Hartman's Nursing Assistant Care, The Basics (Complete)

Hartman's Nursing Assistant Care, The Basics (Complete) Hospice care - ANS Which of the following healthcare settings is generally for people who will die in six months or less? Most conditions in long-term care facilities are chronic - ANS Which of the following statements is true of long-term care? The NA should refuse the gift but thank the resident for thinking of her - ANS A resident has purchased a special gift for her NA. What would me the best response by the nursing assistant? Procedure - ANS A ____________ is a method or way of doing something. Only care that it determines to be medically necessary - ANS Medicare will pay for Promoting self-determination and personal choice - ANS Which of the following is a core value associated with culture change? Physician - ANS Which member of the care team diagnoses disease and prescribes treatment? Nurses, physical therapists - ANS Which of the following care team members are licensed professionals who assign jobs to nursing assistants? The care team revolves around the resident and his or her condition, treatment, and progress - ANS Which of the following statements is true of residents as a part of the care team. The NA should not perform the activity if it is not listed on the care plan. - ANS Which of the following statements is true of a nursing assistant's responsibilities if an activity is not listed in the care plan? The right to have visitors - ANS A nursing assistant tells a resident that her grandchildren are noisy and disrupt the facility and suggests that next time her daughter visits, she should leave the kids at home. Which Residents' Rights might this behavior violate? The care plan must be updated as the resident's condition changes. - ANS What is one reason why reporting a residents changes and problems to the nurse is a very important role of the nursing assistant? Helping residents with toileting needs - ANS Which of the following is a typical task that an NA performs? Inserting a tube into a resident's body - ANS Which of the following tasks is outside the scope of practice for an NA? Keepping a resident information confidential - ANS A professional relationship between an NA and a resident includes Documenting carefully - ANS Which of the following is an example of an NA having a professional relationship with an employer? It describes the care plan for each resident - ANS What is one function of the chain of command The NA should report it to the charge nurse immediately - ANS What is required of a nursing assistant if he suspects that a resident is being abused Residents - ANS Ombudsmen are in facilities to assist and support Explain the procedure fully before performing it - ANS When a nursing assistant is performing a procedure on a resident, he should Nursing assistant training - ANS The Omnibus Budget Reconciliation Act (OBRA) sets minimum standards for At least 12 hours - ANS How many hours of in service education does OBRA require for nursing assistants every year? Keeping resident informatin private - ANS For nursing assistants, confidentiality means Protect privacy of health information - ANS One reason that the Health Insurance Portability and Accountability Act (HIPAA) was created is to Rubbing up against a resident inappropriately - ANS Which of the following is an example of sexual abuse? Psychological abuse - ANS An NA is caring for a resident who is paralyzed on her right side from a recent stroke. Some of her family members are visiting and one of them truns to the NA and says in a loud voice," She looks so dumb with half of her face drooping down like that. Isn't there something you can do to fix that?" What kind of abuse is this? Draw one line through it and write the correct information - ANS If an NA makes a mistake when documenting care by hand, she should Those who need the information for care or processing of records - ANS A resident's protected health information for (PHI) may be shared with Shoving a resident - ANS Which of the following is an example of physical abuse? Ombudsman - ANS What is the term for the person assigned by law to be the legal advocate for residents? 2100 hours - ANS Which of the following shows the correct conversion of 9:00 PM to military time? A resident accuses an NA of abusing her. - ANS Which of the following occurrences is considered an incident and requires a report to be completed? 5:30 am - ANS Which of the following shows the correct conversion of 0530 to recular time? Immediately after care is given - ANS When should documentatin be recorded? 