Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference
Ch. 1 — Purposes of Health Care Agencies
Question Stem
A resident in a long-term care facility asks the nursing assistant
why the facility provides social activities and rehabilitation
services in addition to medical care. Which response best
explains the facility’s purpose that the NA can give while
remaining within scope of practice?
A. “We provide all medical treatments here so you don’t need
outside doctors.”
,B. “Our facility helps with health, independence, and social
needs to improve quality of life.”
C. “You must follow every rule here so staff can manage your
care efficiently.”
D. “This place focuses on insurance requirements rather than
your personal needs.”
Correct Answer
B
Rationales
• Correct (B): This statement accurately and simply explains
the broad purposes of long-term care—health
maintenance, independence, and social well-being—while
remaining within the NA’s communication role. It
promotes dignity and understanding without overstepping
clinical authority.
• Incorrect (A): Overstates scope of the facility and implies
the NA can replace physicians; inaccurate and misleading.
• Incorrect (C): Emphasizes rules rather than resident-
centered purposes and may threaten dignity.
• Incorrect (D): Suggests the facility’s primary focus is
administrative/insurance matters, which is not an
appropriate explanation to give and can distress the
resident.
,Teaching Point
Explain facility goals simply: health, independence, and social
well-being.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2
Reference
Ch. 1 — Types of Agencies
Question Stem
A patient is discharged from the hospital but still needs daily
wound checks and help with medications at home. The charge
nurse asks the nursing assistant which community agency might
help. What is the best NA response?
A. “Suggest a home health agency that provides nursing and
personal care in the home.”
B. “Tell the family to bring the patient back to the hospital each
day.”
C. “Recommend a hospice agency because they will do daily
wound checks.”
D. “Advise hiring a private companion; they can do clinical
nursing tasks.”
Correct Answer
A
, Rationales
• Correct (A): Home health agencies provide skilled nursing
and personal care at home after discharge; this is an
appropriate suggestion at the NA level.
• Incorrect (B): Returning to the hospital daily is impractical
and not the correct level of care for routine post-discharge
needs.
• Incorrect (C): Hospice is for end-of-life care and not
appropriate unless patient meets hospice criteria.
• Incorrect (D): Private companions are not authorized to
perform clinical nursing tasks; suggesting this risks unsafe
care.
Teaching Point
Home health agencies provide skilled and personal care at
home after discharge.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3
Reference
Ch. 1 — Organization
Question Stem
While working on a medical-surgical unit, the NA notices a
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference
Ch. 1 — Purposes of Health Care Agencies
Question Stem
A resident in a long-term care facility asks the nursing assistant
why the facility provides social activities and rehabilitation
services in addition to medical care. Which response best
explains the facility’s purpose that the NA can give while
remaining within scope of practice?
A. “We provide all medical treatments here so you don’t need
outside doctors.”
,B. “Our facility helps with health, independence, and social
needs to improve quality of life.”
C. “You must follow every rule here so staff can manage your
care efficiently.”
D. “This place focuses on insurance requirements rather than
your personal needs.”
Correct Answer
B
Rationales
• Correct (B): This statement accurately and simply explains
the broad purposes of long-term care—health
maintenance, independence, and social well-being—while
remaining within the NA’s communication role. It
promotes dignity and understanding without overstepping
clinical authority.
• Incorrect (A): Overstates scope of the facility and implies
the NA can replace physicians; inaccurate and misleading.
• Incorrect (C): Emphasizes rules rather than resident-
centered purposes and may threaten dignity.
• Incorrect (D): Suggests the facility’s primary focus is
administrative/insurance matters, which is not an
appropriate explanation to give and can distress the
resident.
,Teaching Point
Explain facility goals simply: health, independence, and social
well-being.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2
Reference
Ch. 1 — Types of Agencies
Question Stem
A patient is discharged from the hospital but still needs daily
wound checks and help with medications at home. The charge
nurse asks the nursing assistant which community agency might
help. What is the best NA response?
A. “Suggest a home health agency that provides nursing and
personal care in the home.”
B. “Tell the family to bring the patient back to the hospital each
day.”
C. “Recommend a hospice agency because they will do daily
wound checks.”
D. “Advise hiring a private companion; they can do clinical
nursing tasks.”
Correct Answer
A
, Rationales
• Correct (A): Home health agencies provide skilled nursing
and personal care at home after discharge; this is an
appropriate suggestion at the NA level.
• Incorrect (B): Returning to the hospital daily is impractical
and not the correct level of care for routine post-discharge
needs.
• Incorrect (C): Hospice is for end-of-life care and not
appropriate unless patient meets hospice criteria.
• Incorrect (D): Private companions are not authorized to
perform clinical nursing tasks; suggesting this risks unsafe
care.
Teaching Point
Home health agencies provide skilled and personal care at
home after discharge.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3
Reference
Ch. 1 — Organization
Question Stem
While working on a medical-surgical unit, the NA notices a
