CNA California Module 1 Quiz

Questions and Answers

What is the primary goal of acute care facilities for nursing assistants?

To provide long-term care to residents.

To offer personal support and rehabilitation.

To address immediate healthcare needs and stabilize patients. (correct)

To manage chronic conditions over an extended period.

Which of the following is NOT a responsibility of a nursing assistant in a long-term care facility?

Supporting residents’ social and emotional needs.

Administering medications without supervision. (correct)

Assisting residents with bathing and grooming.

Restorative care, such as range-of-motion exercises.

What trait is essential for nursing assistants working in sub-acute care facilities?

Flexibility to work in various healthcare settings.

Skill in patient education and rehabilitation. (correct)

Ability to deal with medical emergencies.

Competence in advanced clinical procedures.

What is the primary regulation governing long-term care facilities?

OBRA of 1987 and state regulations. Signup and view all the answers

Which type of care facility provides basic assistance without 24-hour skilled nursing?

Assisted-living facilities. Signup and view all the answers

Which action should a nursing assistant take if a delegated task is outside their scope of practice?

Politely refuse the task and seek clarification. Signup and view all the answers

In which scenario is a nursing assistant responsible for documenting their actions?

After completing a delegated task. Signup and view all the answers

What characteristic is least important for a nursing assistant in long-term care?

Skill in advanced medical procedures. Signup and view all the answers

What is essential for maintaining an efficient chain of command in healthcare?

Following the designated route of communication. Signup and view all the answers

Which of the following does NOT belong to the nursing assistant's scope of practice?

Delivering medications. Signup and view all the answers

Which of the following is a responsibility unique to nursing assistants in assisted-living facilities?

Light housekeeping. Signup and view all the answers

Which of the following healthcare team members may a nursing assistant frequently interact with?

Physical and occupational therapists. Signup and view all the answers

What is a characteristic of a sub-acute care facility?

Patients require skilled nursing care but are more stable. Signup and view all the answers

Who is primarily responsible for teaching residents in a healthcare facility?

Nurses Signup and view all the answers

What is the minimum number of hours for nursing assistant training programs set by federal law?

75 hours Signup and view all the answers

What does the Occupational Safety and Health Administration (OSHA) primarily ensure?

Safe working conditions Signup and view all the answers

What is one condition under which an employee can use the Family and Medical Leave Act (FMLA)?

To care for an immediate family member with a serious medical condition Signup and view all the answers

What is a crucial component of being certified as a nursing assistant in California?

Passing both a written and skills exam Signup and view all the answers

What is the required minimum in-service training hours for maintaining CNA certification in California over two years?

48 hours Signup and view all the answers

Which of the following is a responsibility of nursing assistants regarding resident rights?

Honor the resident's treatment choices Signup and view all the answers

Under HIPAA, which type of information is protected?

Individual’s past, present, and future medical condition Signup and view all the answers

What is a characteristic of professionalism expected from nursing assistants?

Dependability Signup and view all the answers

What is required for nursing assistant recertification in California?

Providing evidence of continuing education Signup and view all the answers

What should a nursing assistant do if they witness abuse?

Report it as a mandatory reporter Signup and view all the answers

What is one of the principles of effective time management for nursing assistants?

Identifying and prioritizing tasks Signup and view all the answers

What is required before a nursing assistant can work in federally funded facilities?

Certification by completing approved training Signup and view all the answers

Which of the following provides guidelines for the nursing assistant training programs?

Title 22 Signup and view all the answers

Study Notes

Introduction to Nursing Assistant Certification

Certification as a Certified Nursing Assistant (CNA) is essential in California's healthcare system.

Roles and Responsibilities of a CNA

Providing essential personal care and support for patients in various healthcare settings.
Responsibilities include vital signs monitoring, ambulation support, and daily living assistance.

Work Settings for Nursing Assistants

Acute Care
- Offers short-term care for immediate health issues.
- Focus on stabilizing condition for discharge.
- Typically the most expensive healthcare setting.
- Accredited by the Joint Commission; surveyed every three years.
Sub-acute Care Facilities
- Treat residents needing skilled nursing care but medically stable.
- Emphasizes patient education and rehabilitation.
- Governed by Joint Commission or state regulators, depending on the facility's location.
Long-term Care Facilities
- Also called nursing homes or skilled nursing facilities (SNFs).
- Provide prolonged skilled nursing care governed by OBRA of 1987.
- Yearly surveys; state regulation enforces federal laws.
- Residents have access to an ombudsman for rights protection.
Assisted-Living Facilities
- Serve individuals transitioning between independence and nursing home care.
- State-regulated with basic assistance in daily living activities.
- Typically do not require staff certification.
Other Work Settings
- Include home healthcare services, private home care, hospice, respite care, and adult daycare.

