CNA Resident’s Rights 2

0%

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

Correct! Wrong!

Every person has needs which must be met in order to achieve their goals and feel satisfied. Beyond the basic physical and survival needs (food, water, shelter, safety) people also need to connect with others. Spiritual needs include feeling connected to a higher power or nature. Sexual needs are finding intimacy with another person. Social needs include friends and community. These needs may shift in importance throughout life, but are always present.

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 ________.

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!

It can be tempting to share medical information with others who know the client. But even general information or conversations about behavior are violations of the HIPAA Privacy Rule. Be honest and firm about your responsibility as a health care professional. There are strict penalties for sharing information with others, even the family, if the client does not want them to know.

Who should manage the resident's finances?

Correct! Wrong!

The resident has the right to manage their money or to designate someone else to do it. Sometimes a resident will ask the facility to hold their money. If so, the facility must give the resident full access to their account and protect the funds.

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

Correct! Wrong!

Residents have the right to file a complaint or grievance about the health care, treatment, or services in a nursing home. They also have a right to a prompt response from the nursing home administrators, without any fear of punishment or revenge. Some reasons for filing a complaint include abuse, neglect, inadequate staffing, poor care, nutrition problems, unsanitary conditions, and unsafe situations.

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

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. Families may not understand that their relative has sexual needs. Physical limitations can interfere with sexual activity. If a resident tells you about their problems, ask the nurse or social worker to speak with them.

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

Correct! Wrong!

Allow the resident to express their feelings and emotions. Use empathy to put yourself in their place. When a nurse aide uses active listening to communicate with a resident, the resident feels respected and appreciated. By giving the resident undivided attention, without interrupting, the aide-resident relationship can develop. Listening also helps avoid misunderstandings.

When your patient needs care, and visitors are in the room, you 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.

Respect is demonstrated by the nurse aide for the resident by

Correct! Wrong!

When a nurse aide uses active listening to communicate with a resident, the resident feels respected and appreciated. By giving the resident undivided attention, without interrupting, the aide-resident relationship can develop. Listening also helps avoid misunderstandings.

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

Correct! Wrong!

Every resident has the right to make decisions regarding their care, including refusing care or treatment. Mr. Smith could file a grievance after being bathed against his will, and the nurse aide could be disciplined.

If a resident refuses to eat a certain food because of a religious preference, the CNA 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.

Clients 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.

A nurse aide refuses to discuss a resident’s condition with a neighbor. Which one of the resident’s rights is being protected

Correct! Wrong!

It can be tempting to share medical information with others who know the patient. But even general information or conversations about behavior are violations of the HIPAA Privacy Rule. Be honest and firm about your responsibility as a health care professional.

A new resident brings family photos and her favorite lamp with her. What should you say to her?

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.

If a resident refuses a bed bath, which is the best response?

Correct! Wrong!

Every resident has the right to make decisions regarding their care, including refusing care or treatment. The nurse aide can explain the benefits of a bed bath and give the resident time to reconsider. Do not proceed to bathe them. A resident could file a grievance after being bathed against his will, and the nurse aide could be disciplined.

A nurse aide 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 something without having someone witness. This includes personal functions, such as bathing, toileting, or grooming. The nurse aide can be an advocate for patients to help them meet their needs. For example, 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.

Mr. Brown has been a resident in your facility for two years. His wife has broken her hip and will soon be a resident, too. What is the policy for married couples?

Correct! Wrong!

Residents have the right to share a room with their spouse, even if they have different needs. Their room is considered private, and staff must knock before entering. The spouse who needs the most care can determine the type of facility where the couple lives. Studies have shown that when couples are able to remain together, they experience overall greater health and happiness.

A resident refuses lunch, but about two hours later decides she would like a snack. What is the nurse aide's best response?

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.

Which of these statements about sexuality and elderly residents is TRUE?

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.

A new resident refuses to wear a clothing protector at lunch. The nurse aide SHOULD

Correct! Wrong!

Every resident has the right to make decisions regarding their care, including refusing care. They also have the right to make choices. Don't force a new resident to wear a clothing protector. The resident may still be adjusting to their new environment or may feel embarrassed to put on "a bib." Allow the resident to settle in and become familiar with the facility.

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

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.

In giving care according to the Resident’s Bill of Rights, 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 residents to help them meet their needs. For example, If a resident needs to use the bedpan, the nurse aide should ask visitors to leave the room so the resident can use the bedpan and get cleaned up. The nurse aide can inform the visitors when they can return.

Restraints are used for all of the following EXCEPT

Correct! Wrong!

Restraints can be useful for preventive reasons, such as keeping a patient from falling from a bed or wheelchair and to keep lines and tubes intact. Many surgical and intensive care units use restraints in this manner. Restraints may also be used for behavior issues, such as possible physical harm to themselves or others.

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

Correct! Wrong!

When a person moves to an assisted care or long-term care facility, that is their new home. They have the right to bring personal items, furniture, and clothing, as long as there is no safety risk for others. They also have the right to expect staff to help protect items and look for them if they are lost. If an item goes missing, report it to the nurse.

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

Correct! Wrong!

Nursing homes and long-term care facilities must give every new resident a copy of the Resident Bill of Rights in a language they understand. The document must also be posted in a visible place. While each facility may have different wording, the rights protect and assure the resident of respectful treatment.

All of the following statements regarding residents with restraints are true except

Correct! Wrong!

There can be serious medical complications when using restraints. The limited mobility can cause skin irritation and pressure sores, as well as muscle stiffness and atrophy. Lungs cannot fully expand, leading to respiratory infections and pneumonia. If residents struggle to escape from the restraints, they can fall or even strangle themselves. There is also a higher chance for incontinence, urinary tract infections, constipation and fecal impaction.

Which of the following is a right that is included in the Resident’s Bill of Rights?

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.

All of the following are in the Resident bill of Rights except

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.

Restraints should be unfastened or released

Correct! Wrong!

Restraints can only be applied by doctor orders or patient request, to protect the safety of the patient or others. While the restraint is in place, it is released every 1-2 hours so circulation, skin, and vital signs can be evaluated. Range of motion is done during this time. The patient can go to the toilet, eat, drink during this time. Restraints must be removed as soon as possible, and a new order is required to re-apply them.

A Muslim resident wants to fast all day during the month of Ramadan. What should the facility do?

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 residents. For Muslims, Ramadan is a basic part of religious practice. During the ninth month of the Muslim year, strict fasting is observed from sunrise to sunset. Not getting what they need can feel like a sin or violation of their faith. Health care professionals must make sure their resident's dietary needs are met and their religious beliefs are supported.

Comments are closed.