident's rights is being able to keep personal possessions and to make their room comfortable and homelike. They may furnish their room as long as it does not interfere with their safety and health or that of others. The facility must provide reasonable security for the possessions.

The nurse aide notices that a client’s mail has been delivered to the client’s room. The nurse aide SHOULD

Correct! Wrong!

Residents have a right to personal privacy. This means they can have private time with visitors, make and receive private phone calls, as well as send or receive mail and emails. Honoring personal privacy is an important part of treating residents with dignity and respect.

A patient rings for the bedpan while visitors are in the room. The nurse aide should

Correct! Wrong!

Physical privacy is the right to do something without having someone witness. This includes personal functions, such as toileting or grooming. The nurse aide can be an advocate for patients to help them meet their needs. If a patient needs to use the bedpan, the nurse aide should ask visitors to leave the room so the patient can use the bedpan and get cleaned up. The nurse aide can inform the visitors when they can return.

Hitting, slapping, pinching or kicking is which type of abuse?

Correct! Wrong!

Physical abuse is the intentional act causing injury or trauma to another person by hitting, kicking,, pinching, spitting, or other means of striking out. Physical abuse is never appropriate from either client or caregiver.

As you finish your shift, a patient with a history of bowel incontinence has a strong odor. Your responsibility is to

Correct! Wrong!

Residents have a right to physical care and comfort, regardless of the time. As long as a nurse aide is on duty, they are responsible for providing excellent care. As a team member, the nurse aide should cooperate with other shifts to keep the resident's care a priority.

A family member asks the nurse aide what medication the client is receiving. The nurse aide should

Correct! Wrong!

The nurse aide cannot provide any medical information with the client's family or friends, and should direct them to the nurse. The nurse can verify if the family member is on a list approved by the client. The nurse can also provide information if the family member is involved in the care or paying for it. If not, the nurse will explain the HIPAA Privacy Rule.

Comments are closed.