Chapter 1 CNA Workbook

Another name for a long-term care facility is

Skilled nursing facility (SNF)

Assisted living facilities are for

People who need some help with daily care

Which of the following statements is true of adult day services

This type of care is for people who need some help and supervision during certain hours

Care given by specialists to restore or improve function after an illness or injury is called

Rehabilitation

Care given to people who have about six months or less to live is called

Hospice care

People who live in long-term care facilities are usually called ___ because it is where they live for the duration of their stay

Residents

Most conditions seen in long-term care are chronic. This means that

The conditions last a long time

True or False: Long-term care facilities may offer assisted living, subacute care, or specialized care

True

True or False: Facilities that offer specialized care must have specially trained employees

True

True or False: Nonprofit organization cannot own a long-term care facility

False

True or False: Person-centered care means that staff should treat all residents exactly the same

False

True or False: Trauma-informed care seeks to consider a person’s trauma, experiences, and preferences while providing care

True

List two groups of people who qualify for Medicare

1. People aged 65 and older

2. People with permanent kidney failure or certain disabilities

List the four parts of Medicare and what each helps pay for

Part A: Pays for hospital or SNF care, or Hospice or HHA
Part B: Doctor services and other medical services/equipment
Part C: Private health insurance companies to provide Medicare benefits
Part D: Medications prescribed for treatment, only paus for things that it deems medically necessary

How is eligibility for Medicaid determined?

Determined by income and special circumstances

What are the three tasks that nursing assistants are not allowed to perform?

1. Insert or remove tubes

2. Give tube feedings

3. Change sterile dressing

What is one reason that observing and reporting changes in a resident’s condition is important?

There is a large group of people helping the patient, and conditions and illnesses change over time, properly charting how its changing helps the treatment go smoother

If a nursing assistant sees a resident who is not on his assignment sheet but who needs help, what should the NA do?

The NA should provide the needed care as if he were assigned to him

Activities Director

Plants activities to help residents socialize and stay mentally and physically active

Advanced Practice Registered Nurse (APRN)

A registered nurse who has completed training at the postgraduate level; nurser practitioner is one type

Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)

Licensed professional who has completed one to two years of education and is able to administer medications and give treatments

Medical Social Worker (MSW)

Helps residents get support services, such as counseling and financial assistance

Nursing Assistant (NA)

Performs assigned tasks, such as measuring vital signs, providing personal care, and reporting observations to other care team members

Occupational Therapist (OT)

Helps residents get support services, such as counseling and financial assistance

Physical Therapist (PT or DPT)

Develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain or maintain mobility

Physician or Doctor (MD or DO)

Licensed professional who diagnoses disease or disability and prescribes treatment

Physician Assistant

Licensed professional who diagnoses disease or disability, prescribes medication, and works under the supervision of a doctor

Registered Dietitian (Rd or RDN)

Assesses a resident’s nutritional status and develops a treatment plan that may include creating special diets

Registered Nurse (RN)

Coordinates, manages, and provides skilled nursing care; supervises nursing assistants’ daily care of residents

Resident

Person whose condition, goals, priorities, treatment, and progress are what the care team revolves around

Speech-Language Pathologist (SLP)

Identifies communication disorders and creates a care plan; teaches exercises to help the resident improve or overcome speech problems and evaluates a person’s ability to swallow food and drink

Which of the following statements is true of the chain of command

It describes the line of authority

Liability is a legal term that means

Someone can be held responsible for harming someone else

Why should a nursing assistant not do tasks that are not assigned to him?

The NA may put himself or a resident in danger

What is one reason that other members of the care team show interest in an NA’s work

Licensed healthcare providers assign the NA’s tasks

True or False: A policy is a course of action to be followed. For example, all health information must remain confidential

True

True or False: Facilities will have procedures for reporting information about residents

True

True or False: It is all right to do tasks not listed in the job description if they are very simple

False

True or False: Changes in a resident’s condition should be reported to the nurse

True

True or False: Each step in a procedure is important and must be strictly followed

True

Professional or Unprofessional: Being on time

Professional

Professional or Unprofessional: Being neatly dressed and groomed

Professional

Professional or Unprofessional: Doing tasks that have not been assigned if the resident requests them

Unprofessional

Professional or Unprofessional: Keeping resident information confidential

Professional

Professional or Unprofessional: Telling a resident about a bad date that the NA had over the weekend

Unprofessional

Professional or Unprofessional: Explaining care before providing it

Professional

Professional or Unprofessional: Accepting a birthday gift from a resident

Unprofessional

Professional or Unprofessional: Providing person-centered care

Professional

Professional or Unprofessional: Asking questions when not sure of something

Professional

Professional or Unprofessional: Calling a favorite resident Sweetie

Unprofessional

Professional or Unprofessional: Being a positive role model

Professional

Professional or Unprofessional: Answering a call while helping a resident eat dinner

Unprofessional

Compassionate

Being caring, concerned, considerate, empathetic, and understanding

Conscientious

Being guided by a sense of right and wrong

Dependable

Getting to work on time and doing assigned tasks skillfully

Empathetic

Identifying with the feelings of others

Honest

Being truthful

Patient

Not losing one’s temper easily, not acting irritated or annoyed, not rushing residents

