WEIVER 3 HC · ANC
American Red Cross
CNA Nurse Assistant Training Program
EST. 1881
SAVING LIVES, CHANGING LIVES
CNA Chapter 3 — Comprehensive Exam Review
H U M A N N E E D S · S E XUA L I TY · FA M I LY TY P E S · D E V E LO P M E N T · M E N TA L H E A LT H ·
G R I E F · H O S P I C E · A B B R E V I AT I O N S
INSTITUTION American Red Cross — Nurse PROGRAM Certified Nursing Assistant (CNA)
Assistant Training
ACADEMIC YEAR EXAM TITLE Chapter 3 — Comprehensive Exam
Review
TOTAL QUESTIONS 80 Questions COURSE TITLE Nurse Assistant Training —
Chapter 3
FORMAT Multiple Choice & True/False — HQ Washington, D.C.
Select the Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers Maslow's hierarchy, human needs, sexuality, family types, child development, mental
health, grief stages, hospice care, and medical abbreviations.
▸ Correct answers and detailed rationales appear below each question for certification preparation.
, SECTION I — HUMAN NEEDS, SEXUALITY, FAMILY &
Questions 1 – 40
DEVELOPMENT
1. List five basic physical needs that all humans have:
A. Love, acceptance, security, self-esteem, success
B. Food/water, protection/shelter, activity, sleep and rest, comfort (freedom from pain)
C. Education, career, wealth, fame, power
D. Social media, entertainment, travel, hobbies, shopping
CORRECT ANSWER B — Food/water, protection/shelter, activity, sleep and rest, comfort
(freedom from pain)
RATIONALE Physical needs are the most fundamental requirements for survival — food/water
(nutrition and hydration), protection/shelter (safety from elements), activity
(mobility and circulation), sleep and rest (restoration), and comfort/freedom from
pain. These align with the base of Maslow's hierarchy: physiological and safety
needs. Option A lists psychosocial needs. Options C and D are not basic physical
needs.
2. List six psychosocial needs that humans have:
A. Food, water, shelter, sleep, activity, comfort
B. Love/affection, acceptance by others, safety/security, self-reliance/independence,
contact with others, success/self-esteem
C. Oxygen, circulation, digestion, elimination, immunity, reproduction
D. Television, internet, phone, mail, visitors, activities
CORRECT ANSWER B — Love/affection, acceptance by others, safety/security, self-
reliance/independence, contact with others, success/self-esteem
RATIONALE Psychosocial needs relate to emotional and social well-being — love/affection
(belonging), acceptance, safety/security (psychological), self-
reliance/independence (autonomy), social contact (interaction), and success/self-
esteem (achievement). These correspond to Maslow's higher levels:
love/belonging, esteem, and self-actualization. Option A lists physical needs.
Options C and D are not psychosocial needs.
,3. Maslow's Hierarchy of Needs, from most basic to highest level, is:
A. Self-actualization, esteem, love/belonging, safety, physiological
B. Physiological, safety, love/belonging, esteem, self-actualization
C. Love/belonging, physiological, esteem, safety, self-actualization
D. Safety, physiological, esteem, love/belonging, self-actualization
CORRECT ANSWER B — Physiological, safety, love/belonging, esteem, self-actualization
RATIONALE Maslow's hierarchy progresses from the most fundamental survival needs
upward: Physiological (food, water, oxygen, sleep), Safety (security, shelter,
stability), Love/Belonging (relationships, family, community), Esteem (respect,
recognition, achievement), and Self-actualization (reaching one's full potential).
Lower-level needs must be met before higher-level needs can be meaningfully
addressed. Option A reverses the order.
4. True or False: Elderly people do not have sexual urges.
A. True
B. False
CORRECT ANSWER B — False
RATIONALE Sexuality is a lifelong aspect of human identity. Elderly people DO have sexual
urges, desires, and the capacity for sexual expression. The myth that older adults
are asexual is ageist and incorrect. The ability to engage in sexual activity
continues unless disease or injury occurs. CNAs must respect residents' sexuality
and provide privacy for consensual adult sexual expression.
, 5. True or False: The ability to engage in sexual activity continues unless disease or injury
occurs.
A. True
B. False
CORRECT ANSWER A — True
RATIONALE Sexual function can continue throughout life unless specific disease processes
(cardiovascular disease, diabetes, neurological conditions), injuries, or
medication side effects interfere. Normal aging does not eliminate sexual
capacity. This is an important concept for CNAs to understand so they do not
dismiss or pathologize normal sexual expression in older adults.
6. True or False: Residents have the legal right to choose how to express their sexuality.
A. True
B. False
CORRECT ANSWER A — True
RATIONALE Under OBRA and Residents' Rights, residents retain the right to personal choice —
including sexual expression — as long as it is between consenting adults and
does not infringe on others' rights. Facilities must respect these rights and
provide privacy. CNAs should not impose personal moral judgments on residents'
consensual sexual behavior.
7. True or False: All elderly people have the same sexual behavior and desires.
A. True
B. False
CORRECT ANSWER B — False
RATIONALE Sexuality is HIGHLY individual — influenced by personality, life experience,
culture, health status, and relationship history. There is no uniform "elderly
sexuality." Stereotyping all older adults as having identical sexual behavior is
ageist and fails to recognize individual diversity. Each resident's preferences and
orientation are unique and must be respected.
