Chapter 1

Question 1

A healthcare facility that provides short-term care for residents who have an immediate illness or injury.

Answer 1

Acute care facility

Question 2

An entity that accredits and surveys most acute care facilities in the United States.

Answer 2

Joint commission

Question 3

Otherwise known as a nursing home, it offers care for residents needing skilled- nursing care for a substantial length of time.

Answer 3

Long-term care facility

Question 4

The Omnibus budget reconciliation act of 1987, which issued many mandates in regard to care for residents, resident rights, and the training requirements for nursing assistants.

Answer 4

OBRA

Question 5

A nursing home volunteer who helps protect the rights of the nursing home residents by investigating complaints or reports of violations of resident rights.

Answer 5

Ombudsman

Question 6

A facility that bridges the gap between living independently and living in a health care facility such as a nursing home.

Answer 6

Assisted- living community

Question 7

An acronym for community- based residential facility, a type of assisted- living community.

Answer 7

CBRF

Question 8

Regulated assisted-living facilities and respite- care facilities.

Answer 8

State government

Question 9

Regulates and allocates Medicare and Medicaid funding to home healthcare agencies and hospice organizations through outcomes and documentation.

Answer 9

Federal government

Question 10

An acronym for residential care apartment complex, a facility comparable to senior apartment residences that offers minimal care.

Answer 10

RCAC

Question 11

Specialty end-of- life care for induvial who have less than 6 months to live

Answer 11

Hospice

Question 12

Services that provide a safe and stimulating environment for older adults or developmentally disabled residents over the age of 18, normally during daytime hours

Answer 12

Respite care

Question 13

The skills, the responsibilities, and the actions that you are permitted and expected to follow once your training has been completed.

Answer 13

Scope of practice

Question 14

A hierarchical route of communication from one member of the healthcare team to the next that must be followed at all times.

Answer 14

Chain of command

Question 15

An action or job that a supervisor, usually a nurse, asks you to complete either verbally or by means of a written care plan.

Answer 15

Delegated task

Question 16

Entitlements; beliefs or laws that provide freedom to act in certain ways.

Answer 16

Rights

Question 17

Accountability for one’s choices and actions

Answer 17

Responsibility

Question 18

Legislation created in 1970 that ensures that all employees have safe and healthy working conditions.

Answer 18

Occupational safety and health administration (OSHA)

Question 19

A law that allows an employee to take a leave of absence from the his job for a total of 12 weeks out of the 12 month period for certain medical needs without he risk of losing his job.

Answer 19

Family and medical leave act (FMLA)

Question 20

The California code of regulations (CCR) that provides information about nurse aide training programs and other health care licensing regulations.

Answer 20

Title 22

Question 21

Principles or right and wrong that drive our behavior

Answer 21

Ethics

Question 22

Someone who, as part of his job, must report any abusive or unlawful activity immediately

Answer 22

Mandatory reporter

Question 23

A privacy law created in 1966 that protects all healthcare information that can be linked to an individual, known as individually identifiable health information

Answer 23

Health insurance portability and accountability act (HIPAA)

Question 24

The right to know what treatment options are available and the risks associated with those treatments so that an independent and educated choice can be made about the options

Answer 24

Informed consent

Question 25

The most expensive type of healthcare setting is usually a (n)

A)Assisted- living community
B)Hospice organizations
C)Respite care facility
D)Acute care facility

Answer 25

D) Acute care facility

Question 26

OBRA is federal legislation that regulates

A) Rehabilitation hospitals
B) Long-term care facilities
C) Respite care services
D) Home health agencies

Answer 26

B) Long-term care facilities

Question 27

To ensure that hospitals are in compliance with federal regulations, they are surveyed by the

A) Joint commission at least every year
B) Joint commission at least once every 3 years
C) Accreditation commission for healthcare every 6 months
D) Healthcare Quality Association every 2 years.

