Unit 3 Review

Reporting

Communication of resident activity between team members. It occurs routinely at the change of shift:

Receiver

The person who gets the message during communication:

Body language

Nonverbal communication through gestures, facial expressions, behaviors, and posture:

Sender

The person who gives a message during communication:

Charge Nurse

Lead nurse on a shift. The person the CNA will report to or ask questions of:

Accidents/Incidents

An unexpected event that may cause harm to residents, employees, or any other person:

Call light

Allows the patient to call for help via light and/or sound:

Care Plan

A written plan outline that identifies a resident's unique needs. Includes how healthcare workers will assist the resident in meeting these needs:

Subjective

Feelings measured ONLY by the person. Something someone else cannot see, hear, feel, smell, or taste:

Communication

The exchange of thoughts, feelings, and information by verbal or nonverbal messages. The exchange can be by written, verbal, sign language, or electronic health record methods:

Conflict

A struggle between opposing forces:

Gestures

The ways in which people use their bodies to communicate with one another; non-verbal:

Objective

Observations measured by being able to see, hear, feel, or smell:

Conflict Resolution

The process of ending a conflict through cooperation and problem solving:

Interpersonal Skills

A person has strong _______________when they possess the ability to deal effectively with other people.

Charting

The act of noting care and observations; documenting:

Medical Record

A file that contains documents that describe a specific patient's medical history and medical care. A legal document that tells the resident's history, progress and care plan:

Non-verbal Communication

Messages sent by methods other than spoken or written words, such as facial expressions, gestures, and body movements:

Principles of Phone Etiquette include:

Stating the name of the facility, stating your name and title, and asking, "how can I help you?" This also includes not taking phone orders from providers

Answer: C

1. When communicating with residents, you need to remember to:
a. Look away when they make eye contact
b. Speak rapidly and loudly
c. Face the resident and make eye contact
d. Finish all their sentences for them

Answer: A

2. Nursing assistants may share medical information about a resident with:
a. Their charge nurse and co-workers
b. All employees in the facility
c. Roommates and family members
d. Residents' visitors and friends

Answer: C

3. Observations that can wait to be reported at shift change include:
a. Complaints of visual changes
b. Increased complaints of pain
c. Disinterest in recreational activity
d. Reddened area on the resident's skin

Answer: A

4. The primary purpose of the medical record is to:
a. Communicate to the healthcare team
b. Document what the resident says
c. Record care that was provided
d. Report information to the doctor

Answer: C

5. Mrs. Smith reports that her hearing aid is missing. What do you do?
a. Give her another patient's hearing aid for the day
b. Tell her she will do OK without it for the day
c. Report it to the nurse
d. Call the family

Answer: C

6. Of the following signs and symptoms, a nursing assistant would report to the charge nurse that:
a. The resident has had a bowel movement every day
b. The resident ate seventy-five percent of her meal
c. You observed a reddened area on her skin
d. You observed yellow urine in her Foley bag

Answer: D

7. A mandatory meeting held with multiple members of the healthcare team as well as the resident
and their family to discuss the resident's care is called a(n):
a. Interdisciplinary meeting
b. Activities meeting
c. Morning conference
d. Care conference

Answer: A

8. Demonstrating good listening skills involves:
a. Repeating what you heard the resident say when she has finished speaking
b. Asking the resident questions whenever they pause in the conversation
c. Standing in an attentive manner as close as possible to the resident
d. Setting your "internal" timer and ending the conversation when the timer goes off

Answer: A

9. The most urgent observation to report to the nurse upon discovery is:
a. A sudden numbness of the left arm
b. Recurrent pain from an old injury
c. Increased urinary frequency
d. Increased forgetfulness

Answer: B

10. After reporting abnormal results to the nurse:
a. Document in the EMR by the end of your shift
b. Document in the EMR right away or as soon as possible
c. Document in the EMR the next time you log in
d. You don't need to document in the EMR, you told the nurse

Answer: D

11. To correct a charting mistake you made, you would:
a. Scribble it out
b. Erase it
c. Use "White out"
d. None of the above

Answer: A

12. When you walk into the resident's room you see the resident on the floor. You will alert the charge
nurse, make sure the resident is safe, and record this finding in the resident's chart as:
a. Objective information
b. Negligence
c. Subjective information
d. Possible abuse

Answer: D

13. When a nursing assistant is documenting accurately, the nursing assistant should take into
account and:
a. Observe the changes in the resident's appearance, listening to what the resident says
b. Check the resident for observational changes in skin, gait, posture, and social
interactions
c. Listening to the resident and hearing what the resident has to say. Is the resident
speaking clearly and making sense
d. Looking for signs of change, listening to what the resident and their family says,
touching the resident's skin checking for changes and observing the change in the
resident's color

Answer: B

14. ____________ is a barrier to effective communication:
a. Aggressiveness
b. Defensiveness
c. Powerlessness
d. Playfulness

Answer: C

15. The care plan is a document that:
a. The nurse uses to chart care that was given to the resident
b. The CNA uses to chart the resident's vital signs
c. Lists approaches the team will use to care for the resident
d. Is used to chart accident incidences

Answer: A

16. When communicating with a resident the nursing assistant should:
a. Pay attention and listen
b. Share work experience and personal concerns
c. Continue to work and turn your face away
d. Pretend to understand and listen

