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State Registered Nursing Aid > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Not relying on requiring care from others is ________.

A

Independent

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2
Q

An acute illness is a _______________.

A

A sudden illness from which a person should recover.

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3
Q

Persons living in long-term care centers are called _________.

A

Residents

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4
Q

Who has the most authority in a nursing service department?

A

Director of Nursing

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5
Q

Which health team member helps residents and families with social, emotional, and environmental issues affecting illness and recovery?

A

Social Worker

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6
Q

Which requires nursing assistant training and competency evaluation?

A

Omnibus Budget Reconciliation Act of 1987

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7
Q

Which provides 24 hour nursing care?

A

Nursing centers

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8
Q

Who controls policy in a nursing center?

A

The owner

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9
Q

The nursing assistant’s role is to ____________.

A

Assist nurses in giving care

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10
Q

A survey team is at your center. A team members ask you some questions. You should _________.

A

Give honest and complete answers

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11
Q

What state law affects what nursing assistants can do?

A

Nurse practice act

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12
Q

As a nursing assistant, you ________________.

A

Need a written job description before employment.

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13
Q

A task is in your job description. Which is false?

A

The nurse must delegate the task to you.

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14
Q

You can refuse to perform a task for these reasons except?

A

You do not like the task

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15
Q

You decide to refuse a task. What should you do?

A

Communicate your concerns to the nurse

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16
Q

A daughter wants to read her father’s medical record. What should you do?

A

Tell the nurse

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17
Q

A resident refuses to have a shower. What should you do?

A

Tell the nurse

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18
Q

A resident has a phone in his room. He wants to make a phone call. What do you do?

A

Leave the room

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19
Q

Who decides how to style a person’s hair?

A

The person

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20
Q

Residents do NOT have a right to?

A

A private room

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21
Q

A long-term care ombudsman ….

A

Investigates resident complaints

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22
Q

Ethics is…

A

Knowledge of what is right conduct and wrong conduct

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23
Q

To maintain professional boundaries, your behaviors must…

A

Help the person

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24
Q

What is not a crime?

A

Negligence

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25
Q

Threatening to touch the person’s body without the person’s consent is ________.

A

Assault

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26
Q

Restraining a person’s freedom of movement is ________.

A

False imprisonment

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27
Q

You are getting ready for work. Which is not a good practice?

A

Wearing jewelry

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28
Q

Which statement reflects a good work attitude?

A

I’m sorry. I didn’t know

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29
Q

Perfume, colognes, and after-shave lotions …

A

May cause nausea or breathing problems for some residents.

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30
Q

A coworker was just notified that her father died. What would be a solution for the situation?

A

Understanding coworkers might offer to work her shift.

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31
Q

You have a job interview scheduled. Which shows that you are dependable?

A

Being on time

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32
Q

Information about the person’s advance directives would be found in the …

A

Admission/ face sheet

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33
Q

Which of the following would not be found on the activities of daily living (ADL) flow sheet?

A

Lab results

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34
Q

OBRA requires that summaries of care (progress notes) be written at least _________.

A

Every 3 months

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35
Q

Mr. Yu is discharged from the center. His medical record is ________.

A

Permanent

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36
Q

A person is weighed daily. The measurement is recorded on the ________.

A

ADL Flow sheet

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37
Q

Where does the nurse describe the nursing care given?

A

Progress notes

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38
Q

You have access to the center’s computer. Which is true?

A

Email and messages are sent only to those needing information.

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39
Q

Communication is the ___________________.

A

Exchange of information.

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40
Q

To communicate, you should do all the following except…

A

Use terms with many meanings

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41
Q

Nursing centers have policies about medical records. Policies generally cover all the following except…

A

Medical terms

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42
Q

Which is false regarding computers in healthcare?

A

All employees have the same password.

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43
Q

Which is not a step in the nursing process?

A

Observation (does include assessment, nursing diagnosis, planning, implementation, and evaluation).

