CNA Study Guide All Answers Correct
Resident Types
What types of residents are typically found in long-term care centers? Residents who cannot care for
themselves, including those with medical, nursing, dietary, recreational, rehabilitative, and social needs
Resident Characteristics
What are the typical characteristics of residents in long-term care centers? Older adults with chronic
diseases, poor nutrition, or poor health; some may be disabled from birth defects, accidents, or diseases
Alert and Oriented Residents
What is an alert and oriented resident? A resident who knows their location, the year, and the time of
day, despite physical problems or disabilities
Confused and Disoriented Residents
What is a confused and disoriented resident? A resident who has trouble remembering simple things,
such as where the dining room is or the month or year; some may be permanently confused and
disoriented
Complete Care Residents
What is a complete care resident? A resident who is disabled, confused, and disoriented and requires
total care to meet their needs; they may require assistance with daily activities, personal care, and
mobility
Short-Term Residents/Respite Care
,What is a short-term resident or respite care? A resident who requires temporary care to recover from
surgery, illness, or injury and regain strength and mobility before returning home
Life-Long Residents
What is a life-long resident? A resident with a disability or condition that occurred before age 22, such as
a birth defect or childhood injury or disease; they may require lifelong assistance and support
Developmental Disability
What is a developmental disability? A disability that occurs before age 22 due to a physical or
intellectual impairment or both
Mentally Ill Residents
What is a mentally ill resident? A resident with a condition that affects their ability to cope with stress
and adjust to daily life, leading to behavioral and functional difficulties
Terminally Ill Residents
What is a terminally ill resident? A resident who has a terminal illness that will ultimately lead to death,
such as cancer or AIDS
Nursing Team
Who makes up the nursing team in a long-term care center? Registered Nurses (RNs), Licensed Practical
Nurses (LPNs) or Licensed Vocational Nurses (LVNs), and Nursing Assistants (NAs)
Nursing Process
, What are the five steps of the nursing process? Assessment: collecting information; Nursing Diagnosis:
describing health problems; Planning: setting priorities and goals; Implementation: carrying out the
plan; Evaluation: measuring goal achievement
OBRA Requirements (all 50 states) ✔️Nursing Assistant training and competency evaluation program
must be completed to work in nursing centers and hospital long-term care units.
OBRA Training Program ✔️Requires at least 75 hours of instruction (16 hrs are supervised practical
training); includes knowledge & skills needed to give basic nursing care; takes place in a laboratory or
clinical setting
OBRA Competency Evaluation ✔️After training program you take a written test that has multiple-
choice questions and a skills test that is performing certain skills learned in training program. OBRA
allows at least 3 attempts to successfully complete the evaluation
OBRA Nursing Assistant Registry ✔️An official record or listing of persons who have successfully
completed a competency evaluation; Each state must have a nursing assistant registry; all information
stays in registry for at least 5 years
OBRA other requirements & provisions ✔️Retraining & new competency evaluation program are
required for NA who have not worked for 2 consecutive years. It does not matter how long you worked,
it is how long you did NOT work: Requires new competency evaluation OR Both retraining & new
competency evaluation; Nursing agencies must provide 12 hrs of educational programs to NA's every
year
Delegation ✔️RN's can delegate tasks to LPNs/LVNs, & NA's (Right Task, Right Circumstances, Right
Person, Right Directions & Communication, Right Supervision)
Refusing a Task ✔️Have the right to refuse when: Task is beyond legal limits of your role, Is not in your
job description, You were not prepared to perform the task, Task could harm the person, Person's
condition has changed, You do not know how to use the supplies or equipment, directions are unethical,
illegal, or against agency policy, directions are unclear or incomplete, nurse is not available for
supervision