Answer 27

B) Joint commission at least once every 3 years

Question 28

A nursing assistant who works for a long-term care facility would most likely be caring for a resident who

A) needs 24 hour care due to his dementia
B) had heart surgery 2 days ago
C) needs supervision and activities while his family is shopping
D) needs assistance only with medications and meals

Answer 28

A) needs 24 hour care due to his dementia

Question 29

Respite care offers services for residents who need

A) Rehabilitation and extension therapy
B) A safe environment for short periods of time
C) end-of- life care
D) Close monitoring of vital signs

Answer 29

B) A safe environment for short periods of time.

Question 30

Scope of practice for a nursing assistant includes.

A) Checking a resident’s blood sugar level.
B) Giving residents their ordered medications
C) Removing urinary catheter
D) Offering emotional support to a hospice resident

Answer 30

A) checking a resident’s blood sugar level.

Question 31

You are a new nursing assistant and work in a fast-paced, changing environment. You might enjoy working.

A) On the medical -surgical floor at a local hospital
B) At a skilled nursing facility (SNF) with dementia care
C) At a chiropractic clinic assisting with exercises
D) All of the above

Answer 31

D) all of the above

Question 32

You have noticed that one of your residents is more agitated and upset after starting a new medication. You should report this to the.

A) Director or nursing
B)Staff nurse
C)Resident’s healthcare provider
D)Resident’s husband

Answer 32

B) Staff nurse

Question 33

The care plan for one of your residents states that she must have her back brace applied before she is to get out of bed in the morning. You are unsure how to do this, so you should

A)Ask one of your coworkers to apply the brace
B) Have the resident tell you how she normally wears it
C)Explain to the nurse that you do not understand the directives
D) Have the nursing assistant from the previous shift apply it before she leaves

Answer 33

C)Explain to the nurse that you do not understand the directives

Question 34

Is is in the nursing assistant’s scope of practice to

A) educate a resident on a new diet
B)Remind a resident to perform his leg exercises
C) Show a resident how to put on his wrist brace for the first time.
D) Instruct a resident on how to take a new medication.

Answer 34

B)Remind a resident to perform his leg exercises

Question 35

A nursing assistant becomes certified in the state if California after she

A) Obtains criminal clearance
B) completes 75 hours of classroom training
C) passes the certification exam
D) Both A and C

Answer 35

D) Both A and C

Question 36

You have been assigned to an unfamiliar unit at your facility. Even though it is a new area, you ask for directives from the nurse and start your shift. This is an example of being

A) prompt
B) flexible
C) empathetic
D) compassionate

Answer 36

B) flexible

Question 37

A task that is NOT in the scope of practice for nursing assistant is

A)Delivering medications
B) providing dementia care
C) assisting with daily living activities
D) aiding with basic personal care tasks

Answer 37

A)Delivering medications

Question 38

Due to OSHA regulations, healthcare entities must provide their employees with

A) Family medical leave
B) Inexpensive health insurance
C)Free hepatitis B vaccines
D) Chicken pox vaccines

Answer 38

C)Free hepatitis B vaccines

Question 39

Your neighbor is in need of skilled nursing care. Her daughter asks you to explain the difference between long-term care and home care. The best response would be.

A)That long-term care is most appropriate for a resident who requires ongoing treatment around the clock.
B)That home care is available only to resident who have a lot of money
C)To tell the daughter it would be best if she could move in and care for her mother.
D) To tell the daughter to call her mother’s doctor

Answer 39

A)That long-term care is most appropriate for a resident who requires ongoing treatment around the clock.

Question 40

Your resident has been recently diagnosed with a serious illness and has been searching the internet for information. Your resident is upset and tells you the information gathered regarding her illness says that she will die. The best response would be to.

A) Call her family to report her comments
B) Inform her that she should only read medical websites
C) suggest she contact her healthcare provider to further discuss any concerns
D)Help the resident search online for healthcare services

Answer 40

C) suggest she contact her healthcare provider to further discuss any concerns

Question 41

A resident you have been caring for in the nursing home tells you she is going home. She will be receiving care from a home health agency and is not sure what to expect. You should tell the resident…

A)that you need to get your supervisor, who will give her more information about what to expect from her home health provider.
B)The nursing home care is much better than home health care
C)Not to worry and that everything will be fine
D)You know other residents who have been very happy with home health services.

