Residents lose their rights when admitted to a nursing home.

A CNA refers to a resident as “a feeder” during shift report and rushes through care without explaining what she is doing.  What is the BEST response?

A resident refuses their scheduled shower. The staff member insists, stating, “You have to—this is your shower day.”  What is the MOST appropriate action?

A nurse administers a PRN sedative to a resident who is “too restless” during a busy shift.  What type of violation is this MOST likely?

A staff member discusses a resident’s diagnosis loudly in the hallway where visitors are present.  Which right is being violated?

A resident wants to sleep until 10 AM, but staff routinely wake them at 6 AM for convenience.  What principle is being violated?

You notice frequent call light delays, short staffing, and staff speaking negatively about residents.  What should you recognize?

A resident tells you they feel ignored and disrespected but begs you not to report it.

What is the BEST response?

A resident insists on walking independently despite fall risk and prior falls.

What is the BEST approach?

A resident asks staff to prevent a specific family member from visiting.

What should staff do?

A unit routinely serves breakfast at 7 AM, but several residents prefer to sleep later.

What is the BEST response?

A resident is left in a wet brief for an extended period because the unit is short-staffed.  What is this considered?

A staff member pulls a resident up in bed quickly and forcefully, causing the resident to yell out in pain.  What type of concern is this?

A staff member states, “They always hit the call light—it can wait.”

What is the issue?

A staff member says to a resident, “If you don’t stop, I’m not helping you anymore.”

What type of abuse is this?

A bedbound resident is not turned for several hours and develops redness on their skin.  What does this represent?

A resident is “difficult,” and a staff member delays care intentionally.

What is this considered?

One resident repeatedly yells at and intimidates another resident, and staff are aware but do nothing.  What is this considered?

A resident is found with a bruise, and no one knows how it happened.

What is the FIRST priority?

A staff member appears overwhelmed, frustrated, and begins speaking harshly to residents.  What should be recognized?

A resident repeatedly reports pain, but staff delay giving medication because they are busy and think the resident is drug seeking.  What is this considered?

A lap belt is applied to prevent a resident from getting up without a medical order.  What is this?

A CNA witnesses rough handling but does not report it because they “don’t want to get anyone in trouble.”  What is this considered?

A resident with dementia is resisting incontinence care—pushing staff away and saying “no.” Staff proceed anyway, saying, “They don’t understand—we have to do it.”  What is this considered?

A staff member says, “We have too many residents today—just get everyone cleaned up no matter what.”  What is the PRIMARY concern with this statement?