CNA EXAM 1 module A,AA,B,C,D,L

Who are the nursing members of healthcare team?

RN ,LPN ,CNA

Characteristics of an effective team

clear purpose, informality, participation, listening, civilized disagreement, consensus decisions, open communication, clear rules and work assignments, shared leadership, external relations, style diversity, self-assessment

General duties of nurse aide

Perform delegated basic nursing skill, personal care skill, appropriate interpersonal skills, vital sign , BP

To stop infection, how many link must be broken

1 link

List items in PPE

Gloves

Gown

Mask

Goggle

Face shield

Anaerobic organism thrive in what environment

Warm,moist,deoxygenated environment

Characteristic that put geriatric clients at risk for falling with potential injury

decreased strength, instability, slower movement, impaired coordination, visual impairment, etc.

List the barriers to successfully communication

Noisy room

Lack of privacy

Talking too fast

Language

Older age

Impairment

Which government agency defines the NA scope of practice

North Carolina Board of Nursing

Give an example of empathy

Understanding the patient

Related to what the patient going through

Put yourself in their shoes

Nurse aides can share client information with who

RN

Alcohol based hand rubs may be used when

Before/after eating

Before/after handling food

Before patient routine care

The most important step to hand washing is

Friction

PASS stand for

Pull, Aim, Squeeze, Sweep

If you are alone , how can you treat a client with obstructed airway

Stay with them

Call for help

Define culture

View of the world as well as a set of values , beliefs and traditions that are handed down from generation to generation

Define vulnerable adult

-adults who are at risk for abuse or mistreatment

-they are not able to protect selves from harm due to mental emotion , developmental disability , brain damage ,

Who supervises nurse aide

RN,LPN

Name legally permitted duties of nurse aide

Bathing, feeding, dressing, transferring, and repositioning

what is a HAI (healthcare associated infection)

Also know as nosocomial infection

An infection that a resident gets while staying or living in a healthcare setting

Stand precautions are

First level to prevent/ control infection

Hand washing

PPE when anything wet

Most important step to prevent the spread of disease

hand washing

What are some step in feeding a patient with dysphagia

cut food in small pieces; sit them upright

No talking when eating

List some physical condition that put a patient with for falling

instability of joint , muscle weakness , lack of coordination

Problem with balance

List the components of effective communication

-message to be delivered

-sender of message

-receiver of message

-feedback of message

Speak slowly

Listen

Don't interrupt

Define ethics

Knowledge of what is right conduct and wrong conduct

Coda conduct

Nursing assistant are responsible for

Complete all delegated task

Basic nursing skill

Personal care skill

Interpersonal skill

List example of when you would wear glove while performing care

-come in contact with : blood , bodily fluids , urine , still , spit , etc

-non- intact skin ( sores, cut)

- mouth care, wiping

Anything is wet

When and generally how are contaminated work surfaces cleaned

Anytime blood or bodily fluids get on a surface. Use whatever product is provided at facility and allow surface to air dry.

Example of localized infection

infected finger

IG Tract

Step to prevent fall include

-assist with ambulation when necessary

-provide appropriate assistance/supervision

-keep environment free of clutter

-keep all walkways free from rugs , cords , boxes , and equipment

Step to communicate with client from another culture

-follow appropriate cultural preferences demonstrate respect , accept resident as an individual

- active listen

-translater

Consideration for caring for a person with impaired vision

need bright light if reading

Need glass

purpose of OBRA

Improve quality of life or residents living in a nursing home environme

Symptoms of a UTI would be

Pain when urinating, smelly urine,confused, bladder/kidney infection

Burning during urinating

Which client do we use standard precautions with

Everyone

medical asepsis is

clean technique

Step in helping a conscious chocking client are

-Encouraged them to cough as much as possible

- ask someone to get a nurse

-stay with them

Step to enhance communication with client are

-Show interest

-listen

-don't interrupt

-silence

-eye contact

Ask for clarification

Example of questions that enhances therapeutic communication

Open and end questions

Encouraged residents to yak about feeling

Medication a nursing assistant can administer

None

Purpose of infection prevention is

To control and prevent the spread of infections.

aerobic microorganisms thrive in

Oxygen

When providing personal care to a resident the nursing assistant should encourage the client to

Be more independent as much as possible

Define the medical record

legal document that organizes all the information about care of a single resident in one document

Define subjective data

-Patient's own feelings or perceptions regarding his or her impending surgery

-information you told that

Example of what should be reported off at shift change

Care, treatment and observation

Example of efficient communication include

Listening,asking questions, not interrupt

Key aspects of HIPPA as it relates to the medical record

Protect privacy and security

Define objective data

observations using the senses

Example of observation that should be reported immediately

-Change in residents' ability to respond, change in mobility, change in vision, abnormal vitals complaints of numbness , vomiting , bleeding , unusual odors .

-Any thing that change

Pulse rate of more than 100 beats per minute

tachycardia

A respiratory rate more than 20 breath per minute

Tachypnea

high blood pressure

Hypertension

rapid and deep breathing

hyperventilation

Low blood pressure

Hypotension

Slow, shallow breathing that may be irregular

Hypoventilation

Blood vessels that carry blood with oxygen and nutrients away from the heart and to the cell

Arteries

Pulse rate less than 60 bpm

Brachycardia

A respiratory rate less then 12 breath per minute

Brahypea

The resting paths of the heart when the heart fill with blood; the bottom number of a blood pressure reading

Diastole

require oxygen to survive

Aerobic

The working phase of the heart when the heart is pumping blood to the body; the top number of blood pressure reading

systole

Dose not need oxygen to survive

Anaerobic

Infection agent

bacteria, viruses, fungi,parasite

reservoir

Gi tract , dirt, tick,respiratory tract

portal of exit

Nose(sneezing) GI tract(vomiting) mouth( coughing)