Module 13: Long-Term Care Patient

You have been assigned to take care of an older woman with Parkinson’s disease. Symptoms you might expect to see include

A) Hand tremors and slowed body movements

B) Red, swollen, and painful joints

C) fever, cough, and night sweats

D) frequent urination and fruity breath

Hand tremors and slowed body movements

Janice is an older resident who has been asking to go to the bathroom nearly every hour. They have also had some incontinent episodes, which is unusual for the. They have no complaints of pain, but you notice that their urine is cloudy and smells. You suspect that Janice may have

A) a kidney stone

B) a urinary tract infection

C) diverticulitis

D atherosclerosis

A urinary tract infection

The integumentary system is made up of

A) blood, cells, sweat, and hair

B) skin, hair, sweat glands, and fingernails

C) toenails, teeth, blood, and sugar

D organs, cells, vitamins and minerals

Skin, hair, sweat glands, and fingernails.

The most common type of dementia is

A) vascular

B) Lewy body

C) Alzheimer’s

D Parkinson’s

Alzheimer’s

A gradual thinning of bone tissue is called

A) kyphosis

B) rheumatoid arthritis

C) contracture

D) osteoporosis

osteoporosis

Maurice is one of your residents whom you are taking care of today. When you enter their room, you notice that they are shaking and appear anxious. Their skin is sweaty and cool when you touch them. They seem confused when you ask if they are feeling all right. Maurice may be experiencing

A) hyperglycemia

B) hallucinations

C) hypoglycemia

D) peripheral vascular disease

Hypoglycemia

The goal of activities therapy is to

A) maintain a resident’s hobbies and interests

B) keep residents busy throughout the day

C) maintain the resident’s ability to care for themself

D) restore gross motor skill

Maintain a resident’s hobbies and interests

One of your residents appears nervous and states that they have an appointment for a biopsy. This means that they have an appointment for

A) the removal of a small number of cells

B) a type of cancer treatment

C) the loss of hair

D) a type of radiation

The removal of a small number of cells

In Maslow’s hierarchy of need, the level that adresses the social, creative, emotional, and spiritual potential within a person is

A) self-actualization

B) esteem

C) love and belonging

D) physiological

Self-actualization

Jonathon is a resident who has dementia. They wander throughout the facility and often strike out at the nursing assistant caring for them. An appropriate area for them to live would be a(n)

A) locked unit

B) subacute unit

C) integrated unit

D) step-down unit

locked unit

Increased swelling in the legs, frequent urination at night, and shortness of breath are common symptoms of

A) peripheral vascular disease

B) chronic pulmonary obstructive disease

C) congestive heart failure

D) diabetes mellitus

congestive heart failure

You have called the nurse to your resident’s room because they are complaining of chest pain. They also appear sweaty and anxious and are holding their left arm. The resident may be experiencing a(n)

A) cardiovascular accident

B) myocardial infarction

C) asthmatic attack

D) transient ischemic attack

myocardial infarction

Changes in the respiratory system due to aging include

A) decreased air exchange in the lungs

B) increase in varicose veins

C) slower response time to pain

D) bones becoming brittle and breaking more easily

Decreased air exchange in the lungs

Alopecia is a loss of

A) appetite

B) hair

C) self- esteem

D) weight

Hair

Side effects associated with cancer treatments include

A) fatigue

B) weight loss

C) mouth sores

D) all of the above

Fatige, weight loss, mouth sores. All of the above

A tissue type that lines the inside and outside of the body is called

A) matrix

B) smooth

C) epithelial

D) nervous

Epithelial

Anna is a 28-year-old home health resident whom you assist once a week. They are positive for HIV. Today they tell you that their infection has progressed to AIDS. This means that their life expectancy is

