CHPNA study plan

Define the nursing assistant's scope of practice in comfort care and list three comfort measures within that scope

Explain the difference between pain, dyspnea, and other distressing symptoms and describe how each is reported

Identify non-pharmacologic comfort interventions for pain, breathlessness, and dry mouth

Demonstrate (in writing) how to describe a symptom using location, quality, severity, timing, and what relieves it

Sequence the steps of a full bed bath, oral care, and peri-care for a bedbound patient

Describe safe techniques for repositioning and transferring a patient using proper body mechanics

List three signs of skin breakdown and state when to escalate each

Practice writing a 3-sentence ADL note that is objective and free of judgment

Explain aspiration precautions and safe feeding positioning for a patient with dysphagia

Identify signs of dehydration and describe how to offer fluids to a patient with low appetite

Describe how to honor food preferences and cultural practices while supporting intake

State the nursing assistant's role in reporting weight loss, poor intake, and swallowing changes

Describe the stages of pressure injury and the repositioning schedule used to prevent them

Explain how to use pillows and devices to maintain alignment and reduce shear and friction

Identify fall-risk factors and describe safe ambulation and transfer techniques

List standard precautions and the correct sequence for removing PPE

Describe how to respond to a fall, choking, or unresponsive patient before help arrives

Demonstrate active listening by writing reflective responses to three patient statements

Describe how to communicate with a patient who has hearing loss, aphasia, or confusion

Identify at least four cultural or religious practices that may affect care at end of life

Explain how to support a grieving family member and when to refer to the chaplain or social worker

Describe the difference between grief, depression, and existential distress in hospice

List the physical signs that death is approaching and describe how to explain them to a family

Sequence the steps of post-mortem care and describe how to honor cultural and family preferences

Describe the roles of the hospice physician, nurse, social worker, chaplain, and volunteers

Explain how to report changes to the supervising nurse and how to request a team meeting

Write objective, timely documentation notes that avoid opinion and unapproved abbreviations

Identify at least three ethical or legal issues relevant to hospice care, including confidentiality and boundaries

Describe how to recognize and report suspected abuse or neglect

List three personal self-care practices and describe signs of burnout and compassion fatigue

Complete two full-length practice exams and score each domain

Rank domains by missed-question count and re-review the two weakest

Rehearse symptom reporting, PPE removal, and repositioning from memory

Write a one-page summary of the five facts you most often missed