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CNA 2016 Ch. 1*
The Nursing Assistant Working in Long Term Care
| QUESTION | ANSWER |
|---|---|
| Not relying on or requiring care from others is | independance |
| An acute illness is a(n) | sudden illness from which a person should recover |
| An on-going illness that is slow or gradual in onset and for which there is no known cure is a(n) _____ illness. | chronic |
| A nursing task is | care or a function that can be delegated to nursing assistants |
| The duty or obligation to perform some act or function is known as | responsibility |
| Persons living in long-term care centers are called | residents |
| Persons receiving care on assisted living units are called | tenants |
| ____________ is responsible for the entire nursing staff in a nursing center organization. | director of nursing |
| An assisted living facility provides | two-three meals a day and housekeeping and laundry services. |
| _______________give basic nursing care under the supervision of a licensed nurse. | nursing assistant |
| By law, nursing centers must have a medical director, known as which member of the healthcare team? | doctor |
| ______________assess, make nursing diagnoses, plan, implement, and evaluate nursing care. | RNs |
| You are part of the | health team and nursing team |
| LPNs/LVNs are supervised by | licensed Physicians, dentists, and RN |
| _______________is responsible for diagnosing and treating diseases and injuries. | physician |
| _______________assesses and plans for the nutritional needs of residents | dietitian |
| _______________helps residents and families with social, emotional, and environmental issues affecting illness and recovery. | social worker |
| A hospice is a | health care agency or program for persons who are terminally ill |
| A federal health insurance program for persons 65 years of age and older, or for younger people with certain disabilities is | medicare |
| Medicaid is a | health care payment program sponsored by the federal government and operated by the states |
| The overall goal of the interdisciplinary health team is to | provide quality resident care |
| A nursing center must have __________________________to operate and provide care. | a license |
| Accreditation for nursing centers is | voluntary process that signals quality and excellence |
| Surveys are done to see if the center meets set standards. Your role in the survey process involves what? | follow center policies and procedures, having good work ethics |
| _______________could act as the case manager in the long-term care setting. | registered nurse |
| Case managers are allowed to communicate with insurance companies. | true |
| _______________ protects the public from persons practicing nursing without a license. | A state nurse practice act |
| _______________hours of instruction for nursing assistant training does OBRA require. | at least 75 |
| OBRA requires ______________________for nursing assistants working in nursing centers. | training and competency evaluation |
| The competency evaluation required by OBRA involves a | written test and a skills test |
| How many testing attempts does OBRA allow? | at least 3 |
| The nursing assistant registry includes information about | findings of abuse, neglect, or dishonest use of property |
| OBRA requires retraining and/or a new competency evaluation for who? | have not worked as a nursing assistant for 24 months |
| As a nursing assistant, you can | report changes in the person's condition to the nurse. |
| A nurse asks you to perform a task that is beyond the legal limits of your role. You should | politely refuse and explain why |
| ______________________________indicates what your employer expects you to do. | job description |
| A nurse can delegate | tasks |
| Which nursing team members cannot delegate? | nursing assistants |
| Before a nurse delegates a task to you, the nurse must know what? | what tasks your state allows nursing assistants to perform. |
| Certification of the nursing assistant is maintained at the ________ level. | state |
| The duty or obligation to perform some act or function is | responsibility |
| Does a nurse have to delegate a task to you? | no, the nurse makes delegation decisions that are best for you and the person. |
| The Five Rights of Delegation involve the | Right task, circumstances, person, directions, communication, and the right supervision. |
| A nurse asks you to do a urinary catheterization. This involves sterile technique and inserting a tube into the person’s bladder. The nurse gives you very clear instructions. What should you do? | refuse the task. It is beyond the legal limits of your role. |
| You can refuse to do a delegated task if | the task is not in your job description. |