test 1 Flashcards

1
Q

who is a nurse aide defined as?

A

a valued, unlicensed member of the health team, responsible for providing delegated nursing tasks within a defined range of function for residents.

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2
Q

What is OBRA

A

Omnibus budget reconciliation act
-improve quality of life of residents
-define requirements of nurse aide.

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3
Q

what is the NCBON and how does it apply to NAs

A

NC board of nursing- defines range of function provides list of tasks

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4
Q

What is the NA1 registry

A

list of all people meeting state federal training, testing

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5
Q

how often do you renew your NA listing

A

every 24 months with 8hr work experience

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6
Q

what are the job responsibilities of a nurse aide

A

perform basic nursing skills, personal care, interpersonal

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7
Q

What are the five rights of delegation

A

right task, right circumstance, right person, right direction, communication, right supervision, evaluation

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8
Q

what is delegation

A

assigning part of responsibility to another, improves efficiency, nurse remains accountable for care.

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9
Q

what are some examples of basic nursing skills

A

monitoring, documenting, vital signs, pain management, dressing changes, maintaining privacy

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10
Q

what are some examples of interpersonnal skills

A

empathize, anticipate needs, honor requests, respect, patience, sensitive to moods, mindful of reactions, respect family members, professional relationship, effectively communicate.

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11
Q

what are some apperance characteristics of a NA1

A

follows dress code, modest, clean, no jewelery, visiable badge, no body art, long hair tied, no heavy makeup

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12
Q

what characteristics should NA1 show in their attitude

A

patient, understanding, honest, trustworthy, courteous, considerate, respectful, cheerful, responsible, accountable.

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13
Q

NA as an employee should have what characteristics

A

strive to be the best, understand role, concern for others, excellent apperance, report on time, show respect to everyone, empathy

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14
Q

describe the qualities of an effective team

A

group of people, with common purpose, assigned task, involved members, comfortable climate, 2 way communication

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15
Q

what are the normal vital values for blood pressure

A

90-120
60-80

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16
Q

what is normal respirations

A

12-20 bpm

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17
Q

what is normal value for pulse

A

60-100bpm

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18
Q

what is normal oral temperature

A

97.6-99.6

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19
Q

why do we take vital signs

A

shows how well organs are functioning- heart, lungs
value of vital signs in basis for meds

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20
Q

what are the vital signs

A

temp, pulse, respiration, blood pressure, pain

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21
Q

what is the most and least accurate way to take a temperature

A

rectum- most accurate
armpit- least accurate

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22
Q

what is intake and output

A

amount of fluid taken in
amount lost from the body

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23
Q

how many ml are in an ounce

A

30 ml

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24
Q

what is infection prevention defined as

A

ways to control and prevent the spread of infection

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25
Q

what is localized infection

A

an infection found in one part of the body and symptoms are limited to that one part of the body

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26
Q

what is systemic infection

A

an infection that affects an entire body or entire body system

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27
Q

what are the symptoms of a bladder infection

A

fever, chills, urination pain, strong smelling urine.

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28
Q

chain of infection

A

causative agent- germ
reservoir- germs grow in blood, skin, digestive, respitory
portal of exit- nose, mouth, vomit, blood, urine
transportation- hands, blood, sputum, vomit
portal of entry- nose, mouth, cuts, sores
susceptible host- poor nutrituin, elder, stress, wounded

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29
Q

why are the elderly at higher risk of infection

A

health issues, elderly, closeknit, community

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30
Q

what is a healthcare associated infection

A

an infection that a resident gets while staying or living in a healthcare setting

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31
Q

what are standerd precautions

A

basic tasks that healthcare workers must do when caring for each and every resident in order to prevent and control the spread of infection

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32
Q

what is the number one way to stop the spread of infection

A

handwashing (before touching patient, cleaning procedures, body fluid, exposure risk, after touching patient, medical equipment)

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33
Q

be familiar with the rules for sharps container

A

wear gloves, never recap needles, never put hand in container, never fill over 3/4

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34
Q

what are the three transmission based precautions

A

contact
droplet
airborne

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35
Q

what are some diseases that require droplet precaution

A

flu, influenza, meningitis, whooping cough

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36
Q

what is a hazard

A

anything in the residents environment that may cause illness or injury

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37
Q

know the NAs role for safety in the residents environment

A

maintain room temp, good lighting, keep room clean, report unsafe conditions, faulty equipment, check linens, keep bed low, call signal close

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38
Q

what is the definition of a fall

A

unintentionally coming to rest on the ground, floor, or other lower level. any sudden descent from a higher level to a lower level which may result in injury.