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44
Q

The nursing process ……

A

Is the method nurses use to plan and deliver nursing care.

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45
Q

What happens during an assessment?

A

Information is collected

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46
Q

Which is a symptom?

A

Pain (not redness, vomiting, or pulse of 78)

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47
Q

Which is a sign?

A

Dry skin

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48
Q

What is objective data?

A

This are signs that can been seen, heard, felt, or smelled by an observer.

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49
Q

What is subjective data?

A

This is symptoms that a person tell you about and that you cannot observe through your senses.

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50
Q

Which should you report at once?

A

The person complains of sudden and severe pain.

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51
Q

Measures in the nursing plan are carried out. This is ____________.

A

Implementation

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52
Q

The comprehensive care plan is ____________.

A

The measures to help the person

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53
Q

Which is a nursing diagnosis?

A

Pain

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54
Q

Which basic need is the most essential?

A

Safety and Security

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55
Q

Based on Maslow’s theory of basic needs, which person’s needs must be met first?

A

The person who asks for more water.

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56
Q

A person says, “What are they doing to me?” Which basic needs are not being met?

A

Safety and Security needs

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57
Q

A person tends a garden behind the nursing center. This relates to __________.

A

Self-actualization

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58
Q

A person is demonstrating problem behavior. You should do the following except..

A

Ask the person to be nicer

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59
Q

Which is false regarding verbal communication?

A

Verbal communication is the truest reflection of the person’s feelings.

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60
Q

To communicate with a person, you should…

A

Be quiet when they are silent

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61
Q

A person wants to take a shower. You say, “You would like to take a shower.” This is…

A

Paraphrasing

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62
Q

Focusing is useful when…

A

A person is rambling

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63
Q

Which is NOT a barrier to communication?

A

Using silence

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64
Q

A person has many visitors? Which is false?

A

Visitors can stay in the room when care is given.

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65
Q

A visitor seems to tire a person. What should you do?

A

Tell the nurse

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66
Q

When someone changes the subject, it usually means the person is __________.

A

Uncomfortable with the topic.

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67
Q

An extended family includes….

A

Parents and their siblings

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68
Q

You come to Mrs. Garland’s room to help her get ready for bed. She is sitting in her chair praying the rosary. You should …

A

Tell her to call you when she is finished

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69
Q

Which religion does not allow the use of whole blood transfusions?

A

Jehovah’s Witness

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70
Q

Mrs. Sanchez only speaks Spanish. Which of the following will NOT be helpful?

A

Speaking loudly

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71
Q

Which part of the heart pumps blood to the body?

A

Left ventricle

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72
Q

Skin changes occur with aging. Care should include the following except…

A

A daily bath with soap

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73
Q

An older person complains of cold feet. You should…

A

Provide socks

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74
Q

Which is not a common cause of hearing loss in older persons?

A

Ear infections

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75
Q

An older person has cardiovascular changes. Care includes the following except…

A

Long walks

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76
Q

Respiratory changes occur with aging. Which is false?

A

The side-lying position is best for breathing. Not true. Half fowlers is.

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77
Q

Changes occur in the digestive system. Older persons should eat…

A

Protein foods

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78
Q

The doctor orders increased fluid intake for an older person. You should…

A

Give most fluid before 1700 (5pm)

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79
Q

Most older people live …

A

In their own homes

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80
Q

Which is false regarding adult day care centers?

A

Total assistance with personal care is provided.

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81
Q

Which housing option provides lodging, meals, and some help with personal care?

A

Board and care homes

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82
Q

A continuing care retirement community provides the following except …

A

Adult foster care (does provide independent living units, nursing center, and meals, transport, and activities)

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83
Q

Sex involves…

A

The organs of reproduction

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84
Q

Two residents are holding hands. Nursing staff should…

A

Allow them to do this

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85
Q

Mr and Mrs. Green want some alone time. The nursing team can do the following except…

A

Just close to privacy curtain so no one can hear them.

