CNA Responsibilities and Care Techniques
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Questions and Answers

What activities are CNAs prohibited from engaging in? (Select all that apply)

  • Give medications (correct)
  • Take verbal orders from MD (correct)
  • Apply sterile dressings (correct)
  • Insert tubes or IVs (correct)

    • Who does a CNA report to?

    Nursing supervisor

    CNA's provide ________ care to residents.

    Direct care

    What should you be constantly looking out for or be aware of?

    <p>Changes in a patient's condition</p> Signup and view all the answers

    Who develops the resident's care plan that the CNA will follow?

    <p>LPN or RN (direct superior)</p> Signup and view all the answers

    What is the chain of command at a long-term care facility?

    <p>Doctor &gt; Nurse Director &gt; RN Supervisor &gt; RN &gt; LPN &gt; CNA</p> Signup and view all the answers

    What is the most used skill in the healthcare career?

    <p>Communication</p> Signup and view all the answers

    Is it better to use open-ended questions or close-ended questions when speaking with residents?

    <p>True</p> Signup and view all the answers

    How should you speak to a client who has a hearing impediment?

    <p>Speak clearly, slowly &amp; directly; Turn down TV &amp; face client</p> Signup and view all the answers

    What constitutes a threat or actual physical/mental harm to a resident?

    <p>Abuse</p> Signup and view all the answers

    What is it called when touching a resident without their permission?

    <p>Assault</p> Signup and view all the answers

    What is unlawful personal violence toward a resident?

    <p>Battery</p> Signup and view all the answers

    What is preventing a resident from moving freely about with or without force against their wishes?

    <p>False imprisonment</p> Signup and view all the answers

    What is neglect in the context of resident care?

    <p>Accidentally or intentionally ignoring the needs of a resident which causes harm, injury, or change in condition</p> Signup and view all the answers

    What is negligence?

    <p>Neglecting what you were taught by omitting care or performing incorrect care which causes harm to the resident</p> Signup and view all the answers

    What defines the tasks that healthcare providers are trained and allowed to provide by law?

    <p>Scope of Practice</p> Signup and view all the answers

    What does a resident's care plan consist of?

    <p>What the CNA needs to do for the resident and paints a picture for the resident's disabilities, limitations, and conditions.</p> Signup and view all the answers

    What are signs of suspected abuse?

    <p>Skin tears, frequent crying, personality changes, refusal to carry out ADLs, fear of touch, anxiety, and refusal of certain visitors</p> Signup and view all the answers

    What is required of CNAs due to the OBRA act (Omnibus Budget Reconciliation)?

    <p>Pass a competency evaluation before employed and regular 12 hours of in-service each year</p> Signup and view all the answers

    What is an Ombudsman?

    <p>A person assigned by law to be the legal advocate for residents - helps residents solve complaints</p> Signup and view all the answers

    Why is HIPAA important?

    <p>It is a federal law that requires all employees and healthcare organizations to keep patient health information private.</p> Signup and view all the answers

    What is PHI (Part of HIPAA)?

    <p>Protected health information</p> Signup and view all the answers

    What rights do all residents have?

    <p>Choose their own physician</p> Signup and view all the answers

    All restraints require a _________'s order.

    <p>Doctor's</p> Signup and view all the answers

    How often should you check on restrained residents and what should you check for?

    <p>Every 15 minutes and check for skin irritation, breathing problems, or other complaints</p> Signup and view all the answers

    CNA's are expected to accept all _____ and therefore, not project their own ________ on residents.

    <p>religions</p> Signup and view all the answers

    What should you do if you notice signs of depression?

    <p>Report to the nurse</p> Signup and view all the answers

    What should you do if you see a resident masturbating in public?

    <p>Take them to a private area</p> Signup and view all the answers

    What should you do if a resident is showing unwanted sexual advances to staff or to other residents?

    <p>Be frank and confront the unwanted behavior - also notify supervisor</p> Signup and view all the answers

    Study Notes

    CNA Responsibilities and Restrictions

    • CNAs cannot give medications, take verbal orders from MDs, insert tubes or IVs, or apply sterile dressings.

    Reporting Structure

    • CNAs report directly to the nursing supervisor.

    Type of Care Provided

    • CNAs provide direct care to residents.

    Patient Monitoring

    • Constantly observe for changes in a patient's condition due to close contact.

    Care Plan Development

    • The resident's care plan is developed by LPNs or RNs, who are direct superiors.

    Chain of Command

    • The typical chain of command: Doctor > Nurse Director > RN Supervisor > RN > LPN > CNA.

    Essential Skills

    • Communication is the most utilized skill in healthcare, encompassing listening, responding, and documenting.

    Questioning Techniques

    • Utilize open-ended questions to encourage resident dialogue (e.g., "Tell me more").

    Communication with Hearing Impaired

    • Speak clearly and slowly, lower background noise, and face the client when speaking.

    Definitions of Harm

    • Abuse is defined as threatening or causing physical/mental harm.
    • Assault involves touching without permission, such as shoving or hitting.
    • Battery refers to unlawful personal violence, such as bathing without consent.
    • False imprisonment prevents residents from moving freely, with or without force.
    • Neglect involves ignoring a resident's needs, leading to harm or change in condition.
    • Negligence relates to omitting care or performing incorrectly, resulting in resident harm.
    • Scope of Practice outlines what tasks healthcare providers are legally qualified to perform.

    Resident Care Plans

    • Care plans specify what CNAs must do for residents, detailing their disabilities, limitations, and conditions.

    Signs of Suspected Abuse

    • Indicators include skin tears, emotional changes, refusal of activities, fear, and anxiety.

    Regulatory Requirements

    • OBRA mandates CNAs to pass a competency evaluation and complete 12 hours of in-service training yearly.

    Role of Ombudsman

    • Ombudsmen are legal advocates for residents who assist in resolving complaints.

    HIPAA Compliance

    • HIPAA is a federal law ensuring patient health information confidentiality.

    Protected Health Information (PHI)

    • PHI refers to all individually identifiable health information maintained by healthcare providers.

    Resident Rights

    • Residents have the right to choose their physician, manage finances, participate in care plans, access visitors and medical charts, and refuse medications or care.

    Restraint Protocol

    • All restraints necessitate a doctor's order; residents should be checked every 15 minutes for any adverse effects.

    Religious Neutrality

    • CNAs must accept all religions without projecting their beliefs onto residents.

    Observing Signs of Depression

    • Report any signs of depression to the nurse promptly.

    Addressing Inappropriate Behavior

    • If a resident is masturbating in public, guide them to a private area. For unwanted sexual advances, confront the behavior and notify a supervisor.

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    Description

    This quiz covers essential responsibilities, reporting structures, and care techniques for Certified Nursing Assistants (CNAs). You will learn about the limitations of CNAs, the importance of communication, and methods for patient monitoring and interaction. Test your knowledge of the CNA role in healthcare settings.

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