Exam 6 for Nursing Assistants

You understand which of the following best explains why bones may break easily in an older person?

Bones lose strength and become brittle

A patient has heart failure (CHF). You accurately recognize which of the following diets is most therapeutic?

Sodium-controlled

The person had warning signs that lasted a few minutes which may occur before a stroke. Which of the following do you accurately recognize occurred after the nurse's explanation during report?

A transient ischemic attack (TIA) occurred

A person complains of pain or numbness in the back, neck, jaw, or stomach. You recognize which of the following may be occurring and needs the nurse immediately?

A myocardial infarction

You are assigned a patient with angina. You recognize which of the following best illustrates why chest pain occurs?

The heart needs more oxygen

You are caring for a person with osteoporosis. What should you expect to see in the care plan?

Exercise weight-bearing joints

You are caring for a person with Parkinson's Disease. Which of the following should you expect?

Slow shuffling gait when ambulating

You recognize what is the most important reason depression is often overlooked in older persons?

Signs and symptoms are similar to aging and as drug side effects

A person's thinking, mood, behavior, function and ability to relate to others are affected. Which is correct?

The person has a mental health disorder.

You are unhappy with your supervisor. You call in sick because of a headache. Which defense mechanism are you using?

Conversion

A new resident waits at the front door for her daughter to take her home. Which defense mechanism is she using?

Denial

A resident washes her hands over and over many times during the day. This behavior is a

compulsion

A person relives a traumatic event during the day and in nightmares during sleep. These are

Flashbacks

A person with schizophrenia can experience delusions and hallucinations. When communicating with a person experiencing this what should you do?

Speak slowly and calmly

What statement about substance abuse disorder is true?

Substance abuse causes problems at work, home, or school

To regress means to

move back to an earlier time or condition.

What is the classic sign of AD?

Gradual loss of short-term memory

A resident has AD and is seeing "kitty cats" in the closet. The resident is experiencing

hallucination

A patient has AD. The person often screams a word in a foreign language. You know that screaming is

the person's way of communicating.

A resident has AD. His wife visits daily. They like to touch, hold hands, and kiss. Which action is correct?

Providing privacy

A resident has AD. The person keeps saying, "I want to go home." "I want to go home." "I want to go home." What is this an example of?

Repetitive behavior

A patient has AD. The person is trying to tell you something. What should you do?

Let the person speak. Do not interrupt or rush the person.

A patient has AD. You are helping her dress. You should

let her choose between 2 shirts.

A resident with Alzheimer's disease has been folding and unfolding a piece of paper for the past hour and is showing no signs of stopping. What response by you is most helpful?

Try to distract the resident by starting a new activity such as reading or going for a walk

The nurse assistant is caring for an Alzheimer's resident. Which of the following statements best illustrates validation therapy as part of the resident's care plan?

Stress the importance of acknowledging the resident's reality

You are working with a confused person. To begin a reality orientation program every morning, which action you take?

Ask the person what day and time it is

The nurse in the report tells you to watch the resident for sundowning. Which of the following statements best illustrates sundowning?

Increased confusion, restlessness, and insecurity that occurs late in the day

A resident is in the last stage of AD. You accurately recognize which of the following should be expected?

Dependent on others for all ADLs

Delirium is

a state of sudden, severe confusion and rapid changes in brain function.

A resident diagnosed with Alzheimer's is found wandering. The resident says she can not find her room. What should the nurse assistant do to promote the resident's independence?

Place a familiar object outside her room door

After starting CPR, a person is breathing effectively and has a steady pulse of 68, but is not responding. What action should the nurse assistant take?

Position in the recovery position

An adult is the victim of a sudden, witnessed cardiac arrest. Which of the following would give this victim the best chance of survival from sudden out-of-hospital cardiac arrest?

Immediate CPR and defibrillation within 5 minutes

A person is having a seizure. Which action should you take?

Move furniture and equipment away from the person

A person has fainted. Which of the following actions should you take?

Raise the legs and keep still until symptom-free for at least 5 minutes

The primary care provider wrote a do not resuscitate (DNR). You recognize which of the following applies to the resident care?

The resident will continue to receive all care focused on comfort and symptom management

When providing oral hygiene for a person as death nears you recognize?

Give more frequently when taking oral fluids is difficult

The resident's son has been arguing with the doctor for the past fifteen minutes that there must be more that can be done for the resident to prolong their life. You recognize the son is at what stage of grief?

Bargaining

A terminally ill person has severe pain and blames the staff for the pain, complaining about having to wait for pain-relief drugs. They also say the staff is rough when they are turned and repositioned. You accurately recognize the patient is in which of the following stages of death and dying?

Anger

A dying person gave "durable power of attorney for health care" to his daughter. This means that the person's daughter

can make his health care decisions when he cannot.

According to OBRA, nursing centers cannot hire persons convicted of

abuse

Physically gauging the time needed to commute to a job interview is a

dry run.

When you accept a job offer, request all information

in writing.

A patient has rheumatoid arthritis. The person has consented to joint replacement surgery. The damaged joint will be replaced with a

prosthesis

A resident has a cast on her right arm. You note that her fingers are pale and that she cannot move them. What should you do?

Tell the nurse at once.

You are caring for a person with renal calculi. Which of the following measures should you expect to be included in the care plan?

Urine is strained

You enter the room of a person recently diagnosed with advanced lung cancer. The person is staring out the window and does not acknowledge their presence, nor does the person respond to you when greeted. What response by you is most helpful?

Briefly acknowledge that this must be a difficult time, and assure the person that the nurse assistant is available to help

The nurse assistant is in the dining room. A person is coughing, but able to breathe. What action should then nurse assistant take first?

Stay with the person and allow them to continue coughing

A person cut a finger with a knife when preparing for a craft activity. A steady flow of blood is seen. To determine the most accurate method of controlling external bleeding the nurse assistant first recognizes which of the following is occurring?

Venous bleeding

Which of the following does the nurse assistant recognize as a sign or symptom that the person is approaching death?

Cool, moist skin

A resident fell in the shower and fractured his right hip. The person returned to the nursing center after surgery to repair the hip. He is at risk for which of the following post-operative complications?v

Pressure injuries, constipation and confusion.

Still learning (30)

You've started learning these terms. Keep it up!