CNA Chapter 2

CNA Chapter 2 Give an example of a non-verbal communication. - Pointing to a glass of water. Verbal communication includes? - Speaking. Nonverbal communication includes? - Facial expressions. What is an objective observation? - Anything a nursing assistant can see, hear, smell, or touch. example: skin rash, crying, rapid pulse, vomiting, swelling, cloudy urine, red area on skin, fever, wheezing, coughing, and smell of breath. What is a subjective observation? - Anything that the resident must tell the nursing assistant about. example: headache, nausea, feeling sad, dizziness, chest pain, toothache, and itchy. Smell. - Resident's body or breath odor. Sight. - Changes in resident's appearance. example: the way they look or act. Hearing. - Residents words, tone, and breathing. Touch. - Resident's skin and pulse. What is a root? - Part of a word that contains its basic meaning. What is a prefix? - Part that comes before the root to form a new word. What is a suffix? - Part added to the end of a root that helps form words. Why should nursing assistants use simple, non-medical terms when speaking with residents and their families? - Medical terms may not be understood. Where should the call light be placed in residents room? - Within reach of resident or in their hand. Types of terms that may not be understood by residents or their families, so NAs should speak and simple, every day words. - Medical. Types of questions that should be asked because they live elicit more than a yes or no answer. - Open-ended. Phrases used over and over again that do not really mean anything. - Clichés. This type of language, along with gestures and facial expressions, is part of nonverbal communication; nursing assistance should be aware of this for speaking. - Body. Being this way and taking time to listen when residents are difficult to understand, helps promote better communication. - Patient. Nursing assistants cannot offer opinions or give this because it is not within the scope of practice. - Advice. Asking this should be avoided when residents make statements because it often makes people feel defensive. - Why. Along with profanity, these types of words should not be used by nursing assistants. - Slang. Mark, a nursing assistant, is about to provide care for a hearing impaired resident. She is standing at the window looking out at the gardens. He enters her room and asked if she would like her hair shampooed. She doesn't answer. He taps her on the back, and she jumps. He asked loudly, "I said would you like to have your hair shampooed now?" What would've been the better way for Mark to communicate? - Mark should've approached from the front and lightly touched her arm. He should also use lower pitch in his voice. Mrs. Crawford is visually impaired. She is being helped into a fellow residents room for a visit. Virginia, a nursing assistant, assists her to the door and says, "See you later Mrs. Crawford. I'll be back in about an hour to help you return to your room." Mrs. Crawford enters the room, walks into a chair and almost falls over. What would've been a better way for Virginia to communicate with Mrs. Crawford? - Virginia should have accompanied Mrs. Crawford into her room and oriented Mrs. Crawford where things are in her room. Sabrina, a nursing assistant, is taking care of a mentally ill resident who is very withdrawn. Sabrina moves around the room picking up clutter and saying to her resident in a board tone: "How are we doing today, Mrs. Roger? Are we going to start talking to Sabrina today, or are we going to be quiet like we were yesterday?" What is wrong with the way Sabrina is communicating with Mrs. Roger? - Sabrina should've used a normal tone of voice and should have shown respect and concern. Sabrina should've also talk to Mrs. Roger like an adult and not a child.