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Acute care
A 24-hour skilled care given in hospitals and ambulatory surgical centers for people who require short-term, immediate care for illnesses or injuries
Hospice care
Is given in facilities or homes for people who have approximately 6 months or less to live
The length of stay of over 2/3 of residents in long-term care is
Six months or longer
Dementia and other mental disorders are major cause of
Admissions to care facilities
A procedure
Is a method or way of doing something
Nursing assistant should not take
Money or gifts
Nursing assistants should not discuss
Personal problems
The window for surveyors is (blank) after initial notification
9-15 months
A register nurse
In a long-term care facility, the nurse coordinates, manages, and provides skilled nursing care
Licensed practical nurse (LPN) or Licensed vocational nurse (LVN) can
Administer medications and give treatment
Advanced practice register nurse (APRN) is
A registered nurse who has completed training at the postgraduate level
Occupational therapist
Helps residents learn to adapt to disabilities
Assistive devices are
Special equipment to help with activities of daily living (ADLs)
The care team revolves around the
Resident, their condition, goals, priorities, treatment and progress
Sympathy means
Sharing in the feelings and difficulties of others
The chain of command also protects
Employees and employers from liability
Who can give orders to nurse aids?
Nurses and doctors
The information that NA’s collect such as vital signs, and the changes that they observe are important in
Determining how the care plans may need to change
Laws
Tell them what they MUST do
All team members must keep resident information
Confidential
Keeping resident information confidential is one of the
Resident’s rights
OBRA was passed in response to
Poor care and abuse in long-term care facilities
Nursing assistants must complete at least
72 hours of training
Psychological abuse is
Emotional harm caused by threatening, scaring, humiliating, intimidating, isolating or insulting a person or treating an adult as a child
Nursing assistants must never
Abuse residents in any way
Nursing assistants must try to protect residents from others who
Abuse them
Scalp tenderness or patches of missing hair is a sign of
Abuse and neglect
Respect the residents refusal of
Care
When doing a procedure on a resident always
Explain before performing it
Ombudsman is
Assigned by law as the legal advocate for residents
Nursing assistants should not share information about residents with anyone other than the
Care team
HIPAA
Health Insurance Portability and Accountability Act
It is important for NA’s to ask questions to find out what is appropriate and to always respect the resident’s
Choices, beliefs and behaviors
An NA should not use
Medical terminology with residents and their families
Being a good listener means, when the resident is finished talking the NA should
Restate the message in his own words to make sure he has understood
The importance of touch can look like
Holding or softly patting resident’s hand or shoulders
Objective information is
Based on what a person sees, hears, touches or smells
Subjective information is
Something a person can not or did not observe
Report immediately if a resident has
Chest pain or high fever/fever
Document care
Immediately after it is given
Careful documentation is the only way to guarantee
Clear and complete communication among all the members of the care team
In military time, the hours are numbered from
00 to 23
Documentation needs to be doing using
24 hour clock or military time
What is 9:00 PM in military time?
2100 hours
A call light is
The primary way a resident can call for help
Nursing assistants should always respond to the resident’s
Call light
Using the face of an imaginary clock as a guide can help explain the
Position of objects
When a resident has combative behavior, you should?
Remain calm and lower the tone of your voice
If you encounter a resident in any embarrassing situation, remain
Professional and do not overreact
Microorganisms are always present in the
Environment
If you may come in contact with blood, body fluids or secretions, etc, you should be wearing
Gloves
Wash your hand before and after removing your
Gloves
Standard Precautions must be used with every (blank) to promote safety
Resident
The single most common way for healthcare-associated infections to be spread is via the
Hands
Bloodborne pathogens are
Microorganisms found in human blood that can cause infection and disease in humans
Tuberculosis or TB is an
Airborne disease
Tuberculosis or TB can be spread when a person
Talks, coughs, breathes, sings, laughs or sneezes
Nursing assistants can help prevent the spread of MRSA by practicing
Proper hygiene
What is the single most important measure to control the spread of MRSA
Handwashing
Disorientation means
Confusion about person, place or time
To prevent falls, clear all walkways of
Clutter, trash, cords and throw rugs
Before giving care or serving food the resident must be
Identified
To guard residents against choking, the resident should eat in a
Upright position
Nursing assistants should never stop, adjust or administer
Oxygen
Any type of open flame near oxygen is a dangerous
Fire hazard
The Occupational Safety and Health Administration (OSHA) requires that all hazardous chemicals have a
Safety data sheet
A Safety Data Sheet (SDS) is a sheet that details
Chemical ingredients, chemical dangers, safe handling, storage and disposal procedures for the product
If a restraint is needed for the resident the only person that can order it is the
Doctor
Side rails on beds, geriatric chairs with tray tables attached are all examples of what?
Physical restraints
The base of support is the foundation that supports
An object
A restrained resident must be monitored constantly at least every
15 minutes
Maintaining a wide base of support and low center of gravity will enable you to help a
Falling resident
P.A.S.S. means
Pull, Aim, Squeeze, Sweep
R.A.C.E. means
Remove, Alert, Contain, Extinguish
Abdominal thrusts are
A method of attempting to remove an object from the airway of someone who is choking.
Abdominal thrust can help remove the blockage
Upward and out of the throat
When responding to shock, how high should you elevate the legs unless the person has an injury or breathing difficulties or fractures?
8 to 12 inches
To control bleeding hold a
Thick sterile pad, clean cloth, or clean towel against wound
When controlling bleeding with a sterile dressing, it is important to
Press down hard directly on the bleeding wound until help arrives
Insulin reaction or hypoglycemia can result from either too much or too little
Insulin in food
When someone is having a seizure to prevent injury
Move furniture
Slurred speech or inability to speak (expressive aphasia is a sign what occurring?
Stroke
To help a resident who is falling, the nursing assistant should
Widen her stance, bring the resident’s body close to break the fall
Holistic care means
Caring for the whole person, the mind as well as the body
If you encounter a sexual situation between consenting adults provide
Privacy and leave the room
Respect residents’ decisions to participate in or refrain from
Food related rituals
To learn about residents’ religions or beliefs you must
Listen carefully to what resident’s say
What is not a sign of normal aging
Incontinence
By dividing a task into smaller units can help teach the resident to perform
ADLs
Intense tantrums, repetitive body movements, aggression, a short attention span and differences in reading and expressing emotions are symptoms of
Autism spectrum
If a person has autism spectrum disorder it may be helpful to have
Familiar caregivers and a routine
Anterior or ventral means
Front of the body on body part
Atrophy occurs
When the muscle waste away, decrease in size, and become weak
What a contracture develops
The muscle or tendon shortens, becomes inflexible and freezes in position
The nervous system can sense and interpret
Information from outside the human body
The heart pumps blood through the
Blood vessels to the cell
To help a resident with urination an NA should
Encourage fluids and offer frequent trips to the bathroom
Peristalsis means
The muscles of the esophagus then move food into the stomach through involuntary contractions
The lymphatic system consists of
Lymph vessels and lymph capillaries in which a fluid called lymph circulates