Communication

Question 1 of 25

The nurse asks you to ambulate a patient BID during your shift. This means you will ambulate the patient ____ times.

Four
Three
Two
One

Question 2 of 25

Sometimes the best response for a nursing assistant is to assure the resident you are listening. Which of these behaviors is the best way to exhibit good listening skills?

Speaking about your own experiences on the topic to direct the conversation.
Asking questions that direct the conversation further.
Talking to the resident while you continue to work.
Turning in the residents direction and responding when it is appropriate.

Question 3 of 25

There are certain steps to follow from start to finish when beginning a procedure on a patient. As a nursing assistant, it is extremely important to start with which of these tasks?

Enter the date in the patients medical record.
Document what you did.
Provide privacy in the immediate area.
Verify the residents identification.

Question 4 of 25

If you have a resident who is completely deaf, which of these would be the most important for effective communication?

A laptop or pen and paper.
A loud voice that projects over noise.
An alarm that rings louder than in non-hearing impaired rooms.
A phone system with amplifiers.

Question 5 of 25

When you are documenting in a medical record, which of these is not part of the process?

Author identification.
Using correct spelling.
Dating your entries.
Writing in pencil so erasures can make the record clean.

Question 6 of 25

A patient is having surgery the following day. Which of these notations in the orders indicates the patient should have nothing by mouth?

MN
NOC
NPO
NKA

Question 7 of 25

A resident calls his relatives and then tells you he is frustrated and plans on leaving the building without medical approval. Your first line of communication should be ____.

Reporting it to the physician.
Reporting it to the facility administrator.
Reporting it to the nurse.
Calling the relatives and asking them to wait.

Question 8 of 25

Which of these should be reported to the charge nurse “STAT”?

Urine that is cloudy.
A respiratory rate of 18.
Loose stools.
A radial pulse of 135.

Question 9 of 25

Which of these is not part of the process upon entering a residents room for the first time?

Showing the resident your licensing card.
Knocking and waiting a few seconds before entering.
Speaking to the resident using his or her name.
Telling the resident your name.

Question 10 of 25

A resident’s input and output must be documented in a patient’s record ____.

At the end of your shift.
By the nurse; the nursing assistant does not record this.
Every two hours.
In the early morning, noon, and late evening.

Question 11 of 25

A resident with memory difficulties often needs a nursing assistant who will ____.

Remind the resident of the forgotten information.
Make jokes and laugh to lighten the residents mood.
Make eye contact, sit with the resident, and listen.
Leave the resident alone to minimize his or her agitation.

Question 12 of 25

All of these are indications of visual impairment except ____.

The resident squints or tilts his or her head to one side to focus on an object.
The resident spills or knocks over food.
The resident withdraws from social activities he or she once enjoyed.
The resident has difficulty navigating on stairs.

Question 13 of 25

What is the most likely diagnosis for a resident who cannot smell smoke, increases their use of sugar or salt on foods, asks for a magnifying glass to read, and asks for the volume to be turned up while watching television?

Sensory impairment.
Sensory stimulation.
Sensory deprivation.
Sensory overload.

Question 14 of 25

Which of these is most important when a resident is being initially admitted to a care facility?

The resident should have the opportunity to provide his or her own information.
The family should give all of the admitting information to avoid inaccuracies or misrepresented information given by the resident.
If the resident has strong religious beliefs it is required that a member of his or her spiritual community be present to ensure these needs will be met.
The family members should keep the resident from being involved in the admitting process to lessen the stress of an already difficult adjustment.

Question 15 of 25

When a resident is upset and frustrated, a nursing assistant should ____.

Try to make the resident understand that it is normal to have things that make a person upset.
Try to reason with the resident about why his or her frustration is an overreaction.
Offer support by listening and telling the resident you will share his or her concerns with the health care team members.
Ask the resident to remember all of the details that led up to the frustration.

Question 16 of 25

The nurse has just told you that you left something important off the charting of a resident’s input for the day. All of these should be included except ____.

toast with breakfast.
a protein bar snack.
lactated ringers being given intravenously.
afternoon tea.

Question 17 of 25

Which of these is not a primary reason for an indwelling catheter to be taped down?

To secure and stabilize it to prevent accidental removal.
To provide psychological security to the resident.
To reduce inflammation of urinary tissues.
To signal to family members or visitors that it is not intended for removal.

Question 18 of 25

Which of these contributes to bad communication between a nursing assistant and a resident?

The resident not understanding what is being told to them.
Not listening to what the resident says.
A caregiver who does not explain what he or she is doing when performing a procedure on a resident.
All of these.

Question 19 of 25

Which of these is a form of nonverbal communication that might send a poor message to a resident?

A curt voice when answering questions.
Hands on the hips and pursed lips.
Facing the resident and talking slowly.
Using an overtly loud voice when explaining yourself.

Question 20 of 25

Which of these describes the most likely reaction a resident has upon hearing a nursing assistant criticize fellow co-workers?

It makes the resident feel uncomfortable.
It makes the resident feel like he or she can confide in you.
It makes the resident feel you really care about him or her.
It makes the resident feel validated in his or her feelings.

Question 21 of 25

Which of these would not be helpful when dealing with a patient with a speech impairment?

Be patient as the resident tries to communicate his or her needs
Use an assistive device, such as a whiteboard, so the resident can write down words he or she is having difficulty communicating.
Encourage the resident to use gestures and non-verbal communication when words are too difficult.
Try and complete the residents sentence when he or she is having trouble.

Question 22 of 25

Which of these practices is not part of good verbal communication with a resident?

Asking open-ended questions.
Using medical jargon.
Speaking clearly.
Clarifying the message that you receive.

Question 23 of 25

It is important to report which of these conversations between a CNA and a resident to ensure his or her safety and well-being?

His or her likes and dislikes.
His or her favorite activities.
His or her specific requests.
His or her favorite foods.

Question 24 of 25

Which of these is not considered to be a good communication skill of a CNA?

Delegating
Listening
Responding
Documenting

Question 25 of 25

A resident tells you that he feels like he’s “got a lump in his chest.” An example of clarifying the message he’s communicated to you would be to ask him ____.

“Do you feel pain?”
“Tell me more about that?”
“Are you having any palpitations or radiation of your symptoms?”
“Let me see if I understand what you mean. You feel like you have fullness in your chest?”

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