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Chapter 1, 2, and 6
| Question | Answer |
|---|---|
| Not relying on or requiring care from others is what | Independence |
| An acute illness is a(n): | sudden illness from which a person should recover |
| An ongoing illness that is slow or gradual in onset and for which there is no known cure ia a(n) _____ illness. | Chronic |
| A nursing care pattern in which an RN is responsible for the person's total care. | A nursing task |
| What is responsibility? | The duty or obligation to perform some act or function |
| What are people living in long term care centers called? | Residents |
| Persons receiving care on assisted living units are called: | Tenants |
| Who is responsible for the entire nursing staff in a nursing center organization? | Director of Nursing |
| An assisted living facility what is provided? | Provides 2 - 3 meals a day and housekeeping and laundry services |
| Which of the following individuals give basic nursing care under the supervision of a licensed nurse? | Nursing assistants |
| By law, nursing centers must have a medical director, known as which member of the health care team? | Doctor |
| Which health team members assess, make nursing diagnoses, plan, implement and evaluate nursing care? | RNs |
| You are part of the centers: | Health care team and the nursing team |
| LPNs/LVNs are supervised by licensed: | Physicians, dentists and RNs |
| Which health team member is responsible for diagnosing and treating disease and injuries? | Physician (AKA: MD, doctor) |
| Which health team member assesses and plans for the nutritional needs of residents? | Dietitian |
| Which health team member helps residents and families with social, emotional and environmental issues affecting illness and recovery? | Social Worker |
| Hospice is: | health care agency or program for persons who are terminally ill |
| A federal health insurance program for person 65 years of age and older, or for younger people with certain disabilities is: | Medicare |
| Medicaid is a(n): | health care payment program sponsored by the federal government and operated by the states. |
| The overall goal of the interdisciplinary team is to: | provide quality resident care. |
| What must a nursing center have to operate and provide care? | A license |
| Accreditation for nursing centers is: | A voluntary process that signals quality and excellence |
| You have an important role in meeting standards and in the survey process. You must do which of the following? | Follow center policies and procedures. |
| Surveys are done to see if the center meets set standards. Your role in the survey process involves which of the following? | Having good work ethics |
| Who of the following could act ad the case manager in the long-term care setting? | Registered Nurse |
| What protects the public from person practicing nursing without a license? | A state's nurse practice act. |
| How many hours of instruction (class time) for nursing assistant training does OBRA require? | At least a minimum of 75 hours |
| OBRA requires training and a competency evaluation for nursing assistants working in: | nursing centers |
| The competency evaluation test for CNA's required by OBRA involves a: | Written test and a skills test. |
| How many state testing attempts is allowed by OBRA for CNA's? | At least 3 ( 3 failed attempts students must retake course) |
| 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 person who: | have not worked a nursing assistant for 24 months. (A CNA must work at least 8 hours in the time frame) |
| Noted changes in a person as a nursing assistant should be : | report changes in the person's condition to the nurse immediately. |
| A nurse asks you to perform a task that is beyond the legal limits of your role. you should: | politely refuse and explain why. |
| Which of the following indicates what your employer expects you to do? | your job description |
| A nurse can delegate: | Tasks |
| Which nursing team members cannot delegate? | Nursing assistants (CNA) |
| Before a nurse delegates a task to you, the nurse must know which of the following? | What tasks your state allows nursing assistants to perform? |
| Certification of the nursing assistant is maintained at the ______ level. | State (what ever state you go to work) |
| 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 the person. |
| The Five Rights of Delegation involve the: | right task, the right circumstances, the right person, the right directions and communication, and the right supervision. |
| A nurse ask 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. |
| Who are allowed to communicate with the insurance companies | Case managers |
| Which requires nursing assistant training and competency evaluation? | Omnibus Budget Reconciliation Act of A |
| Courteous and dignified resident care includes which of the following: | Making sure that the person is neat and clean. |
| Henry Parks is a nursing center resident. Which is the proper way to address him? | Mr. Parks |
| Before entering a person's room, you should : | knock on the door and wait to be asked in. |
| You are going to give a resident a bath. Which will protect the person's privacy? | Closing the privacy curtain |
| A long-term care ombdusman: | promotes the resident's needs and interests |
| An ombudsman does which of the following? | Investigates resident complaints (they are advocates for residents) |
| The Omnibus Budget Reconciliation Act of 1987 is a: | Federal law |
| Protecting the right to privacy involves which of the following? | Exposing only the body part involved in the treatment procedure |
| An example of a resident's right is the right to: | information |
| The willful infliction or harm of another person is: | Abuse |
| TOUCHING a person without that person's consent is: | battery |
| THREATENING to touch a person's body without that person's consent is: | Assault |
| Knowledge of right conduct and wrong conduct is: | ethics |
| Give wrong information on a job application is: | Fraud |
| Negligence by a professional person is: | malpractice |
| While performing a task, a nursing assistant harmed a person. You know that: | Harm can occur from what a person does or fails to do. |
| Which is considered to be a source for standards of care? | Job descriptions |
| A resident asks you to make out a will. What should you do? | Refuse, but explain why. Then tell the nurse about the person's request. |
| A nursing assistant pinches and pushes a resident. This is: | Physical abuse |
| A resident's signal light goes unanswered . The person's son finds him lying on sheets soaked with urine. This is known as: | Neglect |
| A resident did not get to the bathroom in time. She urinated and had a bowel movement in her clothing. To prevent an accident in the dining room, the nurse makes the resident stay in her room. This is: | involuntary seclusion. |
| You see a nursing assistant hitting a resident. What should you do? | Tell the nurse |
| You are walking by a resident room. You hear a nurse criticizing a resident. This is: | verbal abuse |
| You suspect that a resident is being abused. What should you do? | Tell the nurse |
| In domestic abuse the abuse is a: | partner |
