NNAAP Resident Rights 2 — Questions and Answers
Question 1: Who is legally responsible for making healthcare decisions for a resident who has been determined to be mentally incompetent?
- The charge nurse
- The nursing home administrator
- The legally designated representative or guardian (Correct answer)
- The attending physician
Correct answer: The legally designated representative or guardian
When a resident lacks decision-making capacity, a legally designated representative (such as a power of attorney or guardian) makes healthcare decisions.
Question 2: A resident asks the nurse aide not to tell his family about a recent fall. What should the nurse aide do?
- Agree to keep it secret to honor his wishes
- Tell the family immediately regardless of his wishes
- Inform the nurse of both the fall and the resident's request (Correct answer)
- Document the fall but do not mention it to anyone
Correct answer: Inform the nurse of both the fall and the resident's request
The nurse aide must report the fall for safety and care planning, but the nurse and facility policies will determine how family notification is handled in line with the resident's rights.
Question 3: Which of the following best describes 'informed consent' in resident care?
- A family member signing paperwork upon admission
- A resident agreeing to a procedure after receiving a clear explanation of it (Correct answer)
- The physician ordering a treatment the resident needs
- Staff deciding what care is best for the resident
Correct answer: A resident agreeing to a procedure after receiving a clear explanation of it
Informed consent means the resident has been given enough information about a procedure or treatment to make a voluntary, knowledgeable decision.
Question 4: A resident wants to keep personal money in her room. What should the nurse aide do?
- Advise against it for safety reasons and refuse
- Respect the decision, as residents have the right to manage their own finances (Correct answer)
- Lock the money in the nursing station for safekeeping without being asked
- Notify the family to take the money home
Correct answer: Respect the decision, as residents have the right to manage their own finances
Residents have the right to manage their own finances unless they have designated someone else to do so.
Question 5: A resident from a different cultural background refuses to eat certain foods. The nurse aide should:
- Encourage the resident to try new foods
- Report the food preferences to the dietary department so alternatives can be provided (Correct answer)
- Tell the resident the facility menu cannot be changed
- Inform the family to bring food from home
Correct answer: Report the food preferences to the dietary department so alternatives can be provided
Residents have the right to have their cultural and religious food preferences respected, and staff should communicate these to the dietary team.
Question 6: What should a nurse aide do if a resident chooses to practice their religion in their room?
- Discourage it to maintain a neutral environment
- Support and accommodate the practice as part of the resident's rights (Correct answer)
- Ask the charge nurse to evaluate if it is appropriate
- Allow it only if family members are present
Correct answer: Support and accommodate the practice as part of the resident's rights
Residents have the right to religious freedom and to participate in religious activities of their choice.
Question 7: A resident is being moved to a different room. What right must be protected during this process?
- The right to keep the same nurse aide
- The right to receive proper notice and voice concerns about the transfer (Correct answer)
- The right to refuse all room changes permanently
- The right to choose their new roommate
Correct answer: The right to receive proper notice and voice concerns about the transfer
Residents must be given advance notice of room changes and have the right to express concerns or objections before the transfer occurs.
NNAAP Resident Rights 2
Who is legally responsible for making healthcare decisions for a resident who has been determined to be mentally incompetent?