CNA Exam 4

Hospice care

Given in facilities or homes for people who have approximately six months or less to live

Procedure

A method or way of doing something

Window for survey after first notification

9-15 months

Occupational Therapist (OT)

Helps residents learn to adapt to disabilities

Assistive Devices

Special equipment for occupational therapy

Tube feeding

Nursing assistants are allowed

Change sterile dressing, insert/remove tubes

Nursing assistants are not allowed

Chain of command

Protects employees, and employers from liability

Scope of practice

Roles, responsibilities, and procedures that are within the knowledge, training and legal definition of a profession

Sterile dressing

Look back at this in the book

Activities not listed on care plan

Should not be performed

Ethics

The knowledge of right and wrong

Nursing assistant and other healthcare providers

Should be guided by the code of ethics

Nursing assistants must complete

75 hours of training

Nursing assistants must never

Abuse residents in any way

Nursing must try to

Protect residents from others who abuse them

If a nursing assistant sees or suspects that another caregiver, family member or resident is abusing a resident you must

Report this immediately to the nurse in charge

Confidentiality

Keep private things private

Durable power of attorney for health care

A signed, dated and witnessed legal document that appoints someone else to make medical decisions for a person in the event that they become unable to do so

Cliche

Phrases that are used over and over again and do not really mean anything

Nursing assistants should be a

Good listener

Do not ignore a resident’s

Request

Objective information

Based on what a person sees, heard, touches, or smells

Subjective information

Something a person can not or did not observe

A call light is

The primary way a resident can call for help

Nursing assistants should respond to

Call lights immediately

Before leaving the residents room check your see

If the call light is within reach

Transmission

Passage or transfer of most infectious diseases can be blocked by using proper infection prevention practices such as handwashing

Elderly have limited mobility which can cause serious problems such as

Pressure injuries, skin infections and pneumonia

Standard precautions must be used

With every resident this promotes safety

Healthcare associated infections spread via

The hands

All falls must be reported

To the supervisor

When responding to an emergency, you need to assess

The victim and the situation

To treat minor burns

Use cool, clean water to decrease the skin temperature and prevent for the injury

Insulin reaction or hypoglycemia

Can result from either too much insulin or too little food

Elevate a fainting Resident legs about 12 inches only when

The person is laying flat on his back and there is no head, neck back, spinal or abdominal injuries, breathing difficulties, or fractures

The main goal during a seizure

To make resident safe

Transient ischemic attack (TIA)

Is it warning sign of CVA (cerebrovascular accident)

Nursing assistance should encourage residents to

Do as much as possible for themselves

Spiritual

The spirit or soul

If a nursing assistant, see sexual abuse happening

You should remove the resident from the situation and take the resident to a safe place

Nursing assistance should respect residents decisions to participate in or refrain from

Food related rituals

Nursing assistants should listen carefully to

What the resident say

Many religious beliefs include

Dietary restrictions

The residents family have

An important role to play, family members help in many ways

Homeostasis

The condition in which all the body’s systems are balanced and working together to maintain internal stability

Atrophy

Occurs when the muscle waste away decreases in size and becomes weak

Contracture

Develops when the muscle or tendon shortens and becomes in flexible and freezes in position

The nursing assistant should report if they observe the areas over a joint

White, shiny, red or warm

The nervous system senses and interprets information from

Outside the human body

To help with urination, the nursing assistant should encourage

Fluids and offer frequent trips to the bathroom

Baseline signs

Our initial values that can be compared to future measurements

If dirty linen touches your uniform, your uniform becomes

Contaminated

Pressure injuries can lead to

Life-threatening infections

Nursing assistants should report resident skin if you see

Pale, white, reddened, gray or purple skin

In basic skin care report if any changes you observe in a

Residents skin

When documenting changes of the body use terms

Left or right in reference to the left or right side of the residence body

Even when complete baths are not taken or given every day a nursing assistant should check the skin

Daily

Reposition in mobile residents at least

Every two hours

Older skin produces less

Perspiration and oil

Elderly people with dry and fragile skin should bathe only

Once or twice a week

When shaving residence due to risk of blood exposure nursing assistant should wear

Gloves

If a resident’s hair is tangled, you should work on the tangles first by

Dividing hair into smaller sections

To prevent aspiration of an unconscious resident you should

Turn them on their side before giving oral care

Tympanic thermometer is used for

Ears

What is the most accurate temperature

Rectal

Stethoscope

An instrument designed to listen to the sounds of the body

Diastolic phase

The bottom number of the blood pressure reading

Systolic phase

The top number of the blood pressure reading

Pain is a

Personal experience different for each person

Pain is not

A normal part of aging

Nursing assistants should never remove or insert

IV lines

Nursing assistance are only responsibility for IV care is

Documenting any observations of changes or problems with the IV line

Water is the most essential nutrient

For life and is needed by every cell in the body

High-Residue (high fiber)

This diet helps with problems such as constipation and bowel disorders

Fluid balance

Maintaining equal input and output or taking in eliminating equal amounts of fluid

8 ounces

240 mL

1 ounce

30 mL

NPO

Nothing by mouth

Nursing assistance should encourage but

Not force

Offering fresh liquids often helps prevent

Dehydration and promotes health

Fracture pan

A bed pan that is flatter than a regular bed pan used for residence who cannot assist with raising their hips into regular bed pans

A standard bed pan should be positioned

With the wider end aligned with the resident butt

A fracture pain should be positioned

with the handle toward the foot of the bed

Urinary incontinence

The inability to control the bladder which leads to involuntary loss of urine

Nursing assistance do not insert irrigate or remove

Urinary catheters

Clean-catch specimen

Does not include the first and the last urine voided in the sample, reducing contamination of the specimen

Occult

Something that is hidden or difficult to see or observe

Stoma

The end of the intestine is brought out of the body through an artificial opening in the abdomen

Phantom limb pain

The pain or sensation which has various possible causes, including remaining damage nerve endings

The higher the injury on the spinal cord

The greater the loss of function

Residents with COPD should sit

Upright and lean forward slightly

As a result of having asthma

Air is trapped in the lungs, causing coughing and wheezing

The most common form of diabetes is

Type 2 diabetes

Poor circulation and impaired wound healing may cause

Leg and feet ulcers, affected wounds and gangrene

HIV is a sexually transmitted disease that can be spread through

The blood and by sharing needles with an infected person

Signs of HIV or AIDS

Flu like symptoms, including fever, cough, weakness, and severe or constant fatigue

Surgery is the front line of defense for most

Forms of cancer

surgery is the key treatment for

Malignant tumors of the skin, breast, bladder, colon, rectum, and stomach

The side effects of chemotherapy

Nausea, vomiting, mouth, sore, diarrhea, temporary hair, loss, fatigue, weakness, anxiety, depression, and decreased resistance to infection