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NF Unit 2 and 5

Total questions: 91

Worksheet time: 46mins

Name
Class
Date
1.
health care proxy; signed and dated legal document that appoints someone to make the medical decisions for a person in the event he/she becomes unable to do so
a)
advance directives
b)
living will
c)
 durable power of attorney
d)
DN
2.

violating a person's rights to be left alone or exposing information about that person without his/her consent

a)

invasion of privacy

b)

involuntary seclusion

c)

false imprisonment

d)

DNR

3.

A CNA's range of function refers to

a)

The nurse's responsibility to the CNA

b)

The administrative assistant's duties during a shift

c)

The tasks a family member can perform for a resident

d)

The tasks a nursing assistant can legally perform

4.

Misappropriation refers to

a)

harming a resident on purpose

b)

handling a resident's belongings in a rough manner

c)

restraining a resident without a physician's order

d)

The deliberate misplacement, exploitation, or improper use of a resident's belongings or money without the resident's consent

5.

Neglect refers to

a)

the failure to provide necessary care or services resulting in harm

b)

the separation of a resident from others

c)

a threat of harm to a person which makes them fearful

d)

purposeful mistreatment that causes harm

6.

Using spoken or written words, pictures or gestures that threaten embarrass or insult a person is called

a)

assault

b)

physical abuse

c)

verbal abuse

d)

battery

7.

While getting supplies from the supply closet, a nursing assistant (CNA) sees another nursing assistant handle a resident roughly during a transfer. Which of the following actions is the nursing assistant legally required to take?

a)

The nursing assistant should confront the other NA about the abuse after she leaves the resident’s room.

b)

The nursing assistant should contact the ombudsman

c)

The CNA should report the abuse immediately to the RN

d)

The nursing assistant should comfort the resident about what has happened after the other NA leaves the room.

8.

A resident has bite marks and scratches that continue to appear that she cannot explain. This could be a sign of

a)

neglect

b)

abuse

c)

negligence

d)

exploitation

9.

A nursing assistant learns that a coworker has offered to provide special care for a resident in exchange for payment. This is an example of

a)

mental abuse

b)

physical abuse

c)

psychological abuse

d)

financial abuse

10.

A nursing assistant who works periodically when full-time staff members are on vacation helps care for residents who have Alzheimer’s disease. On different occasions she noticed that a resident’s bed smells of urine and that her hair is dirty and matted. This could be a sign of

a)

physical abuse

b)

neglect

c)

mental abuse

d)

misappropriation

11.

A resident’s sister gives her favorite nursing assistant a thank you note with a gift card inside it. She tells the nursing assistant that this is a small way of letting him know how much she appreciates his work. The NA does not want to offend the family, and it happens to be a gift card to his favorite restaurant, so he decides to keep it. Which of the following best describes how the nursing assistant should have responded?

a)

The nursing assistant should have contacted the ombudsman for the facility to see if it was appropriate to accept the gift.

b)

The nursing assistant should have reported the gift to the resident council.

c)

The nursing assistant should have stated how thoughtful and thanked the sister, but politely refused the gift.

d)

The nursing assistant should have offered to reimburse the sister for the cost of the gift before accepting it.

12.

Under federal law all long term care facilities are required to have an ombudsman whose role is

a)

to be a legal advocate for residents and help them with their complaints

b)

visit the nursing facilities and investigate the nurse's complaints about the residents

c)

survey a nursing center for eligibility of license or certification

d)

Can prevent a resident from leaving the center

13.

The Omnibus Budget and Reconciliation Act (OBRA) is a

a)

state law

b)

state agency

c)

federal law

d)

federal agency

14.

Threatening to touch the person's body without the person's consent, causing them to be fearful of harm is called

a)

assault

b)

battery

c)

false imprisonment

d)

defamation

15.

Restraining a person's freedom of movement is

a)

assault

b)

battery

c)

defamation

d)

false imprisonment

16.

Your resident has dementia and is confused about person, place and time. You tell him you are a nurse when he asks to speak with the nurse. This is

a)

negligence

b)

fraud

c)

invasion of privacy

d)

malpractice

17.

