CNA Resident’s Rights 2 — Questions and Answers

Question 1: Of the human needs listed below, which are considered basic?

Social
Spiritual
Sexual
All of the above (Correct answer)

Correct answer: All of the above

According to Maslow's Hierarchy of Needs, basic human needs encompass physiological needs, safety, love and belonging, self-esteem, and self-actualization. Social, spiritual, and sexual needs are integral components of a person's overall well-being and quality of life, falling under these broader categories. Therefore, all listed options are considered fundamental aspects of human experience and are basic needs.

Question 2: An aide puts a resident in a reclining position in a geri-chair, so he cannot stand up while the aide takes care of other residents. This is a violation of resident's right to ________.

be free from restraints (Correct answer)
watch his favorite TV show
visit with other residents
be able to get a snack

Correct answer: be free from restraints

A geri-chair, when used to prevent a resident from standing up against their will, functions as a physical restraint. Restraining a resident solely for staff convenience, rather than for their safety or medical necessity, directly violates their right to be free from restraints. This practice can lead to physical and psychological harm and is strictly prohibited under resident rights regulations.

Question 3: It is appropriate for a nurse aide to share the information regarding a client’s status with

Anyone who knows the client
The client’s family members
The client’s roommate
The staff on the next shift (Correct answer)

Correct answer: The staff on the next shift

Sharing client information is governed by HIPAA and the principle of confidentiality. A nurse aide can only share information with other healthcare professionals directly involved in the client's care, such as the staff on the next shift, to ensure continuity of care. Sharing information with family, friends, or roommates without explicit consent violates the client's privacy rights.

Question 4: Who should manage the resident's finances?

The attorney
The family
The administrator
The resident (Correct answer)

Correct answer: The resident

Competent adults have the fundamental right to manage their own finances, regardless of their living situation in a long-term care facility. This right is a crucial aspect of their autonomy and self-determination. If a resident is deemed legally incompetent, a designated legal guardian or power of attorney would manage their finances, but the default right belongs to the resident.

Question 5: Residents have the right to file a complaint or grievance without fear of punishment. This procedure is guaranteed by

State Health Department
Laws of the state
Resident Bill of Rights (Correct answer)
Facility policies

Correct answer: Resident Bill of Rights

The Resident Bill of Rights, mandated by federal law (Omnibus Budget Reconciliation Act of 1987 - OBRA '87), guarantees residents in long-term care facilities the right to voice grievances without fear of punishment. This provision ensures residents can advocate for themselves and report concerns about their care or facility conditions. It promotes their dignity, well-being, and accountability within the healthcare system.

Question 6: Competent adults in long-term care facilities may want to maintain sexual activity. Which could interfere with their desire?

Family intrusion
Physical disability
Lack of privacy
All of the above (Correct answer)

Correct answer: All of the above

Sexual activity is a basic human need and right for competent adults, even in long-term care facilities. However, various factors can interfere with this desire, including family intrusion (discomfort or disapproval), physical disabilities (making intimacy difficult), and lack of privacy (shared rooms, staff interruptions). Addressing these barriers is crucial for promoting resident well-being and respecting their autonomy.

Question 7: When a resident is expressing anger, the nurse aide should _________.

correct the resident’s misperceptions
remind the resident that everyone gets angry
listen closely to the resident’s concerns (Correct answer)
ask the resident to speak in a kinder tone

Correct answer: listen closely to the resident’s concerns

When a resident expresses anger, the most appropriate response for a nurse aide is to listen actively and empathetically to their concerns. This approach validates their feelings, helps the aide understand the underlying cause of the anger, and can de-escalate the situation. Correcting the resident or dismissing their feelings can worsen the situation and damage trust.

Question 8: When your patient needs care, and visitors are in the room, you should _______.

provide the care in front of the visitors
keep checking back as you do other tasks
wait until the visitors leave to give the patient care
ask the visitors to step out of the room while you give care (Correct answer)

Correct answer: ask the visitors to step out of the room while you give care

Patient privacy and dignity are paramount during care procedures. Asking visitors to step out of the room ensures the patient's right to privacy is respected and allows the nurse aide to provide care without interruption or embarrassment for the patient. This practice also helps maintain a professional environment for medical procedures and personal care.

Question 9: Respect is demonstrated by the nurse aide for the resident by

always listening to what the resident has to say. (Correct answer)
agreeing with the resident on everything.
correcting the resident’s grammar mistakes.
keeping the resident’s room free of clutter.

