CNA Project Planning & Execution 3 — Questions and Answers
Question 1: A CNA is assigned 8 residents for the morning shift. Which task organization strategy is MOST effective?
- Complete all tasks for one resident before moving to the next regardless of urgency
- Group residents by room location and perform time-sensitive tasks first (Correct answer)
- Work only on the tasks that residents request during the shift
- Follow alphabetical order by resident last name for all tasks
Correct answer: Group residents by room location and perform time-sensitive tasks first
Clustering residents by location saves travel time, and addressing time-sensitive tasks first ensures safety and scheduled care is met.
Question 2: A nurse delegates a task to a CNA that the CNA has never been trained to perform. The CNA should:
- Attempt the task carefully and document any problems afterward
- Refuse and report that the task is outside their training (Correct answer)
- Ask a fellow CNA to complete it without telling the nurse
- Complete the task quickly to avoid conflict
Correct answer: Refuse and report that the task is outside their training
CNAs must only perform tasks within their scope of practice and training; accepting an unfamiliar task endangers the resident.
Question 3: Which document serves as the WRITTEN PLAN that guides all CNA interventions for a specific resident?
- The incident report
- The MDS assessment
- The individualized care plan (Correct answer)
- The nursing notes
Correct answer: The individualized care plan
The individualized care plan outlines specific goals, interventions, and approaches tailored to each resident's unique needs.
Question 4: A resident's care plan specifies a 'restorative approach' to dressing. This means the CNA should:
- Dress the resident completely to save time
- Encourage and allow the resident to dress as independently as possible (Correct answer)
- Ask family to assist with dressing during visits
- Skip dressing assistance unless the resident specifically asks
Correct answer: Encourage and allow the resident to dress as independently as possible
A restorative approach promotes the resident's maximum independence and functional ability by allowing them to do as much as they can.
Question 5: During execution of a care plan, a CNA discovers an intervention is causing the resident discomfort. The CNA should:
- Continue the intervention since it is written in the care plan
- Stop and notify the nurse so the plan can be evaluated (Correct answer)
- Document the discomfort but complete the intervention anyway
- Ask the resident to tolerate the discomfort for the benefit of the goal
Correct answer: Stop and notify the nurse so the plan can be evaluated
Resident comfort and safety supersede written interventions; the nurse must be notified so the plan can be reassessed.
Question 6: How often are care plans typically required to be reviewed and updated in long-term care facilities?
- Every 10 years
- Once upon admission only
- At least quarterly, or when there is a significant change in condition (Correct answer)
- Weekly by the attending physician
Correct answer: At least quarterly, or when there is a significant change in condition
Federal regulations require care plan reviews at least quarterly and following any significant change in a resident's condition.
Question 7: A new resident is admitted to the facility. Before a formal care plan is developed, the CNA should:
- Follow the same care plan used by the previous resident in that room
- Perform only personal hygiene until the care plan is written
- Follow the nurse's initial instructions and report all observations (Correct answer)
- Wait 72 hours before providing any care
Correct answer: Follow the nurse's initial instructions and report all observations
On admission, CNAs follow nursing direction and report all observations to help build an accurate individualized care plan.
CNA Project Planning & Execution 3
A CNA is assigned 8 residents for the morning shift.
Which task organization strategy is MOST effective?