The CNA giving you shift report states Mr Jackson is a DNR. While caring for him you would not

a)

continue life prolonging treatments if he has a cardiac arrest

b)

need to ask about a living will

c)

start CPR

d)

be ready to resuscitate if there is a cardiac arrest on your shift

18.

Which of the following is a signed and dated document that appoints someone to make medical decisions for a person in the event that he or she is unable to do so?

a)

A living will

b)

An advanced directive

c)

A durable power of attorney for healthcare

d)

A will

19.

What is the law that helps to define the nursing assistant's scope of practice?

a)

NATCEP

b)

OBRA

c)

HIPAA

d)

HITECH

20.

Which of the following statements is true of a living will?

a)

A living will goes into effect when a resident dies and leaves a large estate that needs to be distributed.

b)

A living will is a document that states the medical care a resident wants or does not want if he becomes unable to make those decisions.

c)

A living will helps a resident decide who will manage his financial affairs when he is no longer able to do that.

d)

A living will is an important part of a resident’s wishes regarding his inheritance.

21.

The term misappropriation means

a)

Harming a resident purposefully

b)

Unlawfully restraining a resident

c)

Handling a resident’s possessions roughly

d)

The deliberate misplacement, exploitation, or improper use of a resident's belongings or money without the resident's consent

22.

The term range of function relates to:

a)

The duties that a clergy person is allowed to provide to a resident

b)

The tasks a healthcare provider can legally perform

c)

The tasks a family member can perform for a resident

d)

The responsibilities an administrative assistant can carry out during a shift

23.

A resident who is confined to bed requires special care. Which of the following is a task performed by a nursing assistant? 

a)

changing the IV tubes

b)

Changing a sterile dressing

c)

Helping with the use of a bedpan

d)

Giving the resident some Tylenol he has been waiting for.

24.

Professional behavior and appearance can help a nursing assistant earn the respect of others. Which of the following is not considered professional?

a)

Making up vital signs rather than completing them correctly after all no one is watching me do them

b)

Providing truthful observations and documentation

c)

Avoiding wearing nail extensions when providing care for people.

d)

Giving all residents quality care regardless of age, gender, sexual orientation, gender identity, religion, race, ethnicity, or medical condition.

25.

A new nursing assistant is working his first day at his new job. He has been asked to insert a resident's feeding tube. Which of the following would be his best response? 

a)

The nursing assistant should do his best to perform the procedure since he wants to make a good first impression in his new job.

b)

The nursing assistant should ask another nursing assistant to show him how.

c)

The nursing assistant should explain that it is beyond his scope of practice and is not listed in his job description.

d)

The nursing assistant should ask a coworker to do it so that he can watch and learn how to do it next time.

26.

Which of the following is within the range of function of nurse aide work?

a)

Supervise other nurse aides

b)

Assist with sterile procedures

c)

Assist with the collection of specimens

d)

Take oral or telephone orders from a physician.

27.

Mr. Martin was very pleased with the care that you have given him today, he wants to give you $50 as a tip. What do you do?

a)

Take the money

b)

Be respectful and turn down the offer

c)

Take the money and give it to your supervisor

d)

Tell Mr. Smith that he is ridiculous for offering to give you money for his care.

28.

Who supervises nurse aide tasks?

a)

The physician

b)

Another Nurse aide

c)

a licensed nurse

d)

the medical director

29.

In regards to the NC badge law, when providing healthcare to a patient, the healthcare practitioner should wear ID displaying what?

a)

Name and years of service

b)

Name only

c)

Name and credentials

d)

Name and date of birth

30.

You have threatened to hit Mr. Brown and now he feels scared and fearful. You could be charged with:

a)

Physical Abuse

b)

Negligence

c)

Assault

d)

Battery

31.

Answering the call light in a timely manner does all of the following except:

a)

help prevent falls

b)

Improve relationships between coworkers

c)

Improve relationships between resident/family and staff

d)

Increase resident/family confidence in the staff's ability to care for the needs of the resident.

32.

