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A mandated reporter:
Must report suspected abuse,
Must report actual abuse,
Must report abuse told to them by a visitor
(All of the above)
Prior to working directly with patients/ residents, the Nurse Assistant must complete a facility orientation and:
Have a TB-clearance
The responsible Nurse Assistant will arrive at work:
With enough time to be ready to start work at the designated time
Upon successful completion of Nurse Assistant training program, the candidate has how much time to complete the state competency exam?
2 years
The overall purpose of OBRA is to:
Improve quality of life for patients/residents in nursing facilities
What is the maximum number of times that the State Competency Exam may be taken?
3 times
A Nurse Assistant may be dismissed from a job because of:
Falsifying documents or records
Patient/resident neglect
Theft of a patient/resident or hospital property
(All of the above)
The Nurse Assistant should not:
Ask about the patient's/resident's bank account
The Patient's Bill of Rights is:
Provided to all patients/residents upon admission
Consumers of health care are responsible for:
Being honest with the physician
Healthcare consumers always have the right to:
Receive respectful and considerate care
Documents that provide instructions about the patient's/resident's wishes for treatment when the patient/resident is unable to
Advanced Directives
Informed consent means that the:
The patient/resident makes decisions based on full disclosure of procedures, benefits, and risks
A grievance is:
A complaint
Healthcare workers:
Must be familiar with the Patient's Bill of Rights
When an elderly person is admitted to the long-term care facility, they have the right to:
Have personal items in their room
The rights of patients/residents in long -term care facilities:
Include the right to make independent medical choices
The purpose of a long-term care facility is to:
Provide care for persons who cannot care for themselves at home
A resident has been at home with his family all day. The Nurse Assistant notices new bruises on the patient's/resident's back when he returns. The Nurse Assistant should:
Report the bruises to the licensed nurse
The Nurse Assistant does not need to be familiar with the Patient's Bill of Rights.
False
The patient/resident has the right to be free from restraints.
True
The patient/resident has the right to know about his or her diagnosis and prognosis.
True
The patient/resident has the right to refuse treatment.
True
The patient/resident has the right to know if a student is providing care for him or her.
True
The patient/resident has the right to know the cost of care.
True
If a visitor asks you a question about a patient's/resident's medical condition, it is alright to tell
True
You may be found guilty of invasion of privacy if you open a patient's/resident's mail.
True
Upon admission to the long-term care facility, the patient/resident should receive notices of right, rules, and services.
True
An ombudsman is someone who helps resolve grievances between a patient's/resident's family and the facility.
False
An Advance Directive is part of the admission process and is required.
False
Definition: Not revealing private information
Confidentiality
Standards and safeguards for documentation and transmission of patient health records
HIPAA
Use of physical force
Corporal Punishment
The document that guarantees the rights of the consumer of home care facilities
Client's Rights in Home Care
Complaint
Grievance
The document that guarantees the rights of the consumer in a long-term care facility
Patient/Resident Rights
A document that states the patient's/resident's wishes for care in the event they are unable to
Advanced Directive
Permission given for care after the procedures have been explained
Informed Consent
Which of the following is a physiological need?
Water
Which of the following would be a barrier to effective communication?
Changing the subject each time a patient/resident brings up an uncomfortable topic
Avoiding eye contact when talking to another person is an example of which type of communication?
Non-verbal
A charge nurse uses a medical word that the Nurse Assistant does not understand. What should you do?
Ask the nurse to explain the meaning
A patient/resident asks to see his chart. What is the correct action for the Nurse Assistant?
Report this to the charge nurse
When patients/residents express their feelings and concerns, the Nurse Assistant will best respond by:
Listening to the patient's/resident's concerns
A patient's/resident's family asks to meet their mother's new roommate who is sitting in the day room. The nursing assistant will most correctly:
Take the family and patient/resident to the day room and introduce them to the new roommate
A Nurse Assistant works on the first floor of a skilled nursing facility. The Nurse Assistant's uncle is a patient/resident on the second floor. Which statement is true about this relationship?
The Nurse Assistant can visit her uncle during lunch time
Which form of communication may reveal the most about a patient's/resident's true feelings?
Body language
What is the most appropriate way to answer a patient's/resident's telephone?
"Good morning. Mrs. Gray's room, this is Mary Jones, Nurse Assistant speaking"
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What information must be included when giving an end of shift report?
Facts and specific information that were observed and care given by the Nurse Assistant.
Listening skills are enhanced by:
Empathy
A patient/resident tells the Nurse Assistant that he misses participating in religious activities. The most helpful action by the Nurse Assistant at this time is to:
Talk with the patient/resident about religion to encourage discussion
A confused patient/resident was recently moved to a private room at the family's request. The Nurse Assistant understands that:
Any change in routine can produce anxiety in a patient/resident
Information that can be seen, heard, or smelled is called:
Objective data
When should changes in a patient's/resident's condition be reported?
Right away
When charting, it is essential to record:
Safety measures performed
A patient/resident was moved out of her home and into a long-term care facility. She is angry about being moved. How will the Nurse Assistant be most helpful for this patient/resident?
Sit with her and let her express her feelings
Which action is best to do before transferring a telephone call?
