CNA knowledge test prep

What is TCEP?

Training Competency Evaluation Program; TCEP must be at least 75 hours (59 hours classroom and 16 hours clinical). TCEP is also known as NATCEP.

What is NATCEP?

Nurse Aide Training Competency Evaluation Program. After completion of the NATCEP you will receive a certificate of completion. You will not be an STNA until you pass the state test.

What is NAR?

Nurse Aide Registry. In order to remain on the NAR, the STNA must work (for pay) for at least 8 hours in a 24

What is PC?

Program Coordinator. The role of the PC is equivalent to the role of a principal.

What is PI?

Primary Instructor. The role of the PI is equivalent to the role of a teacher.

What is a Trainee?

The role of the trainee is equivalent to the role of a student.

What is an STNA?

State Tested Nursing Assistant. In Ohio there are no CNA's, as Ohio does not certify nurse assistants.

What is the purpose of TCEP?

To prepare you to pass the state test. To successfully pass the state test you must obtain a score of 80% or better.

What is the purpose of the state test?

To evaluate your skills competency and written knowledge and to insure that residents are cared for properly.

What is an LTCF?

Long Term Care Facility (also known as a nursing home or extended care facility).

What are most conditions in long

term care facilities?

What is acute care?

Care given to people who have an immediate illness in hospitals. Acute means sudden onset.

What does it mean for an NA to be dependable?

They must keep resident information confidential and carefully follow their care plan. The care plan is found in a binder at the nurse's station.

What are care plans used for?

To help residents achieve their goals and therefore must be followed carefully.

Can NA's accept gifts from residents?

No.

What is a procedure?

A method or way of doing something.

What is a policy?

The rules and guideline of the facility.

Is it the responsibility of the NA to give medications to residents?

No. The NA can only perform basic nursing skills.

How can an NA maintain a professional relationship with an employer?

By being on time, asking questions, and documenting carefully.

Residents should be addressed formally how?

Residents should be addressed formally using “Mr.”, “Mrs.”, “Ms.”, or “Miss” and a last name. You need permission to call a resident by their first name.

What does being dependable as an NA include?

Showing up to work a few minutes early, helping co

What are proper and improper grooming practices for NAs?

NAs should always ensure they are properly groomed by bathing daily. Wearing stained clothing to work, having long fingernails, and wearing too much makeup are examples of unacceptable grooming.

Who can diagnose disease and prescribe treatment? What nursing diagnoses can a nurse give?

Only a doctor can diagnose disease and prescribe treatment. The nurse can give a nursing diagnosis, such as self

What is the order of the nursing process?

Assessment, nursing diagnosis, planning, implementation, and evaluation.

What does the chain of command describe in a facility?

The line of authority.

What is liability?

Liability is a legal term for “responsibility for harm done.” The NA can only perform tasks for which they have been trained. NAs are liable for their own actions.

What is the difference between ethics and laws?

Ethics tell us what we should do, while laws tell us what we must do.

What does honesty mean for an NA?

Communicating honestly with all team members, not lying about care given, and never stealing from residents.

What is the idea behind a code of ethics?

A resident deserves ethical care.

Why was OBRA passed and what are its requirements?

OBRA was passed due to reports of poor care and abuse in nursing homes. Resident assessments must be completed on every resident, NAs must have at least 75 hours of training, states must keep a current list of NAs in a state registry, and OBRA was passed in 1987.

What should an NA do if abuse is suspected?

Report it to the nurse immediately and let the nurse handle it from there.

What does an ombudsman do?

An ombudsman advocates for residents and helps settle disputes between the resident and the facility.

What does confidentiality mean and where should health information never be discussed?

Confidentiality means keeping private things private. It is never appropriate to discuss a resident’s health information in public places such as cafeterias or elevators.

What is HIPAA and what can happen if it is violated?

HIPAA was created to keep health information private and secure. Not following HIPAA regulations can ultimately lead to fines and prison sentences.

What are advance directives and what does PSDA stand for?

An advance directive could be a living will, medical directive, or a durable power of attorney for health care. The PSDA encourages people to make decisions about advance directives. PSDA stands for Patient Self

What are the parts and types of communication?

The communication process has three parts: sender, receiver, and feedback. Communication can be verbal (speaking to someone) or nonverbal (using gestures or cues). Tone, volume, and cadence are nonverbal parts of speech.

How can culture affect communication?

A person's cultural background can affect the use of touch, how eye contact is used, or how far apart people stand when talking.

Why can communication become confusing and conflicting?

Communication can often become confusing and conflicting when people say one thing and mean another.