86
Q

Mr. and Mrs. Green are married. OBRA requires that ….

A

They may share the same room

87
Q

A person is masturbating in the dining room. You should do the following except…

A

Scold the person

88
Q

A person touches you sexually and asks for a kiss. You should do the following except…

A

Ignore the person and hope the behavior will stop.

89
Q

A rectal temperature is taken when the person is…

A

Unconscious

90
Q

Which gives the least accurate measurement of body temperature?

A

Axillary site

91
Q

Your center uses tympanic membrane thermometers. Mrs. Yee wears a hearing aid in her left ear. How should you proceed?

A

Take her temperature in her right ear.

92
Q

As you enter Mr. Cooper’s room to check his temperature, he is drinking a cup of ice water. You have an oral thermometer so what should you do?

A

Tell him you will come back in 15-20 minutes and that he should refrain from drinking water until you return.

93
Q

Which statement about the apical-radial pulse is true?

A

The apical pulse can be greater than the radial pulse.

94
Q

Normal respirations are …

A

Quiet

95
Q

Respirations are usually counted …..

A

After taking the pulse

96
Q

The systolic pressure is the point….

A

Where the first sound is heard.

97
Q

Which does NOT cause an increase in a person’s BP?

A

Sudden change from lying position to standing.

98
Q

What is the correct order for recording vital signs?

A

T-P-R-BP

99
Q

Unless otherwise ordered, take vital signs when the person is…

A

lying or sitting down

100
Q

When taking a radial pulse, you need to use…

A

Your first 2 or 3 fingers

101
Q

The pulse rate is the number of heartbeats or pulses felt in….

A

1 minute

102
Q

The goals of first aid are to ____________.

A

Prevent death and prevent injuries from becoming worse.

103
Q

Sudden cardiac arrest (SCA) is ___________.

A

The sudden stopping of the heart

104
Q

The signs and symptoms of sudden cardiac arrest include…

A

No response, no normal breathing, and no pulse

105
Q

Rescue breathing for adults involves…

A

Giving a breath every 5 to 6 seconds.

106
Q

In adult CPR, the chest is compressed ___________.

A

At least 2 inches with two hands.

107
Q

When checking for breathing __________.

A

Look for no breathing or gasping

108
Q

Which pulse is used during adult CPR?

A

Carotid pulse

109
Q

When doing adult CPR alone, give ____________.

A

Two breaths after every 30 compressions.

110
Q

After delivering a shock from an AED, you should ________.

A

Perform CPR beginning with compressions.

111
Q

Arterial bleeding…

A

occurs in spurts

112
Q

A person is hemorrhaging from the left forearm. Your first action is to…

A

Apply direct pressure to the wound.

113
Q

A person is about to faint. Which is false?

A

Take the person outside for fresh air.

114
Q

Which is not a sign of shock?

A

High blood pressure

115
Q

A person in shock needs…

A

To be kept lying down

116
Q

A person is having a stroke. Emergency care involves the following except…

A

Giving the person sips of water.

117
Q

A pregnant woman is choking. What should you do?

A

Perform chest thrusts.

118
Q

Burns are covered with…

A

A clean, moist cloth or dressing.

119
Q

A nursing assistant activated the EMS. When should the nursing assistant hang up the phone?

A

After the operator has hung up.

120
Q

A person has fainted. What is the appropriate response?

A

Elevate the person’s legs

121
Q

Who provides a safe setting for residents and visitors?

A

The health team

122
Q

A person in a coma is ….

A

Unaware of their surroundings

123
Q

A person with dementia…

A

Cannot think or reason

124
Q

A person with quadriplegia is paralyzed from ___________.

A

The neck down.

125
Q

To identify a person, you …

A

Compare information on the ID bracelet against your assignment sheet

126
Q

Burns are caused by the following except…

A

Oxygen

127
Q

What can cause suffocation?