Answer 41

A)that you need to get your supervisor, who will give her more information about what to expect from her home health provider.

Question 42

A resident in your facility is upset to hear that the medication the doctor has ordered is not the same medication that she had read about in a current magazine. The appropriate response for the nursing assistant would be to…

A)immediately tell the nurse of the resident’s concerns
B)Inform the facility’s Director or nurse
C)Ask the resident to explain her concerns and then report this to the nurse
D) Let the other nursing assistants know so they do not upset the resident.

Answer 42

C)Ask the resident to explain her concerns and then report this to the nurse

Question 43

Your resident in the assisted-living facility can no longer stand and needs more help than the staff can provide. The resident’s daughter is very upset and asks you why her mother is being transferred to a long-term care facility. How should you answer her?

A) Ask her to please wait while you get the supervisor, who can explain the situation in more detail.
B) Inform her the facility is short staffed most of the time and cannot properly care for her mother.
C) Tell her you’re not sure, but whatever the reason her mother will be well cared for.
D)Politely ask her not to ask you these types of questions because you do not make the decisions.

Answer 43

A) Ask her to please wait while you get the supervisor, who can explain the situation in more detail.

Question 44

During the 6th week of your new hospital job, you realize the fast pace and constant demands are too difficult. How should you speak with your supervisor regarding these concerns?

A)Tell the supervisor that you prefer to be assigned only patients whom you feel comfortable caring for.
B)Ask your supervisor to assign the other nursing assistants some of your tasks.
C)Ask your supervisor if you can talk about other opportunities available int he facility that could be a better fit for your personality type.
D) Tell your supervisor that you could do a better job if given more breaks during your shift.

Answer 44

C)Ask your supervisor if you can talk about other opportunities available int he facility that could be a better fit for your personality type.

Question 45

The nurse you are working with asks you to perform a task that is NOT within your scope of practice. What is your best response?

A) Tell the nurse that is he gives you written instructions, you will perform the task
B) Politely remind the nurse that the task is not within your scope of practice.
C)Inform the nurse that you are going to the director of nursing to report him for asking you to do something that is not within your scope of practice.
D) tell the nurse that you cannot perform the task, but you can find a nursing assistant who will

Answer 45

B) Politely remind the nurse that the task is not within your scope of practice.

Question 46

While caring for a resident in the nursing home where you work, a doctor enters the room and gives you instructions on how to properly care for the resident’s heel wound. What is your best response?

A) Listen carefully and report to the nurse the instructions given to you.
B) Tell the doctor to please write the information down and that you will give that to the nurse when she returns.
C) Asks the doctor to wait while you get another nursing assistant to make sure you understand the instructions.
D)Inform the doctor that you are resident’s nursing assistant but that you would be happy to find a nurse to assist him.

Answer 46

D)Inform the doctor that you are resident’s nursing assistant but that you would be happy to find a nurse to assist him.

Question 47

Your home health resident asks you to explain the proper instructions given by the doctor regarding her recent hospital stay, What is your best response?

A)Tell her that you are unable to give initial instructions but that you will call your supervisor
B)Instruct the resident to go online and find the proper information
C)Tell her that you will call the doctor and have her explain the instructions
D) Tell the resident that you will call her daughter and let her explain.

Answer 47

A)Tell her that you are unable to give initial instructions but that you will call your supervisor

Question 48

You are working the night shift at an assisted-living facility. Your coworker has been 20 minutes late every morning this week. You cannot leave until he gets there. As a result, your kids have missed the bus. How would you resolve this situation?

A)Inform the coworker that you will be reporting him to the supervisor
B)Remind the coworker that his shift starts promptly at 6:00am and explain why you cannot be late getting home.
C)Talk tot eh other team members about how he is showing up late to work
D) Consistently show up 20 minutes late when you are relieving him from his shift.

Answer 48

B)Remind the coworker that his shift starts promptly at 6:00am and explain why you cannot be late getting home.