cod cna exam 1

abuse

the willful infliction of injury, unreasonable confinement, intimidation, or punishment that results in physical harm, pain, or mental anguish

assault

intentionally attempting or threatening to touch a person's body without the person's consent

battery

touching a person's body without consent

boundary crossing

A brief act or behavior of being over-involved with the person; the intent of the act or behavior is to meet the person's needs

boundary sign

An act, behavior, or thought that warns of a boundary crossing or violation

boundary violation

an act or behavior that meets your needs, not the person's

child abuse and neglect

The intentional harm or mistreatment of a child under 18 years old; it involves any recent act or failure to act on the part of a parent or caregiver; it results in death, serious physical or emotional harm, sexual abuse, or exploitation; and it presents a likely or immediate risk for harm

criminal law

laws concerned with offenses against the public and society in general

defamation

injuring a person's name and reputation by making false statements to a third person

elder abuse

any knowing, intentional, or negligent act by a caregiver or any other person to an older adult; the act causes harm or serious risk of harm

ethics

Knowledge of what is right conduct and wrong conduct

False Imprisonment

unlawful restraint or restriction of a person's freedom of movement

fraud

Saying or doing something to trick, fool, or deceive a person

informed consent

the process by which a person receives and understands information about a treatment or procedure and is able to decide if he or she will receive it

intimate partner violence (IPV)

physical, sexual, or psychological harm by a current or former partner or spouse

invasion of privacy

violating a person's right not to have his or her name, photo, or private affairs exposed or made public without giving consent

law

A rule of conduct made by a government body

libel

Making false statements in print, writing, or through pictures or drawings

malpractice

Negligence by a professional person

neglect

when a caregiver or responsible person fails to:

-- Protect a vulnerable person from harm

-- Provide food, water, clothing, shelter, health care, or basic activities of daily living to a vulnerable person

negligence

An unintentional wrong in which a person did not act in a reasonable and careful manner and a person or the person's property was harmed

professional boundary

that which separates helpful actions and behaviors from those that are not helpful

professional sexual misconduct

a violation of professional interactions with an act, behavior, or comment that is sexual in nature

Protected Health Information (PHI)

identifying information and information about the person's health care that is maintained or sent in any form (paper, electronic, oral)

self-neglect

a person's behaviors and way of living that threaten his or her health, safety, and well-being

slander

making false statements through the spoken word, sounds, sign language, or gestures

standard of care

the skills, care, and judgments required by a health team member under similar conditions

vulnerable adult

a person 18 years old or older who has a disability or condition that makes him or her at risk to be wounded, attacked, or damaged

HIPAA

The Health Insurance Portability and Accountability Act, a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed.

CDC

Centers for Disease Control and Prevention

IPV

intimate partner violence

OBRA

(Omnibus Budget Reconciliation Act) A law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents.

Who is always the focus of care?

The person

What are the purposes of health care?

health promotion and disease prevention, detection and treatment of disease, rehabilitation and restorative care

Types of agencies in healthcare

Acute, rehabilitation and sub-acute, long-term care setting, doctors' offices and clinics, home care

Hospitals

provide emergency care, surgery, nursing care, x-ray procedures and treatments, and laboratory testing

in-patient care

Health care a person receives when admitted to an agency such as a hospital or skilled nursing facility.

out-patient care

services that do not require the patient to stay overnight in the hospital

acute illness

an illness of rapid onset and short duration; the person is expected to recover

chronic illness

a long-term health condition that may not have a cure; it can be controlled and complications prevented with proper treatment

terminal illness

an illness or injury from which the person will not likely recover

discharge

official departure of a person from a health care setting

ALR

Assisted living residence

hospice

a health care agency or program that promotes comfort and quality of life for the dying person and his or her family

Board of trustees or board of directors

governing body

health team

the many health care workers whose skills and knowledge focus on the person's total care; interdisciplinary health care team

nursing team

Those who provide nursing care--RNs, LPNs/LVNs, and nursing assistants

RN

has completed a 2, 3, or 4-year nursing program and has passed. licensing test

LPN

has completed a practical nursing program and has passed a licensing test

Nursing assistant

A person who has passed a nursing assistant training and competency evaluation program; performs delegated nursing tasks under the supervision of a licensed nurse

Regulations

rules made by government agencies

survey

the formal review of an agency through the collection of facts and observations

The purpose of rehabilitation is to

Restore function and independence

A person is admitted to a hospital. Which is true?

