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What does OBRA stand for?
Omnibus Budget Reconciliation Act.
What year was OBRA enacted?
1987.
What was the purpose of OBRA 87?
To improve quality of life and quality of care for long-term care residents.
What is the main purpose of a CNA?
To provide direct care while promoting resident independence, safety, and dignity.
What is an adult care home?
A long-term care setting where residents receive assistance and nursing care.
Do all older adults live in nursing homes?
No.
Does aging affect everyone the same way?
No, people age at different rates.
What percentage of people over age 65 live in nursing homes?
About 4.5%.
What is Maslow's lowest level of needs?
Physiological needs.
Give three examples of physiological needs.
Air, food, and water.
How can a CNA help meet a resident's elimination needs?
Assist with toileting, bedpans, or commodes.
How can a CNA help meet a resident's safety needs?
Protect residents from abuse, neglect, and injury.
How can a CNA help meet a resident's belonging needs?
Show kindness and involve the resident in conversation.
How can a CNA help meet a resident's self-esteem needs?
Respect choices, privacy, and independence.
How can a CNA help meet a resident's self-actualization needs?
Encourage meaningful activities and interests.
Name one psychosocial loss that may occur with aging.
Loss of work, home, relationships, or independence.
What is a common physical change associated with aging?
Changes in vision, hearing, balance, strength, or memory.
What is privacy?
The right to be alone and have personal information protected.
What are Resident Rights?
Legal protections that ensure dignity, respect, choice, and quality care.
What should a CNA do if a resident refuses care?
Respect the refusal and notify the nurse as needed.
What is abuse?
The intentional infliction of harm.
What is neglect?
The failure to provide needed care.
What is exploitation?
Taking advantage of a resident for personal gain.
What should a CNA do if abuse is suspected?
Report it immediately.
What is the goal of long-term care?
To help residents achieve their highest practical level of well-being.
What is an ADL?
Activity of Daily Living.
Give three examples of ADLs.
Bathing, dressing, and eating.
What is one responsibility of a CNA regarding resident records?
Accurately document care and observations.
What is confidentiality?
Keeping resident information private.
Who may receive resident information?
Only individuals directly involved in the resident's care.
What should a CNA do if asked to perform a skill they have not been trained to do?
Seek assistance from the nurse.
What does integrity mean?
Being honest and dependable.
What is the most important communication skill?
Listening.
What is verbal communication?
Communication using spoken words.
What is nonverbal communication?
Communication through facial expressions, gestures, posture, and touch.
Why should a CNA use simple language?
To improve understanding.
Why should a CNA face the resident when speaking?
To help with hearing and understanding.
What is empathy?
Understanding and sharing another person's feelings.
What should a CNA do before entering a resident's room?
Knock and identify themselves.
What is a barrier to communication?
Anything that interferes with understanding a message.
What is a resident with hearing loss likely to need?
Clear speech, face-to-face communication, and reduced background noise.
What is the chain of infection?
The process by which infections spread from one source to another.
What is a pathogen?
A microorganism capable of causing disease.
What is a reservoir?
A place where microorganisms live and grow.
What is a portal of exit?
The path a microorganism uses to leave its source.
What is a portal of entry?
The path a microorganism uses to enter a new host.
What is a susceptible host?
A person who can become infected.
What is the single most effective way to prevent infection?
Handwashing.
When should hands be washed?
Before and after resident contact and after glove removal.
What are Standard Precautions?
Infection control practices used with all residents.
What is PPE?
Personal Protective Equipment.
Name three examples of PPE.
Gloves, gowns, and masks.
When should gloves be worn?
When contact with blood, body fluids, or contaminated items is possible.
What is a nosocomial infection?
An infection acquired in a healthcare facility.
What is contamination?
The presence of harmful microorganisms.
What should a CNA do after removing gloves?
Wash their hands.
What should be done with sharps?
Placed in an approved sharps container.
Why is infection control important?
To protect residents, staff, and visitors from disease.