2.6. State the responsibilities of the nursing assistant for personal growth and development and the maintenance of certification as a CNA.

  1. Learn from team leaders, charge nurses, and other nursing assistants.
  2. Become familiar with procedures and policy books as well as the medical dictionary.
  3. Read professional magazines to increase your knowledge.
  4. Attend care planning conferences.
  5. Consider career ladder incentives.
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2.5. Discuss ways to de-fuse or de-stress.

Situations may arise that will require the CNA to de-fuse or de-stress. All staff members should be aware of tension or indicators of a violent or stressful moment. Such situations include:

Disagreements between staff members: Seek the help of a supervisor, use facts, be open to the other person’s point of view, be cooperative when solving the issue, confirm it in writing, and put the solution into action.


Isolated incidents with residents: When a resident becomes frustrated or angry and it is not their usual behavior, try to support the resident emotionally and provide an outlet for them to express their feelings.


Violent Resident: When a resident becomes agitated or violent, signal for assistance. Be sure to have an escape route, use a calm voice and simple words, do not argue with or contradict the resident. Leave the room and report the incident.


Visitors that become violent: Ask them to leave, use security if necessary. Do not take sides, and be courteous but firm in telling them that they need to stay calm within the facility but firm in telling them that they need to.Report.


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2.4. Explain how interpersonal relations influence the effectiveness of resident care.

Residents are negatively affected by any tension between staff members.  It is important  that all members of the interdisciplinary healthcare team are friendly and cooperative.  This creates harmony and promotes a calm atmosphere.

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2.3 Explain the importance of honoring the facility’s dress code and the need for good personal hygiene and self-health care.

Following the dress code:

  • Ensures that your appearance shows professionalism and pride in your work.
  • Is necessary for the health and safety of the residents and yourself.

Good personal hygiene and grooming:

  • Are needed since you are working in close proximity to residents.
  • Promotes cleanliness.
  • Minimizes infections, contamination, and the spread of disease.
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2.2 Identify the ethical code that guides the nursing assistant’s conduct

Following a code of ethics is especially important in the healthcare field. Observe the following:

  1. If you must be late or miss work, give the facility ample time to find a substitute so that residents don’t suffer.
  2. Report to work on time.
  3. Do not accept tips in the form of money or gifts.
  4. Do not take supplies or items that do not belong to you.
  5. Accept your assignments and help other willingly.
  6. Always be honest.
  7. If mistakes are made report them to your supervisor immediately.
  8. Ask for help if you do not know how to do something.
  9. Use humor within professional restraints.
  10. Leave your non work-related problems at the door.
  11. A negative attitude is not good for morale – avoid gossiping and griping.
  12. When speaking with a resident, use language he/she will understand.
  13. Always follow your facility’s dress code and rules of personal hygiene.
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2.1 Discuss the concept of professionalism in relationship to the responsibilities and expectations of a CNA.

A CNA is expected to observe professional behavior at all times. CNAs should demonstrate the following:

  • Carrying out tasks carefully.
  • Keeping abreast with developments pertaining to your field.
  • Performing tasks in the manner in which you were taught.
  • Ensuring the residents’ safety, comfort, privacy and dignity.
  • Treating residents with compassion and care.
  • Keeping sensitive information confidential.
  • Fulfilling their assignments in a timely and correct manner.
  • Wearing their uniform correctly.
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1.8 List the requirements OBRA has regarding certification as a nursing assistant.

OBRA (Omnibus Budget Reconciliation Act) is legislation that sets the standards in training and the evaluation of nursing assistants.  Because of OBRA all Nursing Assistants are entered into their State’s registry within 120 days before they can be employed in long-term care.

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1.7 Discuss the NA’s role and responsibilities in regard to the survey process.

  1. Stay calm and confident.
  2. Know the residents in your care.
  3. Know and adhere to the care plan for all residents in your care.
  4. Be cooperative.
  5. Keep all work areas clean.
  6. Perform every procedure the way it is outlined in the facility procedure manual.
  7. Know the policies of your facility.
  8. Know how to properly operate equipment.
  9. Respect the rights of the residents.

10. Report to the location and time assigned to carry out assigned tasks.

11. Participate in any in-house education programs and pre-survey audits.

12. Answer questions honestly.

13. If you don’t know the answer to a question, tell them you will find out the answer.

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1.6 Explain who pays for Long-Term Care.

There are several ways in which LTC is paid for

  1. Private funds
  2. Prepaid insurance
  3. A preferred provider organization (PPO)
  4. Health maintenance organization (HMO)
  5. Charitable organization and/or community agencies
  6. Medicare
  7. Medicaid
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1.5 Explain the significance of OBRA regulations in Long-Term Care (LTC)

They set standards for nursing assistants working in LTC facilities.

OBRA requires:

  • Promotion of resident independence.
  • Elimination of restraints.
  • Promotion of improved quality of life, care, health, and safety for all.

OBRA focuses on these areas of the resident’s life:

  • Social
  • Mental
  • Physical


OBRA is important to the field of nursing assistants

  • Nursing Assistants get recognition through certification and being placed on the State Registrar.
  • Defines the range of Nursing Assistant practice.
  • Ensures care uniformity.
  • Promotes educational standards.
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