CNA Exam Review-Indiana

CNA Exam Review-Indiana cultural diversity the existence of a variety of cultural or ethnic groups within a society. Initial Steps 1. Ask Nurse about patient or resident 2. Knock and introduce self, enter with permission 3. Greet resident with preferred name 4. Identify by name and title 5. Explain what you are going to do 6. Gather supplies and check equipment 7. Provide privacy 8. Wash hands 9. Wear gloves as indicated 10 Use proper body mechanics, raise bed Final Steps 1. Remove gloves and wash hands 2. Ensure comfort and correct body alignment 3. Lower bed and siderails as needed 4. Place call light and water within reach on unaffected side 5. Ask resident if he/she needs anything else 6. "Thank You" 7. Remove supplies and equipment 8. Open doors or curtain per preferance 9. Visual Safety Check 10. Report anything unusual to nurse 11. Document what you did Handwashing Steps 1. Turn on faucet 2. Adjust H2O temperature 3. Angle arms downward; wet hands and wrists 4. Apply soap and work to a lather 5. Rub hands at least 20 seconds 6. Palm to Palm 7. Right palm over left hand interlocking hands and vice versa 8. Palm to palm with fingers interlaced 9. Backs of fingers to opposing palms with fingers interlocked 10. Rotate rubbing of left thumb clasped with right hand and vice versa. 11. Rotational rubbing backwards and forwards with clasped fingers of right hand in left palm and vice versa. Clean fingernails 12. Rinse hands downward from wrist to fingertips. 13. dry thoroughly with disposable towels 14. Using towelsm turn off water and dispose of towels.. Activities of Daily Living (ADLs) basic self-care tasks such as eating, bathing, toileting, walking, and dressing Acute New, usually of rapid onset and of concern, opposite of chronic Activity Director individual who plans the activities for the residents and assists them to socialize and stay physically/mentally active Administrator Top of organization and bears all responsibilities of the organization or facility. Adult Day Care care given at a facility during day time hours; generally for individuals who need some assistance and/or supervision but are not seriously ill or disabled; usually reside outside of the facility Assisted Living residences for people who do not need skilled, 24-hour care, but do require some help with daily care Certified Nursing Assistant works under the supervision of a RN to provide basic patient care Advanced Practice Nurse a registered nurse having education beyond the basic nursing education and certified by a nationally recognized professional organization in a nursing specialty, or meeting other criteria established by a Board of Nursing. Chronic Long-standing, constant. Opposite of acute Culture Change a term given to the process of transforming services for elders so that they are based on the values and practices of the person receiving care; core values include choice, dignity, respect, self-determination, and purposeful living. Denial psychoanalytic defense mechanism by which people refuse to believe or even to perceive painful realities. Dependent A resident who requires staff assistance with ADLs Dietician a health care professional who has training in nutrition and diet planning Displacement Psychoanalytic defense mechanism used to reduce stress by transferring strong negative feelings to someone or something else. Health Insurance Portability and Accountability Act (HIPAA) Federal law that requires the security and privacy of health information home health care Provides nursing, therapy, personal care, or housekeeping services in patient's own home Hospice Care treatment of the terminally ill in their own homes, or in special hospital units or other facilities, with the goal of helping them to die comfortably, without pain. Typically the individual has a life expectancy of 6 months or less Independenty Liviing Having the ability to perform his/her own ADLs and manage own affairs without assistance. Housekeeping Department facility employees responsible for maintaining the building in a clean and sanitary manner Interdisciplinary Care Team professional from each discipline within the healthcare facility who meet, discuss, and plan the care of the resident Laundry Department oversees laundering of facility linens and residents' personal clothing Licensed Practical/Vocational Nurse Provides direct nursing care, including giving drugs, under the direction of an RN. Person has 1-2 years of training and has passed a state exam. Long-Term Care 24-hour care provided for people with ongoing conditions who are generally unable to manage their ADLs Medical Director physician who provides oversight to the nursing staff regarding care provided to the residents Maintenance Department facility employees responsible for maintaining facility property Medical Doctor (MD) Physician trained in conventional medicine, with many years of additional formal education and training and a professional license. Non-verbal communication Communicating without the use of words. (facial expressions, body language, gestures, posture) Objective information factual information collected using the senses of sight, hearing, smell, and touch; also called signs Subjective information Information from the patient's point of view. "I feel dizzy." occupational therapist Job: assess and plan for the client to regain ADLs, esp motor skills of the upper extremities; direct care of occupational therapy assistants Refer to when: ex- client has difficulties using an eating utensil with dominate hand following a stroke Physical Therapist Job: assess and plan for client to increase musculoskeletal functions, esp of lower extremities, to maintain mobility; direct care of physical therapy assistants Refer to when: ex- following a hip replacement, a client requires assistance learning to ambulate and regain strength