Communication Practice Test

“contact the charge nurse for help.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “ask another nursing assistant.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “ask the client for his preference.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “utilize a policy manual.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“Unconscious clients may be able to hear you
speaking to them during the bath.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Unconscious clients can turn in bed when
asked.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Unconscious clients do not need to be
observed for decubiti.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Unconscious clients have very moist skin.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“using gestures and facial expressions.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “writing the message on paper.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “sharing your feelings and concerns.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “offering your advice and opinions.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“the patient's non-verbal cues” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “the words the patient uses” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “the things a patient says when they think no one is listening” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “the conversations a patient has when speaking on their personal mobile phone.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“Inform the nurse of the client’s behavior” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Ask a family member to translate for the client” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Speak to the client with multiple medical terms” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Shout at the client when assisting with morning care” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“True. Nurse Aides are the front-line caregivers in most facilities and the Charge Nurse and Physicians rely on the Nurse Aide's reports to properly care for patients.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “True. Facility staff are always curious as to what is going on with different patients so the Nurse Aide must be ready to discuss their patients with anyone in the facility.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “False. The Nurse Aide's job is limited to carrying out tasks set forth in the patient's care plan. The Nurse Aide does not need to communicate to be effective in this manner.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “False. It is the patient's responsibility to communicate their needs to the Charge Nurse or Physician. The Nurse Aide should not interfere with this doctor/patient confidentiality.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“"Hi, come on in."” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “"Can't you knock?"” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “"Boy, he was dirty today!"” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “"Would you please wait in the lobby?"” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

This is a select‑all‑that‑apply item. The correct choices are “active listening”, “appropriate conversation”, “relaying information”. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “inferring without verifying” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“Unconscious residents may be able to hear you speaking to them during mouth care.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Unconscious residents can both swallow and spit.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Unconscious residents do not need to be observed for mouth sores.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Unconscious residents have very moist gum tissue.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“encouragement for the client to continue
talking.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “displeasure at having to listen to the client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “agreement with everything that the client
says.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “lack of available work for the nurse aide.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“how to call for help.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “how to dress.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “that things will get better.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “that there is nothing to worry about.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

““This is [nursing assistant name and position], how can I help you?”” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. ““Hello, who is calling, please?”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. ““What is it that you want?”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. ““Please hold; I’ll have the nurse answer your call.”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

““Sorry, I can’t share that information with
you.”” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. ““It is really nothing for you to worry about.”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. ““I’ll check with his doctor for you.”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. ““You can call his doctor and ask yourself.”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“make sure the client knows how to use the call bell.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “ask if the client is hungry.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “inspect the client’s skin.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “assess the client’s intake and output.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“Encourage the patient to speak freely and openly. Listen carefully and ask appropriate questions.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Tell the patient that they must tell you everything so that you can provide the best care.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Remind the patient of the facility rule that withholding information could get the patient removed from the facility.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Immediately inform the Charge Nurse that one of your patients is withholding information critical to their care.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“repeat back any information offered and write down information exactly as it's presented.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “look the speaker in the eyes and respond with "Yep. Got it." as this will let the speaker know that you have understood the instructions.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “not respond at all because it is rude to interrupt a person when they're speaking.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “remind the speaker that any instructions a Nurse Aide is asked to follow must be written down in the patient's file as per regulations.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“explain the procedure to the client.” is correct. Positioning reduces aspiration risk and increases comfort; follow safe feeding and positioning guidelines. “turn the client onto her abdomen.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “flatten the entire bed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “remake the bed with new linens.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“engaging in small talk or meaningless conversation to break the ice.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “withholding food or recreational activities until the patient provides the information.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “waiting until the patient is ready to open up.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “reporting the lack of communication to the patient's physician.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“take time to listen to her to determine her
needs.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “talk loudly to her since she is hard of
hearing.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “unplug the call light.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “tell the supervisor that the client is
uncooperative.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

““Can you tell me why you don’t feel like
bathing today?”” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. ““You must take a bath every day, even if you
don’t want to.”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. ““I doubt your roommate would appreciate
the smell.”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. ““Is there something wrong with taking a
bath?”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“subjective observation.” is correct. Report concerns through the nursing chain of command—usually to the charge nurse/supervisor first. “objective observation.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “primary observation.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “secondary observation.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“communicating clearly with others.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “agreeing with the crowd.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “following orders without question.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “avoiding contact after work hours.” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm.

“Demonstrate the location and use of the call light.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Explain that the TV is not to be used.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Instruct family to leave the room after the aide is finished with the admission.” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm. “Raise the bed to the high position and raise the safety rails.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“raise your voice.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “stand or sit facing the client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “speak clearly and slowly.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “use simple words and sentences.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“ask the charge nurse to arrange for an interpreter.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “have the family interpret.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “call the doctor to talk to the client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “tell the client that she cannot answer the question.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“by her surname” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. ““Ma’am”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. ““Miss”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “by her first name” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

This is a select‑all‑that‑apply item. The correct choices are “words a patent uses”, “a patient's gestures & body language”, “the tone of voice a patient uses when speaking”. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “a patient's personal mobile phone” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“listen and say nothing” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “use gestures” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “speak more slowly” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “use an interpretation guide” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“report it to the charge nurse.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “give the baby ear drops.” is incorrect because it administering medications is not within the CNA scope; the nurse manages meds. “put a warm cloth on the baby’s ear.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “give the baby a bottle.” is incorrect because it administering medications is not within the CNA scope; the nurse manages meds.

“the location of the call bell and how to use it” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “the television remote control” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “how to lower and raise the bed” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “where to store personal belongings” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“including her in the plan of care.” is correct. Infection control requires proper hand hygiene and task‑appropriate PPE, using clean‑to‑dirty technique. “serving her dinner first.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “calling her by her first name.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “doing the client’s care for her.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

““Your comments are not acceptable.”” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. ““You are making me blush.”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. ““You are quite a character.”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. ““You should be ashamed of yourself.”” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“silent” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “written” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “verbal” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “tactile” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“answer the call light and get the urinal.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “ignore the light, since he is not the aide’s own client.” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm. “announce on the intercom that there are two patients ahead of him.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “answer the call light when the aide has the time.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

This is a select‑all‑that‑apply item. The correct choices are “offer advice about the client's medical treatment.”, “get involved in family problems.”, “share the latest facility gossip.”. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “listen to concerns and offer support.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“All of these answers are correct.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Nurse in Charge” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Patient's Physician” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Patient's Family” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“stop by the room more often.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “ask the client not to call so often.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “place the call light out of reach.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “tell the client how busy the staff is.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“assuming.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “reflection.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “clarification.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “listening.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“listen carefully to determine her needs.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “talk loudly over the intercom so that she can hear.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “train her to use the call light less often.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “tell the charge nurse that the client is attention seeking.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.