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This comprehensive exam is designed to reflect the updated 2026/2027
standards for the CNA (Certified Nursing Assistant) curriculum, specifically
focusing on Chapter 7: Communication, Documentation, and Interpersonal Skills.
CNA Chapter 7 Exam: Communication & Documentation
Table of Contents
1. Section I: The Communication Process (Verbal vs. Non-verbal)
2. Section II: Barriers to Effective Communication
3. Section III: Subjective vs. Objective Data
4. Section IV: Documentation and Medical Records
5. Section V: Communicating with Residents with Special Needs
Section I: The Communication Process
1. A resident is grimacing and rubbing their shoulder, but when the CNA asks if they are in
pain, the resident replies, "No, I'm fine." Which form of communication should the CNA rely
on?
• A) Verbal communication
• B) Non-verbal communication
• C) Written communication
• D) Subjective reporting
• Correct Answer: B
, • Rationale: Non-verbal communication (body language, facial expressions) is often a
more accurate reflection of a person’s true feelings or physical state than verbal
communication, especially if the resident is trying to be "polite" or is confused.
2. Which of the following is an example of an "open-ended" question?
• A) "Are you feeling tired today?"
• B) "Did you eat your breakfast?"
• C) "Can you tell me how you are feeling this morning?"
• D) "Do you want to wear the blue shirt or the red shirt?"
• Correct Answer: C
• Rationale: Open-ended questions require more than a "yes" or "no" answer. They
encourage the resident to express themselves and provide more detailed information to
the caregiver.
Section II: Barriers to Effective Communication
3. A CNA asks a resident, "Why didn't you drink your juice?" Why is this considered a
communication barrier?
• A) It is an open-ended question.
• B) "Why" questions can make a resident feel defensive or attacked.
• C) The CNA should have used medical jargon.
• D) It is too formal.
• Correct Answer: B
• Rationale: "Why" questions often sound accusatory. It is better to use neutral
statements like, "I noticed you didn't finish your juice; is there something else you would
prefer?"
4. When a resident speaks a different language than the CNA, the best action is to:
• A) Speak louder so they can understand.
• B) Use a family member to translate medical information.
• C) Use a facility-approved interpreter or translation device.