CNA · Nursing Care Study Guide · Part 2 · Chapters 11–28

Psychosocial Care Skills: Emotional and Mental Health Needs +17CNA · Nursing Care · English

34 topics · Updated 2026-09-17

11.Psychosocial Care Skills: Emotional and Mental Health Needs

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Emotional and Mental Health Needs

psychosocial

Covers supporting the emotional and mental health needs of clients.

12.II.A Psychosocial Care Skills: Emotional and Mental Health Needs

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Emotional and Mental Health Needs

psychosocial

Covers addressing clients' emotional and mental health needs within psychosocial care.

13.Skill 23 — Measures and Records Manual Blood Pressure

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Inflating and Deflating the Cuff

basicnursing

Inflates the cuff within the specified range, re-inflating if needed, then deflates slowly noting the systolic and diastolic sounds.

Key Rules
  • Candidate inflates cuff between 160mm Hg to 180mm Hg. If beat heard immediately upon cuff deflation, completely deflate cuff. Re-inflate cuff to no more than 200 mm Hg
  • Deflates cuff slowly and notes the first sound (systolic reading), and last sound (diastolic reading) (If rounding needed, measurements are rounded UP to the nearest 2 mm of mercury)
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Completing and Recording the Reading

basicnursing

Removes the cuff, ensures the signaling device is within reach, washes hands, and records both pressures within the allowed accuracy range.

Key Rules
  • Removes cuff
  • Signaling device is within reach
  • Before recording, washes hands
  • After obtaining reading using BP cuff and stethoscope, records both systolic and diastolic pressures each within plus or minus 8 mm of evaluator's reading
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Explaining Procedure and Preparing Equipment

basicnursing

Explains the procedure clearly and wipes the stethoscope bell/diaphragm and earpieces with alcohol before use.

Key Rules
  • Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  • Before using stethoscope, wipes bell/diaphragm and earpieces of stethoscope with alcohol
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Positioning Arm and Locating Artery

basicnursing

Positions the client's arm palm up with upper arm exposed and locates the brachial artery at the inner bend of the elbow.

Key Rules
  • Client's arm is positioned with palm up and upper arm is exposed
  • Feels for brachial artery on inner aspect of arm, at bend of elbow
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Placing Cuff and Stethoscope

basicnursing

Places the blood pressure cuff snugly with sensor over the brachial artery and positions the stethoscope earpieces and bell correctly.

Key Rules
  • Places blood pressure cuff snugly on client's upper arm, with sensor/arrow over brachial artery site
  • Earpieces of stethoscope are in ears and bell/diaphragm is over brachial artery site

14.II.B Psychosocial Care Skills: Spiritual and Cultural Needs

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Spiritual and Cultural Needs

psychosocial

Covers respecting and supporting clients' spiritual and cultural needs.

15.Psychosocial Care Skills: Spiritual and Cultural Needs

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Spiritual and Cultural Needs

psychosocial

Covers respecting and supporting clients' spiritual and cultural needs.

16.III.A Role of the Nurse Aide: Communication

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Communication

communication

Covers effective communication with clients and others as part of the nurse aide role.

17.Role of the Nurse Aide: Communication

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Communication

communication

Covers effective communication with clients, families, and the health care team.

18.Score Reporting

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Understanding Exam Results

legalethical

Describes how written/oral and skills exam results are scored, faxed, and communicated, noting that results are not given over the phone.

Key Rules
  • Written (or Oral) Exam results faxed to evaluator
  • Skills Evaluation results faxed to evaluator
  • Delayed Score Reports mailed within 5-7 business days
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Failing the Examination

legalethical

Explains re-take procedures, fees, and the limit of three attempts within a set period before retraining is required.

Key Rules
  • New examination fee required for each re-take
  • Three attempts allowed to pass both parts
  • Must pass both parts within twenty-four months of training
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Reading a Failing Score Report

legalethical

Explains how to interpret a failing skills score report, including satisfactory/unsatisfactory results and identifying missed steps.

Key Rules
  • Must receive Satisfactory result on all five skills to pass
  • Numbers under a skill indicate missed or incorrect steps

19.III.B Role of the Nurse Aide: Client Rights

⚖️

Client Rights

rights

Covers understanding and protecting the rights of clients receiving care.