Explain that the call is going to be transferred and where
Stress is best defined as
A response to any demand made on an individual
The Nurse Assistant is assigned to the care of a newly admitted patient/resident who does not speak English. What is the best approach for the Nurse Assistant when beginning care?
Ask the charge nurse to get an interpreter
Mrs. S, the charge nurse, wants blood work results on Mr Jones immediately. Which of the following terms would indicate "immediately" to the lab?
STAT
The Nurse Assistant finds a fire burning in a wastebasket in a patient's/resident's room. What should the Nurse Assistant do first?
Remove the patient from the area of the fire
Falls are a common cause of injury. Which of the following might help prevent the patient/resident from becoming injured from falls?
Keep the patient's/resident's bed in the low position
Mr. B is receiving oxygen therapy. Which of the following is a rule that should be followed with oxygen therapy?
Do not allow smoking when oxygen is in use
Mrs. A is being placed in a vest device to keep her from falling from her wheelchair. What should the Nurse Assistant do?
Explain kindly to Mrs. A that the postural supports are being used to help prevent her from falling
When applying postural supports (restraints) the Nurse Assistant should keep in mind that:
Unauthorized (unordered) use of restraints can result in accusation of "false imprisonment"
The Nurse Assistant enters a patient's/resident's room and sees the bed is at its highest level. The Nurse Assistant should know that:
The bed should be placed in the lowest position
RACE is a term representing activities to be carried out in the event of a fire. The "R" stands for which of the following?
Remove the patient/resident
To help prevent fires, the Nurse Assistant should:
Report frayed electrical cords immediately
The Nurse Assistant finds a frayed electrical cord on a fan in a patient's/resident's room. Which of the following actions is correct?
Report the situation to the nurse
Mr. B is receiving oxygen therapy and requests assistance with shaving. What should the Nurse Assistant do?
Shave with soap and a safety razor
Suffocation is?
When breathing stops
Which person has the greatest risk for accidents and injuries?
A person with dementia
The Nurse Assistant sees water on the floor. The Nurse Assistant should immediately:
Clean up the water
Falls are most likely to occur:
During change of shift
Who has the greatest risk of getting caught in the bed rails?
Mr. G - is confused and disoriented
For safety reasons, the wheelchair brakes must be locked:
When transferring into or out of the wheelchair
Hazardous substances include the following EXCEPT:
Soaps and shampoos
You are injured while transferring a person to a wheelchair. Which is true?
You need to complete an incident report
Which of the following items is NOT a fire hazard?
A full waste basket
The Nurse Assistant is ambulating a patient/resident with crutches. The Nurse Assistant should:
Have the patient/resident wear non-skid shoes
When applying soft postural supports to a patient/resident, the Nurse Assistant MUST:
Apply padding over bony areas
To use a fire extinguisher, you must first:
Remove the safety pin
When making a patient/patient's/resident's bed, the Nurse Assistant discovers a damaged electrical cord. Which of the following actions should a Nurse Assistant take?
Report the situation to the charge nurse
To prevent patients/residents from falling, the Nurse Assistant should keep patients/residents
Beds at the lowest position, with side rails up, if ordered
A patient/resident who is receiving oxygen has a visitor who wants to smoke. The Nurse Assistant should tell the visitor:
To go outside the building to smoke in a designated area
Which of the following safety precautions should the Nurse Assistant recognize as one to be used when caring for patients/residents who are receiving oxygen?
A "No Smoking: Oxygen in Use" sign is placed on the door of the room
The Nurse Assistant discovers that the three-pointed ground plug has a point missing. The Nurse Assistant should:
Immediately tell the maintenance department
Upon entering a patient's/resident's room, the Nurse Assistant discovers a fire. Which of the following is the correct sequence of steps that the Nurse Assistant should take?
Remove patient/resident, activate the safety alarm, and contain and extinguish (put out) the fire
The Nurse Assistant enters a patient's/resident's room and checks the patient/patient's/resident's environment. Which of the following problems must be taken care of immediately?
Electrical wires are exposed
During a disaster, the Nurse Assistant must:
Know the disaster plan for the facility
After hearing the emergency code for fire, the Nurse Assistant should:
Close all room doors and report to the nurse in charge
The Nurse Assistant is caring for a patient/resident who is wearing wrist restraints. The Nurse Assistant should remove the restraints and perform passive range-of-motion exercises for the patient/resident at least every:
2 hours
When a patient/resident is wearing a jacket restraint while in a chair, the Nurse Assistant should:
Release the restraint every two hours for repositioning
A patient/resident tells the Nurse Assistant that her wheelchair is broken The Nurse Assistant should FIRST:
Tell the charge nurse
Which of the following devices would not be used for patient/resident activities of daily living?
A stethoscope, a blood pressure cuff, and a thermometer
The Nurse Assistant should use a gait belt:
To help the patient/resident ambulate safely
The Nurse Assistant is cleaning the nose of a patient/resident who is receiving continuous oxygen by a nasal tube. The Nurse Assistant should NOT use:
An oil-based lubricant
Which is the main reason that the Nurse Assistant MUST report broken equipment?
The Nurse Assistant must care about patient/resident and staff safety
The best reason to use proper body mechanics is to:
Prevent injury to the patient as well as the Nurse Assistant
The patient/resident is positioned in bed with the head of the bed in a partial sitting position at a 45 degree angle. This position is referred to as the:
Semi-fowler's position