Ch. 6 Workbook

Promoting independence is part of a nursing assistant's care of residents.

true.

Styling one's hair is part of grooming oneself.

true.

Perineal care is care of the fingernails and toenails.

false.

It is best for the NA to make the decisions about when and where procedures will be done.

false.

Having care explained before it is performed is a resident's legal right.

true.

The NA should knock and wait for permission to enter a resident’s room.

true.

Personal care provides the NA with an opportunity to observe a resident's mental state.

true.

If a resident appears tired during a procedure, the NA should encourage him to keep going so that the procedure is more efficient.

false.

Before leaving a resident's room, the NA should leave the bed in its highest position.

false.

The call light should always be left where the NA can easily reach it when she returns to the room.

false.

What the bottom sheet on a resident's bed must be kept free from…

wrinkles.

Cloth-covered items that keep the hand or fingers in a normal, natural position

hand rolls

May be caused by pulling a resident across the sheet when transferring him

shearing.

Skin should be kept clean and ____.

dry

Keeps covers from resting on the legs and feet

bed cradle

One type of material that prevents air from circulating, causing the skin to sweat

plastic

At a minimum, the number of hours at which immobile residents should be repositioned

two

Skin this color should not be massaged.

red

A.

side of head

B.

ear

Shoulder

D.

Hip

E.

Greater trochanter

F.

Knees

G.

ankles.

A.

Cheek

B.

Collarbone

C.

breasts

D.

abdomen

E.

Genitals

F.

Knees

G.

Toes

A.

Back of head

B.

shoulder blades

C.

Elbows

D.

buttocks

E.

sacrum (Spine base)

F.

Between the legs

G.

Heels

With a stage 1 pressure injury, skin is intact, but darker skin tones may appear to be a different color than the surrounding area.

true.

Immobile residents should be repositioned every four hours.

false.

Areas of the body where bone is close to the skin are at a higher risk for skin breakdown.

true.

Residents seated in wheelchairs do not need to be repositioned.

false

The NA should massage any red areas he notices.

false

Proper nutrition helps keep the skin healthy.

true.

When transferring residents, the NA should pull them slowly across the sheets to make the job easier.

false.

A former name for pressure injuries is decubitus ulcers.

true.

Common sites for pressure injuries are the chest, nose, and hands.

false.

A device that helps support and align a limb is called an orthosis.

true.

Bed cradle

Keeps bed covers from resting on the legs

Bony prominences

Areas of the body where the bone lies close to the skin

Draw sheet

Used to help residents who cannot help with turning or moving in bed; helps prevent skin damage from shearing

Footboard

Placed against the feet to keep them properly aligned and to prevent foot drop

Handroll

Keeps fingers in a natural position

Orthotic device

Helps support and align a limb and improve its functioning

Pressure points

Areas of the body that bear much of its weight

Trochanter roll

Rolled towels used to keep the hips and legs from turning outward

A partial bath includes washing a resident's…

A. Feet

B. Genitals

C. Legs

D. Back

B.

Which of the following should be used to wash the resident's face when giving a bed bath?

A. Washcloth and water

B. Washcloth and soap

C. Brush and soap

D. Washcloth and moisturizing cream

A.

Who is best able to choose a comfortable water temperature for the resident?

A. The nursing assistant

B. The resident

C. The resident's family member

D. The nurse

B.

How hot should the water be when shampooing a resident's hair?

A. No higher than 105°F

B. No higher than 110°F

C. No higher than 115°F

D. No higher than 120°F

A.

The resident's perineum should be washed

A. Twice a day

B. Once a day

C. Once a week

D. Every other day

B.

Which of the following products should be used when giving a shower or tub bath?

A. Baby powder

B. Body oil

C. Shampoo

D. Talcum powder

C.

When should gloves be changed during a bed bath?

A. Before washing the perineal area

B. Before washing the arms and axillae

C. Before washing the hands

D. Before washing the face

A.

List one benefit of regular grooming.

Grooming affects the way people feel about themselves and how they look to others. A well-groomed person is more likely to feel better physically and emotionally.

Where on the foot should an NA not apply lotion when giving foot care?

Between the toes

Why should an NA wear gloves while shaving a resident?

There is a chance the NA could come into contact with blood. Wearing gloves when shaving residents is a part of following Standard Precautions; it helps prevent infection.

Why might residents who take anticoagulant medication (blood thinners) be told to use an electric razor?

Using an electric razor will help avoid nicks and cuts.

The textbook states that when combing or brushing hair, the NA should "avoid childish hairstyles." Why do you think this statement is included?

residents are children, and that NAs should not treat them as such. Residents should be treated as adults.

What are ways to prevent the spread of lice?

To help prevent the spread of lice, residents’ combs, brushes, clothes, wigs, or hats should not be shared.

Which of the following would be the best type of clothing for a resident to wear during the day?

A. A comfortable nightgown

B. A clean top and pair of pants

C. A flannel pajama top and bottoms

D. A bathrobe and slippers

B.

For a resident who has weakness or paralysis on one side, the NA should place the arm or leg through the garment first.

