Module 4: Prevention and Management of Catastrophe and Unusual Occurrences

4.D Multiple-Choice Exercises and 4.E Choose the best response to the following scenarios.

Information found in the SDS includes:

a) the resident’s diagnosis and care plan.

b) how to store or dispose of chemicals.

c) ergonomic recommendations.

d) fire safety plan

b) how to store or dispose of chemicals

You have just entered the dining area when you notice smoke coming from the kitchen. Your FIRST response should be to

a) call the fire department.

b) pull the fire alarm.

c) grab the fire extinguisher.

d) place residents beyond the fire doors.

b) pull the fire alarm

Healthcare workers are at risk of exposure to blood-borne pathogens present in

a) urine and feces.

b) wound drainage.

c) vomit and saliva.

d) all of the above.

d) all of the above

When using a fire extinguisher, you should aim

a) and sweep along the base of the fire.

b) the extinguisher at the base and hold still.

c) and sweep at the fire’s flames.

d) at the flames and hold still.

a) and sweep along the base of the fire.

An employee assistance plan (EAP) is an agreement that provides

a) free services to employees only.

b) free services to employees and their families.

c) health benefits to employers.

d) health information to employers.

b) free services to employees and their families.

The call light in one resident’s room is not working. The FIRST step you should take is to

a) find a bell for the resident to use in place of the call light.

b) ask the resident to sit at the nurses’ desk.

c) report the broken call light to the nurse.

d) ask the facility’s maintenance staff to fix the call light.

c) report the broken call light to the nurse.

The MOST important step in protecting yourself from workplace violence is to

a) keep doors locked at all times.

b) work only with people you know and trust.

c) watch for potentially dangerous situations.

d) work during daytime hours.

c) watch for potentially dangerous situations.

In the case of an evacuation, the nursing assistant may have to

a) go with the residents during transportation to a new area.

b) take on laundry and kitchen duties.

c) care for more residents than usual.

d) do all of the above.

d) do all of the above.

OBRA regulations apply to aspects of a resident’s room and environment in

a) acute care facilities.

b) assisted-living centers.

c) skilled nursing facilities.

d) respite care facilities.

c) skilled nursing facilities.

Long-term care facilities are required to have all of the following EXCEPT

a) an air-conditioning system.

b) hand rails on both sides of hallways.

c) a fully equipped room for dining and activities.

d) a safe water supply.

a) an air-conditioning system.

A pleasant homelike environment in a healthcare facility can improve

a) resident comfort.

b) consumer use of the facility.

c) customer satisfaction.

d) all of the above.

d) all of the above.

If a nursing home has a dining room too small for its residents and their equipment, the facility should

a) leave the equipment outside the dining room.

b) have some residents eat in their rooms.

c) set up tables in the hallway.

d) rotate the residents’ meal times.

d) rotate the residents’ meal times.

Maria is one of the residents you care for at a long-term care facility. Maria tells you that they have not been able to sleep because their roommate has a lot of family who visit in the evening. You should

a) ask the family if they can visit in the common room.

b) move Maria’s roommate to a new room.

c) move Maria to a new room.

d) tell the family to visit during the day instead.

a) ask the family if they can visit in the common room.

A nursing home that does not have fire evacuation plans in place is likely to

a) lose its license to provide care.

b) be cited and pay severe penalties.

c) be unable to accept new residents.

d) close until plans are made.

b) be cited and pay severe penalties.

Sarah and their roommate have very different personalities and have not been getting along. Sarah is asking to move to a new room. You should

a) move Sarah to a new room when it’s available.

b) explain that this is not an option for them.

c) do nothing; this is not uncommon in long-term care.

d) report their request to the nurse.

d) report their request to the nurse.

Resident bathrooms in a long-term care facility must be

a) in each resident room.

b) shared by no more than two residents.

c) accessible to all residents.

d) equipped with a tub and a shower.

c) accessible to all residents.

While at work in the nursing home, you notice your hands start to itch; by the end of the day, you have a rash on your hands. What should you do?

a) Wash your hands and report to your supervisor immediately.

b) Use hand sanitizer instead of soap and water.

c) Wear gloves to further eliminate any exposure.

d) Update your supervisor if the rash doesn’t go away after a few days.

a) Wash your hands and report to your supervisor immediately.

You have noticed that one of your coworkers has come to work tearful and upset on several occasions. When you speak with them, they state, “Things aren’t good at home.” What should you do?

a) Report your coworker’s statements to the director of nursing.

b) Contact authorities since this might indicate an abusive situation.

c) Refer your coworker to the Employee Assistance Plan.

d) Ask your coworker for more information before deciding what action to take.

c) Refer your coworker to the Employee Assistance Plan.

You are working the night shift and notice many of your coworkers are talking and laughing very loudly. What should you do?

a) Remind them that the residents are asleep.

b) Join in if no residents have complained.

c) Call the supervisor and report your coworkers’ actions.

d) Make sure all of the residents’ doors are shut

a) Remind them that the residents are asleep.

You are working as a nursing assistant in the nursing home, and you have a fire drill at the same time that you are scheduled to take your break. What should you do?

a) Take your break as scheduled.

b) Ask your coworkers what they would do.

c) Request that the drill time be changed.

d) Report to your supervisor for instruction.

d) Report to your supervisor for instruction.

While plugging in a resident’s television, you notice a spark and smoke. What should you do?

a) Wait and make sure the television works well.

b) Tell the resident that they need to get it fixed soon.

c) Unplug the television and report to the supervisor immediately.

d) Bring in your television for the resident to use.

c) Unplug the television and report to the supervisor immediately.

Your resident uses the call-light system every 10 minutes and you are getting frustrated. What should you do?

a) Tell the resident to only use the call light in an emergency.

b) Continue to answer the call light every time it is on.

c) Ask your supervisor to move the resident to a closer room.

d) Call the resident’s family and ask them to visit the resident.

b) Continue to answer the call light every time it is on.

Two residents share a room. One resident is eating breakfast in the room, and their roommate is asking to use the bedside commode. What would you do?

a) Pull the privacy curtain and place the resident on the commode.

b) Explain that the roommate is eating and take the resident to a restroom.

c) Tell the resident that they need to wait until the roommate is finished with breakfast.

d) Cover the breakfast tray while the commode is being used.

b) Explain that the roommate is eating and take the resident to a restroom.

While toileting a resident, you are accidentally exposed to urine. You wash the area thoroughly with soap and water. The NEXT step should be to

a) have blood drawn for an HIV test.

b) report the incident to your supervisor.

c) fill out an incident report.

d) obtain a medical evaluation.

d) obtain a medical evaluation.

While caring for a resident in their room, you hear the facility’s fire alarm. The FIRST step you should take is to

a) report to the nurse for directives.

b) remove residents from the area of the fire.

c) locate a fire extinguisher and extinguish the fire.

d) evacuate residents from the facility.

b) remove residents from the area of the fire.