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Exam (elaborations)

Personal Support Worker (PSW) Certification Exam Preparation Manual

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Personal Support Worker (PSW) Certification Exam Preparation Manual

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1


RESIDENT RIGHTS & ROLE (Q1–20)

1. A resident tells the STNA, "I don't want to take that medicine." What should the STNA
do?
A. Tell the resident the doctor ordered it
B. Hide it in food
C. Respect the refusal and report it to the nurse
D. Ask the family to convince them
Answer: C — Competent residents have the legal right to refuse treatment. The STNA must
report the refusal to the nurse .

2. Which action respects a resident's right to privacy?
A. Leaving the bathroom door open
B. Knocking before entering the room
C. Discussing the resident in the hallway
D. Posting the diagnosis on a bulletin board
Answer: B — Knocking and waiting for permission respects privacy .

3. A family member asks the STNA for details about the resident's condition. What should
the STNA do?
A. Provide all information
B. Provide basic information only
C. Direct the family member to the nurse
D. Refuse to speak to them at all
Answer: C — STNAs must protect resident privacy and direct medical questions to the nurse
.

4. Which task is outside the STNA's scope of practice?
A. Assisting with range of motion
B. Performing sterile dressing changes
C. Helping with feeding
D. Assisting with ambulation
Answer: B — Sterile procedures require a licensed nurse .

5. A resident tells the STNA they were hit by another resident. What is the priority action?
A. Tell the resident to forget about it
B. Promise to keep it secret
C. Ensure safety and report to the charge nurse immediately
D. Confront the other resident
Answer: C — Allegations of abuse must be reported immediately .

6. Which is an example of maintaining professional boundaries?
A. Accepting money from a resident
B. Declining a resident's gift and explaining facility policy

, 2


C. Sharing personal problems with the resident
D. Borrowing money from a resident
Answer: B — STNAs should not accept gifts or money from residents .

7. The role of the ombudsman is to:
A. Run the nursing home
B. Protect residents' rights
C. Control the budget
D. Train nurse aides
Answer: B — The ombudsman advocates for residents .

8. Which information is protected under HIPAA?
A. The resident's room number
B. The resident's medical diagnosis
C. The facility's address
D. The visiting hours
Answer: B — Medical information is protected health information .

9. A resident has the right to:
A. Refuse treatment
B. Smoke in bed
C. Leave without notifying staff
D. Stay in bed all day
Answer: A — Alert, oriented residents have the right to refuse treatment .

10. Which task can the STNA perform?
A. Administering medication
B. Applying a transdermal patch
C. Taking vital signs
D. Inserting a catheter
Answer: C — Taking vital signs is within STNA scope .

11. A resident asks the STNA to cut their toenails. What should the STNA do?
A. Cut them straight across
B. Explain this is outside scope and report to the nurse
C. File them with an emery board
D. Cut them if the resident is not diabetic
Answer: B — Nail care for residents with certain conditions is prohibited for STNAs .

12. When may restraints be used on a resident?
A. For staff convenience
B. When the resident is annoying
C. Only when medically necessary and ordered by a provider

, 3


D. Whenever the STNA decides
Answer: C — Restraints require a provider order and are for medical necessity only .

13. A resident's care plan says they receive a shower every morning. The resident refuses.
What is the FIRST action?
A. Force the shower
B. Respect the refusal, explain consequences gently, notify the nurse
C. Skip the shower and say nothing
D. Tell the family
Answer: B — STNAs promote autonomy and must report refusals .

14. Which action demonstrates culturally sensitive care?
A. Ignoring cultural preferences
B. Respecting cultural preferences within scope and reporting accommodation needs
C. Imposing the STNA's values
D. Treating all residents the same way
Answer: B — Person-centered care respects cultural preferences .

15. An STNA notices a coworker posting a resident's photo on social media. What should
the STNA do?
A. Ignore it
B. Report it to the supervisor
C. Join in
D. Ask the coworker to delete it only
Answer: B — Posting resident photos without consent violates privacy .

16. Under OBRA, how often must a comprehensive care plan be reviewed?
A. Every 6 months
B. Every 12 months
C. At least every 3 months
D. Every 5 years
Answer: C — Care plans are reviewed at least quarterly.

17. A resident who is alert and oriented has the right to:
A. Refuse treatment
B. Smoke in bed
C. Stay in bed all day
D. Leave without notifying staff
Answer: A — Autonomy includes the right to refuse .

18. Which is a mandatory reportable event for an STNA?
A. A resident refusing lunch
B. Suspected abuse, neglect, or exploitation
C. A resident crying

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