CNA Financial Management & Budgeting 2 — Questions and Answers
Question 1: A nursing home resident receives a monthly Social Security check of $1,200. After paying $950 for room and board, what is the resident's Personal Needs Allowance (PNA)?
- $250 (Correct answer)
- $150
- $200
- $300
Correct answer: $250
The PNA is the amount remaining after room and board costs: $1,200 - $950 = $250.
Question 2: Which federal program provides health insurance coverage for low-income nursing home residents who have spent down most of their assets?
- Medicare
- Medicaid (Correct answer)
- CHIP
- Veterans Benefits
Correct answer: Medicaid
Medicaid covers long-term nursing home care for residents who meet income and asset eligibility requirements.
Question 3: A CNA notices a resident's family member is pressuring the resident to sign over power of attorney. What should the CNA do?
- Report the observation to the charge nurse (Correct answer)
- Witness the signing as requested
- Advise the resident to refuse
- Contact the family member's attorney
Correct answer: Report the observation to the charge nurse
CNAs must report signs of potential financial exploitation or undue pressure to the charge nurse or supervisor immediately.
Question 4: What does the term 'spend-down' mean in the context of Medicaid eligibility?
- Using assets until they fall below Medicaid limits (Correct answer)
- Monthly facility billing cycles
- The resident's personal spending budget
- Depreciation of facility equipment
Correct answer: Using assets until they fall below Medicaid limits
Spend-down refers to the process where a resident depletes assets to qualify for Medicaid long-term care coverage.
Question 5: Which document legally authorizes a designated person to manage a resident's financial affairs if the resident becomes incapacitated?
- Advance Directive
- Durable Power of Attorney (Correct answer)
- Do Not Resuscitate Order
- Living Will
Correct answer: Durable Power of Attorney
A Durable Power of Attorney remains valid if the resident becomes incapacitated and grants the agent authority over financial decisions.
Question 6: A resident asks a CNA to hold onto $50 for them 'just for safekeeping.' What is the correct response?
- Politely decline and explain facility policy prohibits it (Correct answer)
- Accept and keep it secure in a personal locker
- Give it to another staff member to hold
- Put it in the resident's nightstand
Correct answer: Politely decline and explain facility policy prohibits it
CNAs should never accept a resident's money or valuables, as this violates facility policy and could constitute financial misappropriation.
Question 7: Under federal law, nursing facilities must provide residents with a written notice of their rights regarding which financial matter?
- The facility's billing rates and charges (Correct answer)
- Staff wage schedules
- The facility's investment portfolio
- Corporate ownership details
Correct answer: The facility's billing rates and charges
Federal law requires facilities to inform residents in writing about all charges for services before or at admission.
CNA Financial Management & Budgeting 2
A nursing home resident receives a monthly Social Security check of $1,200.
After paying $950 for room and board, what is the resident's Personal Needs Allowance (PNA)?