American Red Cross
CNA Nurse Assistant Training Program
EST. 1881
SAVING LIVES, CHANGING LIVES
CNA Chapter 3 — Comprehensive Exam Review
H U M A N N E E D S · S E XUA L I TY · FA M I LY TY P E S · D E V E LO P M E N T · M E N TA L H E A LT H ·
G R I E F · H O S P I C E · A B B R E V I AT I O N S
INSTITUTION American Red Cross — Nurse PROGRAM Certified Nursing Assistant (CNA)
Assistant Training
ACADEMIC YEAR EXAM TITLE Chapter 3 — Comprehensive Exam
Review
TOTAL QUESTIONS 80 Questions COURSE TITLE Nurse Assistant Training —
Chapter 3
FORMAT Multiple Choice & True/False — HQ Washington, D.C.
Select the Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers Maslow's hierarchy, human needs, sexuality, family types, child development, mental
health, grief stages, hospice care, and medical abbreviations.
▸ Correct answers and detailed rationales appear below each question for certification preparation.
, SECTION I — HUMAN NEEDS, SEXUALITY, FAMILY &
Questions 1 – 40
DEVELOPMENT
1. List five basic physical needs that all humans have:
A. Love, acceptance, security, self-esteem, success
B. Food/water, protection/shelter, activity, sleep and rest, comfort (freedom from pain)
C. Education, career, wealth, fame, power
D. Social media, entertainment, travel, hobbies, shopping
CORRECT ANSWER B — Food/water, protection/shelter, activity, sleep and rest, comfort
(freedom from pain)
RATIONALE Physical needs are the most fundamental requirements for survival — food/water
(nutrition and hydration), protection/shelter (safety from elements), activity
(mobility and circulation), sleep and rest (restoration), and comfort/freedom from
pain. These align with the base of Maslow's hierarchy: physiological and safety
needs. Option A lists psychosocial needs. Options C and D are not basic physical
needs.
2. List six psychosocial needs that humans have:
A. Food, water, shelter, sleep, activity, comfort
B. Love/affection, acceptance by others, safety/security, self-reliance/independence,
contact with others, success/self-esteem
C. Oxygen, circulation, digestion, elimination, immunity, reproduction
D. Television, internet, phone, mail, visitors, activities
CORRECT ANSWER B — Love/affection, acceptance by others, safety/security, self-
reliance/independence, contact with others, success/self-esteem
RATIONALE Psychosocial needs relate to emotional and social well-being — love/affection
(belonging), acceptance, safety/security (psychological), self-
reliance/independence (autonomy), social contact (interaction), and success/self-
esteem (achievement). These correspond to Maslow's higher levels:
love/belonging, esteem, and self-actualization. Option A lists physical needs.
Options C and D are not psychosocial needs.
,3. Maslow's Hierarchy of Needs, from most basic to highest level, is:
A. Self-actualization, esteem, love/belonging, safety, physiological
B. Physiological, safety, love/belonging, esteem, self-actualization
C. Love/belonging, physiological, esteem, safety, self-actualization
D. Safety, physiological, esteem, love/belonging, self-actualization
CORRECT ANSWER B — Physiological, safety, love/belonging, esteem, self-actualization
RATIONALE Maslow's hierarchy progresses from the most fundamental survival needs
upward: Physiological (food, water, oxygen, sleep), Safety (security, shelter,
stability), Love/Belonging (relationships, family, community), Esteem (respect,
recognition, achievement), and Self-actualization (reaching one's full potential).
Lower-level needs must be met before higher-level needs can be meaningfully
addressed. Option A reverses the order.
4. True or False: Elderly people do not have sexual urges.
A. True
B. False
CORRECT ANSWER B — False
RATIONALE Sexuality is a lifelong aspect of human identity. Elderly people DO have sexual
urges, desires, and the capacity for sexual expression. The myth that older adults
are asexual is ageist and incorrect. The ability to engage in sexual activity
continues unless disease or injury occurs. CNAs must respect residents' sexuality
and provide privacy for consensual adult sexual expression.
, 5. True or False: The ability to engage in sexual activity continues unless disease or injury
occurs.
A. True
B. False
CORRECT ANSWER A — True
RATIONALE Sexual function can continue throughout life unless specific disease processes
(cardiovascular disease, diabetes, neurological conditions), injuries, or
medication side effects interfere. Normal aging does not eliminate sexual
capacity. This is an important concept for CNAs to understand so they do not
dismiss or pathologize normal sexual expression in older adults.
6. True or False: Residents have the legal right to choose how to express their sexuality.
A. True
B. False
CORRECT ANSWER A — True
RATIONALE Under OBRA and Residents' Rights, residents retain the right to personal choice —
including sexual expression — as long as it is between consenting adults and
does not infringe on others' rights. Facilities must respect these rights and
provide privacy. CNAs should not impose personal moral judgments on residents'
consensual sexual behavior.
7. True or False: All elderly people have the same sexual behavior and desires.
A. True
B. False
CORRECT ANSWER B — False
RATIONALE Sexuality is HIGHLY individual — influenced by personality, life experience,
culture, health status, and relationship history. There is no uniform "elderly
sexuality." Stereotyping all older adults as having identical sexual behavior is
ageist and fails to recognize individual diversity. Each resident's preferences and
orientation are unique and must be respected.
