Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference
Ch. 1 — Health Care Agencies — Purposes
Question stem
A resident in a long-term care facility asks you why the facility
provides both medical care and social activities. As a nursing
assistant, how should you explain the main purpose of the
agency when the resident asks? Provide a brief, accurate
response appropriate for a CNA.
Options
A. To provide only medical treatments required by doctors.
B. To meet residents’ health needs while promoting
independence and social well-being.
,C. To reduce family involvement so staff can make all decisions.
D. To focus only on cost-effective care and reduce services.
Correct answer
B
Rationales
Correct Option: This answer describes the dual purpose of long-
term care agencies—to meet health needs and support social,
emotional, and functional well-being, which aligns with CNA
roles in daily care.
A: Too narrow; agencies provide more than just medical
treatments; CNAs support daily living and social needs.
C: Inaccurate and disrespectful to resident rights; CNAs should
encourage family involvement, not replace it.
D: Emphasizing cost over care is inappropriate; quality and
patient-centered care remain priorities.
Teaching point
Agencies support health, independence, and social needs.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2.
Reference
Ch. 1 — Health Care Agencies — Types of Agencies
,Question stem
You are assigned to a patient who needs short-term skilled
nursing after a hospitalization. A coworker asks which type of
agency usually provides this care. As a nursing assistant, which
type of facility should you identify?
Options
A. Acute care hospital.
B. Long-term care (nursing home).
C. Skilled nursing facility (SNF) or rehabilitation center.
D. Home health aide agency.
Correct answer
C
Rationales
Correct Option: Skilled nursing facilities and rehab centers
provide short-term skilled nursing and rehabilitation after
hospitalization; CNAs work under licensed staff there.
A: Hospitals provide acute care but not the typical post-acute
short-term skilled rehab placement.
B: Long-term care focuses on chronic, ongoing needs rather
than short-term post-hospital rehab.
D: Home health provides care in a patient’s home, not an
institutional post-acute setting.
Teaching point
Skilled nursing/rehab centers provide post-hospital
rehabilitation.
, Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3.
Reference
Ch. 1 — Health Care Agencies — Organization
Question stem
During orientation you learn the facility’s chain of command. A
patient asks you to change their medication because they don’t
like how it makes them feel. What is the correct action for you
as a CNA?
Options
A. Change the medication dose yourself to improve comfort.
B. Tell the patient you will report the concern to the nurse.
C. Tell the patient to stop the medication immediately.
D. Contact the pharmacy directly to request a different
medication.
Correct answer
B
Rationales
Correct Option: Reporting concerns to the nurse follows the
chain of command and scope of practice; CNAs report
observations and advocate for patients.
A: Unskilled personnel must not alter medication orders; this is
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference
Ch. 1 — Health Care Agencies — Purposes
Question stem
A resident in a long-term care facility asks you why the facility
provides both medical care and social activities. As a nursing
assistant, how should you explain the main purpose of the
agency when the resident asks? Provide a brief, accurate
response appropriate for a CNA.
Options
A. To provide only medical treatments required by doctors.
B. To meet residents’ health needs while promoting
independence and social well-being.
,C. To reduce family involvement so staff can make all decisions.
D. To focus only on cost-effective care and reduce services.
Correct answer
B
Rationales
Correct Option: This answer describes the dual purpose of long-
term care agencies—to meet health needs and support social,
emotional, and functional well-being, which aligns with CNA
roles in daily care.
A: Too narrow; agencies provide more than just medical
treatments; CNAs support daily living and social needs.
C: Inaccurate and disrespectful to resident rights; CNAs should
encourage family involvement, not replace it.
D: Emphasizing cost over care is inappropriate; quality and
patient-centered care remain priorities.
Teaching point
Agencies support health, independence, and social needs.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2.
Reference
Ch. 1 — Health Care Agencies — Types of Agencies
,Question stem
You are assigned to a patient who needs short-term skilled
nursing after a hospitalization. A coworker asks which type of
agency usually provides this care. As a nursing assistant, which
type of facility should you identify?
Options
A. Acute care hospital.
B. Long-term care (nursing home).
C. Skilled nursing facility (SNF) or rehabilitation center.
D. Home health aide agency.
Correct answer
C
Rationales
Correct Option: Skilled nursing facilities and rehab centers
provide short-term skilled nursing and rehabilitation after
hospitalization; CNAs work under licensed staff there.
A: Hospitals provide acute care but not the typical post-acute
short-term skilled rehab placement.
B: Long-term care focuses on chronic, ongoing needs rather
than short-term post-hospital rehab.
D: Home health provides care in a patient’s home, not an
institutional post-acute setting.
Teaching point
Skilled nursing/rehab centers provide post-hospital
rehabilitation.
, Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3.
Reference
Ch. 1 — Health Care Agencies — Organization
Question stem
During orientation you learn the facility’s chain of command. A
patient asks you to change their medication because they don’t
like how it makes them feel. What is the correct action for you
as a CNA?
Options
A. Change the medication dose yourself to improve comfort.
B. Tell the patient you will report the concern to the nurse.
C. Tell the patient to stop the medication immediately.
D. Contact the pharmacy directly to request a different
medication.
Correct answer
B
Rationales
Correct Option: Reporting concerns to the nurse follows the
chain of command and scope of practice; CNAs report
observations and advocate for patients.
A: Unskilled personnel must not alter medication orders; this is