1435 hours - ANS Which of the following shows the correct conversin of 235 pm to military time Psychological abuse - ANS Threatening to harm a resident if he tells another caregiver about a problem is an example of which type of abuse Before accidents occur - ANS When should unsafe conditions be reported? "There are raised, red marks the size of pinpricks on Mrs. Johnson's torso." - ANS Which of the following is an example of objective information The NA should speak slowly and clearly - ANS What is a proper way for a nursing assistant to respond if a resident does not hear her or does not understand her? NA uses medical terminology with the resident - ANS Which of the following is an example of a barrier to communication The NA should ask open ended questions that require more than yes or no responses - ANS Which of the following are ways for NAs to avoid barriers to communication? Because cultural background helps determine how people communicate and can help the NA communicate better with the resident. - ANS Why is it important for an NA to consider a resident's cultural background when communicating with him? Taste - ANS Which of the following senses is not used in making observations? Nurses - ANS With whom should nursing assistants use medical terms and abbreviations? Chest pain - ANS Which of the following should an NA report about a resident to the nurse immediately? Suffix - ANS The part of the word that is added to the end of a root to form a new word is called a Face the resident with the light on the NA's face - ANS If a resident has a hearing impairment, the NA should use the face of an imaginary ______ to describe position of objects - ANS One way that an NA can help a resident who is visually impaired is to Assess the situation and assess the victim - ANS The first two steps to take when approaching an emergency are The NA should remain calm and lower the tone of her voice - ANS What is the best way a nursing assistant can respond to a combative resident sweet - ANS A sign of the onset of diabetic ketoacidosis is breath that smells It may actually reinforce the behavior - ANS Why is it important for a nursing assistant not to overreact when a resident behaves inapporpriately With every resident in his care - ANS With whom should an NA use Standard Precautions? urine - ANS Under Standard Precautions, the term body fluids includes Gloves should be changed before contact with mucous membranes - ANS Which of the following is true of wearing gloves The resident cannot speak, breathe, or cough. - ANS In which of the following situations should an NA give abdominal thrusts to a residents at least 20 seconds - ANS When washing hands, an NA should use friction for Put on gown, mask and goggles, and gloves - ANS Which of the following is the proper order to don personal protective equipment (PPE)? Dyspnea - ANS What is the medical term for difficulty breathing every time an NA touches something - ANS A NA will come into contact with microorganisms They are practiced in addition to Standard Precautions - ANS Which of the following is true of Transmission Based Precautions Loosen clothing around the neck - ANS When a resident s suspected of having a heard attack, a NA should By contact with blood or body flueds - ANS What is one way that bloodborne pathogens can be transmitted? Too little food - ANS Insulin reaction can be caused by Clear walkways of clutter - ANS Which of the following statements is true of preventing falls? Before helping with food - ANS When should a nursing assistant identify a resident? Sitting as upright as possible - ANS In which position should a resident be placed for eating? Washing hands with soap and water or using alcohol based hands rub - ANS Hand hygiene is Body mechanics helps save energy and prevent injury - ANS Which of the following statements is true of body mechanics Bend her knees - ANS When helping a resident sit up, stand up, or walk the NA should wash her hands - ANS The single most important thing the NA can do to prevent the spread of disease is to The NA should stand with her legs shoulder width apart - ANS which of the following is a way to use proper body mechanics Remove residents, activate alarm or call 911, contain fire, extinguish - ANS RACE is an acronym for safety ruse, and means Elevate the legs unless the resident has a head or abdominal injury - ANS If a resident is in shock, a nursing assistant should An incident report will need to be copleted for all falls - ANS which of the following is true of resident falls? Hold a thick pad against the woulnd and press down hard - ANS To control bleeding , a nursing assistant should By direct physical contact - ANS How is MRSA most often spread? Through proper handwashing - ANS What is the best way to control the spread of MRSA Following the Standard Precautions in caring for all residents - ANS Which of the following is an NA responsibility related to infection prevention? Move furniture away to prevent injury to the resident - ANS Which of the following is a correct response if a resident is having a seizure? The inability to speak or to speak clearly - ANS A sign that a stroke is occurring is (A) Pour hot drinks away from residents - ANS To serve hot liquids to residents, a nursing assistant should Description of emergency response actions - ANS What information does a Safety Data Sheet (SDS) contain? By coughing - ANS Tuberculosis may be transmitted Through proper hand washing and handling of contaminated wastes - ANS What is the best way to control the spread of