CNA Practice Patient Rights and Ethics Flashcards

Under what condition may a CNA apply a physical restraint to a patient?

Answer: Only with a physician's order and following facility policy

Physical restraints require a physician's order and must be applied according to facility policy; CNAs cannot make this decision independently.

What is the primary role of a long-term care ombudsman?

Answer: To advocate for residents' rights and resolve complaints

The ombudsman is an independent advocate who investigates and resolves complaints on behalf of long-term care residents.

A patient refuses their scheduled morning medications. The CNA's correct response is to:

Answer: Report the refusal to the nurse immediately

Medication refusals must be reported to the nurse promptly so the care team can assess and respond appropriately.

Before applying a restraint, which approach should be attempted first?

Answer: Alternative measures like distraction or repositioning should be tried first

The least restrictive approach is always required first; alternatives such as redirection, comfort measures, or repositioning must be tried before restraints.

A patient tells the CNA they want to file a complaint about their care. The CNA should:

Answer: Inform the patient of their right to grieve and explain the process

Patients have the right to file grievances without fear of retaliation, and the CNA must support and facilitate that right.

How often should a restrained patient be checked and repositioned according to standard practice?

Answer: Every 1–2 hours per facility policy

Restrained patients must be checked and repositioned at least every 1–2 hours to prevent skin breakdown, circulatory problems, and other complications.

A restrained patient asks to be released to use the bathroom. The CNA should:

Answer: Release the restraint, assist with toileting, and reapply as ordered

Patients in restraints retain their rights including toileting; the CNA must release the restraint, assist, and reapply per the order.