CNA Skills and Competencies 2

Question 1

A resident with advanced dementia is non-verbal and frequently groans and grimaces, especially during repositioning.
The nurse has instructed the CNA to monitor for signs of pain.
Which of the following is the MOST reliable way for the CNA to assess this resident's pain level?

Accepted Answer

Use a standardized pain assessment tool for non-verbal patients, such as observing for restlessness, facial expressions, and body language.

Answer

Ask the resident's family if this is their typical behavior when uncomfortable.

Answer

Assume the resident is in pain and immediately request PRN pain medication from the nurse.

Answer

Check if the resident's vital signs are elevated, as this is the primary indicator of pain.

Question 2

During post-mortem care, the family of the deceased resident, who practiced a specific religion, requests to perform a ritual washing of the body. The facility's standard procedure is for staff to perform all aspects of body preparation. What is the CNA's most appropriate initial action?

Accepted Answer

Immediately notify the supervising nurse of the family's specific cultural and religious request.

Answer

Politely inform the family that only trained staff can handle the body due to infection control policies.

Answer

Allow the family to proceed with the ritual, as long as they wear appropriate personal protective equipment (PPE).

Answer

Explain that while you understand, all post-mortem procedures must wait until the funeral home arrives.

Question 3

A nurse gives a CNA a verbal order to apply a sterile dressing to a resident's small, open wound. The CNA has not been trained in sterile technique. Which of the following is the CNA's correct response?

Accepted Answer

Politely refuse the task and inform the nurse that performing sterile procedures is outside a CNA's scope of practice.

Answer

Attempt to apply the dressing using clean technique instead of sterile technique.

Answer

Ask another, more experienced CNA to perform the task.

Answer

Find the supplies and wait for the nurse to return to supervise the procedure.

Question 4

While assisting a resident, a CNA receives a written order from a physician that seems ambiguous and potentially unsafe. The order reads: 'Increase fluid intake.' The resident has a history of congestive heart failure (CHF) and is on a fluid restriction. What should the CNA do first?

Accepted Answer

Do not act on the order and immediately report the discrepancy to the supervising nurse for clarification.

Answer

Follow the physician's order as written, assuming the doctor has a reason for changing the plan.

Answer

Ask the resident's family if they are aware of any changes to the care plan.

Answer

Ignore the new order and continue with the previously established fluid restriction.

Question 5

During a family visit, a CNA observes a resident's adult child speaking to them in a demeaning manner and handling their arm roughly. The resident appears fearful and tearful. This is the first time the CNA has witnessed such behavior. What is the CNA's immediate legal and ethical responsibility?

Accepted Answer

Ensure the resident's immediate safety and report the suspicion of abuse to the charge nurse according to facility protocol.

Answer

Confront the family member directly and tell them to stop.

Answer

Wait until the visit is over and then ask the resident if they feel safe.

Answer

Document the observation in the resident's chart and monitor future visits closely.

Question 6

A CNA is assigned to provide care for a resident who has just been admitted from another country and speaks a language the CNA does not understand. When attempting to provide personal care, the resident becomes agitated and pushes the CNA away. Which action demonstrates the highest level of competency?

Accepted Answer

Ask a fellow CNA who knows a few words in that language to try and assist.

Answer

Use loud, simple English words and hand gestures to explain the task.

Answer

Leave the room and come back later when the resident has calmed down.

Answer

Notify the nurse that a facility-approved interpreter is needed to communicate effectively.

A resident with advanced dementia is non-verbal and frequently groans and grimaces, especially during repositioning.The nurse has instructed the CNA to monitor for signs of pain.Which of the following is the MOST reliable way for the CNA to assess this resident's pain level?

A resident with advanced dementia is non-verbal and frequently groans and grimaces, especially during repositioning.
The nurse has instructed the CNA to monitor for signs of pain.
Which of the following is the MOST reliable way for the CNA to assess this resident's pain level?