cna exam 2

List three basic steps of communication

Sending, Receiving, Feedback

Why is feedback an important part of communication?

It lets the sender know the message was received and understood

With whom must nursing assistants be able to communicate?

Supervisors, the care team, residents, and family members

Which 3 things are needed for communication to take place?

Sender, receiver, feedback

The three-step process of communication occurs

over and over

Which is an example of nonverbal communication?

Pointing to a glass of water

Verbal communication include

Speaking

Types of nonverbal communication include

Facial expressions

Which of the following is an example of a confusing or conflicting message (saying one thing and meaning another)?

Ms. Jones agrees with her nursing assistant when she says it is a nice day, but Ms. Jones looks angry.

In the previous question, how could the nursing assistant clarify the confusing or conflicting message?

State what the NA has observed and ask if the observation is correct

Positive or Negative? Using an impatient tone

Negative

Positive or Negative? Smiling

Positive

Positive or Negative? Leaning forward in a chair

Positive

Positive or Negative? Glancing repeatedly at a watch

Negative

Positive or Negative? Sitting up straight

Positive

Positive or Negative? Slouching

Negative

Positive or Negative? Crossing arms in front of the body

Negative

Positive or Negative? Listening carefully

Positive

Positive or Negative? Hugging

Positive

Positive or Negative? Rolling eyes

Negative

Different groups of people with varied background living together in the world

Cultural diversity

Learned behaviors that are practiced by a group of people and are passed on

Culture

Prejudice

Bias

What are four ways that people communicate nonverbally that are shaped by culture?

animated when speaking, use gestures/ facial expressions, use of touch/ eye contact, standing close

Why is it especially important in the United States to be accepting of cultural diversity?

US is a multicultural society

Type of terminology that may not be understood by residents or their families, so NAs should speak in simple, everyday words

Medical

Types of questions that should be asked because they elicit more than a "yes" or "no" answer

Open-ended

Phrases used over and over again that do not really mean anything

Clichés

This type of language, along with gestures and facial expressions, is part of nonverbal communication; NAs should be aware of this when speaking

Body

Being this way and taking time to listen when residents are difficult to understand helps promote better communication

Patient

NAs cannot offer opinions or give this because it is not within their scope of practice

Advice

Asking this should be avoided when residents make statements because it often makes people feel defensive.

Why

Along with profanity, these types of words and expressions should not be used by NAs.

Slang

One way for a nursing assistant to be a good listener is to...

Restate the message in the NA's own words

Active listening involves...

Focusing on the sender and giving feedback

Mrs. Velasco is a new resident who recently moved to the US. Simon, a NA, is helping bathe her before bedtime. He notices that she seems to have difficulty speaking English and seems nervous. What can Simon do to make her more comfortable?

Use some words and phrases that he is familiar with in her language

When residents report symptoms or feelings, it is a good idea for the NA to

Ask for more information

Which of the following statements reflects a way for a nursing assistant to have a positive relationships with residents?

The NA should be empathetic and try to understand what residents are going through.

Mr. Vernon is an elderly resident who has terminal cancer. He is telling Katie, a NA, that he is very depressed about dying. He feels he has left many things unfinished. Hearing these things makes Katie uncomfortable. What would be the best response by Katie?

She should listen to the resident and ask questions when appropriate

Fact or Opinion? Mr Ellington sounds angry

Opinion

Fact or Opinion? It is better for you to take your bath before you eat

Fact

Fact or Opinion? Ms. Crainz will get depressed if she stays in her pajamas all day.

Opinion

Fact or Opinion? Ms. Porter did not drink any of her milk at dinner.

Fact

Fact or Opinion? I think Mr. Holling is lonely.

Opinion

Fact or Opinion? Mr. Larking's pulse was elevated last night after dinner, but it was back to normal this morning.

Fact

Fact or Opinion? Mr. Perry and his new roommate are not getting along.

Opinion

Fact or Opinion? Mr. Peterson became agitated while preparing for his bath and refused to wash his hair.

Fact

Fact or Opinion? Mrs. Myers needs assistance to stand up.

Fact

Fact or Opinion? Mrs. Myers looks like she is in a lot of pain.

Opinion

Fact or Opinion? Mr. Ford drinks more coffee than is good for him.

Opinion

Fact or Opinion? Mr. Ford drinks three cups of coffee every morning.

Fact

Skin rash

Objective

Objective or Subjective? Crying

Objective

Objective or Subjective? Rapid Pulse

Objective

Objective or Subjective? Headache

Subjective

Objective or Subjective? Nausea

Subjective

Objective or Subjective? Vomiting

Objective

Objective or Subjective? Swelling

Objective

Objective or Subjective? Cloudy Urine

Objective

Objective or Subjective? Wheezing

Objective

Objective or Subjective? Feeling sad

Subjective

Objective or Subjective? Red area on skin

Objective

Objective or Subjective? Fever

Objective

Objective or Subjective? Dizziness

Subjective

Objective or Subjective? Chest pain

Subjective

Objective or Subjective? Toothache

Subjective

Objective or Subjective? Coughing

Objective

Objective or Subjective? Fruity Breath

Objective

Objective or Subjective? Itchy Arm

Subjective

Examples of observations with smell

Body or breath odor

Examples of observations with sight

changes in residents appearance

Examples of observations with hearing

their words, tone and breathing

Examples of observations with touch

residents skin and pulse

When giving information about a resident to other members of the care team, a nursing assistant should

Make sure that she respects the residents right to privacy

One health professional who is able to give a resident's family and friends information about any new diagnoses is a

nurse

ac, AC

Before meals

amb

Ambulate, ambulatory

BM

bowel movement

C

celsius degree

c/o

complains of

CPR

cardiopulmonary resuscitation

F

Fahrenheit degree

ft

foot

hs, HS

hours of sleep

inc

incontinent

I&O

intake and output

NPO

Nothing by mouth

OOB

out of bed

pc, p.c.

after meals

prn, PRN

As necessary

PWB

partial-weight bearing

ROM

Range of motion

SOB

shortness of breath

vs, VS

Vital signs

w/c, W/C

Wheelchair

Which of the following is true of oral reports

Nursing assistants should use facts when making oral reports

Which of the following should be reported to the nurse immediately

Falls

What is the best way for a nursing assistant to remember important details for an oral report

write notes and use them for his report

The large amount of time that a nursing assistant spends with residents will allow her to

Notice things about residents that other care team members may not notice

Which of the following statements is true of a residents medical chart

A medical chart is the legal record of a residents care