UNAR Resident Rights and Ethics 3 — Questions and Answers
Question 1: A resident tells the nursing assistant that another staff member hit them last week. What should the NA do?
- Investigate the claim before reporting to avoid false accusations
- Tell the resident to file a written complaint themselves
- Report the allegation immediately to the supervisor (Correct answer)
- Wait to see if the resident mentions it again before acting
Correct answer: Report the allegation immediately to the supervisor
Allegations of abuse must be reported immediately to a supervisor; NAs are mandatory reporters and cannot delay or self-investigate.
Question 2: Which of the following is an example of financial abuse of a resident?
- Helping a resident balance their checkbook at their request
- Borrowing money from a resident with no intention to repay it (Correct answer)
- Assisting a resident in making a purchase at the facility store
- Notifying the business office about a resident's billing question
Correct answer: Borrowing money from a resident with no intention to repay it
Taking or borrowing money from a resident without intending to repay constitutes financial exploitation and is a form of abuse.
Question 3: A resident has the right to file a grievance without:
- Notifying their physician first
- Fear of retaliation or punishment (Correct answer)
- Having a family member present
- Providing written documentation
Correct answer: Fear of retaliation or punishment
Residents have the right to voice grievances freely and must be protected from any form of retaliation for doing so.
Question 4: Neglect of a nursing facility resident is best described as:
- Providing care that the resident did not explicitly request
- Failure to provide necessary care, resulting in harm or risk of harm (Correct answer)
- Performing care tasks in a different order than the care plan specifies
- Offering emotional support without clinical training
Correct answer: Failure to provide necessary care, resulting in harm or risk of harm
Neglect is the failure to fulfill caregiving obligations, which can cause physical or emotional harm to the resident.
Question 5: The Long-Term Care Ombudsman program exists to:
- Inspect facilities for health code violations on behalf of the state
- Investigate Medicare billing disputes
- Advocate for the rights and quality of life of residents (Correct answer)
- Train nursing assistants in resident care techniques
Correct answer: Advocate for the rights and quality of life of residents
Ombudsmen advocate for residents in long-term care settings, helping resolve complaints and protecting their rights.
Question 6: A nursing assistant notices a resident has unexplained bruising on their arms. The BEST action is to:
- Apply lotion and monitor the bruising over several days
- Ask the resident's roommate if they witnessed anything
- Report the observation to the nurse immediately (Correct answer)
- Document the bruising in the care plan without notifying anyone
Correct answer: Report the observation to the nurse immediately
Unexplained injuries are a possible sign of abuse and must be reported to the nurse immediately for assessment.
Question 7: Which behavior by a nursing assistant constitutes emotional abuse of a resident?
- Redirecting a resident with dementia away from a hazardous area
- Threatening to withhold a meal if the resident doesn't cooperate with care (Correct answer)
- Assisting a resident with personal hygiene they cannot perform independently
- Encouraging a resident to participate in group activities
Correct answer: Threatening to withhold a meal if the resident doesn't cooperate with care
Threatening to withhold basic needs as punishment is emotional abuse and violates the resident's rights.
A resident tells the nursing assistant that another staff member hit them last week.
What should the NA do?