A) 6 months

B) 1 year

C) 2-3 years

D) 5-7 years

2-3 years

A good way to decrease pocketing food in the cheeks during mealtime is to

A) use “sippy” cups

B) use rubber-tipped spoons

C) offer a drink in between each bite

D) offer finger foods

offer a drink in between each time

The function of the body’s T cells is to

A) carry oxygen to the cells of the body

B) help blood to clot

C) help the body fight off infections

D) provide proteins needed for cell health

help the body fight off infections

Platelets are fragments of cells that help the body to

A) fight infection

B) make the blood clot after an injury

C) maintain temperature

D) maintain fluid balance

Make the blood clot after an injury

Red blood cells in the human body

A) defend the body from different types of infections

B) carry oxygen to areas of the body

C) target parasites and fungi

D) help blood clot after an injury

carry oxygen to areas of the body

An example of a nonmodifiable risk factor would be

A) a lack of aerobic exercise

B) a high-fat diet

C) the resident’s ethnic background

D) excessive alcohol use

the resident’s ethnic background

A modifiable risk factor that greatly increases the risk of developing cancer is

A) a high BMI

B) a low BMI

C) high blood pressure

D) a genetic predisposition

A high BMI

Stage I cancer is

A) small or slow growing

B) a large tumor confined to one area

C) a large tumor that has spread to a different area of the body

D) none of the above

small or slow growing

The number-one risk factor for developing dementia is

A) age

B) genetics

C) brain injury

D) smoking

Age

A symptom that a resident is likely to have in the EARLY stages of an HIV infection would be

A) yeast infection

B) visual disturbances

C) Kaposi’s sarcoma

D) night sweats

yeast infection

A common sign of a cerebrovascular accident is

A) flat affect

B) one-sided weakness

C) red, swollen joints

D) increased cough

one-sided weakness

The number of people in the United States currently infected with HIV is

A) 60,000

B) 100,000

C) 500,000

D) more than 1 million

more than 1 million

You work at a local nursing home as a nursing assistant. One of your residents has fallen while trying to self-transfer. In order to activate EMS, you should

A) contact the administrator

B) call for the charge nurse

C) dial 911 and wait for the ambulance

D) call the nearest emergency room

call for the charge nurse

You are caring for Luis, a resident admitted to the hospital for pneumonia. They tell you that they are positive for HIV. This was not a part of the report you received from the nurse. You should

A) check their medical chart for information

B) report Luis’s statement to the nurse

C) ask their family if this new information is correct

D) tell your coworkers to wear gloves and isolation gowns when entering the room

report Luis’s statement to the nurse

The type of therapy that helps a resident fell a sense of purpose and boost self-esteem by bringing back a sense of meaning is

A) reminiscence

B) activity

C) validation
D) sensory stimulation

validation

Respite care can be offered in the form of

A) adult day care

B) assisted living

C) skilled nursing care

D) all of the above

adult day care

The incidence of HIV infection in healthcare workers is low because

standard precautions are routinely used

You are assigned to bathe Cathleen, a dementia resident who is afraid of the water. You should

wash the resident’s hair at the end of the bath

offer a complete bed bath instead of a tub bath

be calm and supportive

do all of the above

An intervention that can help a resident feel safe would be

providing the call light before you leave the room

The type of tissue only found in the integumentary system is

Epithelial

A good way to increase caloric intake for a resident receiving cancer treatments is to offer

ice cream, smoothies, and protein shakes

According to Erik Erikson, the life stage at which people typically wish to contribute to the next generation is

middle adult

A preschooler has met their developmental milestone when

they learn new skills and principles

One example of sensory stimulation therapy might be

giving the resident a hand massage

The treatment for tuberculosis (TB) includes

a long-term medication regimen

The CDC encourages healthcare providers to make HIV testing a part of care for

all resident 13-64 years old

All of the following are layers of the skin EXCEPT

the alimentary canal

A common way to keep wandering residents safe is by using a(n)

alarm system

The clinic where you work discovers that one of its employees has tested positive for HIV. The clinic can legally share this information with

no one

Normal signs of aging include

slowed response time

temperature regulation changes

vision changes

all of the above

The greatest risk factor for contracting the HIV infection is

unprotected sex between men

The inability to speak or form words is called

expressive aphasia

The term “esteem” refers to

respect or admiration for self and others

A resident who is no longer able to speak, perform any ADLs, or control body movements is exhibiting signs of

the severe or late stage of Alzheimer’s

Signs and symptoms of an anaphylactic reaction include

shock, shortness of breath, wheezing, and facial and airway swelling

The disease that is commonly referred to as the “silent killer” is

hypertension

Asking a resident what they want to eat today is a good example of meeting their need for

esteem