Nurse Aide (CNA) (+340 Questions and Answers Latest Update with Rationale

Nurse Aide (CNA) (+340 Questions and Answers Latest Update with Rationale The resident is on a toileting schedule for bladder retraining. Which of the following is the best response by the nurse aide when it is time to toilet the resident? {{Ans- . "Can I help you to the bathroom now?" A resident with an indwelling catheter says, "I need to urinate." Which of the following is the best response by the nurse aide? {{Ans- . Check to see if the tubing is kinked and draining properly. Rationale: If a resident has an indwelling catheter, urine is being drained from the bladder on a continuous basis. The resident should not feel the urge to urinate if the bladder is being drained properly. If the resident complains of feeling the urge to urinate, the nurse aide should check the tubing of the catheter and urinary drainage bag. If the tubing becomes kinked, urine will be unable to flow into the drainage bag. Checking the tubing of the drainage bag is the first step in responding to this concern. If the tubing is kinked, and the nurse aide straightens the tubing, urine should flow into the urinary drainage bag. If this does not resolve the problem, the nurse aide must report this issue to the nurse immediately. Further investigation by the nurse will be needed. Which member of the health care team counsels residents and their families and arranges for needed services? {{Ans- Social worker Rationale: There are many staff members in a facility who share important roles in the care of residents. The social worker is a team member whose role is to assist residents and families with arranging support services, such as counseling or financial assistance. They also are important to residents and families in helping to adjust to changes in health and placement in the facility, and may even help residents with challenges with roommates. A dietician helps assess and plan for residents' nutritional needs. A physical therapist will assist the resident with musculoskeletal problems, to restore function, and help prevent further disability. For example, a physical therapist will help a resident work on improving strength and endurance to walk better. The activities director helps plan and conduct recreational activities for residents based on varied interest and abilities to encourage residents to remain active. "Sundowning" is a term used to describe when residents {{Ans- become restless and agitated late in the day. Rationale: There are some residents with dementia that show behavioral changes and a greater level of confusion at certain times of day. Behaviors such as agitation, anxiety, restlessness, and pacing can become more prevalent in the late afternoon and continue into the night for some residents. "Sundowning" is the term used for this change in behavior that occurs late in the day. Nurse aides share in the responsibility for keeping these residents safe. Sometimes these residents may attempt to leave the facility or have other behaviors that may be unsafe. Residents who "sundown" may have activities planned in the care plan to provide specific activities during that time. Which foods are found on a high protein diet? {{Ans- Meat and eggs