What was the name of the legislation in 1987 that was passed that established the Resident's bill of rights?

a)

OBRA

b)

The constitution

c)

HIPPA

d)

Murphy's law

33.
Set of federal regulations adopted to protect the confidentiality of patient information. 
a)
HIPAA
b)
OSHA
c)
Advance directives
d)
OBRA
34.
Which is a sign or symptom of abuse?
a)
poor personal hygiene
b)
aggressive or withdrawal behavior
c)
unexplained bruises, burns, injuries, or fractures
d)
all of the above
35.

Savannah received a verbal warning from her supervisor for wearing a:

a)

clean, ironed, and well fitted uniform, but it wasn’t matching colors.

b)

lot of very pretty jewelry.

c)

clean uniform but last year’s style.

d)

Blue watch.

36.

Which can cause allergy problems for a resident when worn by a CNA?

a)

A homemade knitted name tag

b)

Perfume or after shave

c)

Unscented hand lotion

d)

Hand sanitizer

37.

A CNA with long hair should wear it:

a)

Down & straight

b)

Down & curly

c)

Up off shoulders and away from face

d)

It doesn’t matter as long as it is clean

38.

Mary, a new C.N.A, did not pull the curtain before changing her resident’s clothing. Which legal parameter did Mary commit?

a)

Negligence

b)

Malpractice

c)

Invasion of Privacy

d)

False imprisonment

39.

The charge nurse put physical restraints on an elderly patient without an authorization from the doctor. What legal parameter has been committed?

a)

Malpractice

b)

False Imprisonment

c)

Assault

d)

Invasion of Privacy

40.

Which of the following is a false statement that causes a resident’s reputation to become damaged?

a)

Defamation

b)

Fraud

c)

Battery

d)

Assault

41.

Mary, a CNA, committed _______ when she told a resident she was a RN.

a)

False Imprisonment

b)

Liable

c)

Slander

d)

Fraud

42.

Kady, a C.N.A. student, grabs her resident and slaps him as punishment for wandering into rooms he doesn’t belong. What could she be charged with?

a)

Battery

b)

Assault

c)

Slander

d)

Nothing, because she is a student

43.

If a CNA suspects a resident has been abused what should he/she do?

a)

A CNA can’t do anything. You have to be a nurse.

b)

Report it to the Charge Nurse.

c)

Take a statement from the resident.

d)

Tell the resident to report it to the Director of Nursing

44.

A resident has unexplained bruises, irrational fears, is aggressive and has paranoid behaviors. What may be happening to this resident?

a)

Nightmares

b)

Abuse

c)

Poor appetite

d)

Pain after Physical Therapy

45.

Instead of the term “practice”, what phrase has the BON reserved for CNA’s?

a)

Range of function

b)

Area of function

c)

Area of ability

d)

Range of ability

46.

If a CNA abuses their residents he/she will be labeled a perpetrator and their name is posted:

a)

On the National HOSA warning list

b)

On the National Practitioner Data Bank

c)

On the county nursing home websites

d)

On the school personnel record

47.

Kalen, a CNA, giving a resident medications is an example of:

a)

Assault and Battery

b)

Malpractice

c)

Her expected job duties

d)

False Imprisonment

48.

Healthcare legal issues typically involve which type of law?

a)

Criminal

b)

Justice

c)

Civil

d)

Legal

49.

Call signals/lights are:

a)

Distractions because some residents ring the bell all day

b)

Nothing to worry about if it’s not your resident

c)

Everyone’s responsibility even if it’s not your resident

d)

Noise and interruptions

50.

During a Resident Care Conference, Taylor, a CNA should:

a)

Voice complaints about the resident

b)

Share care suggestions

c)

Talk about how hard she has been working

d)

Look on her phone

51.

Where should healthcare members discuss resident information?

a)

In the residents room with visitors

b)

In the break room while eating lunch

c)

In a confidential place

d)

In the cafeteria

52.

Where should you wear your name tag?

a)

Below your waist

b)

ONLY if you work in the ED

c)

Above your waist to everyone can see it

d)

What name tag?

53.

When should you notify your workplace of an absence?

a)

ASAP or at least an hour before you are scheduled to work

b)

Don’t notify them, they are too busy to talk to you

c)

Right when your shift is suppose to begin

d)

The day after you are absent, that way you can explain the reason in person

54.

