Chapter 1: The Nursing Assistant in Long-Term Care
This study guide provides a concise review of key concepts from Chapter 1 of the Nurse
Aide Training Program, highlighting essential facts, legal responsibilities, and
professional practices for safe and effective care. It covers resident rights,
communication, confidentiality, OBRA and HIPAA regulations, types of abuse and
neglect, documentation rules, and the roles of different care team members.
Quick-reference sections on vital signs, military time conversions, and cause-and-effect
scenarios reinforce practical knowledge. Designed for fast study, this guide helps nursing
assistants prepare for their exams while building confidence in applying principles to
real-life care situations.
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Facts to Know
• Hospice
o care for people expected to live ≤ 6 months.
• Long-term care
o most conditions are chronic.
• Best response to resident offering gifts:
o thank them and politely refuse.
• Procedure
o the method/way of doing something.
• Medicare pays only for care it deems medically necessary.
• Trauma-informed care:
o plan care by considering each person’s trauma & experiences.
• Physician (MD)
o diagnoses & prescribes treatment.
• Nurses & Physical Therapists are licensed pros who assign NA tasks.
• Ombudsman
o supports and advocates for residents, helps settle disputes.
• The care team revolves around the resident (condition, treatment, progress).
• If an activity isn’t in the care plan, do not perform it.
• Report changes so the care plan can be updated.