A. Stronger

B. Weaker

C. Right

D. Left

B.

When undressing a resident who has weakness or paralysis on one side, the NA should start with the side.

A. Stronger

B. Weaker

C. Right

D. Left

A.

The resident's clothing for the day should be chosen by the…

A. Resident

B. Resident's friend

C. Nursing assistant

D. Physical therapist

A.

How often should oral care be performed? When should it be done?

Oral care is performed at least twice each day. Oral care should be done after breakfast and after the last meal or snack of the day. It may also be done before a resident eats.

List eight signs to observe and report about the mouth when performing oral care.

irritation; raised areas; coated or swollen tongue; ulcers, such as canker sores or small, painful, white sores; flaky, white spots; dry, cracked, bleeding, or chapped lips; loose, chipped, broken, or decayed teeth; swollen, irritated, bleeding, or whitish gums; breath that smells bad or fruity; and resident reports of mouth pain

What is aspiration? How can an NA help prevent aspiration while providing oral care for an unconscious resident?

Aspiration is the inhalation of food, fluid, or foreign material into the lungs. Aspiration can cause pneumonia or death. With unconscious residents, it is important to use as little liquid as possible when giving mouth care. Turning unconscious residents on their sides before giving oral care can also help prevent aspiration.

A fracture pan is used for urination with

A. Any resident who cannot get out of bed

B. Residents who cannot raise their hips

C. Residents who have problems with urinary incontinence

D. Residents who have difficulty urinating

B.

Men will generally use a _____ for urination when they cannot get out of bed.

A. Urinal

B. Fracture pan

C. Toilet

D. Portable commode

A.

Residents who can get out of bed but cannot walk to the bathroom may use a(n)

A. Toilet

B. Urinal

C. Portable commode

D. Indwelling catheter

C.

Another name for portable commode is

A. Toilet attachment

B. Portable urinal

C. Bedside commode

D. Hat

C.

Which of the following statements is true?

A. When handling body wastes, the NA should wear gloves.

B. The overbed table is where elimination equipment should be stored.

C. The NA should store elimination equipment on top of the resident's side table.

D. Containers used for elimination should be cleaned after every two uses.

A.

Why should the NA note the color, odor, and qualities of urine and stool after a resident uses a bedpan, urinal, or commode?

Changes may be the first sign of a medical problem.

1.

Fowler’s

2.

Lateral

3.

Prone

4.

Supine

5.

Sims’

Why do residents who spend a lot of time in bed or wheelchairs need to be repositioned often?

A. Repositioning keeps sheets and cushions from getting dirty.

B. Repositioning helps prevent skin breakdown and pressure injuries.

C. Staff need to make sure residents are awakened regularly.

D. Repositioning helps prevent boredom.

B.

In this position, the resident is lying on either side:

A. Supine

B. Lateral

C. Prone

D. Fowler's

B.

In this position, the resident is lying on his stomach:

A. Sims'

B. Lateral

C. Prone

D. Fowler's

C.

A draw sheet is used to

A. Make changing the bottom bedsheet easier

B. Help residents sleep better

C. Reposition residents without causing shearing

D. Prevent urinary incontinence

C.

Logrolling is

A. A way to measure the weight of a resident who is bedbound

B. One way to record vital signs for a resident who cannot get out of bed easily

C. Moving a resident as a unit without disturbing alignment

D. A special method of bedmaking

C.

Dangling is

A. Lying in the supine position

B. Doing a few sit-ups in bed to get used to the upright position

C. Elevating a resident's feet with pillows

D. A way to help a resident regain balance before standing up

D.

A resident in the Fowler's position is

A. In a semisitting position

B. Lying flat on his back

C. In a left side-lying position

D. Lying on his stomach

A.

Which of the following statements is true of working with residents in wheelchairs?

A. Before transferring a resident, the NA should make sure the wheelchair is unlocked and movable.

B. The NA should check the resident's alignment in the chair after a transfer is complete.

C. To fold a standard wheelchair, the NA should turn it upside down to make the seat flatten.

D. All residents will need their NAs to transfer them to their wheelchairs.

B.

The following piece of equipment may be used to help transfer residents who are unable to bear weight on their legs:

A. Sling

B. Slide board

C. Wheeled table

D. Folded blanket

B.

Which of the following statements is true of mechanical, or hydraulic, lifts to assist with transfers?

A. When doing this type of transfer, it is safer for one person to transfer the resident by himself.

B. The legs of the stand need to be closed, in their narrowest position, before helping the resident into the lift.

C. Lifts help prevent injury to the nursing assistant and the resident.

D. It is best to use mechanical lifts when moving residents a long distance.

C.

When applying a transfer belt, the NA should place it

A. Around the wheelchair's backrest

B. Underneath the resident's clothing, on bare skin

C. Over the resident's clothing and around the waist

D. Around the NA's waist so the resident can hold on to it

C.

If a resident starts to fall during the transfer, the NA's best response would be to

A. Bend her knees and lower the resident to the floor

B. Catch the resident under the arms to stop the fall

C. Move out of the way and allow the resident to fall on her own

D. Have the resident fall on top of the NA to break the fall

A.