Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference
Ch. 1 — Health Care Agencies — Purposes
Question stem
A long-term care resident who recently fell asks you why the
facility keeps detailed records about incidents and care plans.
As a nursing assistant, which explanation best reflects the
primary purpose of keeping accurate records in a health care
agency when you answer the resident at an appropriate level?
A. Records exist mainly so the facility can bill insurance
companies.
B. Records document care, promote continuity, and support
resident safety.
,C. Records are kept in case the resident’s family wants to review
them for personal reasons.
D. Records are used primarily to measure staff productivity only.
Correct answer
B
Rationales
Correct Option: Records document what was done, promote
continuity between care team members, and help identify
safety concerns; this aligns with the NA’s role in accurate
documentation and reporting.
A: Billing is one use of records but not the primary patient-
centered purpose; focusing only on billing ignores patient safety
and continuity.
C: Families may review records under rules, but this is not the
primary reason to keep thorough clinical records.
D: Productivity measurement may occur, but reducing records
to productivity ignores their clinical and legal importance.
Teaching point
Accurate records support continuity of care and resident safety.
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 being discharged home after
surgery. The nurse asks you to explain to the patient what kind
of agency will provide home visits. Which description should
you give that correctly names a type of health care agency that
provides care in patients’ homes?
A. Ambulatory surgery center — provides routine home nursing
visits.
B. Assisted-living facility — sends nurses to private homes for
visits.
C. Home health agency — provides skilled care and support in
the home.
D. Long-term acute care hospital — provides short home visits
after discharge.
Correct answer
C
Rationales
Correct Option: Home health agencies provide skilled nursing
and therapy services in the patient’s home; helping patients
understand this is within the NA’s role when explaining
discharge plans at a basic level.
A: Ambulatory surgery centers perform same-day surgery and
do not routinely send staff to private homes.
B: Assisted-living facilities provide housing with supportive
, services, but they do not typically send staff into unrelated
private homes.
D: Long-term acute care hospitals treat medically complex
inpatients and do not provide routine home visits.
Teaching point
Home health agencies deliver skilled care and support in a
patient’s home.
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 about the facility’s chain of
command. A coworker asks whether it is acceptable to take
directions from a physician without notifying the nurse. What is
the correct action for a nursing assistant if a physician directly
asks you to perform a task?
A. Follow the physician’s order immediately; physicians can
delegate to anyone.
B. Refuse all tasks from physicians; only nurses may give
directions.
C. Tell the physician you will check with the nurse before
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference
Ch. 1 — Health Care Agencies — Purposes
Question stem
A long-term care resident who recently fell asks you why the
facility keeps detailed records about incidents and care plans.
As a nursing assistant, which explanation best reflects the
primary purpose of keeping accurate records in a health care
agency when you answer the resident at an appropriate level?
A. Records exist mainly so the facility can bill insurance
companies.
B. Records document care, promote continuity, and support
resident safety.
,C. Records are kept in case the resident’s family wants to review
them for personal reasons.
D. Records are used primarily to measure staff productivity only.
Correct answer
B
Rationales
Correct Option: Records document what was done, promote
continuity between care team members, and help identify
safety concerns; this aligns with the NA’s role in accurate
documentation and reporting.
A: Billing is one use of records but not the primary patient-
centered purpose; focusing only on billing ignores patient safety
and continuity.
C: Families may review records under rules, but this is not the
primary reason to keep thorough clinical records.
D: Productivity measurement may occur, but reducing records
to productivity ignores their clinical and legal importance.
Teaching point
Accurate records support continuity of care and resident safety.
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 being discharged home after
surgery. The nurse asks you to explain to the patient what kind
of agency will provide home visits. Which description should
you give that correctly names a type of health care agency that
provides care in patients’ homes?
A. Ambulatory surgery center — provides routine home nursing
visits.
B. Assisted-living facility — sends nurses to private homes for
visits.
C. Home health agency — provides skilled care and support in
the home.
D. Long-term acute care hospital — provides short home visits
after discharge.
Correct answer
C
Rationales
Correct Option: Home health agencies provide skilled nursing
and therapy services in the patient’s home; helping patients
understand this is within the NA’s role when explaining
discharge plans at a basic level.
A: Ambulatory surgery centers perform same-day surgery and
do not routinely send staff to private homes.
B: Assisted-living facilities provide housing with supportive
, services, but they do not typically send staff into unrelated
private homes.
D: Long-term acute care hospitals treat medically complex
inpatients and do not provide routine home visits.
Teaching point
Home health agencies deliver skilled care and support in a
patient’s home.
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 about the facility’s chain of
command. A coworker asks whether it is acceptable to take
directions from a physician without notifying the nurse. What is
the correct action for a nursing assistant if a physician directly
asks you to perform a task?
A. Follow the physician’s order immediately; physicians can
delegate to anyone.
B. Refuse all tasks from physicians; only nurses may give
directions.
C. Tell the physician you will check with the nurse before