Nursing Assistant Responsibilities

Responsibilities vary by setting but generally include:
- Personal care (bathing, grooming).
- Assisting with meals and medication administration.
- Promoting patient rehabilitation and independence.

Preferences and Traits of a Nursing Assistant

Flexibility and capacity to work in fast-paced environments are essential.
Enjoyment in meeting new people and adapting to ongoing technological changes.
Ability to build long-term relationships with residents.

Members of the Healthcare Team

CNAs work alongside diverse team members including:
- Physicians, RNs, LPNs, medical assistants, nutritionists, and various therapy professionals (physical, occupational, speech).

Scope of Practice for Nursing Assistants

Defined as the responsibilities and skills a CNA can perform after training.
Important for CNAs to know their scope and the regulations governing their practice.
Includes:
- Basic personal care and emotional support.
- Assistance with activities of daily living (ADLs) and restorative care.
Does Not Include:
- Administration of medications, catheter or IV insertion, care plan development, teaching, or delegation.

Chain of Command

Essential communication route within the healthcare team to minimize errors.
CNAs receive delegated tasks from registered nurses, maintaining organized chain responsibilities.

Delegated Tasks

Refers to tasks assigned by a supervisor within the CNA's scope.
Must be documented once completed; refusal is necessary if outside the scope.
Professionalism and respect are crucial when refusing a delegated task.

Conclusion

CNA certification is vital in California, with diverse responsibilities across various healthcare environments, emphasizing patient care and teamwork within the healthcare system.### Reinforcing Concepts in Nursing Assistant Certification
Teaching responsibilities belong to nurses; nursing assistants can only reinforce information already provided.
Education begins upon resident admission to a facility.

Time Management and Organization for CNAs

Key principles include setting and visualizing goals, prioritizing tasks, and formulating actionable plans.
Collaboration with coworkers can provide valuable suggestions.

Rights and Responsibilities

Rights refer to freedoms and protections upheld by law.
Responsibilities hold individuals accountable for their actions and choices.

Employee Rights Overview

The Occupational Safety and Health Administration (OSHA) ensures safe and healthy working conditions for employees, including provision of personal protective equipment (PPE) and vaccinations.
The Family and Medical Leave Act (FMLA) permits up to 12 weeks of job-protected leave for specific medical issues.

FMLA Usage

Qualifying situations for FMLA include childcare for newborns, adoption placements, caring for seriously ill family members, and personal medical conditions.

Title 22 Regulations

Title 22 consists of state laws governing healthcare facilities, training programs for nurse aides, and care standards for long-term residents.
Certification requires completion of an approved training program, passing written and practical exams, and maintaining criminal record clearance.

Nurse Assistant Education and Certification

Federal law mandates a minimum of 75 training hours; California requires 60 classroom hours and 100 clinical hours.
Certification enables nurse aides to work in federally funded facilities.

Nurse Aide Registry

The registry is a verification database for employers to ensure CNAs are competent and have no history of abuse or neglect.

Continuing Education Requirements

California mandates 48 hours of in-service training every two years to maintain certification; at least 12 hours must be completed yearly, with a cap of 24 online hours.

Initial Certification Requirements

Candidates must be at least 16 years old, complete an approved training program, pass certification testing, and clear a background check.
Recertification occurs every two years.

Professionalism Attributes

Key traits include dependability, promptness, customer service skills, flexibility, and hygiene.

Ethical Responsibilities

Employees must adhere to privacy regulations, follow standards of practice, and complete tasks timely.
Essential to prevent, identify, and report abuse, acting as mandatory reporters.

Resident Rights and Confidentiality

Residents are entitled to unbiased care, respect, access to medical records, informed choices, and confidentiality in their healthcare information.

HIPAA Overview

The Health Insurance Portability and Accountability Act protects personal health information, covering conditions, treatments, and payment information.

Residents must be informed about treatment options and risks; CNAs support resident choices and promote independence while reporting conflicting care plan decisions.

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Description

This quiz tests your understanding of the roles and responsibilities of nursing assistants as outlined in Module 1 of the California CNA certification program. Prepare to assess your knowledge and readiness for certification in the nursing field.