CNA Kansas State Test

OBRA

Omnibus Budget Reconciliation Act

Minimum Standards for LTC Communities are: _____ and _____

quality of care and quality of life

How many hours are required for CNA Certification? 2 parts and total

Part 1- 40 hours, Part 2- 50 hours, Total- 90 hours

After completing Part 1 of the CNA course, a student may work as a what?

Nutrition assistant

What 2 tests need to be passed to obtain a CNA Certification?

State written and skills test

What are 3 requirements to be hired as a CNA?

TB test (2 step), background check, drug tested

The government healthcare funding is called what?

Medicare

The government financial assistance program is called what?

Medicaid

An illness that develops slowly and continues for a long period of time is?

chronic

An illness that develops suddenly and is of short duration is?

acute

Shawnee Mission Medical Center and KU Medical Center are what types of hospitals?

acute hospitals

Children's Mercy and a Psychiatric Hospital are what type of hospital?

Specialty hospitals

LTC stands for _____ and in the past were referred to as ______.

long term care, nursing homes

CCRC is the abbreviation for what?

continuing care retirement community

The state organization that is responsible for certifying CNAs is called ________ and the acronym is _______.

Kansas Department of Aging and Disability Services, KDADS

Who do CNAs report to?

Charge nurse

The Health Care Team is called _________ and the acronym is _______.

Interdisciplinary team, IDT

What document is prepared by the Health Care Team and provides information about the resident?

care plan

What are the 5 parts a care plan document?

problem, goal, action/intervention, implementation, evaluation/review

What are myths about the elderly?

lonely, poor, memory issues, useless

What are 4 facts about the elderly?

sense diminished, change in physical activity, change in physical appearance, thinking is slower

What pyramid describes needs?

Maslow's Hierarchy of needs (basics, psychological, self needs)

Psychosocial losses that occur with aging are?

not working anymore, death of spouse/friends, isolation, have to sell home

Physical losses that occur with aging are?

diminished senses, memory decline, physical activity decline

Holistic Health is _____, ______, and ______ of a person's being.

body, mind, and spirit

The last sense to disappear is?

Hearing

Name 6 resident rights

refusal of tx, managing finances, privacy, free choice, confidentiality, look at their medical records

CNAs that do resident care, but also do laundry and housekeeping are called what?

universal workers

ADLs stands for...

activities of daily living

A ______ is what needs to be done and a _______ is how it is done.

policy, procedure

HIPPA stands for what?

Health Insurance Portability and Accountability Act

Tasks that can be legally performed by a CNA is called their____.

scope of practice

A set of guidelines for good CNA care is called ______. These are based on laws, local standards, facility policies and nursing practice.

standards of care

Failure to provide care that a reasonable, careful CNA would use in a similar situation is called....

negligence

Failure to provide care and services that are necessary to ensure safety and well-being of a resident is called....

neglect

_____ is the negligence committed by a professional; physician, nurse, pharmacist ,etc.

Malpractice

The act or failure to act that intentionally or recklessly cause harm to a resident is _______.

abuse

4 types of abuse are?

physical, verbal, psychological, sexual

The misappropriation of resident's property or taking the resident's physical or financial resources is called ______.

exploitation

Call lights should be answered within ___ to ___ minutes.

3 to 5

CDC stands for what?

Center for Disease Control

OSHA stands for?

Occupational Safety and Health Administration

OSHA requires that Health care companies offer what vaccination to its employees?

Hep B vaccine

The study of the elderly is called?

Gerontology

_________ is the exchange of information.

communication

List 6 interpersonal skills of CNA:

patience, listening, empathy, curtsy, tact (tellings someone something thats not particularly good), respectful

There are 2 types of communication:

verbal and nonverbal

_________ is the capacity to understand or feel what another person is experiencing.

empathy

Name 4 non-verbal resident behaviors:

facial expression, physical distance, body position body activity

The considerations when listening to a resident are...

show interest, avoid interrupting, be patient, give feedback, don't be judgmental, don't say "don't worry"

List barriers that affect effective communication.

environment, sensory impairments, language, age difference, cognitive impairment, difficulty in expressing, poor communication skills