What should an NA do if a resident does not hear or understand something?

Speak clearly while facing the resident and repeat what was said.

How can barriers to communication be avoided?

By refraining from using slang and not giving medical advice.

How does a good listener ensure understanding?

A good listener will restate a message in their own words to make sure they understand.

How can touch be used as communication?

Using touch as a means of communication should relay a message of care. This may include holding a hand or softly patting a shoulder.

How can an NA show they are listening to residents?

By leaning forward in their chair, trying to understand what the resident is going through, and avoiding changing the subject.

What type of language should NAs use with residents and families?

Simple, non

How should an NA answer the phone at a facility?

Be cheerful, identify the facility, and write down important messages.

What should an NA know about call lights?

A call light should never be ignored. The call light should always be placed within a resident’s reach. If the resident has a weak side, the call light should be placed close to the stronger side.

How can an NA communicate with a visually impaired resident?

It may be helpful to use the face of an imaginary clock to explain the position of objects.

How can an NA communicate with a resident who has had a stroke?

Ask “yes” or “no” questions, use pictures, gestures, or pointing, and always have the call light within reach.

How should an NA respond to a combative resident?

Always remain calm and lower the tone of your voice. Combative means out of control.

What causes inappropriate behavior in residents and how should an NA respond?

Illness, medication, dementia, and other factors can cause inappropriate behavior. If a resident behaves inappropriately, the NA should be matter

3 reasons we would have to take the class again

failed state test 3 times, don’t work at least 8 hours, you waited too long to take state test (2 years)

Chain of command

Administrator, medical director, director of nursing, assistant director of nursing, nursing supervisor, charge nurse, CNA

What is infection control?

A set of methods used to prevent the spread of disease

What are Universal Precautions (Standard Precautions)?

Treating all residents as if they have the potential to spread infectious disease

What does Standard Precautions mean?

Following infection control practices with every resident

What should you do before putting on gloves?

Wash your hands

When should hands be washed?

Before and after each resident contact

When should gloves be worn?

When there is contact with body fluids, broken skin, or mucous membranes

When should a mask and goggles be worn?

When there is a possibility of splashes or sprays of blood or body fluids

When should a mask be worn?

When caring for someone with a respiratory illness such as TB

What is the Chain of Infection?

The process by which disease spreads from one person to another

Link 1 of the Chain of Infection

Causative Agent

What is a causative agent?

The microorganism that causes disease

Link 2 of the Chain of Infection

Reservoir

What is a reservoir?

The place where the pathogen lives and grows

Link 3 of the Chain of Infection

Portal of Exit

What is a portal of exit?

The way a pathogen leaves the reservoir

Link 4 of the Chain of Infection

Mode of Transmission

What is the mode of transmission?

The way disease is spread

Link 5 of the Chain of Infection

Portal of Entry

What is a portal of entry?

The way a pathogen enters a new host

Link 6 of the Chain of Infection

Susceptible Host

What is a susceptible host?

A person likely to become infected

How can the Chain of Infection be broken?

By breaking the mode of transmission

What is the most important method of preventing disease spread?

Hand washing

What do vaccinations do?

Decrease a person's likelihood of getting a disease and make them less susceptible

Who is most susceptible to disease or infection?

Elderly people

Why are elderly people more susceptible to disease?

They are hospitalized more often and may have weakened immune systems

Who else is at risk for infection?

The very young and people with weakened immune systems

What does PPE stand for?

Personal Protective Equipment

What is the order for applying PPE?

Mask, goggles, gown, gloves

What is the order for removing PPE?

Gloves, goggles, mask, gown

What should gloves be checked for before use?

Tears

What should be done if gloves are torn?

Replace them

What type of gloves should people with latex allergies use?

Vinyl gloves

How many times should gloves be used?

One time only

Can gloves be washed and reused?

No

When should gloves be worn?

When in contact with broken skin, contaminated items, blood, mucous membranes, or body fluids

What resident care tasks commonly require gloves?

Shaving, mouth care, bedpan care, measuring output, peri

Do gloves replace hand washing?

No

What is hand hygiene?

Using soap and water or alcohol

Why should alcohol

based rubs not be used on young children?

What are blood

borne diseases?

How are blood

borne diseases transmitted?

Examples of blood

borne diseases

What does HBV stand for?

Hepatitis B Virus

What does HCV stand for?

Hepatitis C Virus

What disease affects the lungs and is highly contagious?

Tuberculosis (TB)

How is TB spread?

Through coughing, sneezing, singing, or talking

What are the three isolation types?

Respiratory, Strict, Reverse