Nursing Assisting: A Foundation in Caregiving - 6th Edition

Chapter review questions

Whom does Medicare insurance cover?

People who are 65 years of age or older, or those of any age with permanent kidney failure

Who makes up the majority of residents in long-term care - men or women?

Women

What are the tasks that NA do not perform?

Insert/remove tubes, give tube feedings, change sterile dressings, give medications

What can an NA do that can demonstrate professionalism?

Dress appropriately, speak well, being dependable

What are qualities NAs must have

Patient/understanding, honest/trustworthy, conscientious, enthusiastic, courteous/respectful, empathic, humble, unprejudiced,dependable/ responsible

What is an example of having a patient/understanding NA quality?

Able to cope with difficulties without complaining

What is an example of having a Honest/trustworthy NA quality?

Keeping patients information confidential

What is an example of having a Conscientious NA quality?

Guided by right and wrong, they do their best (hard working, alert, observant, accurate, responsible)

What is an example of having an enthusiastic NA quality?

care about other's problems, thinking about what it would be like

What is an example of having a Dependable/ responsible NA quality?

Getting to work on time, avoiding absences, follow policies and procedures

What is an example of a humble NA quality?

Holding themselves accountable and owning up to mistakes

What is an example of an Unprejudiced NA quality

Quality care no matter what (no discrimination)

Who is the most important member of the care team?

The resident

The Five Rights of Delegation

right task

right circumstance

right person

right direction/communication

right supervision/evaluation

Person-centered care

emphasizes the individuality of the person who needs care, and recognizes and develops his or her capabilities

When surveyors visit a facility, what do they study and observe?

How well staff is caring for residents

When a surveyor asks an NA a question she does not know the answer to, how should she respond?

Be honest and never guess

Which of the following statements is true of long-term care?

Long-term care assists people with ongoing, chronic medical conditions

3 multiple choice options

One common NA task is

Bathing Residents

Which of the following is true of proper grooming for an NA?

A simple waterproof watch should be worn

3 multiple choice options

If an NA is following the chain of command, to whom would she normally report a problem?

Nurse

3 multiple choice options

If an NA has forgotten the correct order in which to perform a procedure, which of the following would be the best way for her to proceed?

The NA should review the procedure manual before beginning

3 multiple choice options

What are ethics?

The knowledge of what is right and wrong; helps guide conduct.

What is an example of a law that must be followed?

a law against stealing residents' belongings

What are elements of a typical NA code of ethics?

I will strive to provide and maintain the highest quality of care for all residents. I will fully recognize and follow all Residents' rights. I will communicate well, serve on committees, and read all material as provided and required by my employer, etc.

According to OBRA, what is the minimum number of training hours NAs must complete?

75 hours of training

Examples of negligence

Leaving a bedridden resident alone for lengthy periods, ignoring a residents call light, or denying the resident food, medication, dentures or eyeglasses

What is a nursing assistant's responsibility if she sees or suspects abuse?

To report abuse or suspected abuse and are considered mandate reporters. NA should give the nurse as much information as possible.

What generally happens to a NA after a report of abuse has been made about him?

NA is suspended immediately and investigation begins pending

Typical duties of an ombudsman

advocates for residents and helps settle disputes. They visit facilities and listen to residents.

With whom may a nursing assistant share a resident's medical information?

Other care team members who are directly involved with the residents care

What does HIPPA protect?

Protects health information (keeping it confidential)

To which members of the care team does HIPAA apply?

HIPAA applies to all healthcare providers, including doctors, nurses, nursing assistants, and any other members of the care team

What are advance directives?

Legal documents that allow people to decided what kind of medical care they wish to have in the event they are unable to make those decisions themselves

What are the four rights related to advance directives that the PSDQ requires be given to new residents upon admission?

The right to participate in and direct health care decisions, the right to accept or refuse treatment, the right to prepare an advance directive, information on the facility's policies that govern these rights

Which of the following is one reason that a NA should not accept money or gifts from residents?

Receiving money or gifts is unprofessional and can lead to conflict

What is the name of the resident assessment system required by OBRA?

Minimum Data Set (MDS)

Residents have a legal right to be told of changes in their medical condition. To which one of the residents rights does this relate?

Right to participate in their own care

Residents have a legal right not to be abused or mistreated. To which one of the residents does this relate?

Right to dignity, respect and freedom

A NA takes money from a resident's purse, planning to pay it back later. Which type of abuse is this considered?

Financial abuse

Emotional abuse of a resident by his wife is considered...

domestic violence

What is the difference between verbal and nonverbal communication?

Verbal communication is with words and nonverbal communication does not use words.

Why should a NA avoid asking yes or no questions?

Yes or no ends a conversation and it gets the most information from residents

A resident tells a NA that he is scared of a medical test that is going to be performed. How could the NA respond without using a cliché such as, "oh everything will be fine"?

NA should listen to what the resident is really saying and respond with a meaningful message

What can help an NA overcome a language barrier with a resident?

An NA can use a medical translator, interpretation service, medical interpreter, or the NA can try to learn a few words in the language.

