Exam 3 Flashcards by Julia Jupille

What does an autoimmune illness do

Causes the body’s immune system to attack normal tissues in the body

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When do pain and illness increase

In cold, damp weather

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What are signs and symptoms of osteoporosis

Low back pain, stooped posture, becoming shorter over time, and fractures

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What is part of cast care

Elevating the extremity in the cast

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What is true of phantom limb pain

The pain or sensation is real

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What could cause phantom limb pain

Various things including remaining damaged nerve endings

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What should an NA do if they know a resident is taking herbs or supplements

Report it to the nurse because they can interact with certain medications

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When assisting a CVA patient with transfers or walking, what should an NA do

Stand on the weaker side and support the weaker side

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What is true of spinal injuries

The higher the injury on the spinal cord, the greater the loss of function

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What can be done to reduce the swelling in feet and ankles of CHF patients

Apply antiembolic stockings as ordered

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What can help CHF patients with trouble breathing

Keeping the head of the bed elevated

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What is the most common form of diabetes

Type 2 - Body doesnt produce enough insulin or doesn’t properly use it (develops over time)

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What can cause leg and foot ulcers in diabetic residents

Poor circulation and imparied wound healing

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What are some severe side effects of chemotherapy

Nausea, vomiting, mouth sores, diarrhea, temporary hair loss, fatigue, weakness, anxiety, depression, and decreased resistance to infection

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How should an NA respond when a resident with cancer wants to share feelings or experiences

Listen

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How can an NA help a resident with cancer manage their pain

Help with comfort measures, like repositioning, and provide distractions like conversation, music, and/or reading materials

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What should an NA not do with areas of the body undergoing radiation therapy

Apply lotion

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What is important for NAs to do for residents with cancer

Help them brush their teeth regularly

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What is cognition

The ability to think logically and clearly

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What happens to cognition as a person ages

Some of it may be lost

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What can NAs do with elderly residents losing their memories of recent events

Help encourage them to make lists of things to remember and write down names, events, and phone numbers

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What is one common cause of confusion

Dehydration

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What should an NA do with a confused resident

Remain calm and provide a quiet environment

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What is dementia

A general term referring to a serious loss of mental abilities like thinking, remembering, reasoning, and communicating

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Which skills do dementia patients usually retain longer

Skills that they've used often over a lifetime

How can NAs help communicate with residents with Alzheimer's

Using signs, pictures, gestures, or written words

How can an NA show care and concern when written or spoken words become more difficult

Smiling, touching, and hugging

What will be understood after speaking abilities decline

Touch, smiles, and laughter

What should an NA do if a resident is agitated

Try to remove triggers, keep a routine, and avoid frustration

When using validation therapy, what should an NA not do

Attempt to reorient the resident to actual circumstances

What can cause mental health disorders

Substance abuse, chemical imbalance, and traumatic brain injury

How should an NA communciate with a resident with mental health disorders

Maintain eye contact and listen carefully

What are defense mechanisms

Unconcious behaviors used to release tension or cope with stress

What is regression

Going back to an old, usually immature behavior (like throwing a temper tantrum as an adult)

What should NAs do when setbacks occur in restorative care

Reassure residents that setbacks are normal

What should NAs observe and report when giving restorative care

Signs of depression or mood changes

What should NAs do when a resident is using an ambulatory aid

Stay nearby to ensure they're using the device safely

What is true of residents usuing ambulatory aids

Canes, walkers, boots, crutches, etc., can make residents off-balance

When are passive range of motion exercises used

When residents are not able to move on their own

What does PROM stand for

Passive range of motion

What is abduction

Moving a body part away from the midline of the body

What is true of people in subacute care

They require more treatment, monitoring, and services than regular long-term care provides

What should NAs do for preoperative care

Measure and record vital signs as ordered

What should NAs do for postoperative care

Measure and record vital signs after surgery as directed and report any changes immediately

How should an NA communicate with a resident with an artificial airway

Use other methods of communication like writing notes, drawing pictures, and using communication boards while looking out for hand and eye signals

What does suctioning do

Removes mucus and secretions from the lungs when a person cannot do this on their own

What sign of respiratory distress should immediately be reported to the nurse

Elevated respiratory rate

What does bargaining look like for someone who begin to believe they are dying

They may make promises to God or a higher power, care providers, or others. They may somehow try to bargain for their recovery.

What is the barganing stage of grief also called

The "Yes me, but..." stage

What does anger look like when grieving

Though hard to admit, many people feel angry after a death

What can affect a person's experience with death

Their religious practices and beliefs

What is one of the dying person's rights

To have their questions answered honestly

What is hospice care

Speical care that a dying person needs

What is paliative care

Care provided for people who are dying that emphasizes relieving pain, controlling symptoms, and preventing side effects and complications

What are the goals of hospice care

Comfort and dignity for the resident

What is a common sign of approachign death

Decreasing blood pressure

What might an employer require a new employee to complete

A criminal background check

What should an interviewee do at an interview

Arrive 10 or 15 minutes early and not bring friends or children inside with them

What does a job description provide

Protection for an employee and employer

Where might an NA recieve hostile criticism from

Residents, family members, or others

What should an NA say if they recieve hostile criticism

"I'm sorry you are so disappointed," and nothing more