Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference
Ch. 1 — Purposes — Role of health care agencies
Question stem
A resident in a long-term care facility asks a nursing assistant
why residents live there instead of going home. The assistant
wants to explain the agency’s purpose simply. Which
statement is the best explanation the assistant should give?
Options
A. “This facility is like a hospital for people who need surgery
right now.”
B. “People live here when they need help with daily activities
and health problems over a long time.”
,C. “We only care for people who have no family to help
them.”
D. “This place helps people get short stays for rehab and then
they always go home the same day.”
Correct answer
B
Rationales
Correct (B): This explains long-term care purpose simply and
accurately at the nursing assistant level — providing help
with activities of daily living and ongoing health needs. It is
respectful and patient-centered.
Incorrect (A): Implies acute, hospital-level surgical care,
which is misleading for most long-term care agencies.
Incorrect (C): Suggests residency is only for people without
family, which is false and stigmatizing.
Incorrect (D): Describes short-term rehab/day care, not the
typical purpose of long-term care residence.
Teaching point
Long-term care provides ongoing help with daily living and
chronic needs.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2.
,Reference
Ch. 1 — Types of Agencies — Acute care vs. long-term care
Question stem
During a clinical rotation, a nursing assistant must explain
why a patient transferred from the hospital to a skilled
nursing facility. Which reason best reflects the difference
between these agencies?
Options
A. “Hospitals are for daily living care; skilled nursing is for
emergency surgeries.”
B. “Hospitals treat acute illnesses; skilled nursing provides
rehabilitation and ongoing nursing care.”
C. “Hospitals only accept younger patients; skilled nursing
accepts older patients only.”
D. “Hospitals and skilled nursing facilities are the same —
they only have different names.”
Correct answer
B
Rationales
Correct (B): Accurately distinguishes acute hospital care
(short-term, acute illness/injury) from skilled nursing (rehab,
ongoing nursing care), which is central to patient placement
decisions.
Incorrect (A): Reverses roles and misstates purposes.
Incorrect (C): Age is not the defining factor for facility type.
, Incorrect (D): Incorrect; facilities differ in services, staffing,
and length of stay.
Teaching point
Hospitals treat acute problems; skilled nursing supports
rehab and ongoing care.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3.
Reference
Ch. 1 — Organization — Chain of command
Question stem
A nursing assistant observes a change in a resident’s level of
consciousness during a morning care task. The assistant is
unsure whether to tell the nurse or the charge nurse.
According to the chain of command principle, who should the
assistant notify first?
Options
A. The facility administrator.
B. The resident’s family member.
C. The nurse assigned to the resident.
D. The housekeeping supervisor.
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference
Ch. 1 — Purposes — Role of health care agencies
Question stem
A resident in a long-term care facility asks a nursing assistant
why residents live there instead of going home. The assistant
wants to explain the agency’s purpose simply. Which
statement is the best explanation the assistant should give?
Options
A. “This facility is like a hospital for people who need surgery
right now.”
B. “People live here when they need help with daily activities
and health problems over a long time.”
,C. “We only care for people who have no family to help
them.”
D. “This place helps people get short stays for rehab and then
they always go home the same day.”
Correct answer
B
Rationales
Correct (B): This explains long-term care purpose simply and
accurately at the nursing assistant level — providing help
with activities of daily living and ongoing health needs. It is
respectful and patient-centered.
Incorrect (A): Implies acute, hospital-level surgical care,
which is misleading for most long-term care agencies.
Incorrect (C): Suggests residency is only for people without
family, which is false and stigmatizing.
Incorrect (D): Describes short-term rehab/day care, not the
typical purpose of long-term care residence.
Teaching point
Long-term care provides ongoing help with daily living and
chronic needs.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2.
,Reference
Ch. 1 — Types of Agencies — Acute care vs. long-term care
Question stem
During a clinical rotation, a nursing assistant must explain
why a patient transferred from the hospital to a skilled
nursing facility. Which reason best reflects the difference
between these agencies?
Options
A. “Hospitals are for daily living care; skilled nursing is for
emergency surgeries.”
B. “Hospitals treat acute illnesses; skilled nursing provides
rehabilitation and ongoing nursing care.”
C. “Hospitals only accept younger patients; skilled nursing
accepts older patients only.”
D. “Hospitals and skilled nursing facilities are the same —
they only have different names.”
Correct answer
B
Rationales
Correct (B): Accurately distinguishes acute hospital care
(short-term, acute illness/injury) from skilled nursing (rehab,
ongoing nursing care), which is central to patient placement
decisions.
Incorrect (A): Reverses roles and misstates purposes.
Incorrect (C): Age is not the defining factor for facility type.
, Incorrect (D): Incorrect; facilities differ in services, staffing,
and length of stay.
Teaching point
Hospitals treat acute problems; skilled nursing supports
rehab and ongoing care.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3.
Reference
Ch. 1 — Organization — Chain of command
Question stem
A nursing assistant observes a change in a resident’s level of
consciousness during a morning care task. The assistant is
unsure whether to tell the nurse or the charge nurse.
According to the chain of command principle, who should the
assistant notify first?
Options
A. The facility administrator.
B. The resident’s family member.
C. The nurse assigned to the resident.
D. The housekeeping supervisor.
