The Nursing Assistant in Long-Term Care – Chapter 1 Review Vocab
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Flashcards cover key definitions, laws, resident rights, NA duties, documentation rules, and other essential concepts from Chapter 1 of Hartman’s "The Nursing Assistant in Long-Term Care."
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85 Terms
What is long-term care (LTC)?
Care given in facilities for people who need 24-hour skilled care.
What is skilled care?
Medically necessary care provided by licensed nurses or therapists.
What does the phrase “length of stay” mean?
The number of days a person remains in a care facility.
How is a terminal illness defined?
A disease or condition that will eventually cause death.
In healthcare, what does chronic mean?
Long-term or long-lasting.
What are diagnoses?
Medical conditions determined by a doctor.
Define home health care.
Health care services delivered in a person’s own home.
What is assisted living?
Residences for people who do not need 24-hour skilled care but require some help with daily tasks.
What are adult day services?
Care for people who need assistance only during certain hours and do not live in the facility.
What is acute care?
24-hour skilled care for short-term, immediate illnesses or injuries, usually in hospitals.
Define subacute care.
Care for people who need more assistance than for chronic illness but less than for acute illness, often in LTC or hospitals.
What is outpatient care?
Short-term skilled care for people who have had procedures or surgeries and do not require overnight stay.
Define rehabilitation.
Care by specialists to help restore or improve function after illness or injury.
What is hospice care?
Holistic, compassionate care for people with about six months or less to live.
What are activities of daily living (ADLs)?
Personal care tasks such as bathing, dressing, eating, toileting, and moving.
Explain person-centered care.
Care that focuses on the resident’s individuality, preferences, and capabilities.
What is trauma-informed care?
An approach that recognizes past trauma and incorporates it into care planning.
Who qualifies for Medicare?
People 65 or older, or under 65 with certain disabilities, permanent kidney failure, or who are ill and cannot work.
Who qualifies for Medicaid?
People with low income and those with disabilities, based on state criteria.
What does Medicare Part A help pay for?
Hospital stays, skilled nursing facility care, home health, and hospice.
What does Medicare Part B cover?
Doctor services, outpatient care, medical supplies, and equipment.
What is Medicare Part C?
Allows private insurance companies to provide Medicare benefits.
What does Medicare Part D help with?
Payment for prescription medications.
Define charting.
Documenting information and observations about residents.
What are assistive devices?
Special equipment that helps ill or disabled persons perform ADLs.
Who is the focus of the care team?
The resident.
What is the chain of command?
The line of authority within a facility.
Define liability.
Legal responsibility for harming someone.
What is scope of practice?
The tasks healthcare providers are legally allowed to perform.
What is a care plan?
A plan developed for each resident that lists goals and tasks for the care team.
Define policy.
A course of action that should be taken every time a situation occurs.
Define procedure.
A specific method or way of doing something.
What does professional mean?
Related to one’s work or job.
Define personal in the workplace context.
Relating to life outside one’s job.
What is professionalism?
Behaving properly when working.
Define compassionate.
Being caring, concerned, empathetic, and understanding.
What is empathy?
Identifying with the feelings of others.
Define sympathy.
Sharing in the feelings and difficulties of others.
What does tactful mean?
Showing sensitivity about what is appropriate when dealing with others.
Define conscientious.
Guided by a sense of right and wrong; principled.
What are ethics?
Knowledge of right and wrong.
What are laws?
Government rules to ensure safety and peaceful living.
What is OBRA?
Federal law that sets minimum standards for NA training and residents’ rights.
What are Residents’ Rights?
Legal rights identified by OBRA that describe how residents must be treated.
What is informed consent?
Process in which a person makes decisions about care with a doctor’s help.
Define abuse.
Purposeful mistreatment causing physical, mental, or emotional harm.
What is physical abuse?
Any treatment that causes harm to a person’s body.
Define psychological abuse.
Emotional harm through threats, intimidation, humiliation, or isolation.
What is verbal abuse?
Use of words, pictures, or gestures that threaten, embarrass, or insult.
Define sexual abuse.
Non-consensual sexual contact of any type.
What is financial abuse?
Improper or illegal use of a person’s money or assets.
Define assault.
Threatening to harm a person, causing fear of harm.
What is battery?
Intentional touching of a person without consent.
Define domestic violence.
Physical, sexual, or emotional abuse by spouses or family members.
What is false imprisonment?
Unlawful restraint that affects a person’s freedom of movement.
Define involuntary seclusion.
Separating a person from others against their will.
What is workplace violence?
Verbal, physical, or sexual abuse of staff by anyone in the workplace.
Define sexual harassment.
Unwelcome sexual advances creating a hostile environment.
What is substance abuse?
Repeated harmful use of legal or illegal substances.
Define neglect.
Failure to provide needed care resulting in harm.
What is negligence?
Failure to act or provide proper care, causing unintended injury.
Define malpractice.
Injury to a person through professional misconduct or lack of skill.
Who is an ombudsman?
A legal advocate who helps resolve resident disputes and protect rights.
What is confidentiality?
Keeping information private according to legal and ethical standards.
What does HIPAA stand for?
Health Insurance Portability and Accountability Act.
What is protected health information (PHI)?
A person’s private health details, such as name, address, SSN, and medical record number.
Define the Minimum Data Set (MDS).
A detailed assessment form used in LTC facilities to plan resident care.
When must an initial MDS be completed?
Within 14 days of admission.
How often is the MDS reviewed?
Every three months or when there’s a major change in condition.
What is an incident in healthcare?
An accident or unexpected event not part of normal routine care.
Why is prompt documentation important?
It ensures clear communication, provides a legal record, and protects staff and residents.
Legally, what does it mean if care is not documented?
It is considered not done.
Which tasks are NAs NEVER allowed to perform?
Inserting or removing tubes, giving tube feedings, or changing sterile dressings.
If a task is not on the care plan, what should the NA do?
Do not perform it and consult the nurse.
What should an NA do when unsure about a policy or procedure?
Ask the supervisor for clarification before acting.
What is the NA’s role in the care team?
Provide personal care, observe, report, and chart; act as the eyes and ears of the team.
Give two examples of assistive devices.
Grab bars and walkers (answers may vary).
What is the first thing an NA should do if they witness or suspect abuse?
Report it immediately following the chain of command.
Who pays a fixed amount to LTC facilities under Medicare and Medicaid?
The federal/state programs reimburse facilities a set amount based on resident needs.
Within what time frame must an incident report be completed?
As soon as possible after the event, following facility policy.
Why are professional boundaries important?
They protect both residents and staff and maintain a healthy working relationship.
What should an NA do before entering a resident’s room?
Knock and wait for permission to enter.
How can an NA convert 3:15 p.m. to military time?
Add 12 → 1515 hours.
What is the NA’s responsibility if a resident refuses care?
Respect the refusal, document it, and report to the nurse.
Who owns the resident’s medical record?
The facility, but the information belongs to the resident and is protected by HIPAA.