A

Restraints

128
Q

The most common cause of choking in adults is….

A

Meat

129
Q

Which is true during a tornado?

A

The safest level of the building is the lowest level or the basement.

130
Q

You need to shave a new resident. Before using the person’s electric shaver…

A

The maintenance staff must do a safety check

131
Q

A person uses a wheelchair. Which measure is not safe?

A

The chair is pulled backward to transport the person.

132
Q

Stretcher safety involves the following except..

A

Moving the stretcher head first.

133
Q

You spilled a hazardous substance. You should do the following except…

A

Cover the spill and tell the nurse

134
Q

A person is agitated and aggressive. You should do the following except…

A

Use touch to show you care

135
Q

A person has a yellow wristband. This means the person…

A

Is at risk for falling

136
Q

You gave a person the wrong treatment. Which is true?

A

You must complete an incident report.

137
Q

Medications can be a risk factor for accidents because side effects can…

A

Cause loss of balance or lack of coordination.

138
Q

To make sure you give the right care to the right person, you need to..

A

Identify the person before giving care

139
Q

Suffocation is…

A

When breathing stops from the lack of oxygen.

140
Q

If a fire occurs, what should you do first?

A

Rescue people in immediate danger

141
Q

When using a fire extinguisher, the ‘P’ in the word PASS means _____________.

A

Pull the safety pin

142
Q

Risk management involves ______________.

A

Identifying and controlling risks and safety hazards

143
Q

Equipment is unsafe for all the following reasons except….

A

If it is more than one year old

144
Q

You spilled a hazardous substance. Before cleaning up the spill, you should ….

A

Check the material safety data sheet

145
Q

Most falls occur in ….

A

Resident rooms and bathrooms

146
Q

Most falls occur during …

A

During the evening

147
Q

A person’s care plan includes fall prevention measures. Which should you question?

A

Check the person every 4 hours

148
Q

You observe the following in the person’s room. Which is not safe?

A

The lamp cord is by the chair

149
Q

A coworker is helping Mr. Yee today. His chair alarm goes off. What should you do?

A

Assist Mr. Yee

150
Q

To help prevent falls, you need to report…

A

Clutter on stairways

151
Q

Bed rails are used ….

A

According to the care plan

152
Q

You apply the transfer/gait belt. What should you do with the excess strap?

A

Tuck it under the belt

153
Q

A person starts to fall. Your first action is to…

A

Bring the person close to your body as fast as possible.

154
Q

You found a person lying on the floor. What should you do?

A

Call for the nurse

155
Q

Mr. Lee’s BP drops when he stands up too quickly. This is called what?

A

Orthostatic hypotension

156
Q

Which is not a restraint alternative?

A

Positioning the person’s chair close to the wall.

157
Q

A belt restraint is applied to a person in bed. Where should you secure the straps?

A

To the moveable part of the bed frame.

158
Q

A person has a restraint. You should check the person and position of restraint at least every _____________.

A

15 minutes

159
Q

A person has mitt restraints. Which of these is especially important to report to the nurse?

A

If you felt a pulse in the restrained extremities.

160
Q

A person has a vest restraint. It is not too tight or too loose if you can slide …

A

An open hand between the vest and the person.

161
Q

The correct way to apply any restraint is to follow the _____________.

A

Manufacturer instructions

162
Q

Unnecessary restraint is ______________.

A

False imprinsonment

163
Q

How often are restraints removed to reposition the person?

A

At least every 2 hours.

164
Q

Most pathogens need the following to grow except…

A

Light (need water, o2, and nourishment)

165
Q

Which is not a portal of exit?

A

Intact skin

166
Q

Which does not prevent health care associated infections?

A

Sterilizing all care items

167
Q

Your hands are soiled with blood. What should you do?

A

Wash your hands with soap and water

168
Q

During care, you move from a contaminated body site to. clean body site. Your hands are not visibly soiled. What should you do?

