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Exam (elaborations)

CNA Exam WI 2023 (100% CORRECT)

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What measures should betaken assures measurement of weight accurately indicates a change in the resident's body weight. Start with the scale balanced to zero. Make sure the resident is not holding onto the scale Make surety resident is not holding onto walker or cane while being weighed. Weigh the resident on the same scale each time According to Maslow's Hierarchy of needs, which need might a resident have difficulty meeting due to his dependance on others for assistance with ADLs (Activities of Daily Living)? Need for Self-Esteem A resident has the right to refuse cares. How should a CNA respond to a resident who refuses care? Try to be persuasive and give options. If that doesn't work: Respect Refusal Notify the nurse of any refusal of cares Menopause is the time in a women's life when she has decreased blood levels of estrogen and progesterone. What are some normal changes offing that result from this decrease? Loss of calcium which leads to brittle bones Menstrual Periods stop Vaginal walls get drier and thinner List 5 guidelines for Urinary Catheter Care 1. Make sure the drainage bag is below the bladder or hips (prevents urine from flowing back into the bladder) 2. Keep drainage bag off of the floor 3. Keep tubing straight, free from kinks(if not straight urine may be prevented from draining) 4. Keep genital area clean (catheter goes all the way to the bladder and makes it easier for bacteria to enter the body) Which of the following is an open ended question that should be most helpful in encouraging the resident to communicate? How do you prefer to have your breakfast? Are you hungry for breakfast? Do you want to east breakfast? I will take you to breakfast now. Correct answer: How do you prefer to have your breakfast. List tasks which are typically not in the scope of practice for CNAs? Administering Medication Procedures requiring sterile technique Diagnosing illness or prescribing treatments or meds Informing residents or family of diagnosis or medical plans What are the 5 right of delegation? Right Task Right Circumstance Right Person Right Direction/communication Right Supervision/Evaluation What type of question encourages residents to communicate? Open Ended Questions When a CNA is asked to perform a task not in his scope of practice or that he has not been trained to do, how should he respond to the request? Do not accept the delegation Communicate to the nurse why refused (respectfully) For Example: I have not been trained and or it is not within my scope of practice. When working with a resident who does not speak English, what can bee done to improve communication? Ask if there is an interpreter to help Enhance communication with nonverbal cues Use pictures for to illustrate basic needs such as toilet, bed, eating, drink. What daily ares for someone with a catheter are the responsibility of the nursing assistant? Cleaning the area around the urethral opening Emptying the drainage bag What is the most appropriate way for a nursing assistant to determine which item on a resident's tray to feed them first? Ask the resident which food he prefers to eat first All him to make the choice What is the nursing assistant responsibility when providing foot are for a resident with diabetes? Do not cut toe nails Always dry thoroughly (especially between toes) Use only mild soap to prevent irritation Report any calluses or reddened areas to the nurse A nursing assistant is informed by her supervisor that she needs to improve a particular aspect of her job performance. What immediate action on the part of the nursing assistant would demonstrate a willingness to improve her job performance? Asking her supervisor for tips on how to improve in that particular area is a positive and assertive way to respond to constructive criticism. Do not make excuses or blame others What type of abuse is occurring if a nursing assistant provides "special" care to a resident for additional payment? Financial Abuse List nursing assistant documentation Guidelines: Document cares only after they have been done Use facts, not opinions Use black ink (not pencil) Be concise (brief and accurate) What type of abuse is occurring when a caregiver says things to a resident that are insulting? Psychological Abuse As the male reproductive system ages, what are some of the typical changes that will occur? A decrease in sperm production Enlargement of the prostate gland which may make urination difficult For residents who have conditions such as Cerebral Palsy which affect their muscle movement and coordination, how should a nursing assistant go out physical cares? Allow the resident to move slowly, be patient Keep the resident's body in as normal alignment as possible What term is used to describe the legal violation occurring when a dependent resident does not receive the basic cares needed to maintain adequate personal hygiene? Neglect Give the term for each of the following types of urinary incontinence. (Losss of urine due to an increase in intra-abdominal pressure such as sneezing) Stress incontinence Voiding involuntary from a sudden urge to void Urge Incontinence Incontinence by things outside the urinary tract Functional Incontinence Incontinence with over distention of the bladder Overflow incontinence.


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