CNA EXAM

OBRA

Federal law that requires training for nursing assistants

Battery

Touching someone roughly or violently

neglect

Failure to provide the person with the goods or services needed

Ethics

Code of behavior

False Imprisonment

Restraining a resident without doctor orders

charge nurse

Who you go to if unsure of something

geriatric

elderly

Confidential information includes

diagnosis, prognosis, personal information

The nurse assistant should have short, neatly trimmed fingernails. Why is this important?

To avoid scratching the resident while handling the resident

Registered Nurse

Plans, provides and leads nursing care

dietitian

Develops menus and food plans according to a prescribed diet

director of nursing

A RN who has overall responsibility for the nursing department

physical therapist

Develops plan of care to strengthen muscles and regain mobility

occupational therapist

Helps resident work towards regaining independence

speech therapist

Among other things, assists residents with swallowing difficulties.

Explain how you should maintain privacy for resident

Pull the curtain to protect their privacy

A resident expresses a concern or problem that involve others

you can report to charge nurse immediately

What's the goal of the restorative rehabilitation department is

To have the residents go back to their original life

As part of Ageing changes, skin may become

More dry and fragile

To help compensate for decreased circulation due to aging

Elevate leg, encourage ambulation if the resident is capable, avoid tight or restrictive clothing

Which of the following isn't a psychosocial loss associated with aging

Winning the lotto

If a resident masturbates or exposes self in a public area, you should…

Remove them to their room and provide for privacy

Reactions to unmet needs can lead to stress. Common reactions to stress can be

Depression, aggression, fear, anger

The resident has the right to refuse treatment

True

The resident gives up the right to manage their finances once they are admitted to a nursing home

False

You should ask a resident what name and/ or title they wish to be called by

True

Elderly people don't have sexual needs

False

The resident has the right to be free of restraints

True

Frequently anger or aggression by a resident may be due to feeling fearful

True

As a person grows older there is no change in appetite or digestion

False

As a person gets older there is an increased problem with near sightedness

False

The resident has the right to participate in and determine their plan of care

False

safety and security needs

Make sure all equipment is in good repair

Need for belonging and love

Treat clients with respect and dignity

self-esteem needs

Accentuate the positive

Two ways you can help a resident meet their religious needs

1) Praying with client if request

2) Being respectful of religious differences

Vision changes as part of aging

1) increase problem with farsightedness

2) difficulty adjusting to glare

How can you vent your frustrations and anger appropriately to prevent becoming abusive to the resident

1) participating in care plan meetings and express your opinions/ concerns

2) leave care area until you can compose yourself

Non-verbal communication

Body language such as frowns grimaces, posture

aphasia

Difficulty speaking and/or understanding speech

objective information

What you directly see and witness

subjective information

You hear second hand and don't see for yourself

Observation to make regarding the residents through smell

1) fruity breath

2) strong odors that associate with poor hygiene

If you didn't complete task, leave a blank on the flow sheet where you would normally document

False

Resident and their family have an opportunity for input into planning their care

True

When communicating with the confused resident is helpful to use body language and gestures to assist with verbal communication

True

Wash with soap and water weekly for a hearing aid

False

When communication with resident speak to them like a child

False

If resident doesn't understand rephrase it slightly

True

The resident may have difficulty understanding communication when they are tired

False

When documenting on the medical record, what should you NOT do?

Write in pencil and erase any mistakes you made

Best way to communicate with blind resident

Identify yourself before entering room/touching resident

Blocks to communication

Speech impediment, anger, aphasia

ad lib

as desired

Ax (axillary)

Underarms

BID

Twice daily

LE (lower extremity)

Leg

HS (Hour of sleep)

Bed time

QID

4 times a day

s (underlined on top)

without

p.o. (per os)

by mouth

VS(vital signs)

Temperature, pulse, respirations, blood and pressure

C (underlined)

with

feces

stool

quadriplegia

paralysis from the neck down

ambulatory

able to walk

hemiplegia

paralysis of one side of the body

SOB

short of breath

voided

to pass urine

emesis basin

small kidney shaped basin into which a person will vomit or spit

incontinent

Lack of control over urine or stool

dangling position

person sits with their legs over the side of the bed

UTI

urinary tract infection

aspirate

inhaling food or fluid into lungs

BRP

bathroom privileges

ADL

activities of daily living

c/o

complains of

Falling is one leading cause of an older person losing their ability to live independently

True

You should transfer and ambulate a resident with a gait belt around their waist

True

If a resident falls while you are ambulating them, lower them to the floor gently

True

In case of fire, evacuate residents by elevator

False

The ABC fire extinguisher can only be safely used on paper or wood fires

False

An accident report should be filled out within a week of accident

False

You can tell a resident has a complete airway obstruction when they yell for your assistance

False

In case of fire, evaluate who first

All residents in danger

Reason people fall

Clutter, dizziness, pneumonia

If the resident fallen on the floor

Get help from another nursing assistant

R-A-C-E

remove, activate, contain, extinguish

Hip fracture leads resident to develop pneumonia by

Causing residents to being not as mobil as they were previously

Safe footwear for residents

Non -slip footwear or socks without soles

Burns that can happen in long term care facility

Thermal burns and hot liquids

Symptoms of a heart attack

nausea, shortness of breath, feeling weak

Both physical and emotional negative results can occur due to restraints use

True

OBRA states that the resident has the right to be free from restraint use

False

Side rails are not considered restraints and you can use them without concerns

False

Restraints can help a resident maintain their dignity by preventing falls

False

Restraints use may contribute to sleeping problems

False

Use of restraints may contribute to isolation from others and less participation in activities

True

Different approaches may need to be used for different residents in an effort to avoid restraints

True

There are no safety concerns when restraints are used

False