STNA Patient Rights and Communication

Question 1

A long-term care resident tells the nurse aide that they want to review their own medical records. The nurse aide should:

Accepted Answer

Inform the charge nurse of the resident's request

Answer

Explain that records are confidential and cannot be shared

Answer

Provide the records directly from the nursing station

Answer

Tell the resident to wait until their next physician visit

Question 2

Which action by a nurse aide constitutes a violation of patient confidentiality (HIPAA)?

Accepted Answer

Sharing a patient's diagnosis with a friend outside of work

Answer

Discussing a patient's condition with the charge nurse at the nursing station

Answer

Documenting patient care in the medical record

Answer

Reporting a change in a patient's condition to the nurse

Question 3

A patient tells the nurse aide, 'I'm afraid I'm going to fall. I don't feel safe.' The nurse aide's best response is:

Accepted Answer

'I understand your concern. Let me make sure your call light is within reach and I will tell the nurse.'

Answer

'You'll be fine — we check on you regularly.'

Answer

'Try not to worry about that.'

Answer

'I'll put the rails up so you can't fall.'

Question 4

Which behavior by a nurse aide is an example of patient abuse?

Accepted Answer

Threatening a patient with restricted meals if they don't cooperate with care

Answer

Repositioning a patient every 2 hours

Answer

Reporting a skin tear to the charge nurse

Answer

Using a gait belt during ambulation

Question 5

The Patient Self-Determination Act (PSDA) requires healthcare facilities to:

Accepted Answer

Inform patients of their right to make advance directives upon admission

Answer

Assign all patients a healthcare proxy automatically

Answer

Require all patients to complete a living will

Answer

Allow only physicians to discuss end-of-life decisions

Question 6

A nurse aide suspects a co-worker is abusing a patient. The nurse aide should:

Accepted Answer

Report the suspicion immediately to the charge nurse or supervisor

Answer

Confront the co-worker directly and warn them to stop

Answer

Ignore it unless they witness the abuse directly

Answer

Wait to see if it happens again before reporting