Chapter Review - first 5 chapters

Question 1

Whom does Medicare insurance cover?

Answer 1

Anyone over the age of 65 years or older, anyone with chronic kidney disease, or an illness that doesn’t allow them to work anymore.

Question 2

What are three tasks that NAs do not usually perform?

Answer 2

Give medication, prescribe medication, and are not allowed to insert any tubes or change sterile dressings.

Question 3

What is one way that an NA can demonstrate professionalism?

Answer 3

Being properly groomed and dressed, arriving on time, and being respectful.

Question 4

Who is the most important member of the care team?

Answer 4

The resident.

Question 5

List The Five Rights of Delegation.

Answer 5

Right task, Right circumstance, right person, right direction/communication, and right supervision/evaluation.

Question 6

Define person-centered care.

Answer 6

All about what the resident needs to develop their capabilities and promote their interests.

Question 7

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

Answer 7

They observe staff members, how they follow guidelines, how residents are treated, focusing on residents’ needs and staff care.

Question 8

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

Answer 8

Be honest and never guess. Tell them you don’t know and will find someone who knows the answer.

Question 9

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

Answer 9

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

Question 10

One common NA task is?

Answer 10

Bathing residents.

Question 11

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

Answer 11

A simple waterproof watch should be worn.

Question 12

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

Answer 12

Nurse.

Question 13

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?

Answer 13

The NA should review the procedure manual before beginning.

Question 14

What are ethics?

Answer 14

Knowing what is right or wrong.

Question 15

Give one example of negligence.

Answer 15

Leaving them in bed for long periods of time and not getting them up.

Question 16

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

Answer 16

Report it right away and tell the nurse everything they know.

Question 17

With whom may a nursing assistant share a resident’s health information?

Answer 17

Staff members only.

Question 18

What does HIPAA protect?

Answer 18

Residents’ health information.

Question 19

What are advance directives?

Answer 19

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

Question 20

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

Answer 20

Receiving money or gifts is unprofessional and can lead to conflict.

Question 21

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

Answer 21

Right to dignity, respect, and freedom.

Question 22

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

Answer 22

Right to participate in their own care.

Question 23

A nursing assistant takes money from a resident’s purse, planning to pay it back later. Which type of abuse is this?

Answer 23

Financial abuse.

Question 24

Emotional abuse of a resident by his wife is considered?

Answer 24

Domestic violence.

Question 25

What is the difference between verbal and nonverbal communication?

Answer 25

Verbal is speaking, while nonverbal involves body actions.

Question 26

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

Answer 26

Stand directly facing the resident, speak slowly and clearly in a low pleasant tone.

Question 27

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

Answer 27

Introduce yourself, identify the resident, explain the care, and encourage participation.

Question 28

Convert 8:33 p.m. to military time.

Answer 28

2033.

Question 29

Convert 11:10 a.m. to military time.

Answer 29

1110.

Question 30

With whom can a nursing assistant’s observations about residents be shared?

Answer 30

Other nurses or NAs.

Question 31

When should care be documented?

Answer 31

Document every time you do something.

Question 32

Do HIPAA guidelines apply to computer use?

Answer 32

Yes.

Question 33

List the four senses that are used in accurate observing and reporting.

Answer 33

Smell, Sight, Hearing, Touch.

Question 34

What is an incident?

Answer 34

An accident, problem, or unexpected event during the course of care.

Question 35

When should an incident report be completed?

Answer 35

Right away.

Question 36

For each of the following five statements, decide whether it is an objective sign or subjective symptom observation. Resident says she has a sore throat.

Answer 36

S.

Question 37

For each of the following five statements, decide whether it is an objective sign or subjective symptom observation. Resident has dark red urine.

Answer 37

O.

Question 38

For each of the following five statements, decide whether it is an objective sign or subjective symptom observation. Resident states, 'I have a hard time catching my breath.'

Answer 38

S.

Question 39

For each of the following five statements, decide whether it is an objective sign or subjective symptom observation. Resident is running a fever.

Answer 39

O.

Question 40

For each of the following five statements, decide whether it is an objective sign or subjective symptom observation. Resident has blisters on her feet.

Answer 40

S.

Question 41

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

Answer 41

NPO.

Question 42

What does the abbreviation PRN stand for?

Answer 42

When needed.

Question 43

How does a nursing assistant contribute to care planning?

Answer 43

By sharing her observations of residents.

Question 44

Where should the call light be left when a nursing assistant leaves a resident’s room?

Answer 44

Within reach of the resident's stronger hand.

Question 45

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

Answer 45

Knock on the door, announce yourself, and greet them as you enter the room.

Question 46

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

Answer 46

Using the imaginary clock method.

Question 47

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

Answer 47

The nursing assistant’s face.

Question 48

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

Answer 48

They can use the communication board.

Question 49

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

Answer 49

They sometimes are still able to hear.

Question 50

The medical term for difficulty breathing is?

Answer 50

Dyspnea.

Question 51

Which of the following is true of anxiety?

Answer 51

A person may not always know why she feels anxious.

Question 52

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

Answer 52

Stay at a safe distance from the resident.

Question 53

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

Answer 53

The NA should try to distract the resident.

Question 54

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

Answer 54

Who she is, correct year, facility she lives in.

Question 55

Which of the following is a common cause of confusion?

Answer 55

Urinary tract infection.

Question 56

Describe what holistic health care involves.

Answer 56

Caring for someone as a whole person and looking at all their needs.

Question 57

What are psychosocial needs?

Answer 57

This includes social contact, emotions, thoughts, and spirituality.

Question 58

What is cultural diversity?

Answer 58

How there is a wide variety of people with different cultures.

Question 59

What is cultural competence?

Answer 59

Learning about everyone's views and cultures and applying it to health care.

Question 60

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

Answer 60

Provide privacy and do not discuss what you saw with other staff members.

Question 61

Which of the following is not an example of a physiological need?

Answer 61

Acceptance.

Question 62

Which of the following is an example of a psychosocial need?

Answer 62

Independence.

Question 63

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

Answer 63

Physiological needs.

Question 64

Which of the following sentences is true of spiritual beliefs?

Answer 64

NAs should give privacy for prayer if residents request it.