Activities of Daily Living
A large portion of the nursing assistant’s job is helping the patient with activities of daily living, often referred to as ADL’s. These include feeding, bathing, dressing, toileting, and ambulating. Knowing how to best and most efficiently help the patient in these activities is critical to doing the job well.
Basic Nursing Skills
As a member of the healthcare team that provides “bedside” care, the nursing assistant needs a number of basic care skills to provide safe and effective care to her patients. Being able to take and record vital signs and weights, helping the patient with activities of daily living, and being well-versed in methods of infection control are requirements of the job in virtually every setting.
In 1973 the American Hospital Association came out with “The Patient’s Bill of Rights” to help make more clear what rights all people were entitled to when they found themselves in the role of a patient in the healthcare setting. For example, every patient has the right to be free from the unauthorized use of restraints, and to use their own clothing/possessions as long as they are not hazardous or do not infringe on the rights of another. Knowing what rights the patient has is critical for the nursing assistant who wishes to provide ethical, safe care, and violating these rights could cost the nursing assistant her job–and may even result in legal action.
Communication skills play a huge role in the job of the nursing assistant. This CNA practice test will evaluate your ability to communicate clearly with team members regarding patient care is critical to providing safe, effective care in any healthcare setting. When communicating with residents, cultural competence, caring, and active listening skills are also needed to be an effective and efficient nursing assistant.
Emotional and Mental Health Needs
As a caregiver to a vulnerable population, it is important that the nursing assistant be well-versed in caring for the emotional and mental health needs of the patient. This can range from something as simple as sharing in a happy moment with a patient, or as complex as being empathic when the patient is grieving a loss.
Legal and Ethical Behavior
As a professional working in the healthcare setting, it is important for the nursing assistant to know the rules and regulations surrounding their job description. Performing duties outside of one’s scope of practice or performing duties incorrectly could result in losing a job or even legal action. Abuse, assault, negligence, and invasion of privacy are all acts which are considered unethical and could lead to big trouble for the nursing assistant.
Member of a Healthcare Team
This section of the CNA practice test covers working under the direct supervision of an RN or LPN, the nursing assistant is a vital part of the healthcare team. Because they deliver so much hands-on care to the patient, the nursing assistant is often the first to realize something is wrong and therefore may prevent a serious problem or complication from occurring.
Restorative skills are skills the nursing assistant has that help enable the patient to function to the best of their ability, or to prevent an injury or complication from occurring. An example could be turning a bedridden patient every two hours to prevent bedsores, or encouraging a stubborn patient to walk three times a day as directed by their nursing care plan. These are the kinds of questions you’ll find in this CNA practice test.
Spiritual and Cultural Issues
America is a very diverse place, and the healthcare setting is a reflection of that diversity. As a nursing assistant you will often encounter patients or co-workers with a different culture or religion than yours. Being sensitive and respectful of these differences will help you work well with others and help the patient feel like their spiritual needs are being met.