Becca just got her first job in December as a CNA and she needs to buy uniforms and shoes. What should she do?

a)

Buy scrubs and shoes with the latest fashion style

b)

Find out what the facility policy is for the dress code

c)

It doesn’t matter what she wears as long as she can do a good job

d)

Quickly order some holiday scrubs and matching shoes

55.

______ makes the CNA’s work assignment.

a)

Another CNA

b)

A licensed nurse

c)

A physician

d)

A Director of Nursing

56.

What should you do at the end of every shift?

a)

Notify the supervisor of unfinished assignments

b)

Leave without telling anyone

c)

Ignore any all signals right before you clock out so you and leave on time

d)

Change clothes and get ready to go out

57.

Not reporting abuse is considered:

a)

Caring

b)

Aiding and Abetting

c)

Responsible

d)

Always the best

58.

What is the term for the unauthorized use of a resident's personal belongings or money?

a)

Neglect

b)

Fraud

c)

Malpractice

d)

Misappropriation

59.

A nursing assistant overhears a coworker making false statements about a resident's health condition. This is an example of:

a)

Defamation

b)

Negligence

c)

Battery

d)

Invasion of Privacy

60.

Which of the following actions is considered a violation of a resident's right to privacy?

a)

Discussing the resident's condition with the healthcare team

b)

Sharing the resident's medical information with family without consent

c)

Documenting the resident's care accurately

d)

Providing care in a private setting

61.

Which of the following is an example of nonverbal communication?

a)

Writing a note in a patient's chart

b)

Giving an oral report to a supervisor

c)

Smiling at a new resident

d)

Speaking in an encouraging tone of voice to a resident

62.

If a resident is difficult to understand, a nursing assistant should:

a)

Pretend to understand even when she does not so the resident won't be embarrassed

b)

Restate what the resident is saying in her own words

c)

Avoid communicating with the resident

d)

Use cliches to make things easier for the resident

63.

Which of the following shows a correct conversion of 9:50 pm to military time?

a)

0950

b)

9:50

c)

2150

d)

1950

64.

A nursing assistant's responsibility with a resident's medical chart is to:

a)

Keep the chart open for later use.

b)

Make changes to the care plan.

c)

Suggest the best treatment for the resident.

d)

Record observations and care.

65.

When should documentation be recorded?

a)

Immediately after care is given.

b)

At the end of the shift.

c)

Whenever there is time to document fully.

d)

Before the care is given while there is extra time.

66.

Which of the following is an example of objective information?

a)

Mr. Castillo is grouchy today.

b)

Mr. Castillo's BP is 116/80.

c)

Mr. Castillo says he feels dizzy.

d)

Mr. Castillo has a stomachache.

67.

A person in a coma may still be able to:

a)

Hear

b)

Speak

c)

See

d)

Walk

68.

What are some common barriers to effective communication in a healthcare setting and how can they be overcome?

a)

Using interpreters or translators, providing cultural competency training, and ensuring a comfortable and accessible environment for communication.

b)

Ignoring the patient's cultural background

c)

Using complex medical jargon

d)

Speaking loudly and slowly to non-English speakers

69.

What are some strategies for de-escalating conflicts or difficult situations through effective communication?

a)

Using sarcasm and making jokes

b)

Active listening, maintaining a calm tone and demeanor, using empathy, finding common ground, and seeking a resolution through compromise.

c)

Yelling and shouting

d)

Ignoring the other person

70.

In our classroom, Mrs. Massengill is teaching the skill of CPR to her students. Who is the sender?

a)

students

b)

skill of CPR

c)

Mrs. Massengill

71.

An example of oral reporting is:

a)

a nurse writing his/her report down for the oncoming nurse

b)

texting the report from nurse to nurse

c)

nurse reporting verbally to an oncoming nurse at the beginning of the shift

d)

group of interdisciplinary staff members rounding on all CVA patients

72.

What is an example on nonverbal communication?

a)

DJ patting Anna on the shoulder

b)

Alba giving "mean eyes" to Tazmin

c)

Mrs. Massengill standing in front of the class with her arms crossed

d)

all are true

73.
Which of the following patient observations must be reported to the nurse?
a)
Your preschool pt is not drinking at least 30 ounces of milk each day
b)
Your elderly homecare pt reports to you that she fell last week
c)
Your teenager pt in a group home is more interested in peers that patients
d)
Your toddler patient is striving for autonomy and doing things on their own
74.

