CNA Written Exam NC
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CNA's are prohibited to engage in certain activities, Give medications, take verbal orders from MD, insert tubes or IVs, apply sterile
including but not limited to: dressings
Who does a CNA report to? Nursing supervisor
CNA's provide ________ care to residents. Direct care
Since you typically spend the most time with a patient, Changes in a patient's condition.
what should you be constantly looking out for or be
aware of?
Who develops the resident's care plan that the CNA will LPN or RN (direct superior)
follow?
Chain of command at a long-term care facility? Doctor > Nurse Director > RN Supervisor > RN > LPN > CNA
What is the most used skill in the health care career? Communication- listening, responding, documeting.
Is it better to use open-ended questions or close-ended Open-ended ('tell me more', 'let me see if I understand')
questions when speaking with residents?
How should you speak to a client who has a hearing Speak clearly, slowly & directly
impediment? Turn down TV & face client
, A threat or actual physical/mental harm to a resident? Abuse
Touching a resident without their permission? (shoving, Assault
pushing, hitting)
Unlawful personal violence toward a resident? (bathing Battery
w/o permission, etc)
Preventing a resident from moving freely about with or False imprisonment
w/o force against their wishes?
Accidently or intentionally ignoring the needs of a Neglect
resident which causes harm, injury, or change in
condition? (patient gets bedsore bc of not turning him
every 2 hours, not bathing patient)
Neglecting what you were taught by omitting care or Negligence
performing incorrect care which causes harm to the
resident? (not putting up bedrails)
Defines the tasks that health care providers are trained Scope of Practice
and allowed to provide by law. Laws regulate what a
nursing assistant can and cannot do vary from state to
state? (giving medication is 'out of scope or practice' for a
CNA)
What does a resident's care plan consist of? What the CNA needs to do for the resident and paints a picture for the resident's
disabilities, limitations, and conditions.
Skin tears, frequent crying, personality changes, refusal to Suspected abuse
carry out ADLs, fear of touch, anxiety, and refusal of
certain visitors are all signs of what?
What is required of CNA's due to the OBRA act? Pass a competency evaluation before employed and regular 12 hours of in-service
(Omnibus Budget Reconciliation) each year.
What is an Ombudsman? A person assigned by law to be the legal advocate for residents- helps residents
solve complaints
Why is HIPPA important? It is a federal law that requires all employees and health care organizations to
keep patient health information private.
What is PHI? (Part of HIPPA) Protected health information.
All Residents have the Right to: Choose their own physician
Participate in plan of care
Manage their own finances
Have access to visitors, medical charts, confidential communication with visits,
public places, and legal reps
Refuse medication and care