C. difficile? Put on gloves - ANS If an NA needs to clean up a spill, what is the first step that she should take? Medial - ANS Which anatomical term means toward the midline of the body Small, frequent meals - ANS A resident with AIDS who has nausea and is vomiting should eat Anterior - ANS Which anatomical term means the front of the body? Immune - ANS Rheumatoid arthritis is an autoimmune illness. With an autoimmune illness, the body's _______ system attacks normal tissue. It feels heat, cold, pain, touch, and pressure - ANS Which of the following statements is true of the skin? The NA should assist the resident with brushing and flossing regularly. - ANS What should an NA do when providing oral care for a resident with cancer 2 - ANS A resident with a head or spinal cord injury should be re-positioned at least every ______ hours keep sheets wrinkle free - ANS One way a nursing assistant can help with normal changes of aging related to the integumentary system is to They provide movement of body parts - ANS Which of the following is rue of muscles? 206 - ANS How many bones are in the human body? Preventing falls - ANS Guidelines for caring for a resident with multiple sclerosis include whtich of the following? The condition in which all of the body systems are working their best - ANS Homeostatis is The muscle decreases in size - ANS When atrophy occurs It senses and interprets information from outside the body - ANS Which of the following is a function of the nervous system? The NA should stand on the stronger side - ANS Which of the following statements is true of how an NA should assist a resident with onsided weakness after a stroke? Is a measurement of 140/90 or higher - ANS High blood pressure The nervous system - ANS The eye and ear are part of Breathing - ANS Residents with chronic obstructive pulmonary disease (COPD) have trouble with Bones that can break easily - ANS Osteoporosis causes It supplies food, oxygen, and hormones to cells - ANS Which of the following is a function of the circulatory system? Inspiration and expiration - ANS Respiration consists of Regular exercise - ANS Which of the following is helpful for a resident who has had a heart attack Anti-embolic - ANS An ______ stocking s a special stocking that can help with circulation after a knee replacement Trachea, bronchi, lungs - ANS The respiratory system is made up of Start with the weaker side - ANS When helping a resident who has had a hip replacement get dressed, how should the nursing assistant begin observe the feet regularly for signs of irritation - ANS The best way for an NA to provide foot care for a diabetic resident is to NAs should offer frequent trips to the bathroom - ANS What is one good way a NA can assist residents with normal changes of aging related to the urinary system? Partial weight-bearing - ANS What does the abbreviations PWB stand for? Excessive thirst, extreme hunger, frequent urination - ANS Which of the following are symptoms commonly experienced by people who have diabetes? Due to having a shorter urethra - ANS Why are females more likely to have urinary tract infections than males? A loss of calcium - ANS A normal change of aging for the female reproductive system is The higher the injury, the greater the loss of function. - ANS Which of the following is true of spinal cord injuries? Lymph - ANS The yellowish fluid that carries disease fighting cells is called Sitting upright - ANS How should a resident COPD be positioned? Through nonspecific and specific immunity - ANS How does the immune system protect the body from disease? On the resident's weaker side - ANS Where should the NA stand when helping with ambulation for a resident who is recovering from a stroke A shuffling gait - ANS Parkinson's disease typically causes Hypertension - ANS The medical term for high blood pressure is Residents may take medication that makes them urinate more often - ANS Which of the following statements is true of congestive heart failure (CHF)? With eye drops - ANS How is glaucoma often treated? Leather shoes - ANS What kind of shows are best for diabetic residents to wear? Avoid applying lotion to areas receiving radiation therapy - ANS Which of the following is helpful when providing skincare for a resident with cancer? Wearing loose slippers - ANS Which of the following is helpful for numbness, tingling, and pain in the in the feet for a resident who has AIDS? Wipe from front to back when giving perineal care - ANS What can a NA do to help prevent UTI? Ask the resident not to lie down for a least two to three hours after eating. - ANS What can be done to help a resident who has gastroesophageal reflux disease (GERD)? The sens of the eye becomes cloudy - ANS What happens when a cataract develops? Stay calm and provide a quiet environment - ANS Which of the following should a NA do if a resident is confused? urinary tract infection (UTI) - ANS Confusion may be caused by Cognition - ANS The ability to think logically and clearly is called Skills a person has used over a lifetime are usually kept longer - ANS Which of