STNA Resident Rights and Safety 3 — Questions and Answers
Question 1: What does HIPAA require nursing assistants to do when discussing a resident's condition?
- Share information openly with all staff for coordinated care
- Discuss only with those directly involved in the resident's care (Correct answer)
- Post updates in the staff lounge for shift communication
- Inform the resident's entire family to keep everyone updated
Correct answer: Discuss only with those directly involved in the resident's care
HIPAA's minimum necessary standard requires sharing health information only with those who need it to provide care.
Question 2: A resident asks to go outside alone in cold weather. What should the CNA do?
- Refuse because the weather is dangerous
- Check the care plan and assist per its guidelines, then notify the nurse (Correct answer)
- Allow it freely since it is the resident's right
- Call the family to decide for the resident
Correct answer: Check the care plan and assist per its guidelines, then notify the nurse
The care plan guides safe activity decisions, balancing autonomy with safety, and the nurse should be informed of any concerns.
Question 3: Which behavior by a CNA constitutes financial abuse of a resident?
- Helping a resident balance their checkbook upon request
- Borrowing money from a resident with intention to repay (Correct answer)
- Notifying the nurse when a resident's wallet is missing
- Reporting that a resident gave away jewelry to a visitor
Correct answer: Borrowing money from a resident with intention to repay
Borrowing money from a resident is financial exploitation regardless of repayment intent.
Question 4: What is the purpose of a resident's advance directive?
- To designate which family members may visit
- To document the resident's wishes for end-of-life care (Correct answer)
- To assign power of attorney for financial decisions
- To authorize the facility to bill insurance directly
Correct answer: To document the resident's wishes for end-of-life care
An advance directive records a resident's healthcare wishes in case they become unable to communicate them.
Question 5: A resident is found on the floor. After calling for help, what is the CNA's next priority?
- Help the resident stand up immediately
- Stay with the resident and keep them calm until the nurse arrives (Correct answer)
- Document the incident and continue with other duties
- Move the resident to the bed to prevent further injury
Correct answer: Stay with the resident and keep them calm until the nurse arrives
The CNA must stay with the resident to monitor and provide reassurance while preventing further injury until a nurse assesses the situation.
Question 6: Which action by a nursing assistant violates a resident's right to dignity?
- Knocking before entering the resident's room
- Referring to the resident as 'sweetie' instead of their preferred name (Correct answer)
- Offering clothing choices each morning
- Explaining the purpose of each care task
Correct answer: Referring to the resident as 'sweetie' instead of their preferred name
Using generic terms of endearment instead of the resident's preferred name disrespects their identity and dignity.
Question 7: A resident who is alert and oriented declines a bath. What is the appropriate response?
- Proceed with the bath since hygiene is medically necessary
- Respect the refusal, offer alternatives, and document and report (Correct answer)
- Insist until the resident agrees for their own health
- Involve the family to override the resident's decision
Correct answer: Respect the refusal, offer alternatives, and document and report
A competent resident's right to refuse care must be respected; the CNA should offer alternatives, document, and notify the nurse.
STNA Resident Rights and Safety 3
What does HIPAA require nursing assistants to do when discussing a resident's condition?