A

Decontaminate hands

169
Q

You are going to decontaminate your hands with an alcohol-based hand rub. Which action is not correct?

A

Washing your hands before applying the hand rub

170
Q

When cleaning equipment, do the following except…

A

Work from dirty to clean areas.

171
Q

Isolation precautions…

A

Prevent infections

172
Q

Standard precautions …

A

Are used for all persons

173
Q

You wear utility gloves for contact with ________.

A

Cleaning solutions

174
Q

A mask is …

A

contaminated when moist

175
Q

Contaminated surfaces are cleaned at the following times except…

A

after removing gloves

176
Q

According to the Bloodborne Pathogen Standard, you should not….

A

Eat and drink in care settings

177
Q

You were exposed to a bloodborne pathogen. Which is true?

A

You can refuse HIV and HBV testing.

178
Q

Which statement is false regarding surgical asepsis?

A

Wet items are held up

179
Q

In order to live and grow, all microbes need ….

A

A reservoir

180
Q

Normal flora …

A

become pathogens when transmitted from their natural site to another site.

181
Q

If a person has a MRSA infection, this means the person has…

A

a methicillin-resistant staphylococcus infection.

182
Q

Which of these is a sign or symptom of infection?

A

Sores on mucous membranes

183
Q

Healthcare associated infections occurs when …

A

Handwashing is poor.

184
Q

The nurse asks you to perform three tasks for a resident. Assume that contact with blood, bodily fluids, secretions, and excretions is likely. How many pairs of gloves do you need?

A

At least 3

185
Q

To control the spread of microbes, you should do the following except…

A

Shake linens and equipment to remove dust.

186
Q

Isolation precautions are used ….

A

To prevent the spread of communicable or contagious diseases.

187
Q

Good body mechanics involve the following except…

A

Having the job fit the worker

188
Q

Good alignment means…

A

Having the head, trunk, arms, and legs aligned with one another

189
Q

These actions are about body mechanics. Which action in not correct?

A

Hold objects away from your body when lifting, moving, or carrying them.

190
Q

You are turning a person in bed. Which action is not correct?

A

Keep the far bed rail down.

191
Q

Residents are repositioned at least every ________.

A

2 hours

192
Q

Breathing is usually easier in ___________ position.

A

Fowlers

193
Q

A person’s skin rubs against the sheet. This is called ______.

A

Friction

194
Q

Which occurs when a person slides down in bed?

A

Shearing

195
Q

Before side-turning a person, you _______________.

A

Move the person to the side of the bed where their back will be.

196
Q

The logrolling procedure…

A

Is used after spinal cord injuries or surgeries.

197
Q

When getting ready to dangle a person, you need to know…

A

Which side is stronger.

198
Q

For chair and wheelchair transfers, the person must…

A

Wear nonskid footwear.

199
Q

When transferring the person to bed, a chair, or the toilet….

A

The person’s strong side moves first.

200
Q

To safely transfer a person with a mechanical lift, at least _____ are needed.

A

Two workers

201
Q

Deconditioning is ____________.

A

The loss of muscle strength from inactivity.

202
Q

Moving a body part away from the midline is _________.

A

abduction

203
Q

Which is true regarding walkers?

A

A walker gives more support than a cane.

204
Q

Which helps prevent plantar flexion?

A

A footboard

205
Q

Which prevents the hip from turning outward?

A

Trochanter roll

206
Q

A contracture is …

A

The lack of joint mobility from a shortening of a muscle.

207
Q

Passive ROM exercises are performed by ___________.

A

Someone else

208
Q

Flexion involves…

A

Bending the body part

209
Q

You are getting a person ready to crutch walk. You should do the following except…

A

Get a pair of crutches from physical therapy.

210
Q

A single-tip cane is used on the __________ side.

A

Strong

State Registered Nursing Aid (3 decks)

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