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 at a long-term care facility tells the
nursing assistant (NA) they want help joining a recreational
group but worries staff won’t support it. The NA believes social
activity improves quality of life. What is the NA’s best action?
A. Tell the resident to try asking the activities director later.
B. Help the resident complete the sign-up form or notify the
nurse.
C. Sign the resident up without asking their family for
permission.
D. Advise the resident that group activities are for healthier
,residents only.
Correct answer: B
Rationales:
• Correct (B): Helping with sign-up or informing the nurse
supports resident quality of life and autonomy; it is within
the NA’s role to assist and report needs.
• Incorrect (A): Deferring without offering help may block
access and fails to advocate for the resident.
• Incorrect (C): Signing up without confirming consent or
following procedure may violate resident rights and facility
policy.
• Incorrect (D): Making judgments about eligibility without
checking policy or care plan is inappropriate and
discouraging.
Teaching point: Assist residents and report needs to
support quality of life.
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: A nursing assistant is assigned to a client
recently discharged from the hospital to receive care at home.
Which agency type would most likely provide the client’s skilled
nursing visits and therapy at home?
,A. Acute care hospital
B. Long-term care facility
C. Home health agency
D. Ambulatory surgical center
Correct answer: C
Rationales:
• Correct (C): Home health agencies provide skilled nursing
and therapy services in the client’s home; reporting
observations to the supervising nurse is the NA’s role.
• Incorrect (A): Hospitals provide acute, inpatient care, not
routine skilled visits in the home.
• Incorrect (B): Long-term care facilities provide residential
services, not in-home skilled visits.
• Incorrect (D): Ambulatory surgical centers provide same-
day surgeries, not ongoing home care.
Teaching point: Home health agencies deliver skilled care
in the 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: On orientation, the NA is shown the facility’s
chain of command chart. A frustrated family member asks the
NA about a care plan change and demands immediate answers.
, What should the NA do?
A. Explain the care plan and make the change alone.
B. Refer the family member to the nurse and report the
request.
C. Tell the family to leave if they are dissatisfied.
D. Promise the family member that the NA will change the care
plan tonight.
Correct answer: B
Rationales:
• Correct (B): Referring to the nurse respects the chain of
command; reporting ensures proper documentation and
that authorized staff handle care-plan decisions.
• Incorrect (A): NAs cannot change care plans or make
clinical decisions independently.
• Incorrect (C): Dismissing the family is unprofessional and
may violate patient rights.
• Incorrect (D): Promising unauthorized care-plan changes
misrepresents the NA’s scope and is unsafe.
Teaching point: Follow the chain of command; report
family concerns to the nurse.
Citation: Remmert, L. (2025). Mosby’s Textbook for
Nursing Assistants (11th ed.). Ch. 1.
4.
Reference: Ch. 1 — Health Care Agencies — The Nursing Team
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1.
Reference: Ch. 1 — Health Care Agencies — Purposes
Question stem: A resident at a long-term care facility tells the
nursing assistant (NA) they want help joining a recreational
group but worries staff won’t support it. The NA believes social
activity improves quality of life. What is the NA’s best action?
A. Tell the resident to try asking the activities director later.
B. Help the resident complete the sign-up form or notify the
nurse.
C. Sign the resident up without asking their family for
permission.
D. Advise the resident that group activities are for healthier
,residents only.
Correct answer: B
Rationales:
• Correct (B): Helping with sign-up or informing the nurse
supports resident quality of life and autonomy; it is within
the NA’s role to assist and report needs.
• Incorrect (A): Deferring without offering help may block
access and fails to advocate for the resident.
• Incorrect (C): Signing up without confirming consent or
following procedure may violate resident rights and facility
policy.
• Incorrect (D): Making judgments about eligibility without
checking policy or care plan is inappropriate and
discouraging.
Teaching point: Assist residents and report needs to
support quality of life.
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: A nursing assistant is assigned to a client
recently discharged from the hospital to receive care at home.
Which agency type would most likely provide the client’s skilled
nursing visits and therapy at home?
,A. Acute care hospital
B. Long-term care facility
C. Home health agency
D. Ambulatory surgical center
Correct answer: C
Rationales:
• Correct (C): Home health agencies provide skilled nursing
and therapy services in the client’s home; reporting
observations to the supervising nurse is the NA’s role.
• Incorrect (A): Hospitals provide acute, inpatient care, not
routine skilled visits in the home.
• Incorrect (B): Long-term care facilities provide residential
services, not in-home skilled visits.
• Incorrect (D): Ambulatory surgical centers provide same-
day surgeries, not ongoing home care.
Teaching point: Home health agencies deliver skilled care
in the 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: On orientation, the NA is shown the facility’s
chain of command chart. A frustrated family member asks the
NA about a care plan change and demands immediate answers.
, What should the NA do?
A. Explain the care plan and make the change alone.
B. Refer the family member to the nurse and report the
request.
C. Tell the family to leave if they are dissatisfied.
D. Promise the family member that the NA will change the care
plan tonight.
Correct answer: B
Rationales:
• Correct (B): Referring to the nurse respects the chain of
command; reporting ensures proper documentation and
that authorized staff handle care-plan decisions.
• Incorrect (A): NAs cannot change care plans or make
clinical decisions independently.
• Incorrect (C): Dismissing the family is unprofessional and
may violate patient rights.
• Incorrect (D): Promising unauthorized care-plan changes
misrepresents the NA’s scope and is unsafe.
Teaching point: Follow the chain of command; report
family concerns to the nurse.
Citation: Remmert, L. (2025). Mosby’s Textbook for
Nursing Assistants (11th ed.). Ch. 1.
4.
Reference: Ch. 1 — Health Care Agencies — The Nursing Team