the following statements is true of Alzheimer's disease (AD) Check her body language to make sure she is not tense or hurried - ANS When a resident with AD is frightened, the NA should Repeat herself using the same words - ANS When should a resident with AD shows memory loss, the NA should USE TOUCH, SMILES, AND LAUGHTER - ANS IF A RESIDENT W/ AD HAS LOST MOST OF HIS VERBAL SKILLS, THE NA SHOULD Mark the bathroom with a sign or picture - ANS If a resident with AD is incontinent, the NA should SCHEDULE BATHING WHEN THE RESIDENT IS LEAST AGITATED - ANS If a resident with AD has problems with bathing, the NA should USE DISHES WITHOUT A PATTERN & A SIMPLE PLACE SETTING - ANS One way for a NA to help a resident with AD with eating is to LAY OUT CLOTHES IN THE ORDER THEY SHOULD BE PUT ON - ANS IF A RESIDENT W/ AD HAS PROBLEMS W/ DRESSING, THE NURSING ASSISTANT SHOULD Reassure a resident who is upset and worried - ANS A helpful way for a NA to respond to hallucinations is to Setting a bedtime routine and keeping it - ANS A NURSING ASSISTANT CAN RESPOND TO SUNDOWNING BY Answer questions each time they are asked - ANS When a resident with AD perseverates, the NA should Remove triggers - ANS If a resident with AD shows violent behavior, the NA should Short words, pictures, and gestures - ANS When a resident with AD cannot understand basic instructions, it is a good idea to use Take the resident to a private area - ANS Which of the following would be the best way for an NA to respond to inappropriate sexual behavior Provide a rummage drawer - ANS WHEN A RESIDENT W/ AD PILLAGES & HOARDS , THE NURSING ASSISTANT SHOULD Early stages of AD - ANS When is using reality orientation a good idea for residents with AD? An NA makes no attempt to reorient the resident to actual circumstances - ANS Which of the following statements is true of validation therapy? reminiscence therapy - ANS Which of the following is a type of therapy that involves having residents with Alzheimer's disease remember and talk about the past? watch for signs of choking - ANS When assisting residents who have had a stroke, the NA should it helps to identify a change in food preferences - ANS Why is it important to observe plates and meal trays when residents have finished eating? liquid diet - ANS This type of diet is ordered as either clear or full by counting carbohydrates - ANS which of the following is one way that residents who have diabetes eat a healthy diet residents who have swallowing problems - ANS which type of residents may have an order for thickened liquids vegan diet - ANS which type of vegetarian diet eliminates all poultry, meats, fish, eggs, and dairy products, along with all foods that are derived from animals? lacto-vegetarian diet - ANS eliminates poultry, meats, fish, and eggs, but allows dairy products 97.6 - 99.6 degrees F - ANS normal range for oral temperature for adult placement of meals - ANS What can an overbed table be used for? tympanic thermometer - ANS used to take a temperature from the ear rectal - ANS temperature site is considered to be the most accurate they should be rolled up with the dirty side in - ANS What should be done with soiled bed linens? the person in confused or disoriented - ANS Under which of the following conditions should a nursing assistant not take an oral temperature on a person? Within the resident's reach - ANS Where should the call light be placed when a nursing assistant leaves a resident's room? the NA should introduce the resident to other residents and staff members - ANS Which of the following should a nursing assistant do during a resident's admission? The NA must hold on to the thermometer at all times while taking a rectal temp - ANS Which of the following statements is true of measuring rectal temps? Radial pulse - ANS The most common pulse that is used for measuring pulse rate is the 12-20 breaths per minute - ANS normal adult respiratory rate 60-100 beats per minute - ANS Normal pulse rate for an adult People may breathe more quickly if they know they are being observed - ANS why should respirations be counted immediately after taking the pulse, while the fingers are still on the wrist? The NA should pack all of the resident's belongings - ANS what is a nursing assistant's responsibility during an in-house transfer of a resident? 119/75 - ANS Normal blood pressure high blood pressure - ANS Hypertension (HTN) pain is a different experience for each person - ANS which of the following statements is true of pain? changing position - ANS which of the following measures can help reduce pain they are applied to dry wounds - ANS which of the following is true of non-sterile dressings nursing assistants will observe the IV site for problems - ANS which of the following statements is true of IV therapy NA observe and report regarding catheters - ANS which is true of NAs and catheters keeping the genital area clean to prevent infection - ANS guidelines for proper catheter care by a NA include the following 1/4 to 1/2 inch - ANS how far should a tympanic thermometer be inserted into the ear