North Carolina CNA Written Practice Exam

What does the chain of command in a long-term care facility typically start with?

1. Patient's family

2. Nursing assistants

3. Doctor

4. Social workers

The correct answer is: Doctor

In a long-term care facility, the chain of command typically starts with the doctor. This hierarchical structure emphasizes the role of medical professionals in overseeing patient care. The doctor is responsible for diagnosing patients and creating treatment plans, and thus plays a central role in patient health management. Following the doctor, other healthcare professionals, including nursing staff and nursing assistants, implement the treatment and provide ongoing care based on those directives. The function of this hierarchy ensures that there is clear communication and accountability regarding patient care, promoting safety and effective treatment. The presence of the doctor at the top of the chain serves as a foundation for all other healthcare roles, as they provide the necessary guidance and clinical oversight for patient needs in long-term care settings.