What should an NA do each time he greets a resident?

an NA should introduce themselves, explains the care they will be providing and identifies the resident

What is 8:33 pm in military time

20:33

What is 11:10am in military time?

11:10

With whom can a NA's observations about residents be shared?

They cannot be shared with anyone except specific members of the care team.

When should care be documented?

Immediately after care is given

Do HIPAA guidelines apply to computer use?

Yes, HIPPA guidelines apply digitally or not

How does a NA's reporting impact the minimum data set (MDS) assessment?

The reporting an NA does may trigger a needed assistant

What are the four senses used to in accurate observing and reporting?

Sees, hears, touches and smells

What is an incident?

Is an accident, problem, or unexpected event that happens during the course of care.

When should an incident report be completed?

They should report incidents as soon as possible and give it to the charge nurse

What is a proper greeting when answering the phone at a facility?

"Good morning", "good afternoon", "good evening"

what is the NA's role in rounds at a facility?

He should listen closely and take notes, share information about residents to staff and should keep his voice low when doing so.

How can you combine activities to manage time better?

NAs can talk with residents while providing care, which combines two important tasks. It is important to work more efficiently whenever possible.

Which of the following is the correct abbreviation for nothing by mouth?

NPO

What does the abbreviation PRN stand for?

When needed/ as necessary

How does a NA contribute to care planning?

By sharing her observations of residents

Where should the call light be left when a NA leave a residents room?

Within reach of the residents stronger hand

Which of the following is typically found on an assignment sheet?

Resident's diet order

What should the nursing assistant do first when caring for a resident who has a visual impairment?

Knock on the door, announce yourself, and greet the resident as soon as you enter the room. Do not touch the resident before you have identified yourself. Explain why you were there and what your plan to do.

When speaking with a resident who has a hearing impairment, whose face should the light be on-the NAs or the residents?

The light should be on the NAs face

What are other methods of communication if a person cannot speak?

Writing notes, drawing pictures, using communication boards, and hand/eye signals

How can a nursing assistant explain the position of objects to a resident who has a visual impairment?

Use the face of an imaginary clock as a guide to explain the position of objects

What is an artificial airway?

Is any tube inserted into the respiratory tract for the purpose of maintaining an airway and facilitating ventilation

Why should a nursing assistant explain procedures and introduce herself to a resident who is unconscious?

Even when people are unconscious, they may be able to hear what is going on around them. Unconscious people have been known to regain consciousness and relate many things they heard while there were unconscious.

The medical term for difficulty breathing is...

Dyspnea

A resident starts sleeping with a doll she had when she was a little girl. This is an example of which defense mechanism?

regression

A resident refuses to believe her diagnosis of a terminal illness. This is an example of which defense mechanism?

denial

Will someone always know why they are anxious?

No. A person may not always know what why she feels anxious.

Major depressive disorder is also known as...

Clinical depression

What describes anger?

Anger is a natural emotion with many causes.

If a resident becomes combative, the best response by the nursing assistant would be to...

Stay at a safe distance from the resident

If a resident exhibits inappropriate sexual behavior, what would be the best response by the NA?

The NA should try to distract the resident

What should a person be able to identify when she is oriented?

Who she is, correct year, facility she lives in

Which of the following is a common cause of confusion?

urinary tract infection

What does the term health mean?

A complete state of physical, mental and social well-being and not merely the absence of disease or infirmity.

What does the term wellness mean?

Successfully balancing things that happen in every day life.

Describe what holistic health care involves.

Considering the whole person, which includes his physiological and psychosocial needs

What are physiological needs?

Relate to the processes and activities that keep living things alive.

What are psychosocial needs?

includes social contact, emotions, thought, and spirituality

What is cultural diversity?

The variety of people with different backgrounds and experiences living together in the world.

What is cultural competence?

Is the ability to understand, respect, and interact with people from other cultures

If an NA encounters a sexual situation between two consenting residents, what should she do?

Provide privacy and leave the room

What should an NA do if she sees a resident being sexually abused?

Remove the resident from the situation immediately. Take the resident to a safe place, and report to the nurse right away.

What is a stereotype?

biased generalization about a group

Why should stereotyping be avoided?

NA's should know what is true about the aging process and what is not true

Why is it important for NAs to treat residents who are developmentally disabled as adults, regardless of their behavior?

to make residents feel better and not put themselves down.

According to Maslow, which of the following needs must be met first?

Physiological needs: oxygen, water, food, elimination and rest

What is an example of a psychosocial need?

Love and affection, acceptance by others, self-reliance and independence in daily living, contact with others, success and self-esteem

What is an example of a physiological need?

Food and water, protection and shelter, activity, sleep and rest, comfort

What describes a family made up of one parent and one child?

single-parent family

What is the best example of an extended family?

Mother, grandmother and aunt living together

What would be the best response by the NA if a resident wants to discuss health concerns he has?

"I understand you're scared. Can you tell me more?"

What can be true about spiritual beliefs?

NAs should give privacy for prayer if residents request it

During which stage of human development might girls reach puberty?

preadolescence

What is the difference between the terms clean and dirty?

In health care, an object can be called clean if it is not contaminated with pathogens. An object that is dirty has been contaminated with pathogens