The person receives in-patient care

A patient is ready for discharge from the hospital. The person needs more care before going home. Which is best?

Do short-term rehabilitation in a nursing center before going home.

You work in an assisted living residence. You...

Help persons with their daily activities

A person needs end-of-life care. Which can promote comfort and quality of life?

hospice

Who controls policy in a health care agency?

board of directors

Who is responsible for the entire nursing staff and safe nursing care?

Director of nursing

Which health team member helps the person retain skills needed for daily living and work?

Occupational therapist

The nursing team includes..

RN's, LPN's (LVN's), & Nursing Assistant's

Which member of the nursing team requires the most education?

Registered nurse

Nursing assistants are supervised by

Licensed nurses

Your hospital unit uses a team nursing care pattern. Your role is to...

Report observations and the care you give to the nurse

Medicare is for persons who

are 65 years of age or older

Which government agency over-sees government-funded insurance programs?

Center for Medicare and Medicaid Services (CMS)

Which is required for an agency to operate and provide care

A license

Which is voluntary for health care agencies?

Accreditation

Surveys are done to

see if agencies meet set standards

A surveyor asks you some questions. You should

Give honest and complete answers

The nursing supervising you has not returned from a meal break. You have a question about a patient's care. What will you do?

Ask the charge nurse

Persons who live in long-term care centers are called

residents

Nursing education staff are responsible for

planning and presenting educational programs that meet federal and state requirements, providing new and changing information, instructing on the use of new equipment, reviewing key policies and procedures on a regular basis, teaching and training nursing assistants, conducting new employee orientation programs

Describe primary nursing

-is responsible for the person's total care

-The nursing team assists as needed.

advocate

Someone who acts or speaks on behalf of another person

involuntary seclusion

separating a person from others against his or her will, keeping the person to a certain area, or keeping the person away from his or her room without consent

ombudsman

someone who supports or promotes the needs and interests of another person

representative

someone with the legal right to act on the patient's or resident's behalf when the person cannot do so alone

treatment

The care provided to maintain or restore health, improve function, or relieve symptoms

OBRA

(Omnibus Budget Reconciliation Act) A law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents.

the right to information means

access to all records about the person

Residents have the right to

personal privacy

The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilities

explains the person's rights and expectations during hospital stays

The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilities is concerned with

Hospital care

The OBRA is a federal law that

Sets standards for quality of nursing center care

A son has the legal right to act on his mother's behalf. The son is his mother's legal

Representative

Residents must be

informed of rights orally and in writing

A resident says he does not want a shower. Which response is best?

"Why do you not want a shower?"

A daughter wants to read her father's medical record. What should you do?

Tell the nurse

A resident asks about another resident's health. Which response is best?

"I cannot give information about another resident"

Which violates the person's right to privacy?

Opening the window blinds when assisting with bathing

A resident has a phone and wants to make a call. What should you do?

Leave the room

Who decides how to style a person's hair?

person

A resident would like to sleep later in the morning. You should

Allow the person to sleep until the preferred time

Residents have the right to

Voice complaints about care

Residents have the right to be free from

Involuntary seclusion

A resident brought some items from home. They are

Labeled with the person's name

A resident carries a baby doll most of the day. You should

Treat the doll with care and respect

A person found guilty of abuse

Cannot work in a nursing center

Which is the correct way to address a person?

"Hello, Mrs. Smith"