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Questions and Answers
Which of the following is NOT a responsibility of a CNA?
What is the primary goal of a CNA?
What is essential for maintaining confidentiality in healthcare?
Which quality is considered most important for a healthcare worker?
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Why is effective communication critical in healthcare?
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During the reporting process, when should unusual observations be reported?
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What type of data is considered subjective?
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What should be the approach towards resident rights regarding their treatment decisions?
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Which action demonstrates professionalism in nursing assistance?
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Which of the following actions exemplifies a violation of resident rights?
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What is one critical guideline regarding call lights in caregiving?
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Which type of abuse includes humiliating a resident as a form of punishment?
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How should a caregiver respect a resident's cultural and religious preferences?
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In terms of communication with residents, what is a key point of consideration?
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What measures should be taken to protect resident confidentiality?
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What is a resident's right regarding personal items?
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Study Notes
Introduction to the Role of the Nurse Aide
- CNAs assist nurses in meeting the physical and emotional needs of residents, including hygiene, safety, nutrition, exercise, and elimination.
- The primary goal is to provide daily care, comfort, and support residents' health.
- Compassion and empathy are crucial qualities for healthcare workers.
Professionalism
- Treat each individual with respect.
- Be loyal by maintaining good attendance, being punctual, and giving notice for absences.
- Do not accept money or valuables from or on behalf of residents.
- Practice ethical behavior by being accountable, respecting others, and maintaining confidentiality.
- Earn trust by keeping commitments, speaking well of others, supporting the facility, and working as a team.
- Maintain a professional appearance.
Confidentiality
- Healthcare workers have a legal and moral obligation to protect patient information.
- The Health Insurance Portability and Accountability Act (HIPAA) safeguards the privacy of health information (PHI).
Scope of Practice
- CNAs must know their permissible and prohibited duties.
- CNAs are not authorized to assess residents.
Communication
- Objective data relies on observations and sensory information.
- Subjective data relies on information that cannot be directly observed or verified.
Observing and Reporting
- It is crucial to report any changes in a resident's appearance, behavior, or condition.
- Routine reporting occurs at the end of the shift.
- Immediate reports must be made for dangerous or unusual observations.
- CNAs need to report to the nurse and document observations at the end of their shift.
Care Plan Participation
- CNAs are essential participants in the care planning process.
- Care plans address the resident's current needs.
- Healthcare Team members, including CNAs, have access to the Care Plan and medication list.
Healthcare Team/Chain of Command
- An interdisciplinary team collaborates to meet the resident's needs and provide a safe environment.
- Staff/charge nurses are the CNA's direct supervisors.
- Charge nurses report to the Director of Nursing (DON).
- The Ombudsman advocates for residents and aims to improve their quality of life.
Communication and Interpersonal Skills
- Effective communication involves exchanging information and observing feedback.
- Positive interpersonal skills include empathy, tact, and courtesy.
- Verbal communication uses spoken or written words, including tone of voice.
- Nonverbal communication includes body language, facial expressions, and touch. It can convey positive or negative messages.
Barriers to Effective Communication
- Clichés, slang, and visual or hearing impairments can hinder communication.
- Even if a resident is unconscious, talk to them, as they may still hear you.
Call Lights
- Call lights must be answered immediately.
- Place the call light within reach on the resident's unaffected side.
- Withholding a call light as punishment is abuse.
Resident/Person-Centered Care
- Daily routines should be designed to meet the resident's specific needs and former lifestyles.
- Residents have the right to decide when to get up, go to bed, what to wear, when/what to eat, and when/how to bathe.
- When family visits, provide privacy and leave the room unless they request your presence.
Respecting Culture and Religious Preferences
- Respect the resident's cultural beliefs, including prayer times, preferred spiritual advisors, and dietary restrictions.
- If a resident asks you to read a religious book you disagree with, respect their personal choice and read it.
Resident Rights - OBRA
- The Omnibus Budget Reconciliation Act (OBRA) was created due to increased reports of abuse and neglect in nursing homes.
- It informs residents of their rights and provides an ethical code for healthcare workers.
Resident Rights
- Residents have the right to choose their physician and participate in treatment decisions and care planning.
- They have the right to privacy and confidentiality of all information.
- Residents should be treated with dignity and respect.
- Calling a resident "honey" or "sweetie" is disrespectful and violates their rights.
- Residents have the right to make personal choices, including refusing care.
- Resident Rights may also be referred to as Resident-Centered Care.
- Residents have the right to personal items, but not to other residents' items in the facility.
Confidentiality
- Avoid gossiping in the workplace.
- Do not discuss resident information in front of other residents.
- Do not give resident information to anyone except the nurse.
- Residents have the right to be involved in their own care.
- Residents have the right to make their own choices.
- If a resident is upset with the care received, they can file a grievance or contact an ombudsman.
Protection of Resident Rights
- CNAs are responsible for protecting residents and preventing abuse and neglect.
Types of Abuse
- Physical
- Sexual
- Mental/psychological (including leaving a resident in an embarrassing situation as punishment)
- Verbal
- Financial
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Description
This quiz covers the essential roles and responsibilities of nurse aides, focusing on their duties in providing emotional and physical support to patients. It emphasizes the importance of professionalism, confidentiality, and ethical behavior in the healthcare setting. Understand how compassion and empathy play a critical role in delivering quality care.
