GNA - Geriatric Nursing Assistant Resident Rights and Communication Questions and Answers — Questions and Answers
Question 1: A resident with significant hearing impairment is trying to understand the GNA's instructions for an upcoming procedure. Which of the following is the most effective communication strategy for the GNA to use?
- Speaking very loudly and slowly directly into the resident's ear.
- Facing the resident, speaking clearly at a normal pace, and using facial expressions. (Correct answer)
- Writing down the entire conversation on a notepad.
- Asking a family member to explain the procedure to the resident later.
Correct answer: Facing the resident, speaking clearly at a normal pace, and using facial expressions.
Effective communication with a hearing-impaired individual involves multiple senses. Facing the person allows them to read lips and see facial expressions, which provide important context. Speaking clearly at a normal pace, without shouting, prevents sound distortion. While writing can be a useful aid, it's not the primary method for dynamic conversation. Shouting can distort sounds and be perceived as anger. Relying on a family member removes the direct communication and relationship-building between the GNA and the resident.
Question 2: A resident informs the GNA that they wish to file a formal complaint about the care they are receiving. What is the GNA's primary responsibility in this situation?
- To resolve the issue themselves to avoid formal paperwork.
- To inform the resident of the facility's grievance procedure and notify the charge nurse. (Correct answer)
- To ask the resident's family to handle the complaint.
- To tell the resident that complaining could cause problems with the staff.
Correct answer: To inform the resident of the facility's grievance procedure and notify the charge nurse.
Residents have the right to voice grievances without fear of retaliation. The GNA's role is to facilitate this right by informing the resident of the proper procedure and reporting the complaint to the appropriate licensed staff, such as the charge nurse, who can initiate the formal process. Attempting to resolve it alone may be inappropriate for the scope of the issue, and discouraging a complaint infringes on the resident's rights.
Question 3: Which of the following actions by a GNA would be a violation of a resident's right to privacy and confidentiality under HIPAA?
- Discussing a resident's medical condition with the physical therapist in the hallway. (Correct answer)
- Asking the resident for permission before closing their room door.
- Reporting a change in a resident's condition to the charge nurse during report.
- Using a computer with a privacy screen to access a resident's electronic health record.
Correct answer: Discussing a resident's medical condition with the physical therapist in the hallway.
Discussing a resident's protected health information (PHI) in a public area where it can be overheard by unauthorized individuals is a violation of HIPAA. Communications about residents should occur in private settings. Reporting to the nurse, asking for privacy preferences, and using secure electronic systems are all appropriate actions that protect resident rights.
Question 4: A new resident, who is alert and oriented, refuses to take a prescribed medication, stating, "I don't want that pill." What is the GNA's most appropriate initial action?
- Crush the pill and mix it in their applesauce to ensure they take it.
- Explain to the resident that the doctor ordered it, so they must take it.
- Respect the resident's decision, document the refusal, and report it to the nurse immediately. (Correct answer)
- Tell them you will come back later when they are in a better mood.
Correct answer: Respect the resident's decision, document the refusal, and report it to the nurse immediately.
Residents have the right to be informed about their care and to refuse treatment, including medications. The GNA must respect this right. The correct procedure is to not force the medication, to document the refusal accurately, and to report it promptly to the licensed nurse, who can then follow up with the resident and physician.
Question 5: The right to be treated with dignity and respect includes which of the following?
- Requiring all residents to wake up at the same time for breakfast.
- Addressing a resident by their first name without asking their preference.
- Allowing a resident to choose their own clothing and hairstyle. (Correct answer)
- Leaving a resident's door open during personal care without their permission.
Correct answer: Allowing a resident to choose their own clothing and hairstyle.
Treating a resident with dignity and respect means recognizing their individuality and promoting self-determination. Allowing residents to make personal choices, such as what to wear and how to style their hair, upholds this right. Imposing a rigid schedule, using familiar terms without permission, and violating personal privacy are all contrary to this fundamental right.
Question 6: A GNA is caring for a resident who has a designated legal representative for healthcare decisions. The physician is explaining a new treatment plan. According to the principles of informed consent, who must be involved in this decision-making process?
- Only the physician and the GNA.
- Only the resident's legal representative.
- The resident, to the extent practicable, and their legal representative. (Correct answer)
- Only the resident, as they are the one receiving care.
Correct answer: The resident, to the extent practicable, and their legal representative.
The informed consent process should involve the resident as much as they are able to participate. Federal law requires that the resident's care plan is prepared with the participation of the resident and/or their family or legal representative. Even if a legal representative is designated, the resident's involvement, preferences, and understanding should be sought and respected to the greatest extent possible.
GNA - Geriatric Nursing Assistant Resident Rights and Communication Questions and Answers
A resident with significant hearing impairment is trying to understand the GNA's instructions for an upcoming procedure.
Which of the following is the most effective communication strategy for the GNA to use?