Module 13: Long-Term Care Patient

The social, creative, emotional, and spiritual potential in a person is called

a) self-realization.

b) self-image.

c) self-actualization.

d) self-esteem.

c) self-actualization.

Epithelial tissue forms the

a) brain and spinal cord.

b) heart and muscle fibers.

c) lining of the stomach and lungs.

d) blood and bones of the skeleton.

c) lining of the stomach and lungs.

The typical age when a child develops a sense of identity through experimentation is

a) 2–3 years old.

b) 4–5 years old.

c) 6–11 years old.

d) 12–19 years old.

d) 12–19 years old.

Encouraging resident participation in a tour of a local art exhibit helps residents to meet their need for

a) esteem.

b) love and belonging.

c) comfort.

d) self-actualization

d) self-actualization

The FIRST step in helping a resident who is emotionally unwell is to

a) ensure that they are toileted promptly.

b) offer them a chance to paint or put together puzzles.

c) make sure that they don’t wander into unsafe areas.

d) encourage them to participate in activities.

a) ensure that they are toileted promptly.

Luther recently lost their job after working in a local factory for several years. They are having a difficult time supporting their family and themself. According to Maslow, the level of need they will meet when they find new employment is

a) esteem.

b) safety and security.

c) love and belonging.

d) basic human needs.

b) safety and security.

You are taking care of Molly and notice that their chart states that they are Catholic. Molly is resting, but you realize that your facility has Catholic services being held in the chapel. You should

a) get Molly ready for church.

b) let Molly continue resting.

c) ask Molly if they would like to attend church.

d) wait and take Molly to the next service.

c) ask Molly if they would like to attend church.

Providing holistic care means paying attention to

a) the resident’s physical and emotional needs.

b) the resident’s social and spiritual needs.

c) the resident’s illness and level of function.

d) both a and b.

d) both a and b.

One specific defense mechanism the body uses to protect itself is

a) the lining of the lungs and trachea.

b) white blood cells.

c) the integumentary system.

d) the lining of the sensory organs.

b) white blood cells.

Blood, cartilage, fat, and bone are all made of

a) nervous tissue.

b) muscle tissue.

c) epithelial tissue.

d)connective tissue.

d)connective tissue.

John’s wife comes in to visit John almost daily. John’s wife always seems upset and tearful when they leave. Today you have an opportunity to sit and get to know them better. This can

a) improve customer satisfaction.

b) decrease their stress.

c) increase their quality of life.

d) do all of the above.

d) do all of the above.

One function of the kidneys is to

a) help regulate blood pressure.

b) collect urine.

c) release corticosteroids.

d) support body metabolism.

a) help regulate blood pressure.

Self-confidence and cooperation with others typically develop when a person is

a) 4–5 years old.

b) 6–11 years old.

c) 12–19 years old.

d) 20–34 years old.

b) 6–11 years old.

You can reduce your risk of developing dementia by

a) not using aluminum pots and pans when cooking.

b) eating healthy foods and exercising.

c) avoiding artificial sweeteners.

d) avoiding aluminum-based deodorants

b) eating healthy foods and exercising.

Osteoarthritis most often affects the joints of the

a) hips, lower back, and knees.

b) fingers and toes.

c) shoulders and neck.

d) arms and hands.

a) hips, lower back, and knees.

An example of a modifiable risk factor would be

a) old age.

b) being female.

c) alcohol use.

d) ethnic background

c) alcohol use.

Understanding disease processes helps the nursing assistant to

a) understand the importance of delegated tasks.

b) care for the resident in a holistic manner.

c) identify and diagnose abnormal conditions.

d) both a and b.

d) both a and b.

Theresa is a 78-year-old resident with Alzheimer’s. They are often restless and anxious, especially in the evenings. You can help reduce Theresa’s anxiety by

a) looking at a photo album together.

b) giving them some clean towels to fold.

c) turning on the TV for them.

d) both a and b.

d) both a and b.

Plaques and tangles in the brain are characteristic of

a) Lewy body dementia.

b) vascular dementia.

c) Alzheimer’s disease.

d) Parkinson’s disease.

c) Alzheimer’s disease.

Anna is a resident who is in the early stages of dementia. They are on medication for Alzheimer’s disease. This medication can help Anna by

a) reversing the effects of Alzheimer’s.

b) delaying the progression of dementia.

c) stopping the disease from progressing.

d) providing a cure for Alzheimer’s.

b) delaying the progression of dementia.

Modifiable risk factors include all of the following EXCEPT

a) high blood pressure.

b) alcoholism.

c) genetics.

d) depression.

c) genetics.

An example of a chronic skin disorder would be

a) pressure injuries.

b)psoriasis.

c) shingles.

d) varicella.

b)psoriasis.

A resident who is diagnosed with leukemia has cancer of the

a) adrenal glands.

b) bone marrow.

c) immune system.

d) brain and spinal column.

b) bone marrow.

One of the first symptoms of dementia is

a) not recognizing close relatives.

b) difficulty swallowing foods.

c) short-term memory loss.

d) sexual inappropriateness.

c) short-term memory loss.

Estelle is an elderly resident with dementia. This afternoon you find them by the nurse’s desk pacing back and forth, visibly upset. The first thing you should do for Estelle is to

a) assist them to the bathroom and ensure that they are dry and comfortable.

b) encourage them to visit another resident in the facility.

c) give them an art project to work on in their room.

d) tell the nurse that Estelle needs medication for anxiety.

a) assist them to the bathroom and ensure that they are dry and comfortable.

