UNAR Resident Rights and Ethics 2 — Questions and Answers
Question 1: A resident asks the nursing assistant to keep their diagnosis secret from visiting family members. What should the NA do?
- Share the diagnosis with family anyway to ensure proper care
- Respect the resident's wishes and not disclose the information (Correct answer)
- Tell the charge nurse who can then tell the family
- Document the request but share the information if family insists
Correct answer: Respect the resident's wishes and not disclose the information
Residents have the right to privacy and confidentiality, including control over who receives their health information.
Question 2: Which action by a nursing assistant best demonstrates respect for a resident's dignity?
- Completing care quickly to stay on schedule
- Knocking and waiting for permission before entering the room (Correct answer)
- Leaving the door open during personal care for safety
- Discussing the resident's condition with co-workers in the hallway
Correct answer: Knocking and waiting for permission before entering the room
Knocking and waiting respects the resident's privacy and right to control who enters their personal space.
Question 3: A resident refuses to take a prescribed medication. What is the nursing assistant's first responsibility?
- Convince the resident to take the medication for their health
- Crush the medication and put it in the resident's food
- Report the refusal to the nurse and document it (Correct answer)
- Contact the resident's family to persuade them
Correct answer: Report the refusal to the nurse and document it
Residents have the right to refuse treatment; the NA must report the refusal to the nurse and document it appropriately.
Question 4: Under OBRA regulations, nursing facility residents have the right to:
- Choose only from a limited list of approved roommates
- Be free from unnecessary physical and chemical restraints (Correct answer)
- Have visitors only during designated visiting hours
- Accept or decline only non-medical personal care
Correct answer: Be free from unnecessary physical and chemical restraints
OBRA mandates that residents be free from any physical or chemical restraint imposed for discipline or staff convenience.
Question 5: A resident wants to see their own medical records. The nursing assistant should:
- Explain that records are confidential and cannot be shared
- Provide the records immediately from the chart
- Notify the nurse so the proper process can be followed (Correct answer)
- Tell the resident only their physician can grant access
Correct answer: Notify the nurse so the proper process can be followed
Residents have the legal right to access their records; the NA should inform the nurse who will facilitate the proper request process.
Question 6: Which statement about a resident's right to privacy is correct?
- Privacy applies only to medical information, not personal belongings
- Staff may search a resident's room anytime for safety reasons
- Residents have the right to send and receive personal mail unopened (Correct answer)
- Privacy rights can be suspended if a resident has dementia
Correct answer: Residents have the right to send and receive personal mail unopened
Residents retain the right to private communication, including sending and receiving mail without staff interference.
Question 7: A nursing assistant overhears a co-worker sharing a resident's personal health information with another resident's visitor. This is:
- Acceptable if the information is not harmful
- A violation of the resident's right to confidentiality (Correct answer)
- Permitted because visitors are considered part of the care team
- Only a problem if the resident complains about it
Correct answer: A violation of the resident's right to confidentiality
Sharing a resident's health information with unauthorized individuals violates HIPAA and the resident's right to confidentiality.
UNAR Resident Rights and Ethics 2
A resident asks the nursing assistant to keep their diagnosis secret from visiting family members.
What should the NA do?