Chapter 1

Question 1

Long-term care is offered in…

Answer 1

Skilled care.

Question 2

What is Skilled Care?

Answer 2

Skilled care is ordered by a doctor and requires a treatment plan. It is medically necessary care given by a skilled nurse or therapist and is available 24 hours a day.

Question 3

Which groups of people have the longest average stay in long-term care facilities?

Answer 3

Developmentally disabled

Question 4

What care is offered in living facilities?

Answer 4

Independent care

Question 5

What kind of jewelry is acceptable for a CNA?

Answer 5

A simple waterproof watch, along with an ID badge.

Question 6

Hospice care is for what type of patient?

Answer 6

A patient with 6 months or less left to live

Question 7

What care supports families during the process?

Answer 7

Hospice care

Question 8

The nursing assistant measures the resident’s oxygen saturation to be 89%. The resident is receiving supplemental oxygen at 2 LPM via nasal cannula. The nurse aide checks the position of the probe and re-checks the oxygen saturation; it is still 89%. The resident is calm and comfortable in bed, watching TV. He tells the nursing assistant that he has COPD and that this is a normal finding for him. What should the nursing assistant do?

A) Take the resident at his word, and then document the finding in the resident’s health record.
B) Call a code and bring the crash cart into the resident’s room.
C) Alert the nurse to the finding to clarify that it is normal
D) Notify the nurse manager of the finding

Answer 8

C) Alert the nurse to the finding to clarify that it is normal

The nursing assistant should clarify with the nurse to be certain that this oxygen saturation is normal for this resident. Calling a code is not necessary as the resident is not in distress. Alerting the nurse manager is an incorrect use of the chain of command. If the finding is new to the nursing assistant, they should clarify with the nurse rather than taking the resident at his word.

Question 9

6 months or less to live is what care?

Answer 9

Hospice care

Question 10

Who, other than the patient, is Hospice care there for?

Answer 10

For their families

Question 11

Is hospice care permanent?

Answer 11

No, because the patient can always bounce back

Question 12

Who is eligible for Medicare

Answer 12

People who are 65 years old or older, or people who have renal failure?

Question 13

What is renal failure

Answer 13

A condition in which the kidneys lose the ability to remove waste and balance fluids. It is also known as kidney failure.

Question 14

What does Medicare pay for?

Answer 14

Medical necessities, and they only pay for needs upon admission.

Question 15

Who stays in long-term care facilities the longest?

Answer 15

Developmentally disabled

Question 16

What can NA’s do?

Answer 16

They can provide a bath, shave, take care of equipment, and elimination (bedpan) needs.

Question 17

What does NA mean?

Answer 17

Nursing Assistant

Question 18

What does CNA mean?

Answer 18

Certified nursing assistant

Question 19

What is professionalism?

Answer 19

Behaving properly in the workplace

Question 20

Can you accept gifts from residents or their families?

Answer 20

No, becuase they are considered as bribes

Question 21

What is accountability?

Answer 21

Admitting to mistakes

Question 22

What is primary nursing?

Answer 22

It is when nurses give most of the care

Question 23

What is functional nursing style of care?

Answer 23

It is more chaotic

Question 24

What is person-centered care?

Answer 24

It is individualized care

Question 25

What is a policy?

Answer 25

It is a course of action that is taken the exact same way every time

Question 26

Why go to the procedure manual?

Answer 26

It is if you need more info

Question 27

Which of the following statements is true of long-term care? A) Long-term care is only given during certain hours of the day B) Long-term care assists people with ongoing chronic medical conditions C) Long-term care is given in an adult day services setting D) Long-term care is for people who need care for a short time after surgery

Answer 27

B) Because chronic medical conditions are long-lasting/permanent

Question 28

One common NA task is A) prescribing medication B) creating residents' care plans C) managing other NA's work D) bathing residents

Answer 28

D

Question 29

Which of the following is true of proper grooming for a NA? A) acrylic nails should be freshly applied B) a simple waterproof watch should be worn C) earrings can dangle just past the earlobe D) perfume should be worn behind the ears or on both wrists

Answer 29

B It is recommended not to wear earrings or have your hair down.

Question 30

If an NA is following the chain of command, to whom would she normally report the problem? A) nurse B) administrator C) resident D) medical social worker

Answer 30

A

Question 31

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? A) The NA should review the procedure manual before beginning B) The NA should ask the resident to see if he remembers the correct order C) The NA should perform the procedure to the best of her memory, knowing she will probably do it correctly D) The NA should consult with the administrator to find out the correct order

Answer 31

A

Question 32

Vocab: Accountable

Answer 32

Answerable for one's actions

Question 33

Vocab: Dementia

Answer 33

The serious loss of mental abilities such as thinking, remembering, reasoning, and communicating

Question 34

Vocab: Hospice Care

Answer 34

Holistic compassionate care given to people who have approximately 6 months or less to live. Care is available until the person dies.

Question 35

Vocab: Primary Nursing

Answer 35

A method of nursing care in which the registered nurse provides much of the daily care to residents

Question 36

The NA begins her shift and finds out that a well-known celebrity has been admitted to another unit but does not know why. The NA wants to know what room the celebrity is in and find out the reason for the admission. According to HIPAA, what should the NA do? A) Nothing. The celebrity is not her resident, so the celebrity's care is none of her business. Looking into the celebrity's chart would be a violation of HIPAA, subjecting her to disciplinary action. B) She should look up the celebrity's record in the electronic health record just to see what room the celebrity is in, but no further information beyond that. C) She should ask around the unit to see if any other nurses or aides have any details. D) She should access his electronic health record and peruse the celebrity's test results to determine the admitting diagnosis

Answer 36

A Accessing anyone's health record that the NA is not caring for and for non-medical reasons is a violation of HIPAA, and the NA is putting herself at risk for disciplinary action. Trying to access information from other members of the healthcare team is the same concept and a violation.

Question 37

What is one example of nonverbal communication that assists therapeutic communication? A) Making good eye contact B) Scrolling through one's phone C) Giving a look of boredom or disinterest D) Looking at the door constantly

Answer 37

A Making good eye contact shows the person that the NA is interested in the resident's message. The other options are all nonverbal barriers to therapeutic communication.

Question 38

What are some examples of nonverbal barriers to therapeutic communication?

Answer 38

Scrolling through one's phone, giving a look of boredom or disinterest, and looking at the door constantly.

Question 39

Vocab: wt

Answer 39

The abbreviation for weight

Question 40

Which of the following is the proper abbreviation for weight? A) lb B) kg C) wa D) wt

Answer 40

D The most commonly used abbreviation for weight is "wt" not "wa". Kilograms (kg) and pounds (lb) are both measurements of weight.

Question 41

When employing proper lifting technique, which of the following should the NA do? I. Balance on one foot. II. Avoid twisting and awkward positions III. Lift with the legs, not the back IV. Try to lift residents alone as much as possible without asking for help, so as not to interrupt the other NA's work A) all of the above B) Choices II and III C) Choices II, III, and IV D) Choices I, II, and III

Answer 41

B Choices II and III are excellent techniques to employ when lifting residents. Asking for help when one needs it will help the NA avoid injury. Balancing on one foot is not recommended.