ACTUAL QUESTIONS AND CORRECT
ANSWERS WITH RATIONALE LATEST
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Section 1: Patient Rights, Privacy & Confidentiality (Questions
1–33)
1. Mr. Alvarez, a 78-year-old resident, asks you not to tell his daughter about his
recent fall because he doesn't want her to worry. The daughter calls you later that
day to ask if her father has fallen. Under HIPAA and Arizona R9-10 standards,
what is your BEST response?
A. Share only that he is "doing fine" without confirming the fall.
B. Tell her you cannot confirm or deny any health information without Mr.
Alvarez's written authorization.
C. Tell her she should ask her father directly and not involve you in family matters.
D. Share the information since she is his daughter and clearly concerned about his
welfare.
Answer: B
Rationale: Protected Health Information (PHI) cannot be disclosed to family
members without the patient's authorization under HIPAA, even if the relative is
well-intentioned. Arizona R9-10 reinforces respect for confidentiality; caregivers
may only share information with authorized parties listed in the care plan. Options
D and A violate confidentiality; option C is dismissive and does not address the
legal duty.
2. While assisting Mrs. Chen with her morning bath, she whispers that her son
visited yesterday and demanded she sign over her bank account. She asks you not
to tell anyone. What should you do?
A. Keep the secret as requested by the resident.
B. Report the incident to your supervisor and Adult Protective Services
immediately.
,C. Confront the son directly about his behavior.
D. Tell the resident to handle the matter with her family privately.
Answer: B
Rationale: Financial exploitation is a form of abuse under Arizona law (ARS §36-
446). Caregivers are mandated reporters and must report suspected exploitation
within 72 hours. The resident's request for secrecy does not override the legal duty
to report.
3. A resident tells you she wants to refuse her prescribed blood pressure
medication. What is the caregiver's role?
A. Insist that she take the medication as ordered.
B. Respect her right to refuse and report the refusal to the supervisor.
C. Tell her she will be discharged if she refuses.
D. Crush the medication and hide it in her food.
Answer: B
Rationale: Residents have the right to refuse medication. The caregiver should
respect the refusal and report it to the supervisor or nurse. Forcing or hiding
medication violates the resident's rights and constitutes abuse.
4. You observe a colleague taking $20 from a client's wallet without
documentation. According to Arizona ethics standards, what should you do?
A. Confront the colleague directly and demand the money be returned.
B. Wait to see if the colleague returns the money before reporting.
C. Report the incident immediately to a supervisor per ARS §36-446.
D. Ignore the incident because it involves a coworker.
Answer: C
Rationale: ARS §36-446 classifies financial exploitation as reportable abuse, and
caregivers are mandated reporters. The caregiver must report to a supervisor or
Adult Protective Services immediately. Confronting the colleague may
compromise the investigation; ignoring the incident subjects the caregiver to legal
penalties.
5. A resident's daughter asks to see her mother's medical records. The resident is
cognitively intact and has not authorized the release of information. What should
the caregiver do?
A. Provide the records since she is the daughter.
B. Refuse to provide the records without the resident's written authorization.
,C. Ask the daughter to obtain a court order.
D. Provide only a verbal summary of the resident's condition.
Answer: B
Rationale: Under HIPAA, protected health information cannot be released to
family members without the patient's written authorization, even if the family
member is the legal next of kin. The caregiver must protect the resident's
confidentiality.
6. A resident with dementia repeatedly asks where her deceased husband is. What
is the best response?
A. Tell her the truth that her husband has passed away.
B. Redirect her gently and engage her in a pleasant activity.
C. Ignore the question and walk away.
D. Tell her he will be back soon.
Answer: B
Rationale: For residents with dementia, therapeutic redirection is more effective
than confronting them with painful truths. Redirecting to a pleasant activity
reduces agitation and maintains dignity without lying.
7. A caregiver notices bruising on a resident's arms in various stages of healing.
The resident says she "falls a lot." What should the caregiver do?
A. Accept the explanation and continue care.
B. Document the bruising and report it to the supervisor.
C. Ask the resident's family about the bruises.
D. Wait to see if more bruises appear.
Answer: B
Rationale: Bruising in various stages of healing may indicate abuse. Caregivers are
mandated reporters and must document and report suspicious findings to the
supervisor or Adult Protective Services.
8. A resident asks the caregiver to keep a secret about a gift she received from a
family member. What should the caregiver do?
A. Keep the secret as requested.
B. Evaluate whether the secret involves safety or abuse concerns.
C. Tell the resident that secrets are not allowed.
D. Share the secret with other residents.
, Answer: B
Rationale: Caregivers must evaluate whether a secret involves any safety, abuse, or
neglect concerns. If the secret involves harm, it must be reported. If it is a harmless
personal matter, the resident's privacy should be respected.
9. What does "person-centered care" mean?
A. Making all decisions for the resident.
B. Following a rigid schedule regardless of resident preference.
C. Respecting the resident's choices, independence, and dignity.
D. Completing tasks as quickly as possible.
Answer: C
Rationale: Person-centered care keeps the resident's preferences and autonomy at
the center of care. It respects the resident's choices, independence, and dignity.
10. A resident's family brings in a sealed over-the-counter medication. When may
the caregiver administer it?
A. When the family approves the administration.
B. When the pharmacist recommends the medication.
C. When the nurse authorizes the administration.
D. When the physician/provider writes the order.
Answer: D
Rationale: Over-the-counter medications must have a physician's or provider's
order before administration. Family approval or pharmacist recommendation alone
is not sufficient.
11. What is the caregiver's role when a resident refuses a bath?
A. Force the resident to take the bath.
B. Respect the refusal and document it, offering the bath again later.
C. Report the refusal as non-compliance.
D. Ask the family to convince the resident.
Answer: B
Rationale: Residents have the right to refuse care. The caregiver should respect the
refusal, document it, and offer the care again at a later time. Forcing care violates
the resident's rights.
12. A caregiver overhears another caregiver discussing a resident's medical
condition in the cafeteria. What should the caregiver do?