Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1.
Reference
Ch. 1 — Health Care Agencies — Purposes
Question stem
A resident in a long-term care facility tells the nursing assistant
(NA) that they miss their family gatherings and seem sad most
mornings. The NA is unsure whether to report this. What is the
NA’s best action?
Options
A. Encourage the resident to join an activity and do not report
unless they refuse.
,B. Document the resident’s mood in the chart and report it to
the nurse.
C. Tell the resident to call their family and help them dial the
phone.
D. Ignore it because mood changes are normal in long-term
care residents.
Correct answer
B
Rationales
Correct (B): Documenting the observed mood and reporting to
the nurse is within the NA’s role; it ensures the care team can
assess for depression or unmet needs and promotes resident
safety.
Incorrect (A): Encouraging activities is appropriate, but failing to
document and report an ongoing mood change omits a
necessary communication step.
Incorrect (C): Helping with the phone is supportive but does not
substitute for reporting an observed change in mood to the
nurse.
Incorrect (D): Assuming mood changes are normal without
reporting risks missing treatable causes and violates
observation responsibilities.
Teaching point
Report and document changes in mood promptly.
,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
An NA is assigned to a patient who will be discharged home the
same day after outpatient surgery. Which type of health care
agency most likely arranged this patient’s care?
Options
A. Long-term care facility
B. Ambulatory (outpatient) care center
C. Home health agency
D. Acute care hospital
Correct answer
B
Rationales
Correct (B): Ambulatory care centers provide same-day or
outpatient procedures and are the likely setting for a patient
discharged the same day.
Incorrect (A): Long-term care facilities provide extended care for
chronic needs, not short outpatient procedures.
Incorrect (C): Home health agencies provide care in the
, patient’s home, typically after discharge, but do not perform
same-day surgeries.
Incorrect (D): Acute care hospitals provide inpatient services
and may perform surgeries but same-day outpatient procedures
are characteristic of ambulatory centers.
Teaching point
Ambulatory centers provide same-day diagnostic and surgical
care.
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, the NA is shown an organizational chart that
lists the nurse manager above staff nurses and the NA under
nursing services. What does the chart primarily show the NA?
Options
A. Medical diagnoses of residents
B. The chain of command and reporting relationships
C. The daily work schedule for each staff member
D. How to complete resident care tasks
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1.
Reference
Ch. 1 — Health Care Agencies — Purposes
Question stem
A resident in a long-term care facility tells the nursing assistant
(NA) that they miss their family gatherings and seem sad most
mornings. The NA is unsure whether to report this. What is the
NA’s best action?
Options
A. Encourage the resident to join an activity and do not report
unless they refuse.
,B. Document the resident’s mood in the chart and report it to
the nurse.
C. Tell the resident to call their family and help them dial the
phone.
D. Ignore it because mood changes are normal in long-term
care residents.
Correct answer
B
Rationales
Correct (B): Documenting the observed mood and reporting to
the nurse is within the NA’s role; it ensures the care team can
assess for depression or unmet needs and promotes resident
safety.
Incorrect (A): Encouraging activities is appropriate, but failing to
document and report an ongoing mood change omits a
necessary communication step.
Incorrect (C): Helping with the phone is supportive but does not
substitute for reporting an observed change in mood to the
nurse.
Incorrect (D): Assuming mood changes are normal without
reporting risks missing treatable causes and violates
observation responsibilities.
Teaching point
Report and document changes in mood promptly.
,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
An NA is assigned to a patient who will be discharged home the
same day after outpatient surgery. Which type of health care
agency most likely arranged this patient’s care?
Options
A. Long-term care facility
B. Ambulatory (outpatient) care center
C. Home health agency
D. Acute care hospital
Correct answer
B
Rationales
Correct (B): Ambulatory care centers provide same-day or
outpatient procedures and are the likely setting for a patient
discharged the same day.
Incorrect (A): Long-term care facilities provide extended care for
chronic needs, not short outpatient procedures.
Incorrect (C): Home health agencies provide care in the
, patient’s home, typically after discharge, but do not perform
same-day surgeries.
Incorrect (D): Acute care hospitals provide inpatient services
and may perform surgeries but same-day outpatient procedures
are characteristic of ambulatory centers.
Teaching point
Ambulatory centers provide same-day diagnostic and surgical
care.
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, the NA is shown an organizational chart that
lists the nurse manager above staff nurses and the NA under
nursing services. What does the chart primarily show the NA?
Options
A. Medical diagnoses of residents
B. The chain of command and reporting relationships
C. The daily work schedule for each staff member
D. How to complete resident care tasks
