Texas Certified Nursing Assistant (CNA)

Which of the following statements is true of a nursing assistant's responsibilities if an activity is not listed in the care plan?

1. The NA can decide to perform the activity anyway

2. The NA should check with the nurse before proceeding

3. The NA should perform the activity if it seems beneficial

4. The NA should not perform the activity if it is not listed in the care plan

The correct answer is: The NA should not perform the activity if it is not listed in the care plan

The statement that a nursing assistant should not perform the activity if it is not listed in the care plan is correct because the care plan serves as a guiding document that outlines the specific needs and goals for each patient. It is crafted based on a thorough assessment by the healthcare team and reflects the physician's orders along with input from nurses and other professionals involved in the patient's care. Since CNAs work under the supervision of licensed nurses, any deviation from the care plan can potentially lead to adverse outcomes for the patient, as it may not align with their specific treatment or safety protocols. By adhering strictly to the care plan, the nursing assistant ensures that they are providing safe and effective care tailored to the patient's needs. If a nursing assistant feels that an additional activity may benefit the patient, the correct protocol is to discuss it with the nurse, as they can assess the situation and make necessary updates to the care plan if appropriate.