What this section covers: Communication (7%, 4 scored items), Client Rights (8%, 5 scored items), Legal and Ethical Behavior (5%, 3 scored items), Member of the Health Care Team (6%, 4 scored items).
12 free practice questions
Click an answer: you see at once whether it is right, with the explanation.
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Question 1A resident with aphasia understands speech but has great trouble finding and saying words. Which type of aphasia does this describe?
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Answer: A — Expressive aphasia.
People with expressive aphasia have trouble saying or writing words correctly but may understand what others say. Receptive aphasia means the person does not understand what is said or written.
Checked against: MedlinePlus, Communicating with someone with aphasia
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Question 2Which kind of question is easiest for a resident with aphasia to answer?
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Answer: D — A question that can be answered yes or no.
MedlinePlus advises asking questions that can be answered yes or no, giving clear choices and using visual cues, and keeping distractions such as the TV turned off.
Checked against: MedlinePlus, Communicating with someone with aphasia (When you ask questions)
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Question 3A resident with age-related hearing loss often misunderstands one staff member. Which voice is typically hardest for her to understand?
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Answer: C — A higher-pitched voice.
MedlinePlus notes that people with age-related hearing loss have more difficulty understanding people with higher-pitched voices and telling apart sounds such as 's' and 'th', especially in noisy areas.
Checked against: MedlinePlus, Age-related hearing loss (Symptoms)
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Question 4A letter arrives for a resident. What should the aide do with it?
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Answer: B — Give it to the resident unopened.
Residents have the right to privacy in their communications, including the right to send and promptly receive unopened mail and packages.
Checked against: 42 CFR 483.10(h)(2)
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Question 5A resident likes to go to bed at midnight and sleep until 9 a.m. What right does this involve?
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Answer: B — The right to choose her own schedule, including sleeping and waking times.
Federal rules give residents the right to choose activities, schedules (including sleeping and waking times) and health care consistent with their interests, assessments and plan of care.
Checked against: 42 CFR 483.10(f)(1)
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Question 6A new resident wants to bring her own quilt and favorite chair. What does federal law say?
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Answer: B — She may keep and use personal possessions, including furnishings and clothing, as space permits.
Residents have the right to retain and use personal possessions, including furnishings and clothing, as space permits, unless doing so would infringe on the rights, health or safety of other residents.
Checked against: 42 CFR 483.10(e)(2)
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Question 7An aide borrows $20 from a resident's drawer, planning to pay it back tomorrow. What is this?
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Answer: C — Misappropriation of resident property.
Misappropriation is the deliberate misplacement, exploitation, or wrongful, temporary or permanent use of a resident's belongings or money without the resident's consent. Even temporary use counts.
Checked against: 42 CFR 483.5 Definitions (Misappropriation of resident property)
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Question 8Under federal rules, how quickly must an allegation of abuse, or of an incident causing serious bodily injury, be reported to the administrator and the state survey agency?
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Answer: B — Immediately, but not later than 2 hours after the allegation is made.
Alleged violations involving abuse or resulting in serious bodily injury must be reported immediately, but not later than 2 hours; other allegations not later than 24 hours. The investigation results are due within 5 working days.
Checked against: 42 CFR 483.12(c)(1)
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Question 9A resident who kept yelling is locked alone in a room by an aide 'to calm down'. What is this?
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Answer: B — Involuntary seclusion, which is prohibited.
Federal rules require facilities not to use verbal, mental, sexual or physical abuse, corporal punishment or involuntary seclusion.
Checked against: 42 CFR 483.12(a)(1)
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Question 10Under federal rules, how much in-service training must a nurse aide working in a nursing facility receive?
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Answer: C — At least 12 hours per year, including dementia management and abuse prevention.
In-service training must be sufficient to ensure continuing competence, no less than 12 hours per year, and include dementia management training and resident abuse prevention training.
Checked against: 42 CFR 483.95(g)
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Question 11A certified nurse aide has not performed any nursing or nursing-related services for a long time. After how many consecutive months without such work does federal law say she no longer qualifies to remain on the registry?
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Answer: D — 24 consecutive months.
The state must determine which individuals do not qualify to remain on the registry because they have performed no nursing or nursing-related services for 24 consecutive months.
Checked against: 42 CFR 483.156(b)(3)
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Question 12A nurse aide student is asked to perform a task she has not yet been trained on. What do federal rules say?
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Answer: D — Students must not perform services they have not been trained and found proficient in by the instructor.
Training programs must ensure that students do not perform any services for which they have not trained and been found proficient by the instructor, and that students are under the general supervision of a licensed nurse.
Checked against: 42 CFR 483.152(a)(4)(i)
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