cna exam 1

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"

Which action promotes dignity?

Listening to the person

Which promotes privacy?

Closing the privacy curtain for a procedure

Who selects activities for a resident?

person

A nursing center must provide

A safe, clean, and comfortable setting

A long-term care ombudsman

investigates resident complaints

A resident is crying. She tells you a co-worker is rough when moving her and insults her. She says the co-worker threatens to "tie her down" if she tries to get up alone. What will you do? What is the nursing center's responsibility?

report it

Which agency is responsible for publishing the document that explains a person's rights and expectations during hospital stays?

American Hospital Association

accountable

to answer to one's self and others about one's choices, decision, and actions

certification

Official recognition by a state that standards or requirements have been met

delegate

to authorize or direct a nursing assistant to perform a nursing task

delegation

the process a nurse uses to direct a nursing assistant to perform a nursing task; allowing a nursing assistant to perform a nursing task that is beyond the nursing assistant's usual role and not routinely done by the nursing assistant

endorsement

A state recognizes the certificate, license, or registration issued by another state; reciprocity or equivalency

job description

a document that describes what the agency expects you to do

nursing task

nursing care or a nursing function, procedure, skill, or activity

A nurse practice act

defines the different nursing levels and their scope of practice

OBRA requires how many hours of instruction?

75 hours

OBRA requires how many hours of supervised practical training?

16 hours

Nursing assistants function under the supervision of

licensed nurses

What state law affects what nursing assistant can do?

Nurse practice act

You do not pass your state's competency evaluation on the first attempt. You

may re-take the test

OBRA requires a nursing assistant registry. You are placed on the registry after

successfully completing a state-approved NATCEP

Your nursing asstatnt certification can be revoked for

Performing acts beyond your role

You have not worked as a nursing assistant for 3 years. You can work as a nursing assistant again if

You meet your state's requirements for competency evaluation

As a nursing assistant, you

report observations to the nurse

Giving drugs is outside of the nursing assistant range of functions. Which is true?

You cannot give drugs

Who assigns and supervises your work?

nurses

You are responsible for

Knowing what you can safely do

You perform a task not allowed by your state. Which is true?

You could be practicing nursing without a license

A patient begins having trouble swallowing. The nurse decides not to delegate feeding to you. Why?

The person's condition has changed

In the delegation process, communication involves

asking questions about a task

Which statement about guidance and assistance is true?

The nurse must make sure you complete tasks correctly

You can refuse to perform a task if

A nurse is not available to guide or assist you as needed