Answer: A

17. When the resident needs assistance and uses the call light, a light is activated:
a. Outside the resident's room or at the nursing station
b. In the activities room and in the resident's room
c. At the nursing station and in the activities room
d. In the bathroom or in the activities room

Answer: A

18. Information collected by using the senses without any verbal input from the resident is called:
a. Objective information
b. Subjective information
c. Reactive information
d. Personal information

Answer: A

19. During documentation you make a mistake, you should:
a. Draw one line through the error, and write the correct information, then initial and
date
b. Erase the mistake that you have recorded and write over it
c. Draw a solid line through it and re-write the correction in pencil above the error
d. Inform your charge nurse of the mistake and let them correct the issue

Answer: C

20. When documenting on a resident the nursing assistant should:
a. Document the care that you are planning on performing on the resident and record the
correct date and time that you are planning on completing
b. Document only issues that occurred during the activities of daily living in pencil, date and
sign the issues you observed in the resident care plan
c. Document immediately after care is given. Document only the facts, recording the
correct date and time the documentation occurred and any observations observed
d. Document at the end of the shift before the nursing assistant clocks out. Document any
issues, problems, or concerns that were observed during the care of the resident

Answer: B

21. While having a conversation with Mrs. Ruby, you would maintain open communication by:
a. Crossing your arms across your chest
b. Nodding encouragingly as she speaks
c. Staring out the window
d. Finishing her sentence

Answer: B

22. The most important task you should do when you leave a resident's room is to:
a. Turn out the light and shut the door
b. Hand the call light to the resident
c. Turn on their television
d. Suggest their family not visit the following day

Answer: D

23. Mrs. Lee uses her call light excessively. Your best response to Mrs. Lee is:
a. Tell the nurse that Mrs. Lee doesn't like you and ask not to be assigned to her again
b. Take Mrs. Lee's call light away or unplug it
c. Tell Mrs. Lee that you have sick people to take care of and to not use the call signal
unless it is an emergency
d. Give Mrs. Lee some choices and control over her care

Answer: C

24. A resident's call light:
a. May be answered when you have time
b. May be kept out of the resident's reach
c. Should be answered as quickly as possible
d. May only be answered by the nursing assistant assigned to that resident

Answer: B

25. When experiencing a conflict with a coworker you should:
a. Immediately address it with the coworker
b. Discuss it with your supervisor in a private location to request advice
c. Ask the resident to make a decision that will resolve the conflict
d. Report your coworker to the Board of Nursing

Answer: A

26. The best thing for the nursing assistant to do when a resident is unable to use their call light is to:
a. Check them frequently
b. Have the roommate turn it on
c. Check them at least twice a shift
d. Tell them to call out "nurse"

Answer: D

27. When working with a resident who has been admitted to the facility and who does not speak
English you should:
a. Draw pictures to communicate what you are trying to explain to the resident
b. Ask another resident who speaks that language to translate for you and the resident
c. Tell the charge nurse the resident can't be cared for because she does not speak English
d. Ask if there is a professional translator service that can be used to communicate
with the resident

Answer: B

28. The nursing assistant should answer the telephone when it rings during her shift by answering:
a. "Hello, it is Karen, NA. What can I do for you today?"
b. "Good morning, thank you for calling Good Sam, this is Karen Smith, nurse aide,
how can I help you?"
c. "Thank you for calling, all the offices are closed. Please return your call during normal
business hours."
d. "Hello, this is Karen Smith, how can I help you?"

Answer: B

29. While having a conversation with Mrs. Ruby, you would maintain open communication by:
a. Crossing your arms across your chest
b. Nodding encouragingly as she speaks
c. Staring out the window
d. Finishing her sentences

Answer: B

30. Accidents sometimes happen. When they do the nursing assistant must report it to the:
a. Grievance committee
b. Charge nurse
c. Resident's family
d. Resident's doctor

Answer: B

31. You should record and report to the RN:
a. When a resident wants to use his own personal supplies
b. When a resident has a new rash and redness on his neck
c. If the wife wants to shave her husband herself
d. If the resident refuses to be shaved until after lunch

Answer: B

32. The condition of a resident can be discussed openly:
a. In the break room
b. At a care conference
c. During visiting hours
d. With his roommate

Answer: A

33. An example of non-verbal communication us:
a. Placing your hands on your hips
b. Telling your friend you are mad
c. Speaking loudly to a resident
d. Using a polite tone of voice

Answer: B

34. If you make a mistake on the job the FIRST thing you must do is:
a. Try to keep it confidential
b. Report the mistake to your charge nurse
c. Tell your co-workers
d. Deny it ever happened

Answer: D

35. ________________ is the core of all relationships:
a. Talking
b. Gesturing
c. Touch
d. Communication

Answer: D

36. Non-verbal communication is expressed by:
a. Talking with others
b. Giving oral report
c. Telling residents what you want them to do
d. Your body position and facial expressions

Answer: C

37. Stress reactions occur when defense mechanisms no longer work for us. Which one of the
following is NOT an example of a stress reaction:
a. Withdrawal
b. Depression
c. Sleeping well
d. Agitation

Answer: A

38. Body language is one type of:
a. Non-verbal communication
b. Body mechanics
c. Accommodation
d. Passive range of motion exercise