Proactive

Anticipating potential problems and needs before they occur

Respectful

Valuing other people’s individuality and treating others politely and kindly

Sympathetic

Sharing in the feelings and difficulties of others

Tactful

Showing sensitivity and having a sense of what is appropriate when dealing with others

Unprejudiced

Giving the same quality of care regardless of age, gender, sexual orientation, gender identity, religion, race, ethnicity, or condition

Matt, a new NA, tells a resident that she has to wear the flowered shirt he picked out for her,

Margaret, a NA, tells her best friend, “Ms. Picadilly’s cancer is getting worse. I heard her moaning all night last night.”
Which Resident’ Right does this violate

The right to privacy and confidentially

Harry, a NA, is measuring a resident’s vital signs when the residen’t family

Yvonne, a NA, is going off duty. Leaving Ms. Scott’s room, she notices a pretty necklace. She decides to borrow it for the night, promising to herself to return it tomorrow. She knows Ms. Scott has Alzheimer’s disease and will not notice that it is gone anyway.
Which Residents’ Right does this violate

The right to security of possesions

Jane is explaining a care procedure to Mrs. Gonzalez in English. Mrs. Gonzalez only speaks Spanish. When she finished, Jane asks Mrs. Gonzales if she understands the procedure. Mrs. Gonzalez looks confused and does not respond. Jane begins to perform the care on Mrs. Gonzalez
Which Residents’ Right does this violate

The right to be fully informed about rights and services

Mrs. Perkins is a resident who has visual impairment. She has misplaced her eyeglasses many times. She gets upset during eye examinations, so the staff at her facility often allow her to go without glasses for a few weeks before having them replaced

Which Residents’ Right is being violated

Services and activities to maintain a high level of wellness

Mr. Gallerano has a stomach ucler that gives him minor pain. He has medication for it, but he says that it makes him nauseated and he does not want to take it. Kayla, a NA, tells him that he may not have his dinner until he takes the medication.

Which Residents’ Right is being violated

The right to participate in their own care

Ms. Mayes, a resident with severe arthritis, has a blue sweater that she loves to wear. The buttons are very tiny, and she cannot button them herself. Jim, a NA, tells her that cannot wear the sweater today because it takes too long to help her into.

Which Residents’ Right is being violated

The right to make independent choices

Jasmine is a NA at Sweetwater Retirement Home. Every night when she goes home, she tells her family touching stories about the residents with whom she is working.

Which Residents’ Right is being violated

The right to privacy and confidentiality

Sofia, a NA at Great Oak Extended Care Facility, is running behind with her work for the evening. She is helping Mr. Young, a resident with Alzheimer’s disease, with his dinner. She is getting frustrated with him because he keeps taking the fork out of her hand and dropping it on the floor. Finally, she slaps his hand to get him to stop.

Which Residents’ right is being violated

The right to dignity, respect, and freedom

Ms. Land, an elderly resident, gets into a loud argument with another resident during a card game. When her daughter comes to see her later that day, Anne, an NA, tells her that Ms. Land is in a bad mood and cannot see anyone.

Which Residents’ Right is being violated

The right to visits

During dinner, Jaylen, a NA, spills hot soup on a resident’s arm. He tells her that she had better not tell anyone about it or he will be very angry at her.

Which Residents’ Right is being violated

The right to complain

Abuse

Purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone

Assault

A threat resulting in a person feeling fearful that they will be harmed

Battery

The intentional touching of a person without their consent

Domestic violence

Physical, sexual, or emotional abuse by spouses, intimate partners, or family members

False imprisonment

Unlawful restraint that affects a person’s freedom of movement

Financial abuse

The improper or illegal use of a person’s money, possessions, property, or other assets

Involuntary seclusion

The separation of a person from others against the person’s will

Malpractice

Injury caused by professional misconduct through negligence, carelessness, or lack of skill

Neglect

The failure to provide needed care that results in physical, mental, or emotional hard to a person

Negligence

Actions, or the failure to act or provide proper care, resulting in unintended injury to a person

Physical abuse

Any treatment, intentional or unintentional, that causes harm to a person’s body-includes slapping, bruising, cutting, burning, physically restraining, pushing, showing, and rough handling

Phycological abuse

Emotional harm caused by threatening, scaring, humiliating intimidating, isolating, or insulting a person, or by treating the person as a child

Sexual abuse

Nonconsensual sexual contact of any type

Sexual harassment

Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive work environment

Substance abuse

The repeated use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself or others

Verbal abuse

The use of spoken or written words, pictures, or gestures that threaten, embarrass, or insult a person

Workplace violence

Verbal, physical, or sexual abuse of staff by other staff members, residents, or visitors

If a resident wants to make a complain of abuse, what must an NA do

Help them in every way, tell them the process and tell them their rights

One task of an ombudsman is to

Investigate and resolve resident complaints

What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)

To protect and secure the privacy of health information

Which of the following is considered protected health information (PHI)

Patient’s social security number

What is the correct response by an NA if someone who is not directly involved with a resident’s care asks for a resident’s PHI

Tell them the person that the information is confidential and cannot be shared

Which of the following is one way to keep private health information confidential

Using confidential rooms for reporting on residents

Which of the following is true of a resident’s medical chart

A medical chart is the legal record of a redident’s care

When should care be documented

Immediately after care is given