Certified Nursing Assistants
Certified Nursing Assistants are crucial members of any health care team. They are continuously working under the direction of a nurse. (RN or LPN/LVN) CNAs also provide hands on nursing care to patients, residents, clients and customers in various health care settings. CNAs usually provide assistance with self-care, such as bathing, dressing, eating, toileting and oral care to patients who are unable to complete these tasks on their own. CNAs are often often the staff member, who will read the patient’s vital signs, weigh the patients and they measure the patient’s height.
CNA exams are normally taken in two parts. There is a written component and a hands-on skills component. The written component of the test is typically in a multiple-choice format and will evaluate the CNAs knowledge of the subjects that all CNAs are expected to know.
Anyone writing a CNA exam must have a high school diploma or GED.
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- Question 1 of 16
Out of the following options, which one would NOT be considered neglect?CorrectIncorrect
As a nursing assistant, you may need to leave the floor from time to time, for various reasons during your shift. The other options are all mandatory responsibilities, which you have, to ensure the patient’s safety or to meet their basic needs. Failure to do these things would be considered neglect.
- Question 2 of 16
The head nurse on your shift has administered the wrong prescribed medication to the wrong patient. What would this be an example of?CorrectIncorrect
When a nurse fails to perform their medical duties and in turn that results in harm to the patient; that is considered to be nursing malpractice. The other options that were given are legal terms, but they do not apply to this circumstance.
- Question 3 of 16
As a nursing assistant, if you were to threaten to slap your patient if they didn’t stop yelling, this would be considered to be:CorrectIncorrect
Assault is the mere threat of harm upon another person, while battery is the actual infliction of harm upon another person. Libel and slander are verbal assaults against another person’s character.
- Question 4 of 16
What is the priority action that you must take as a nursing assistant, if there is a contained fire in your patient’s room?CorrectIncorrect
The safety of your patients should always be your number one priority.
- Question 5 of 16
The following actions could all result in a nursing assistant being charged with negligence EXCEPT:CorrectIncorrect
If you were to deliberately harm your patient, you would be charged with battery because that is considered to be physical abuse. All of the other options would be considered negligence.
- Question 6 of 16
Which of the options below, could possibly result in a nursing assistant being charged with battery?CorrectIncorrect
It would be considered battery if a nursing assistant used restraints on their patient without the physician’s orders. Raising a hand as a threat to your patient would be considered assault. Ignoring your patient’s calls for assistance would be considered negligence and administering medications to your patient as a nursing assistant would be considered malpractice.
- Question 7 of 16
Out of the four options below, which one is the correct legal term for ‘being responsible for providing care according to the accepted standard’?CorrectIncorrect
The accurate answer would be liability. All the other options have different legal meanings.
- Question 8 of 16
You have just witnessed one of your colleagues sexually harassing a patient. You choose not to do anything about it. What would this be an example of?CorrectIncorrect
When a patient’s caregiver knows that the patient’s rights have been violated by another caregiver, and they do absolutely nothing to help the patient, it is considered aiding and abetting or contributing to the offence. If the caregiver who ignores the wrongdoing is upset with the patient, the action of ignoring the wrongdoing could be interpreted as a form of passive aggression. However this is not the legal term, which would be used to describe that type of behaviour.
- Question 9 of 16
You overhear the nurse in charge telling one of the patients that the LPN (Licensed Practical Nurse) is not doing her duties the way she should be. What is the best legal term to describe this?CorrectIncorrect
Slander is when you utter something malicious that can destroy someone’s reputation. Discrimination is when someone is treated unfairly due to prejudice. Insubordination is the refusal to obey the orders of a figure of authority. Although the head nurse is gossiping, this is not a legal term.
- Question 10 of 16
What is the legal term for forcing a patient to do something against their will?CorrectIncorrect
Conspiracy is when two or more people create a plot or a secret plan. Consequences are what follow after an action. Collusion is a secret cooperation between two or more persons to commit an illegal act. Therefore, the correct response is Coercion.
- Question 11 of 16
One of your patient’s has family visiting at the time that you arrive on duty. One of the patient’s family members hands you an envelope that contains a thank you card with a monetary gift as a token of appreciation for caring for their loved one. What should your response be?CorrectIncorrect
Since you are an employee and are being paid to care for your patients, it would be considered a violation of professional ethics to accept any kind of gifts from a patient or their family. Some facilities allow monetary gifts to be donated to a fund that allows the facility to purchase items, which would benefit all the patients, but every facility has a different policy. You must also be aware of other problems that are associated with accepting gifts from patients with dementia.
- Question 12 of 16
One of your fellow nursing assistants is upset with you. She approaches the head nurse and claims that you stole money from a patient’s purse, which is a complete lie. This would be an example of:CorrectIncorrect
Defamation is when you make offensive and false statements about another person. Accolades are when you give compliments and praise to someone. Assault is when one person threatens to harm another. Malpractice is unethical or illegal actions, which result in a failure to fulfill your duties and responsibilities of your position.
- Question 13 of 16
Restricting your patient’s movements or actions without proper authorization can be interpreted as:CorrectIncorrect
Nursing assistants need to understand that if they were ever to use restraints on one of their patients without the proper authorization, not only the action would be considered to be interpreted as false imprisonment and a violation of your patient’s rights; but even the mere threat of using restraints on your patient without the doctor’s permission can result in false imprisonment charges.
- Question 14 of 16
Out of the choices below, which one is a form of involuntary seclusion?CorrectIncorrect
Leaving your patient alone without any means of communication would be considered involuntary seclusion because this is not the patient’s choice. The other options were requested by the patient and are therefore not considered to be involuntary.
- Question 15 of 16
One of your patients has gone on a day trip with their friends and family members. They return to the facility complaining to you that they are hungry and thirsty. As the nursing assistant, what action should you take?CorrectIncorrect
The nursing assistant must report any form of suspected abuse. This is your duty, even if you suspect your patient’s family or friends. The other options would not prevent this same problem from happening again.
- Question 16 of 16
Out of the scenarios below, which one would most likely be considered a violation of the patient’s rights?CorrectIncorrect
A patient has the right to choose his own physician and this is clearly stated in the Patient’s Bill of Rights. Patients have the right to remain free of restraints, but should the patient be harming himself or others, the doctor may order that restraints be used. Non-payment is considered to be a valid reason for a patient to be transferred. Patients cannot be transferred without reason. Lastly, a patient has the right to wear their own clothes, however if they are hazardous, or infringing on the rights of others, alternate clothing will be supplied.