Role of the Nurse Aide
Know your lane
Most questions in this domain come down to one idea: the nurse aide performs basic, direct care and reports; the licensed nurse assesses, plans, evaluates, and delegates. You may accept a task only if it is part of your approved training, listed in your job description, and delegated by the nurse who supervises you. If you are unsure, ask the nurse first - on a test, "I would ask the nurse" is almost always the correct choice.
Resident rights
Federal law (OBRA) guarantees residents dignity, privacy, choice, personal possessions, freedom from abuse and restraint, visitors, and a grievance process. Confidentiality is part of privacy: do not discuss a resident in the hallway, with your family, or on social media, and never with another resident's family. Never accept gifts, tips, or money from residents or families, and never witness a will or handle a resident's money unless an approved facility process covers it.
Abuse, neglect, and misappropriation
You are a mandated reporter. If you see or suspect physical, sexual, emotional, or financial abuse, involuntary seclusion, neglect, or misappropriation of property, protect the resident first, then report immediately to the charge nurse and follow facility policy. You report; you do not investigate, and you do not confront the suspected person.
Traps
Answers that have the aide assess, diagnose, change a care plan, or perform a skilled task (giving medications, inserting a catheter, changing a sterile dressing) are wrong. So are answers where the aide argues with a resident or promises to keep a secret.
Rule of thumb
When in doubt: report up, don't act out. Anything outside your trained, delegated tasks goes to the nurse.
Texas note
Registry listing must be renewed on schedule, and renewal requires in-service education hours; your facility's policy governs how those hours are obtained and documented.