Hartman's Nursing Assistant Care The Basics (5th Edition) by Jetta Fuzy, Suzanne Rymer, and Bruce J. Hedman 300 questions and correct answers

Hartman's Nursing Assistant
Care The Basics (5th Edition)
by Jetta Fuzy, Suzanne Rymer,
and Bruce J. Hedman 300
questions and correct
answers
Document requires a thorough understanding of long-term care regulations,
basic nursing skills, resident rights, safety protocols, and specialized care for
residents with chronic conditions or dementia.



QUESTION: What federal legislation enacted in 1987 established minimum
standards of care for nursing assistants and residents in long-term care
facilities? ANSWER: The Omnibus Budget Reconciliation Act (OBRA).

QUESTION: What is the primary role of a nursing assistant (NA) in a long-
term care facility? ANSWER: To perform assigned tasks, such as measuring
vital signs and providing personal care, while helping residents maintain their
highest possible level of functioning.

QUESTION: Who supervises the daily work of a nursing assistant in a long-
term care facility? ANSWER: A licensed nurse (RN or LPN/LVN).

QUESTION: What is the legal document that defines the tasks that nursing
assistants are permitted to perform? ANSWER: The nursing assistant's scope
of practice.

QUESTION: What is person-centered care? ANSWER: A practice that
emphasizes the individual resident's background, choices, values, and needs
when planning and delivering care.

QUESTION: What does the acronym HIPAA stand for in healthcare? ANSWER:
Health Insurance Portability and Accountability Act.

,QUESTION: What is the purpose of HIPAA? ANSWER: To protect the privacy
and security of a resident's protected health information (PHI).

QUESTION: What is an ombudsman? ANSWER: A designated legal advocate
for residents in long-term care facilities who investigates and resolves
complaints.

QUESTION: What is informed consent? ANSWER: The process by which a
resident makes knowledgeable decisions about their care after being fully
informed of risks, benefits, and alternatives.

QUESTION: What is an advance directive? ANSWER: Legal documents that
allow individuals to state their preferences for medical care before they lose
the capacity to make decisions.

QUESTION: What is a living will? ANSWER: An advance directive detailing
what medical treatments a person wants or does not want if they become
unable to make decisions.

QUESTION: What is a durable power of attorney for healthcare? ANSWER: A
designated surrogate decision-maker appointed to make medical decisions if
the resident becomes incapacitated.

QUESTION: What is elder abuse? ANSWER: Any knowing, intentional, or
negligent act by a caregiver or other person that causes harm or serious risk
of harm to an older adult.

QUESTION: What are the major types of elder abuse? ANSWER: Physical
abuse, emotional/psychological abuse, sexual abuse, financial exploitation,
and neglect.

QUESTION: What is negligence in long-term care? ANSWER: The failure to act
as a reasonably prudent person would, resulting in unintended injury or harm
to a resident.

QUESTION: What is malpractice? ANSWER: Professional negligence
committed by a professional healthcare provider that results in injury or
damage to a resident.

QUESTION: What is involuntary seclusion? ANSWER: Separating a resident
from other residents or confining them to their room against their will or the
will of their legal representative.

QUESTION: What is the immediate legal and ethical duty of a nursing
assistant who witnesses resident abuse? ANSWER: To report the incident

, immediately to the charge nurse or supervisor in accordance with facility
policy and state law.

QUESTION: What is objective information (signs)? ANSWER: Information
gathered through the senses of sight, hearing, touch, or smell (e.g.,
observing a rash, measuring a temperature).

QUESTION: What is subjective information (symptoms)? ANSWER:
Information reported by the resident that cannot be directly observed by the
nursing assistant (e.g., reporting pain or nausea).

QUESTION: What is the proper procedure for correcting an error in a paper
medical record? ANSWER: Draw a single line through the error, write
"correction" or "corr," write the correct information, and date and initial the
change.

QUESTION: What is a sentinel event? ANSWER: An unexpected occurrence
involving death or serious physical or psychological injury.

QUESTION: What is the abbreviation for "before meals"? ANSWER: AC.

QUESTION: What is the abbreviation for "after meals"? ANSWER: PC.

QUESTION: What is the abbreviation for "as desired"? ANSWER: Ad lib.

QUESTION: What does "PRN" stand for in medical terminology? ANSWER: As
needed.

QUESTION: What does "NPO" stand for? ANSWER: Nothing by mouth.

QUESTION: What is infection prevention? ANSWER: The set of methods used
to practice aseptic technique and prevent the spread of infectious
microorganisms.

QUESTION: What is a pathogen? ANSWER: A microorganism capable of
causing disease.

QUESTION: What is a healthcare-associated infection (HAI)? ANSWER: An
infection acquired in a healthcare facility during the delivery of medical or
nursing care.

QUESTION: What is the single most important procedure for preventing the
spread of infection? ANSWER: Proper hand hygiene (handwashing with soap
and water or using alcohol-based hand rub).