| Which statement about domestic abuse is correct? | The abuser has power and control over the victim. |
| You are responsible for protecting the resident's rights? T or F | True |
| The resident can visit with family and friends in private. T or F | True |
| A resident wants a bath in the evening, not in the morning. The person has the right to make this choice. T or F | True |
| You are straightening a resident's room. You find scraps of paper and envelopes on the person's dresser. You can throw these items in the trash T or F | False |
| The resident has the right to decide who can touch his or her body. T or F | True |
| A concept that considers the whole person is called | holism |
| Verbal communication uses: | written or spoken words |
| Experiencing one's potential is: | self-actualization |
| Messages sent through facial expressions, gestures, posture, and hand and body movements are: | body language |
| Which statement about the whole person is correct? | The whole person has physical, social, pyscholgical, and spriritual parts |
| A person has physical needs that are needed for life. Which would be considered one of those needs? | Rest |
| Which is correct? | Calling residents by their titles (Mr., Mrs., Ms., or Dr.) promotes dignity and shows respect. |
| According to Maslow, which basic needs must be met first? | Physical needs |
| Which is not a physical need? | Closeness and affection |
| Your are going to help a resident with a shower. To meet the person's safety and security needs, you need to do which of the following? | Explain what sensations to expect |
| You can help a new resident feel safe and secure by: | listening to the person's concerns |
| Family and friends usually help meet the person's: | love and belonging needs |
| A person's cultural beliefs and practices are: | included in the person's care plan |
| A resident wants to attend religious services in the center's chapel. What should you do? | Assist the person to the chapel |
| A person's cultural beliefs and practices are different from yours. What should you do? | Learn about the person's culture |
| A person's religion is different from yours. What should you do? | Learn about the person's religion |
| A lost, absent or impaired physical or mental function is a(n): | Disability |
| Which is a common response to illness and disability? | Anger |
| Which will improve a person's quality of life? | Promoting the person's optimal level of functioning |
| Generally, persons needing complete care in nursing centers. | Are very disabled, confused, or disoriented, or disoriented |
| Terminally ill residents: | are dying |
| Residents who have mental health issues: | have problems coping or adjusting to stress |
| When care for terminally ill persons, you need to promote: | comfort and peace |
| A resident stays in her room most of the time. She likes being alone and does not attend social events. How you'd you describe her behavior? | She is withdrawn |
| A resident tends to pinchand kick the staff. The person is most likely showing _________ behavior. | aggressive |
| A resident wants his meals served before anyone else. He also calls for the nursing assistants when he sees them helping others. This behavior is best described as? | self-centered |
| A resident tends to shout and raise her voice when she wants something. She does not answer your questions and is not cooperative. her behavior is best described as; | Angry |
| A resident pinches and scratches when it is time for her show. You should do which of the following? | Report her behavior to the nurse |
| A person is angry and demanding. It is important to always | treat the person with respect and dignity |
| Effective communication involves which of the following? | Respecting the person's rights |
| You ask a resident a question. You should: | give the person time to process what you asked. |
| You want to make sure that a resident understands what you said. You should: | ask questions to see if the person understands |
| A resident asks the same question many times. You should: | be patient |
| Which a rule for verbal communication? | speak clearly and slowly |
| A resident uses slang when he talks to you. You should: | avoid using slang words yourself |
| Which is rule for verbal communication? | Wait for an answer after asking a question |
| Which conveys comfort, caring and reassurance? | Touch |
| To use touch correctly you should: | follow the person's care plan |
| Which statement about body language is correct? | Residents send messages through body language |
| Which of the following statements about body language is correct? | Your appearance sends messages. |
| A resident turns her eyes away from you. Her face is flushed. these facial expressions most likely mean that she is | embarrassed |
| A resident's eyes are wide open and the eyebrows are raised. The person's mouth is tense with the lips turned back. These facial expressions most likely mean: | fear |
| A resident's bowel movement has a strong odor. You should: | control your body language |
| Which shows that you are listening to a person? | Having good eye contact with the person |
| Listening involves: | observing the person's nonverbal communication |
| Paraphrasing does which of the following? | shows you are listening |
| A resident says: "I'm tired of waiting for my lunch. I want it now!" To paraphrase, you say: | "You want your lunch now." |
| Which communication technique will give "yes" or "now" answer? | Direct questions |
| which is a direct question? | "What do you want for lunch?" |
| Which communication technique allows the person to decide what to talk about? | Open-ended questions |
| A resident wants his mean loaf prepared in a certain way. To clarify what the resident is saying, you say: | "Can you tell me that again?" |
| You want to make sure that you understand a message. You should use: | clarifying |
| Which is useful when a person is rambling? | Focusing |
| A resident is very upset about her lunch. Which communication technique can help the person gain control? | Silence |
| A resident is complaining about the food. The person comments on the taste, amount and preparation. Which will promote communication with the person? | Listening |
| When someone changes the subject, it usually means that the person is? | uncomfortable with the topic |
| Which shows a lack of interest and caring? | Failure to listen |
| Which is a pat answer? | "Everything will be just fine." |
| Disabilities are acquired: | any time |
| Which is important when communicating with persons who are disabled? | Your attitude |
| A person is in a coma. This means that person: | cannot respond to others |
| You are caring for a person who is comatose. You should do which of the following? | Knock before entering the person's room |
| You should always assume that a person who is comatose can: | hear |
| A resident's son is visiting. Which will protect the resident's privacy? | Allowing them to visit without interrupting |
| You think that a visitor is tiring a resident. What should you do? | Report your observations to the nurse. |
| Family and visitors: | affect the person's quality of life |
| Family and visitors: | are treated with respect |
| Inappropriate sexual behavior is always on purpose | False |