Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1. Reference: Ch. 1 — Purposes of Health Care Agencies
Question: A resident asks you why the long-term care
facility provides recreational activities and social events.
The resident says they think the staff only focus on medical
tasks. As a nursing assistant, how should you respond and
act?
A. Explain that recreational activities improve residents’
well-being and encourage participation.
B. Tell the resident that activities are optional and ignore
further conversation.
C. Say that only nurses decide activity plans, so the
resident should speak with them.
, D. Promise the resident you will create a full new activity
schedule on your own.
Correct answer: A
Rationale — Correct: Explaining benefits and encouraging
participation supports holistic care and resident dignity;
this is within NA communication roles.
Rationale — B: Dismissing the resident is neglectful and
fails to support psychosocial needs.
Rationale — C: While nurses may oversee programs, NAs
can explain purposes and encourage participation;
deferring unnecessarily misses a teaching opportunity.
Rationale — D: Creating a full schedule independently is
beyond most NA responsibilities and may overpromise.
Teaching point: Activities support physical, emotional, and
social well-being.
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: You are assigned to a patient recently admitted
to the hospital for surgery. Which action by you best
reflects understanding the difference between acute care
and long-term care settings?
A. Prioritize frequent measurements and immediate
reporting of sudden changes.
, B. Plan to provide daily long-term toileting schedules and
social visits only.
C. Assume mobility assistance is not needed because
nurses will do it.
D. Delay reporting minor changes until shift report to avoid
bothering staff.
Correct answer: A
Rationale — Correct: Acute care requires timely
observation and rapid reporting of sudden changes; NA
should prioritize frequent monitoring and prompt
communication.
Rationale — B: Long-term care planning is not the primary
goal of acute settings; this option misunderstands setting
priorities.
Rationale — C: Mobility assistance is within many NAs’
duties; assuming otherwise neglects patient safety.
Rationale — D: Delaying reporting endangers the patient
and violates expectations for timely communication.
Teaching point: In acute care, report sudden changes
immediately.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3. Reference: Ch. 1 — Organization (chain of command)
Question: You notice a medication error documented in a
patient chart by another aide. You are unsure how to
, proceed. Which choice respects the agency chain of
command and patient safety?
A. Report the observation to the nurse in charge
immediately.
B. Correct the chart entry yourself to avoid trouble for the
coworker.
C. Ignore it because you are not responsible for
medications.
D. Ask the other aide to keep it confidential and do
nothing.
Correct answer: A
Rationale — Correct: Reporting to the nurse follows the
chain of command and protects patient safety; NAs must
report observed errors.
Rationale — B: Altering charts is inappropriate, may
conceal errors, and is beyond scope.
Rationale — C: Even if not responsible for medication,
failing to report risks patient harm.
Rationale — D: Encouraging secrecy violates professional
standards and safety policies.
Teaching point: Always report errors or suspected errors to
the nurse.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1. Reference: Ch. 1 — Purposes of Health Care Agencies
Question: A resident asks you why the long-term care
facility provides recreational activities and social events.
The resident says they think the staff only focus on medical
tasks. As a nursing assistant, how should you respond and
act?
A. Explain that recreational activities improve residents’
well-being and encourage participation.
B. Tell the resident that activities are optional and ignore
further conversation.
C. Say that only nurses decide activity plans, so the
resident should speak with them.
, D. Promise the resident you will create a full new activity
schedule on your own.
Correct answer: A
Rationale — Correct: Explaining benefits and encouraging
participation supports holistic care and resident dignity;
this is within NA communication roles.
Rationale — B: Dismissing the resident is neglectful and
fails to support psychosocial needs.
Rationale — C: While nurses may oversee programs, NAs
can explain purposes and encourage participation;
deferring unnecessarily misses a teaching opportunity.
Rationale — D: Creating a full schedule independently is
beyond most NA responsibilities and may overpromise.
Teaching point: Activities support physical, emotional, and
social well-being.
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: You are assigned to a patient recently admitted
to the hospital for surgery. Which action by you best
reflects understanding the difference between acute care
and long-term care settings?
A. Prioritize frequent measurements and immediate
reporting of sudden changes.
, B. Plan to provide daily long-term toileting schedules and
social visits only.
C. Assume mobility assistance is not needed because
nurses will do it.
D. Delay reporting minor changes until shift report to avoid
bothering staff.
Correct answer: A
Rationale — Correct: Acute care requires timely
observation and rapid reporting of sudden changes; NA
should prioritize frequent monitoring and prompt
communication.
Rationale — B: Long-term care planning is not the primary
goal of acute settings; this option misunderstands setting
priorities.
Rationale — C: Mobility assistance is within many NAs’
duties; assuming otherwise neglects patient safety.
Rationale — D: Delaying reporting endangers the patient
and violates expectations for timely communication.
Teaching point: In acute care, report sudden changes
immediately.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3. Reference: Ch. 1 — Organization (chain of command)
Question: You notice a medication error documented in a
patient chart by another aide. You are unsure how to
, proceed. Which choice respects the agency chain of
command and patient safety?
A. Report the observation to the nurse in charge
immediately.
B. Correct the chart entry yourself to avoid trouble for the
coworker.
C. Ignore it because you are not responsible for
medications.
D. Ask the other aide to keep it confidential and do
nothing.
Correct answer: A
Rationale — Correct: Reporting to the nurse follows the
chain of command and protects patient safety; NAs must
report observed errors.
Rationale — B: Altering charts is inappropriate, may
conceal errors, and is beyond scope.
Rationale — C: Even if not responsible for medication,
failing to report risks patient harm.
Rationale — D: Encouraging secrecy violates professional
standards and safety policies.
Teaching point: Always report errors or suspected errors to
the nurse.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
