Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Q1
Reference: Ch. 1 — Purposes of Health Care Agencies
Stem: A resident in a long-term care facility tells you they feel
lonely and misses family visits. The nurse asks you to interact
with the resident while she finishes charting. What is the
nursing assistant’s best action?
A. Sit with the resident, listen to their concerns, and report
any changes to the nurse.
B. Tell the resident to wait; document that they requested
company and leave.
C. Promise to arrange daily family visits and give the resident
your phone number.
,D. Encourage the resident to use social media and leave to
help another patient.
Correct answer: A
Rationale — Correct: Sitting with and listening meets
emotional care within NA scope and documenting/reporting
ensures the nurse can plan follow-up. This supports patient
dignity and continuity of care.
Rationale — Incorrect:
B. Leaving without meaningful interaction neglects
immediate emotional needs and omits important reporting.
C. Arranging visits and giving personal contact is outside an
NA’s authority and may breach boundaries.
D. Encouraging social media without ensuring the resident
can use it and leaving ignores current emotional need and
fails to report.
Teaching point: Provide direct emotional support and report
psychosocial concerns promptly.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
Q2
Reference: Ch. 1 — Types of Agencies
Stem: You are assigned to a patient being discharged from
the hospital to home health care. Which statement best
describes why the agency type matters for the care you
provide?
,A. Home health staff focus on short-term skilled care in the
patient’s home and coordinate with nurses.
B. Home health agencies provide only social services, so you
do not need to report medical changes.
C. Home health agencies are the same as long-term care, so
care routines are identical.
D. Home health agencies always have a physician on site to
direct daily care.
Correct answer: A
Rationale — Correct: Home health provides short-term
skilled services in the home; NAs/support staff work with
nurses and must report changes for coordinated care.
Rationale — Incorrect:
B. Home health includes clinical oversight; not reporting is
unsafe.
C. Home health differs from long-term care in goals and
setting; routines may vary.
D. Physicians are not on site daily in home care; the team
coordinates remotely.
Teaching point: Agency type defines care goals; always report
clinical changes.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
Q3
, Reference: Ch. 1 — Organization of Health Care Agencies
Stem: A new employee handbook lists the chain of
command. A confused certified nursing assistant (CNA) asks
whether they should report a concern directly to hospital
administration or their charge nurse first. What is the best
action by the CNA?
A. Report the concern to the charge nurse first, following the
chain of command.
B. Bypass unit staff and email hospital administration
immediately.
C. Tell the patient you will handle it yourself and make
changes without telling anyone.
D. Ask a coworker to deal with it and assume it will be fixed.
Correct answer: A
Rationale — Correct: Following chain of command (reporting
to the charge nurse) is appropriate, ensures supervision, and
keeps leadership informed per agency organization.
Rationale — Incorrect:
B. Bypassing the chain can cause delays and confusion unless
immediate harm requires escalation.
C. Making clinical changes alone can exceed NA scope and
risks patient safety.
D. Assuming others will act without reporting is unsafe and
may delay needed interventions.
Teaching point: Always follow the chain of command when
reporting concerns.
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Q1
Reference: Ch. 1 — Purposes of Health Care Agencies
Stem: A resident in a long-term care facility tells you they feel
lonely and misses family visits. The nurse asks you to interact
with the resident while she finishes charting. What is the
nursing assistant’s best action?
A. Sit with the resident, listen to their concerns, and report
any changes to the nurse.
B. Tell the resident to wait; document that they requested
company and leave.
C. Promise to arrange daily family visits and give the resident
your phone number.
,D. Encourage the resident to use social media and leave to
help another patient.
Correct answer: A
Rationale — Correct: Sitting with and listening meets
emotional care within NA scope and documenting/reporting
ensures the nurse can plan follow-up. This supports patient
dignity and continuity of care.
Rationale — Incorrect:
B. Leaving without meaningful interaction neglects
immediate emotional needs and omits important reporting.
C. Arranging visits and giving personal contact is outside an
NA’s authority and may breach boundaries.
D. Encouraging social media without ensuring the resident
can use it and leaving ignores current emotional need and
fails to report.
Teaching point: Provide direct emotional support and report
psychosocial concerns promptly.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
Q2
Reference: Ch. 1 — Types of Agencies
Stem: You are assigned to a patient being discharged from
the hospital to home health care. Which statement best
describes why the agency type matters for the care you
provide?
,A. Home health staff focus on short-term skilled care in the
patient’s home and coordinate with nurses.
B. Home health agencies provide only social services, so you
do not need to report medical changes.
C. Home health agencies are the same as long-term care, so
care routines are identical.
D. Home health agencies always have a physician on site to
direct daily care.
Correct answer: A
Rationale — Correct: Home health provides short-term
skilled services in the home; NAs/support staff work with
nurses and must report changes for coordinated care.
Rationale — Incorrect:
B. Home health includes clinical oversight; not reporting is
unsafe.
C. Home health differs from long-term care in goals and
setting; routines may vary.
D. Physicians are not on site daily in home care; the team
coordinates remotely.
Teaching point: Agency type defines care goals; always report
clinical changes.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
Q3
, Reference: Ch. 1 — Organization of Health Care Agencies
Stem: A new employee handbook lists the chain of
command. A confused certified nursing assistant (CNA) asks
whether they should report a concern directly to hospital
administration or their charge nurse first. What is the best
action by the CNA?
A. Report the concern to the charge nurse first, following the
chain of command.
B. Bypass unit staff and email hospital administration
immediately.
C. Tell the patient you will handle it yourself and make
changes without telling anyone.
D. Ask a coworker to deal with it and assume it will be fixed.
Correct answer: A
Rationale — Correct: Following chain of command (reporting
to the charge nurse) is appropriate, ensures supervision, and
keeps leadership informed per agency organization.
Rationale — Incorrect:
B. Bypassing the chain can cause delays and confusion unless
immediate harm requires escalation.
C. Making clinical changes alone can exceed NA scope and
risks patient safety.
D. Assuming others will act without reporting is unsafe and
may delay needed interventions.
Teaching point: Always follow the chain of command when
reporting concerns.
