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Nursing Semester 1
Midterm, Question and Answer
| Question | Answer |
|---|---|
| You can lose your job for either ethical or legal misbehavior. True or False? | True |
| A resident gives you a gift certificate to your favorite store for being kind to her. You should... | Thank the patient, but explain that it is against hospital policy for you to accept the gift. |
| To protect a person's privacy, you should do all of the following EXCEPT: | Open the person's mail. |
| What should you do if you suspect an older person is being abused? | Notify the nurse and discuss the observations with him or her. |
| A resident needs help going to the bathroom. You do not answer her call light promptly. She gets up without help, falls, and breaks a leg. This is an example of: | negligence |
| Which statement about ethics is FALSE? | An ethical person avoids persons whose standards and values differ from his or her own. |
| To protect yourself from being accused of assault and battery, you should explain to the resident or patient what you plan to do before touching him or her and get consent. True or false? | True |
| Examples of defamation include all of the following EXCEPT: | Burning a resident with water that is too hot. |
| You can be thrown in jail for legal, but unethical behavior. True or False? | False |
| In which case would it be wrong to refuse to do something that is delegated to you? | The task is hard. |
| The Health Insurance Portability and Accountability Act (HIPAA) says that | all of the above |
| Threatening a patient is an example of | assualt |
| The principles of right and wrong that guide an individual in making decisions are | ethics |
| The system of law concerned with private relations between members of a community is | civil law |
| If you are sued for negligence or malpractice, the situation will be judged by whether you stayed within your scope of practice and followed the | standard of care. |
| As a healthcare provider, when you use proper ____ _____ to assist you in moving, lifting and carrying objects, you can help prevent injuries to yourself. | body mechanics |
| When you place your feet flat on the floor, you are providing a ____ to maintain your proper standing position. | broad base of support |
| PASS stands for | a way to use a fire extinguisher |
| What is the first thing you should do if you see a fire in your workplace? | move patients out of the way |
| Which is unsafe? | A person's weight exceeds a wheelchair's weight capacity. |
| You spill a hazardous substance. You should | follow the instructions on the safety data sheet. |
| You see a color-coded wristband on a patient. You should | check your assignment sheet and the person's care plan. |
| When pathogens enter the bloodstream and move throughout the body, a _____ has occurred. (A) (B) (C) (D) | Systemic infection |
| Infection prevention is | A set of methods used to prevent the spread of disease |
| One sign of a localized infection is | Drainage from a wound or cavity |
| An object can be called clean if | It has not been contaminated with pathogens. |
| Before a nursing assistant leaves a dirty utility room, what must she do to avoid transferring pathogens to other areas of the facility? | wash her hands |
| Infection prevention for the portal of exit link in the chain of infection could include | Covering the mouth when coughing |
| A susceptible host is | An uninfected person who could get sick |
| Which of the following is a reason that people are at greater risk for infection as they get older? | elderly people are hospitalized more often. |
| Which of the following increases the risk of infection in older adults? (A) (B) (C) (D) | catheter use |
| Standard Precautions means | Treating all blood, body fluids, and mucous membranes as if they were infected |
| A mask and goggles should be worn | If contact with splashing or spraying blood or body fluids is likely |
| The most important thing a nursing assistant can do to prevent the spread of disease is to | wash her hands |
| Why would a resident be in isolation? | because the resident requires transmission-based precautions |
| What is the best way to control methicillinresistant Staphylococcus aureus (MRSA)? | through proper handwashing |
| How should residents in isolation be treated? | They should be listened to and encouraged to share their feelings and concerns |
| The older adult likes to feel positive about herself by sharing past achievements and experiences. The best way the nurse aide can encourage this is by | listening to the older adult's past experiences |
| An important thing the nurse aide can do for a dying client is to | give physical and emotional support |
| A client who is hard of hearing repeatedly turns her call light on. When responding to this client's call light, the nurse aide should | listen carefully to determine her needs |
| The order "vital signs qid" means to record vital signs | four times a day |
| After a client dies, the client's spouse wishes to share his emotions. The nurse aide should | listen and try to provide comfort |
| The nurse aide knows that the term "up ad lib" means the client | is independent with balanced periods of rest and activity |
| When documenting a client's vital signs, the nurse aide makes a mistake. The nurse aide should | make a single line over it, write error and initial it |
| A hearing-impaired client has the right to all of the following EXCEPT | purchase of the most expensive hearing aide. |
| When a nurse aide cannot work due to an illness, the nurse aide should | contact the supervisor as soon as possible |
| Maintaining good interpersonal relationships depends on | communicating clearly with others |
| The doctor writes an order for "do not resuscitate" (DNR). What does this mean? | CPR will not be performed |
| If a client cannot speak English, the nurse aide should | ask the charge nurse to arrange for an interpreter |
| A client's family wants to talk about the client's impending death, but the client does not want to talk about it. The family should be encouraged to | carry on the conversation away from the client |
| H.S. care is care that is given | before bedtime |
| Which type of communication can often be most powerful? | silent |
| An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this residents is to | speak quietly and calmly |
| A resident asks, "If I need help during the night, who will be here?" The nursing assistant should respond, | "There are people here all night to help you." |
| When giving information to the charge nurse for an incident report, the nurse aide should | state the facts clearly |
| An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should | make sure the client knows how to use the call bell |
| Which of the following should the nursing assistant observe and record when admitting a client? | bruises |
| The proper medical abbreviation for before meals is | a.c. |
| If a nursing assistant is not sure what information to share at a care team meeting she should | talk to the nurse before the meeting |
