HARTMAN’S NURSING ASSISTANT CARE, Table
of Contents Preface Lesson the Nursing Assistant in
Long-Term Care Questions and Answers Newest
Version
Passive neglect <<Answer>> The unintentional failure to provide needed care,
resulting in physical, mental, or emotional harm to a person
Negligence <<Answer>> Actions, or the failure to act or provide the proper care for a
resident, resulting in unintended injury. Example: A CNA forgetting to lock a resident's
chair before transferring her.
Malpractice <<Answer>> Occurs when a person is injured due to professional
misconduct through negligence, carelessness, or lack of skill.
Suspicious injuries that should be reported <<Answer>> Poisoning, teeth marks,
buckle or strap marks, bruises, contusions, welts, scars, fractures, dislocations, burns,
scalding burns, scratches or puncture wounds, patches of missing hair, scalp
tenderness, swelling in face, broken teeth, nasal discharge, bruises, bleeding, or
discharge from vaginal area
Signs that could indicate Abuse <<Answer>> Yelling obscenities, fear, apprehension,
fear of being alone, poor self control, constant pain, threatening to hurt others,
withdrawal, apathy, alcohol or drug abuse, agitation or anxiety, signs of stress, low self-
esteem, mood changes, confusion, disorientation, resident not allowed private
conversations, reports of questionable care by resident or family
Signs that could indicate Neglect <<Answer>> Pressure ulcers, unclean body, body
lice, unANSWERed call lights, soiled bedding or incontinence briefs not being changed,
poorly fitting clothing, unmet needs relating to hearing aids, eye glasses, etc., weight
loss, poor appetite, uneaten food, dehydration, freshwater or beverages not being
offered regularly, reports of not receiving prescribed medication by the resident or his
family
Ombudsman <<Answer>> Assigned by law as legal advocate for residents; visits
facilities and listen to residents
Confidentiality <<Answer>> Keeping private things private
,HIPPA <<Answer>> Health Insurance Portability and Accountability Act; Protects
confidential healthcare information
PHI <<Answer>> Protected Health Information - the information kept private under
HIPPA (name, address, phone, social, diagnoses, etc)
Incident <<Answer>> An accident, problem, or unexpected event during the course of
care; something that is not part of the normal routine
Beginning steps for client care <<Answer>> -Knock and wait for permission to enter
-Introduce yourself as Nurse Aide Student
-identify the patient by name
-wash your hands
-Explain procedure and ask for permission
-Provide privacy (cutain, screen, or door)
-Adjust bed to a safe level, usually waist high.
-Lock the bed wheels
Ending steps for client care <<Answer>> -Return to lowest position
-Remove privacy
-Place call light in reach
-wash your hands
-Report any changes in the client to the nurse
-Document procedure
Long Term Care (LTC) <<Answer>> care given in long-term care facilities for people
who need 24-hour skilled care
skilled care <<Answer>> medically necessary care given by a skilled nurse or
therapist, it is available 24 hours a day, and it is ordered by a doctor and involved a
treatment plan
chronic condition <<Answer>> any disease or condition that lasts a long time (usually
longer than six months). It usually can't be cured and therefore requires ongoing
treatment and management. Examples include arthritis and asthma.
Example of chronic condition <<Answer>> Physical disabilities
terminal illness <<Answer>> a disease or condition that will eventually cause death
acute care <<Answer>> 24-hour skilled care for short-term illnesses or injuries;
generally given in hospitals and ambulatory surgical centers
subacute care <<Answer>> care for an illness or condition given to people who need
less care than for an acute (sudden onset, short-term) illness or injury but more than for
a chronic (long-term) illness
, Example of chronic condition <<Answer>> Heart disease
of Contents Preface Lesson the Nursing Assistant in
Long-Term Care Questions and Answers Newest
Version
Passive neglect <<Answer>> The unintentional failure to provide needed care,
resulting in physical, mental, or emotional harm to a person
Negligence <<Answer>> Actions, or the failure to act or provide the proper care for a
resident, resulting in unintended injury. Example: A CNA forgetting to lock a resident's
chair before transferring her.
Malpractice <<Answer>> Occurs when a person is injured due to professional
misconduct through negligence, carelessness, or lack of skill.
Suspicious injuries that should be reported <<Answer>> Poisoning, teeth marks,
buckle or strap marks, bruises, contusions, welts, scars, fractures, dislocations, burns,
scalding burns, scratches or puncture wounds, patches of missing hair, scalp
tenderness, swelling in face, broken teeth, nasal discharge, bruises, bleeding, or
discharge from vaginal area
Signs that could indicate Abuse <<Answer>> Yelling obscenities, fear, apprehension,
fear of being alone, poor self control, constant pain, threatening to hurt others,
withdrawal, apathy, alcohol or drug abuse, agitation or anxiety, signs of stress, low self-
esteem, mood changes, confusion, disorientation, resident not allowed private
conversations, reports of questionable care by resident or family
Signs that could indicate Neglect <<Answer>> Pressure ulcers, unclean body, body
lice, unANSWERed call lights, soiled bedding or incontinence briefs not being changed,
poorly fitting clothing, unmet needs relating to hearing aids, eye glasses, etc., weight
loss, poor appetite, uneaten food, dehydration, freshwater or beverages not being
offered regularly, reports of not receiving prescribed medication by the resident or his
family
Ombudsman <<Answer>> Assigned by law as legal advocate for residents; visits
facilities and listen to residents
Confidentiality <<Answer>> Keeping private things private
,HIPPA <<Answer>> Health Insurance Portability and Accountability Act; Protects
confidential healthcare information
PHI <<Answer>> Protected Health Information - the information kept private under
HIPPA (name, address, phone, social, diagnoses, etc)
Incident <<Answer>> An accident, problem, or unexpected event during the course of
care; something that is not part of the normal routine
Beginning steps for client care <<Answer>> -Knock and wait for permission to enter
-Introduce yourself as Nurse Aide Student
-identify the patient by name
-wash your hands
-Explain procedure and ask for permission
-Provide privacy (cutain, screen, or door)
-Adjust bed to a safe level, usually waist high.
-Lock the bed wheels
Ending steps for client care <<Answer>> -Return to lowest position
-Remove privacy
-Place call light in reach
-wash your hands
-Report any changes in the client to the nurse
-Document procedure
Long Term Care (LTC) <<Answer>> care given in long-term care facilities for people
who need 24-hour skilled care
skilled care <<Answer>> medically necessary care given by a skilled nurse or
therapist, it is available 24 hours a day, and it is ordered by a doctor and involved a
treatment plan
chronic condition <<Answer>> any disease or condition that lasts a long time (usually
longer than six months). It usually can't be cured and therefore requires ongoing
treatment and management. Examples include arthritis and asthma.
Example of chronic condition <<Answer>> Physical disabilities
terminal illness <<Answer>> a disease or condition that will eventually cause death
acute care <<Answer>> 24-hour skilled care for short-term illnesses or injuries;
generally given in hospitals and ambulatory surgical centers
subacute care <<Answer>> care for an illness or condition given to people who need
less care than for an acute (sudden onset, short-term) illness or injury but more than for
a chronic (long-term) illness
, Example of chronic condition <<Answer>> Heart disease
