Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference: Ch. 1 — Health Care Agencies — Purposes
Stem: A resident in a long-term care facility tells you they want
to plan for their future care preferences and asks how the
facility helps with that. As a nursing assistant, what is your best
first action?
A. Help the resident fill out an advance directive form.
B. Tell the charge nurse or social worker so they can assist.
C. Advise the resident to wait until their next doctor visit.
D. Explain that the family must make all care decisions.
Correct answer: B
Rationale — Correct: Reporting to the charge nurse or social
worker places the request with staff trained to assist with
,advance care planning and ensures the resident’s wishes are
documented. This promotes respect for patient rights and
coordinated care.
Rationale — A: Completing legal documents is outside the NA
scope; this must be done by the resident with appropriate staff
or legal counsel present.
Rationale — C: Delaying the issue may ignore the resident’s
current request and risk unmet rights; timely reporting is
required.
Rationale — D: Telling the resident family decides ignores
resident autonomy and is incorrect.
Teaching point: Report requests about advance care planning to
the nurse or social worker.
Citation: Remmert, L. (2023). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2.
Reference: Ch. 1 — Health Care Agencies — Types of Agencies
Stem: You are assigned to care for a patient being discharged
from the hospital to home with home health services. The
patient asks what home health provides. Which statement by
you is within NA scope and correct?
A. “Home health will provide nursing and therapies based on
the doctor’s orders.”
B. “Home health will give you all your medications without a
doctor’s order.”
,C. “Home health means you won’t need any family help
anymore.”
D. “Home health will diagnose any new problems you have.”
Correct answer: A
Rationale — Correct: Saying home health provides services per
physician orders is accurate and within NA scope; it sets correct
expectations for coordinated care.
Rationale — B: Medication administration must follow orders
and agency policy; NAs should not imply autonomous
medication delivery.
Rationale — C: Home health supplements support but does not
always eliminate family involvement; this statement is
misleading.
Rationale — D: Diagnosis is a provider task, not a service NA or
home health personnel perform.
Teaching point: Describe services factually and refer questions
to the nurse.
Citation: Remmert, L. (2023). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3.
Reference: Ch. 1 — Health Care Agencies — Organization
Stem: On your first day in a hospital unit you’re told the unit
uses a chain-of-command structure. A family asks you a clinical
question about the patient’s treatment plan. What is the NA’s
best response?
, A. Answer fully using information from the chart.
B. Say you don’t know and refer them to the nurse or charge
nurse.
C. Give your personal opinion about the best treatment.
D. Promise to change the treatment later.
Correct answer: B
Rationale — Correct: Referring the family to the nurse respects
the chain of command and ensures accurate, authorized
information is provided. NAs must not give clinical explanations
beyond their role.
Rationale — A: Providing clinical treatment details is outside
NA responsibility and risks sharing incorrect information.
Rationale — C: Personal opinions about treatment can mislead
families and exceed scope.
Rationale — D: NAs cannot change treatment plans; promising
so is inappropriate.
Teaching point: Follow chain of command; refer clinical
questions to licensed staff.
Citation: Remmert, L. (2023). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4.
Reference: Ch. 1 — Health Care Agencies — The Nursing Team
Stem: During report, the nurse asks you to remind a patient
about their physical therapy (PT) visit and to note how the
patient tolerates it. Which task is within your role?
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference: Ch. 1 — Health Care Agencies — Purposes
Stem: A resident in a long-term care facility tells you they want
to plan for their future care preferences and asks how the
facility helps with that. As a nursing assistant, what is your best
first action?
A. Help the resident fill out an advance directive form.
B. Tell the charge nurse or social worker so they can assist.
C. Advise the resident to wait until their next doctor visit.
D. Explain that the family must make all care decisions.
Correct answer: B
Rationale — Correct: Reporting to the charge nurse or social
worker places the request with staff trained to assist with
,advance care planning and ensures the resident’s wishes are
documented. This promotes respect for patient rights and
coordinated care.
Rationale — A: Completing legal documents is outside the NA
scope; this must be done by the resident with appropriate staff
or legal counsel present.
Rationale — C: Delaying the issue may ignore the resident’s
current request and risk unmet rights; timely reporting is
required.
Rationale — D: Telling the resident family decides ignores
resident autonomy and is incorrect.
Teaching point: Report requests about advance care planning to
the nurse or social worker.
Citation: Remmert, L. (2023). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2.
Reference: Ch. 1 — Health Care Agencies — Types of Agencies
Stem: You are assigned to care for a patient being discharged
from the hospital to home with home health services. The
patient asks what home health provides. Which statement by
you is within NA scope and correct?
A. “Home health will provide nursing and therapies based on
the doctor’s orders.”
B. “Home health will give you all your medications without a
doctor’s order.”
,C. “Home health means you won’t need any family help
anymore.”
D. “Home health will diagnose any new problems you have.”
Correct answer: A
Rationale — Correct: Saying home health provides services per
physician orders is accurate and within NA scope; it sets correct
expectations for coordinated care.
Rationale — B: Medication administration must follow orders
and agency policy; NAs should not imply autonomous
medication delivery.
Rationale — C: Home health supplements support but does not
always eliminate family involvement; this statement is
misleading.
Rationale — D: Diagnosis is a provider task, not a service NA or
home health personnel perform.
Teaching point: Describe services factually and refer questions
to the nurse.
Citation: Remmert, L. (2023). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3.
Reference: Ch. 1 — Health Care Agencies — Organization
Stem: On your first day in a hospital unit you’re told the unit
uses a chain-of-command structure. A family asks you a clinical
question about the patient’s treatment plan. What is the NA’s
best response?
, A. Answer fully using information from the chart.
B. Say you don’t know and refer them to the nurse or charge
nurse.
C. Give your personal opinion about the best treatment.
D. Promise to change the treatment later.
Correct answer: B
Rationale — Correct: Referring the family to the nurse respects
the chain of command and ensures accurate, authorized
information is provided. NAs must not give clinical explanations
beyond their role.
Rationale — A: Providing clinical treatment details is outside
NA responsibility and risks sharing incorrect information.
Rationale — C: Personal opinions about treatment can mislead
families and exceed scope.
Rationale — D: NAs cannot change treatment plans; promising
so is inappropriate.
Teaching point: Follow chain of command; refer clinical
questions to licensed staff.
Citation: Remmert, L. (2023). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4.
Reference: Ch. 1 — Health Care Agencies — The Nursing Team
Stem: During report, the nurse asks you to remind a patient
about their physical therapy (PT) visit and to note how the
patient tolerates it. Which task is within your role?
