CHSE 108 - Quiz #3

Nursing Aide / CNA Study Guide

Factors that affect food choices

Taste, culture, geography, economics, religion, and personal preference.

Importance of knowing special diets

To recognize when the wrong food or liquids are provided.

Thickened liquids purpose

They reduce risk of aspiration and choking.

Feeding tube risk

Residents with feeding tubes are at high risk for aspiration.

Definition of fluid balance

Fluid intake and output should be approximately equal.

Resident needing carbohydrate

controlled diet

Clothing protector terminology

Use “clothing protector,” not “bib.”

After placing resident on bedpan

Provide privacy and raise the head of the bed as tolerated.

Importance of handwashing after elimination

Residents must wash hands for infection control.

Purpose of catheter care

To prevent infection, irritation, and odor.

Nurse aide and bladder training

Nurse aides may assist with bladder training as instructed.

Constipation risk factors

Slower peristalsis, low fiber, low fluids, and immobility.

Can nursing assistants give enemas?

No, LTC aides may not give enemas.

Ostomy permanence

An ostomy may be temporary or permanent.

Stool consistency and stoma location

Stool consistency depends on where the stoma is located in the colon.

Tumor meaning

A tumor is not always cancer; it may be benign or malignant.

CAM treatments for cancer

Includes meditation, massage, relaxation, and other comfort therapies.

Use of chemo/surgery/radiation for comfort

These may be used for comfort as well as treatment.

Can aides answer prognosis questions?

No; prognosis must be answered by a nurse or physician.

Who experiences grief

The dying person, family, and caregivers may all experience grief.

Aide as hospice team member

Yes, nurse aides can be part of the hospice team.

Where hospice can be provided

Hospice can be provided at home, in LTC, or in a hospital.

Purpose of hospice care

To provide comfort, dignity, and support for the resident and family.

Difference between will and living will

A will handles property; a living will states medical preferences.

Respecting cultural and religious wishes

Nursing assistants must honor each person’s culture and beliefs.

Rights of dying persons

The right to dignity, comfort, and expressing feelings freely.

Holistic care meaning

Meeting physical, emotional, social, and spiritual needs.

Talking with dying residents

Be present, listen, and support them.

Rigor mortis timing

Begins 2–6 hours after death, not the next day.

Autism characteristics

Difficulty communicating and relating to others.

Special education program focus

Self

Pain observation in disabilities

Observations help detect pain when communication is limited.

HIV transmission risk

HIV is not spread by casual contact; no PPE needed for feeding.

Standard precautions for HIV

When used properly, workplace risk is very low.

ADL assistance

Let residents do as much as they can independently.

Meaning of NPO

Nothing by mouth.

Post

surgery observation

Task aides cannot perform

Pain medication administration.

Meaning of ADLs

Activities of Daily Living.

Pulse oximeter use

Aides may use it if trained and allowed.

Changing oxygen flow

Aides cannot change oxygen settings.

Oxygen use and showers

Do not remove oxygen unless the nurse instructs otherwise.

Oral care for oxygen users

Oxygen causes dryness, so oral care is needed.

Home health aide role

Follows the RN or case manager’s care plan.

Abandonment by home health aide

Not showing up as scheduled can be abandonment.

Standard precautions in home care

They are just as important in home settings.

Delirium definition

Delirium is temporary and often reversible.

Sundowning definition

Confusion and agitation in late afternoon/evening in dementia.

Causes of dementia behavior increase

Changes in routine or environment.

Confusion as infection sign

Sudden confusion may indicate a UTI.

Difference between delirium and dementia

Delirium is sudden/reversible; dementia is gradual/progressive.

Depression in nursing homes

Depression is common among residents.

Delirium reversibility

Delirium can usually be reversed with treatment.

Nutritional supplements form

Usually high

Assistive device for one

handed eating