CNA Responsibilities and Care Techniques

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?

Changes in a patient's condition Signup and view all the answers

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

LPN or RN (direct superior) Signup and view all the answers

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

Doctor > Nurse Director > RN Supervisor > RN > LPN > CNA Signup and view all the answers

What is the most used skill in the healthcare career?

Communication Signup and view all the answers

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

True Signup and view all the answers

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

Speak clearly, slowly & directly; Turn down TV & face client Signup and view all the answers

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

Abuse Signup and view all the answers

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

Assault Signup and view all the answers

What is unlawful personal violence toward a resident?

Battery Signup and view all the answers

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

False imprisonment Signup and view all the answers

What is neglect in the context of resident care?

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

What is negligence?

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

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

Scope of Practice Signup and view all the answers

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. Signup and view all the answers

What are signs of suspected abuse?

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

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

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

What is an Ombudsman?

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

Why is HIPAA important?

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

What is PHI (Part of HIPAA)?

Protected health information Signup and view all the answers

What rights do all residents have?

Choose their own physician Signup and view all the answers

All restraints require a _________'s order.

Doctor's Signup and view all the answers

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

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

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

religions Signup and view all the answers

What should you do if you notice signs of depression?

Report to the nurse Signup and view all the answers

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

Take them to a private area Signup and view all the answers

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

Be frank and confront the unwanted behavior - also notify supervisor 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.

Legal Definitions

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.