20.Role of the Nurse Aide: Client Rights

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Client Rights

rights

Covers understanding and upholding the rights of clients.

21.Passing and Duplicate Score Report

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Passing and Certificate Issuance

legalethical

Describes placement on the California Nursing Assistant Registry and issuance and validity of the Nurse Assistant Certificate.

Key Rules
  • Name placed on the California Nursing Assistant Registry
  • Certificate valid for twenty-four months from date issued
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Requesting a Duplicate Score Report

legalethical

Explains that duplicate score reports may be requested within a set period using the appropriate form.

Key Rules
  • Duplicate score reports issued within 90 days of testing

22.III.C Role of the Nurse Aide: Legal and Ethical Behavior

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Legal and Ethical Behavior

legalethical

Covers legal and ethical responsibilities and conduct expected of the nurse aide.

23.Complaint Process

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Filing a Complaint or Feedback

rights

Describes the candidate's right to file a written complaint and the Regional Testing Center's follow-up process.

Key Rules
  • All complaints must be in writing
  • Regional Testing Center responds within 30 days

24.Role of the Nurse Aide: Legal and Ethical Behavior

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Legal and Ethical Behavior

legalethical

Covers acting within legal and ethical standards in the nurse aide role.

25.III.D Role of the Nurse Aide: Member of the Health Care Team

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Member of the Health Care Team

team

Covers the nurse aide's role and functioning as a member of the health care team.

26.Role of the Nurse Aide: Member of the Health Care Team

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Member of the Health Care Team

team

Covers functioning as a member of the interdisciplinary health care team.

27.The Registry

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Change of Address or Name

legalethical

Explains the requirement to notify CDPH of address or name changes and the documentation needed for name changes.

Key Rules
  • Name changes must be accompanied by official documentation
  • Notification must include previous name, current name, address, phone, and SSN
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Re-Certification Requirements

legalethical

Describes the work hours and in-service training requirements needed to renew certification and remain active on the registry.

Key Rules
  • Requires paid nurse assistant work of at least eight consecutive hours within twenty-four months
  • Requires forty-eight hours of in-service training or continuing education
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Lapsed Certification

legalethical

Explains that certification becomes invalid after a lapse in paid nursing-related services beyond the specified period.

Key Rules
  • Certification invalid after twenty-four consecutive months without paid nursing services
  • Maintain personal file of work history for employer validation
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Certification by Reciprocity

legalethical

Describes eligibility for California certification for nurse assistants certified and active in another state under OBRA '87.

Key Rules
  • Must be listed on another state's registry as active and in good standing
  • Contact CDPH for reciprocity placement information

28.California Nurse Assistant Frequently Asked Questions

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Becoming a CNA

legalethical

Explains the steps to become a CNA, including completing an approved training program and passing both exam portions.

Key Rules
  • Complete a state-approved nurse aide training program
  • Pass both written and skills portions of the NNAAP examination
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Performing Duties Before Certification

legalethical

Describes the conditions under which trainees may perform nurse assistant duties before becoming certified.

Key Rules
  • 120 days to complete training in an approved facility program
  • May not perform duties not trained and checked by instructor
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Special Accommodations

rights

Explains that special testing accommodations must be requested and approved in advance with supporting documentation.

Key Rules
  • Requests submitted and approved prior to testing
  • Documentation from physician or qualifying professional required
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Choosing and Scheduling Exams

legalethical

Describes scheduling both exams together and the option to substitute an oral examination for the written one.

Key Rules
  • Written and Skills exams initially scheduled together
  • Oral Examination may substitute for the Written examination
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Registration, Payment, and Test Dates

legalethical

Explains that registration and payment are by mail, results are not online, and test dates are listed on official websites.

Key Rules
  • Registration must be done by mail
  • No form of payment accepted at the test site
  • Results cannot be viewed online
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Registry Verification and Maintenance

legalethical

Describes how to verify registry status, update name/address, and maintain certification currency.

Key Rules
  • Verify registry status by contacting the Certification Unit
  • Certification current for twenty-four months from passing date
  • Renewal Notice sent four months prior to expiration
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Expired Certification and Interstate Moves

legalethical

Explains re-testing requirements for expired certification and how to address performing duties when moving between states.

Key Rules
  • Expired certification requires re-testing at approved training program
  • Contact appropriate state agency when moving to or from California

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