Techniques used when communicating with visually or hearing-impaired residents are...

come from side or front, speak slowly and clearly, be at resident's level, glasses/hearing aids on

Approaches used when communicating with cognitively impaired residents...

come from side or front, friendly approach, avoid sudden/loud actions, short words/sentences, simples choices(limit 2), don't argue

List call light etiquette rules

answer within 3-5 min, turn call light off when you get there, when leaving put call light within reach

When doing paper documentation, remember the following:

black ink, neat and legible, date and time, chronological order, accurate info, military time, be brief, use approved abbreviations, no white out (one straight line through error, re-write correctly and initial)

List 4 observation data

sight, hearing, smell, touch

Information reported by the resident is called...

subjective

_________ are microorganisms that cause diseases.

pathogens

The most common and dangerous microorganisms in health care are _____ and ____

strep and staph

The 2 most dangerous viruses are ________ and ________.

Hepatitis B and HIV

How are pathogens transmitted by droplets?

coughing, sneezing, talking

Pathogens that are spread with small particles of dust is called what?

airborne

A disease that is spread from a person to another directly or through and animal or object is called...

communicable (contagious)

The body has natural defenses. The most important defense is the _____.

skin

The lining of body passages such as mouth, respiratory and digestive are called...

mucus membranes

The tiny hairs on the respiratory tract are called _______.

cilia

Signs of infection

red, fatigue, N&V, fever, rash, drainage, odor, swelling(edema)

4 potential sources of infection are ...

blood, body fluids, non-intact skin, mucus membranes

What is medical asepsis?

infection control

Name ways to use aseptic technique and prevent the spread of pathogens.

wash hands, good hygiene, cover mouth when sneezing, cover cuts/wounds until dry, empty trash, clean equipment

CDC stands for...

Center for Disease Control

PPE stands for...

personal protective equipment

PPE includes 4 items:

gloves, mask, gown, safety glasses

What is it called when a resident has a weakened immune system and needs protection?

reverse isolation

How long do you wash your hands for?

20 seconds (wash before and after gloves)

Situations or conditions that influence safety in the elderly...

resident confusion, impaired mobility (dizziness, tremors), sensory impairment, side effects from medication (try not to exceed 9 meds)

What are 4 sensory impairments?

vision, hearing, touch, smell

The leading cause of death in a LTC are...

falls

List safety precautions to prevent falls.

clothing not too long, shoes not slick, clear path, answer call lights promptly, make sure call light is close when you leave room, make everything within reach, no rugs, wipe up liquids, lock brakes

6 causes for seizures are...

head injury, stroke, infection, high fever, brain disease/tumor, epilepsy

What are the 2 types of seizures?

Grand Mal (whole body) and Petit Mal (staring)

Things to do for someone having a seizure

put something under there head, don't try and stop the seizure, move things out of the way, turn on their side (so they don't aspirate), call for help, call 911

Seizures can also be called...

convulsions

Water temp that is safe for bathing...

100-110 degrees

Oxygen is measured by_____

liters (average 2-3 L)

2 ways to deliver oxygen...

mask or nasal cannula

What does RACE stand for?

rescue (resident), activate (fire alarm), confine (fire), evacuate/extinguish

What does PASS stand for?

pull (the pin), aim (at base of fire), squeeze (handle), spray

Conditions are favorable for a tornado is called a:

tornado watch

A tornado has been spotted and sirens are sounding is called a:

tornado warning

How do you protect the residents during a tornado?

cover them up with a blanket to protect them from debris - shut blinds

What is a resident elopement?

when a resident leaves a safe area of LTC

Every LTC has an MSDS book. What is it?

Materials Safety Data Sheets

Another name for the Heimlich is...

abdominal thrust

A deterioration in a condition is called a...

functional decline

To avoid fatigue and an injury/back strain use...

good body mechanics

Rules of good body mechanics:

no twisting (pivot), don't bend to pick up (squat), have solid base (feet on floor, feet shoulder width apart), non-slip shoes, push-pull, use stronger muscles

What is the meaning of weight bearing?

able to stand on 2 feet and carry weight

What is the meaning of limited assist?

needing some help

What is the meaning of extensive assist?

needing help with everything