Treatment for type 2 diabetes often begins with

a) oral medications.

b) insulin injections.

c) a balanced diet.

d) eliminating desserts.

c) a balanced diet.

Doreen is a resident with moderate dementia. At supper, you notice that they have had a large, loose incontinent stool. When you attempt to toilet and change Doreen, they become upset and start yelling at you. You should

a) continue attempting to toilet and clean Doreen.

b) let them rest for a few minutes and then reapproach them.

c) wait until they are ready to go to bed to clean them.

d) tell Doreen that they have to be washed or their skin will break down.

b) let them rest for a few minutes and then reapproach them.

A diagnosis of Alzheimer’s disease is confirmed by

a) extensive laboratory tests.

b) autopsy after the resident’s death.

c) the resident’s signs and symptoms.

d) mental examination by the doctor.

b) autopsy after the resident’s death.

A masklike facial appearance, difficulty swallowing, tremors, and an inability to move purposely are symptoms of

a) myocardial infarction.

b) Parkinson’s disease.

c) Alzheimer’s disease.

d) epilepsy.

b) Parkinson’s disease.

Offering smoothies to a resident who is receiving chemotherapy may help with

a) mouth sores.

b) bone pain.

c) diarrhea.

d) alopecia.

a) mouth sores.

Cancer that has metastasized to other areas of the body is identified as

a) stage I.

b) stage II.

c) stage III.

d) stage IV.

d) stage IV.

Most cancers are caused by

a) genetic makeup.

b) infections.

c) lifestyle choices.

d) environmental factors

c) lifestyle choices.

When cancer spreads or moves to other areas of the body, it is called

a) metastasis.

b) a benign tumor.

c) a carcinogen.

d) stage I cancer.

a) metastasis.

You work in a long-term care facility that has a unit designed for residents with dementia. Today you have noticed that one of your coworkers has been very impatient and short-tempered with their residents. You should

a) tell your coworker that you will cover for them while they take their cigarette break.

b) ignore it; all caregivers have difficult days.

c) report your observations to the nurse right away.

d) suggest to the coworker that they take some time off from work.

c) report your observations to the nurse right away.

Lydia is a 42-year-old woman who has been diagnosed with stage II breast cancer. They tell you that they are trying a new herbal supplement to help fight the cancer. You should

a) ask Lydia which herbal supplement they are taking and then update the nurse.

b) tell them that herbal supplements are not effective against cancer.

c) search the Internet for information on the supplement to give Lydia.

d) ask Lydia to wait until after their cancer treatments to start a supplement.

a) ask Lydia which herbal supplement they are taking and then update the nurse.

Palliative care is designed to help those residents who

a) are expected to live 3 months or less.

b) have decided to stop treatments to cure their cancer.

c) have a terminal disease and wish comfort measures only.

d) need relief from the symptoms and stress of their cancer.

d) need relief from the symptoms and stress of their cancer.

You are caring for a resident with dementia who often refuses to have their incontinence garment changed. The most effective phrase to use when assisting them to the bathroom is

a) “Let’s go to the toilet.”

b) “It’s time to change your brief.”

c)“Let’s just freshen up a bit.”

d) “I’m going to take you to the bathroom now.”

c)“Let’s just freshen up a bit.”

Christian is a 38-year-old man with stage III lung cancer. This means that the cancer

a) is a larger tumor but is confined to the lungs.

b)has started to spread into the tissues surrounding the lungs.

c) has spread to other areas of the body and lymph nodes.

d) is a slow-growing tumor.

b)has started to spread into the tissues surrounding the lungs.

Almost half of all cancers are caused by

a) unprotected sun exposure.

b) hepatitis B and C.

c) exposure to asbestos.

d) tobacco smoke.

a) unprotected sun exposure.

One of your residents with dementia has been very wakeful throughout the night. They have attempted to get out of bed unassisted several times. To help them sleep better at night, you should

a) keep the unit as quiet and calm as possible.

b) move them to a room next to the nurse’s station.

c) keep the awake until at least 10:00 p.m.

d) ask the nurse if they can give the resident a sleeping pill.

a) keep the unit as quiet and calm as possible.

Chemotherapy is a treatment option that consists of

a) surgical removal of the tumor and surrounding tissue.

b) a beam of radiation aimed directly at the cancer.

c) administering medications via IV, injection, or pills.

d) targeting a specific area only.

c) administering medications via IV, injection, or pills.

Alberto is a resident with late-stage Alzheimer’s. They are no longer able to speak or follow directives. An appropriate activity for Alberto would be

a) bingo.

b) arts and crafts.

c) morning exercise group.

d) an ice-cream social.

d) an ice-cream social.

Two residents who both have dementia are fighting in the hallway. What should you do?

a) Get their attention by yelling “Stop” and then separate them.

b) Talk in a soft tone while separating them.

c) Explain resident rights to both residents.

d) Keep calm and call 911.

b) Talk in a soft tone while separating them.

You are caring for Alicia, a 32-year-old woman with stage IV breast cancer. They have decided to stop treatments and return home to be with their husband and daughter. Alicia’s mother asks you to speak with them and convince them to continue treatments. What should you do?

a) Tell them you will speak with Alicia privately.

b) Allow them to express their feelings and then update the nurse.

c) Tell them to call the doctor for information on treatment options.

d) Contact the social worker and ask them to speak with Alicia’s family.

b) Allow them to express their feelings and then update the nurse.