Which of the following is an example of nonverbal communication?

a)

Asking for a cookie

b)

Pointing to a cookie

c)

Writing a note requesting a cookie

d)

Shouting for a cookie

75.

Types of verbal communication include

a)

Reading

b)

Nodding one’s head

c)

Crossing one’s arms

d)

Writing

76.

Which of the following is an example of a barrier to communication?

a)

NA uses medical terminology with the resident.

b)

NA asks the resident to repeat a sentence.

c)

NA speaks the same language as the resident.

d)

NA speaks clearly using a professional tone of voice.

77.

Which of the following are ways for NAs to avoid barriers to communication?

a)

The NA should use slang so that the resident understands more easily.

b)

The NA should respond with “Why?” when resident makes a statement.

c)

The NA should use medical terminology when talking with the resident so the resident will more easily understand his condition.

d)

The NA should ask open-ended questions that require more than yes or no responses.

78.

Which of the following statements is an example of a fact?

a)

Mrs. Silva needed help to get to the bathroom today.

b)

Mrs. Silva needs more friends.

c)

Mrs. Silva looks happy when her daughter visits.

d)

Mrs. Silva is too thin.

79.

Which of the following is an example of objective information?

a)

“Mrs. Johnson says she has a rash on her torso.”

b)

“There are raised, red marks the size of pinpricks on Mrs. Johnson’s torso.”

c)

“Mrs. Johnson must have a rash because she looks uncomfortable.”

d)

“Mrs. Johnson needs some lotion.”

80.

Why is it important for an NA to consider a resident’s cultural background when communicating with him?

a)

It is not important to consider cultural background.

b)

Because the resident will certainly want to tell stories about his culture.

c)

Because the NA might know somebody with the same background and she can tell the resident about that person.

d)

Because cultural background helps determine how people communicate and can help the NA communicate better with the resident.

81.

What is a proper way for an NA to respond if a resident does not hear her or does not understand her?

a)

The NA should speak more quickly.

b)

The NA should speak more softly or whisper.

c)

The NA should speak slowly and clearly.

d)

The NA should shout.

82.

When should documentation be recorded?

a)

Immediately after care is given

b)

At the end of the shift

c)

Whenever there is time

d)

Before the care is given

83.

Which of the following shows the correct conversion of 2:35 p.m. to military time?

a)

2435 hours

b)

1435 hours

c)

2235 hours

d)

1235 hours

84.
Which type of question gives the CNA the most information?
a)
Open ended questions
b)
Close ended questions
c)
Yes or No questions
d)
Complex, technical questions
85.
Which is NOT an acceptable part of communication?
a)
Touch
b)
Judgments
c)
Silence
d)
Close ended Questions
86.
Which is an appropriate part of communication
a)
Quick information and instructions
b)
Speaking only in English
c)
Silence
d)
Probing Questions
87.

If a client expresses anger during care, which of the following would be an appropriate response for the nurse aide to make?

a)

"Why are you being so mean today?"

b)

"You should not say such mean things to people"

c)

" I will come back when your bad mood is over."

d)

"You seem upset. Would you like to talk about it?"

88.

When a nurse gives the nurse aide confidential information about a client, the nurse aide should

a)

share it with other clients

b)

keep the information private

c)

discuss it with other staff members in the break room

d)

discuss it with the client's family

89.

Which of the following is an example of nonverbal communication?

a)

Writing a note in a patient's chart

b)

Giving an oral report to a supervisor

c)

Smiling at a new resident

d)

Speaking in an encouraging tone of voice to a resident

90.

A nursing assistant's responsibility with a resident's medical chart is to:

a)

Keep the chart open for later use.

b)

Make changes to the care plan.

c)

Suggest the best treatment for the resident.

d)

Record observations and care.

91.

What is one reason a CNA’s observations are essential to the care plan?

a)

Observing a client is not a task that the CNA performs

b)

The CNA can decide what medication to prescrobe for the client’s current condition

c)

The CNA can tell the nurse how and when to change the care plan

d)

The CNA spends the most time with the client and can provide information nobody else will know