| Which of the following would be considered an incident? | Ms. Martin falls in the bathroom but seems uninjured |
| A sentinel event is | An occurrence involving death or serious injury |
| Under what conditions should a nursing assistant complete an incident report if he is injured on the job? | Any time he is injured on the job |
| Which of the following is the best example of using proper telephone etiquette at work? | "Good afternoon, Hartman Skilled Care Facility, Brenda Johnson speaking." |
| What would be the best response by a nursing assistant if a surveyor asks her a question? | The NA should answer honestly and to the best of her ability. |
| Which of the following is an example of objective information? | "Mr. Castillo's blood pressure is 115/68." |
| Which of the following is an example of subjective information? | "Mrs. Parker says she is dizzy." |
| Rounds are | A method of reporting in which staff move from room to room. |
| One way for a nursing assistant to communicate effectively with a visually-impaired resident is to | Use the face of an imaginary clock to explain the position of objects |
| While distributing meal trays, Brenda gives the wrong meal to a resident who has diabetes. She says that the resident distracted her by complaining about the food. Which defense mechanism is she using? | Rationalization |
| Laura’s supervisor reprimands her for being late to work. Later that day, Laura yells at a resident for being incontinent. Which defense mechanism is she using? | Displacement |
| Which of the following is the best example of how a nursing assistant should communicate with an anxious resident? | The NA should gently ask the resident what is bothering him |
| Which of the following is the best way for a nursing assistant to communicate with a resident who is depressed? | The NA should use body language that shows interest |
| Which of the following is the best way for a nursing assistant to respond to a resident who is angry? | The NA should try to find out what is causing the resident' anger. |
| Which of the following is an example of aggressive, rather than assertive, behavior? | A resident tells a nursing assistant that she is clumsy and is moving too slowly |
| When communicating with a resident who has a functional barrier, the nursing assistant should | Give the resident time to speak |
| When a resident is confused, the nursing assistant should | Provide a quiet environment |
| Which of the following would be the best response by a nursing assistant if a resident is demonstrating inappropriate sexual behavior? | The NA should distract the resident or direct her to a private area. |
| When is it appropriate for a nursing assistant to hit a resident? | Never |
| If a resident becomes combative, a nursing assistant should | Try to find out what triggered the behavior |
| Which of the following is true of combative behavior? | The behavior may be caused by disease or medication |
| Your facility has a very strict anti-drug and alcohol policy which states that no alcohol is to be consumed during work hours. You are at lunch with coworkers, who are having beer with their meal. You should | talk to your supervisor |
| You told your supervisor that you would finish cleaning out the stockroom before Friday. You get the task done, even though you were very busy. This is an example of what trait? | reliability |
| Project tasks have been assigned to individuals. Which action of a team member may hurt the work of the team? | not helping others |
| You must attend an important luncheon for work and dress appropriately. You should wear | what you would wear to a job interview |
| We know that how we communicate is often just as important as what we are trying to say. Avoiding using slang or profanity in the workplace is an example of understanding the skill of | self-representation |
| An angry coworker complains about the way you do your job. Your best response is to | remain calm and focused on a solution |
| Shauna recently had a verbal argument with a coworker, Ashley. Since then, Ashley has openly treated Ashley with insulting behavior. What is the best way for Shauna to resolve this conflict? | Report Ashley to the human resources manager |
| Which nutrient helps the body to repair and build new tissue? | Protein |
| Which nutrient supplies the body with glucose, its most basic form of energy? | Carbohydrates |
| All of the following can affect the choices a person makes about food EXCEPT: | The person's height. |
| Mrs. Jones has had little appetite since her husband of 65 years passed away recently. What action could a nurse assistant take to encourage Mrs. Jones to eat? | Sit with Mrs. Jones while she is eating and make pleasant conversation |
| All of the following can affect a person’s appetite EXCEPT: | The person's fluid balance |
| Which therapeutic diet might be ordered for a person who has trouble chewing or swallowing food? | A soft, mechanical or pureed diet |
| The doctor has ordered a meal supplement shake for Mrs. Johnson, to be served between lunch and dinner. Today when you tell Mrs. Johnson it is time for her shake, she shakes her head and says she does not want it today. What should you do? | Report Mrs. Johnson's refusal of the shake to the nurse |
| Which of the following should you do when assisting with a meal for a person who cannot see? | Orient the person to the location of items on the plate and on the table, using the clock face method |
| Mr. Jones drinks an 8-oz carton of milk, a glass of orange juice and a cup of coffee. The glass holds 180 mL and the coffee cup holds 120 mL. How much fluid, in mL, did Mr. Jones drink? | 540 mL |
| Which of the following is a sign of dehydration? | Confusion |
| Mrs. Jones is receiving enteral nutrition through a gastrostomy tube. Which of the following actions should the nurse assistant take? | Keep the head of the bed elevated for 30 minutes following a tube feeding |
| Mrs. Jones is on a low-sodium diet. Which of the following might be a reason why? | She has a problem with her kidneys. |
| When you finish your 24 hour I & O chart, you find that your patient is losing more fluid (output) than he is taking in (intake). If he doesn't like to drink water, what other ways can he get fluids? Choose all that apply. | juice, soup, jello, popsicles, ice cream, milk |
| Which foods are good sources of fiber? (Choose 4) | Apples, oatmeal, whole grain bread, carrots |
| Resident does not eat meat, poultry, fish, eggs, or dairy | vegan diet |
| Resident's food is prepared with a blender or food processor | mechanical soft diet |
| resident has intestinal problems and is avoiding spicy foods and citrus | bland diet |
| Resident is trying to gain weight after surgery to an illness | high calorie diet |
| resident may need their drinks thickened | dysphagia diet |
| resident may look for foods marked with a K for kosher | judaic diet |
Created by:
Honi
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