Correct answer: always listening to what the resident has to say.

Respect is fundamentally demonstrated by valuing a resident's thoughts, feelings, and opinions. Actively listening to what the resident has to say shows that their voice matters and that the nurse aide cares about their well-being. This practice builds trust, fosters a positive resident-caregiver relationship, and promotes the resident's dignity and self-worth.

Question 10: Mrs. Parker comes to you, very upset. She tells you that her special pearl bracelet is missing. What should you do?

Tell Mrs. Parker she shouldn't be so careless.
Report the missing bracelet to the nurse. (Correct answer)
Ask her why she can't keep track of things.
Call her family to inform them of a possible theft.

Correct answer: Report the missing bracelet to the nurse.

When a resident reports a missing personal item, especially something valuable, the nurse aide's immediate responsibility is to report it to the nurse. The nurse can then follow facility protocol for lost items, which may involve searching, documenting the incident, and informing the family. This ensures proper investigation, accountability, and adherence to facility policies.

Question 11: On admission to a nursing home or a long-term care facility, a resident must be given

an Informed Consent document.
the facility's monthly menu.
a copy of the Resident Bill of Rights. (Correct answer)
the activity and worship schedules.

Correct answer: a copy of the Resident Bill of Rights.

Upon admission to a nursing home or long-term care facility, federal law (OBRA '87) mandates that residents receive a copy of the Resident Bill of Rights. This ensures they are fully aware of their legal rights regarding care, privacy, dignity, and participation in decisions affecting their well-being. Providing this document empowers residents to advocate for themselves and understand their entitlements.

Question 12: Hitting, slapping, pinching or kicking is which type of abuse?

Confidentiality
Privacy
Verbal
Physical (Correct answer)

Correct answer: Physical

Hitting, slapping, pinching, or kicking are direct acts that cause bodily harm or pain. These actions clearly fall under the definition of physical abuse, which involves any intentional act causing injury or impairment to a person. Physical abuse is a serious violation of a resident's rights and safety, with severe legal and ethical consequences.

Question 13: As you finish your shift, a patient with a history of bowel incontinence has a strong odor. Your responsibility is to

Make sure the patient's room has plenty of supplies.
ignore the situation, because your shift is over.
shout to the oncoming shift that they have a “Code Brown."
help the oncoming nurse aide change the patient. (Correct answer)

Correct answer: help the oncoming nurse aide change the patient.

Even if a shift is ending, a nurse aide has a professional and ethical responsibility to ensure the patient's immediate needs are met and to provide a proper handover. Leaving a patient in soiled conditions is neglectful and unprofessional. Helping the oncoming aide ensures continuity of care, maintains the patient's dignity and hygiene, and promotes teamwork.

Question 14: Mr. Smith refused to take a bath. The nurse aide bathed him anyway. What resident right was violated?

The right to complain
The right to privacy
The right to refuse treatment (Correct answer)
The right to schedule

Correct answer: The right to refuse treatment

Competent adults have the fundamental right to refuse any medical treatment or care, including personal hygiene like bathing. Forcing a resident to bathe against their will, even if it is perceived to be for their benefit, is a violation of their autonomy and right to self-determination. The nurse aide must respect the refusal and report it to the nurse.

Question 15: If a resident refuses to eat a certain food because of a religious preference, the CNA should

Ask the family to bring in special foods.
Tell the resident there are no special menus.
Allow the resident to go hungry until the next meal.
Respect the resident's religion and notify the dietician. (Correct answer)

Correct answer: Respect the resident's religion and notify the dietician.

Residents have the right to practice their religion, which includes dietary preferences or restrictions. A CNA must respect these beliefs and notify the dietician so that appropriate alternative meals can be provided. This ensures the resident's cultural and religious rights are upheld, and their nutritional needs are met without compromising their spiritual practices.

Question 16: Clients have the right to

Go anywhere in the facility
See other clients’ medical reports
Smoke in any area of the facility
Have access to a telephone (Correct answer)

Correct answer: Have access to a telephone

Residents in long-term care facilities have the right to communicate privately with people outside the facility, which includes access to a telephone. This right is part of maintaining their connections to family and friends and exercising their autonomy. The facility must provide reasonable access to a phone to facilitate these communications.

CNA Resident’s Rights 2

Of the human needs listed below, which are considered basic?