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39
Q

what are intrinsic risk factors

A

risk factors that result from the residents inner being, age balance, gait, medical conditions.

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40
Q

what are extrinsic risk factors

A

risk factors outside of the resident
hazrds of environment, unsafe equipment, unsafe personal items.

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41
Q

what are extrinsic risk factors

A

risk factors outside of the resident
hazards of the environment, unsafe equipment, unsafe personal items.

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42
Q

what devices are used to prevent falls

A

assistive devices, handrails, wheel locks, grab bars, belts, walkers

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43
Q

what is elopement

A

when a resident leaves a healthcare facility without the staffs knowledge.

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44
Q

what can NAs do to prevent residents from choking

A

sit resident upright, provide assistance at mealtimes, encourage dentures, report difficulty

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45
Q

what does race stand for

A

remove resident from danger
activate alarm
contain fire closing doors
extinguish fire

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46
Q

what does pass stand for

A

pull pin
aim at base of fire
squeeze handle
sweep back and forth

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47
Q

Know NAs role in preventing falls

A

assist with ambulation, report unsafe conditions, provide supervision, keep environment clean, promptly answer calls, walkways clear, wipe spills

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48
Q

what are the rules when oxygen is in use

A

post oxygen in use signs, no open flames, smoking, no electrical equipment

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49
Q

what is communication

A

sucessfully sending and receiving messages using signs, symbols, words, drawings, and pictures

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50
Q

what is verbal communication

A

using written or spoken words, pictures or symbols to send a message. active listening, open ended questions.

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51
Q

what is nonverbal communication

A

using body language such as movements, facial expressions, gestures, posture, gait, eye contact, and appearance.

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52
Q

what is the importance of communication

A

learn about client to provide care, source of encouragement, build relationship, provide information

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53
Q

what are some barriers to communication

A

language, slang, talking to fast, personal opinion, attitude, age, culture, lack of privacy

54
Q

what is culture

A

characteristics of a group of people that are passed from one generation to the next.

55
Q

what is NAs role in communication

A

develop skills that enhance effective communication appropriate nonverbal skills, listen, ask questions, avoid interupt. no personal opinions, patience, eliminate environmental distractions.

56
Q

what are some special approaches to communication

A

language difference, caring tone, speak slowely, simple words, respect message, focus on single idea.

57
Q

what are laws

A

rules made by government to help protect public, person liable if laws not obeyed and may be fined or jailed

58
Q

negligence

A

actions or failure to act or give proper care, resulting in injury

59
Q

assault

A

actions or failure to act or give proper care resulting in injury

60
Q

battery

A

act of threatening to touch, or attempting to touch a person without proper consent

61
Q

what are the three types of consent

A

written, verbal, implied

62
Q

which consents can NAS obtain

A

verbal and implied

63
Q

what is false imprisonment

A

unlawful restraining or restricting a persons movement. not allowing resident to leave facility

64
Q

examples of invasion of privacy

A

picture of resident, gossiping about residents behavior or medical records

65
Q

who are vulnerable adults

A

adults who are at risk for abuse or mistreatment because they are not able to protect themselves from harm due to the mental, emotional, developmental disability, brain damage, changes from age.

66
Q

what are the signs of neglect

A

dehydration, malnutrition, untreated pressure ulcers, poor personal hygiene

67
Q

what are signs of physical abuse

A

spains, dislocations, broken bones, fractures, bruises, withdrawn, marks, internal injuries, sudden change in behavior

68
Q

what is the health care personnel registry

A
69
Q

what are ethics

A

knowledge of what is right conduct and wrong conduct, or knowing right from wrong

70
Q

what is code of ethics

A

rules, may differe betweeen facility, helps define wrong

71
Q

what are resident rights

A

rights that have been written into federal law that identify how a resident must be treated. code of ethics for health care providers

72
Q

why are ethics important

A

guides sense of duty, providing quality care, governs actions, vital to safety.

73
Q

what is dignity

A

inborn value and worth as human beings. all people have right to be recognized for the inherent humanity and treated ethically.

74
Q

what is empathy

A

identifying with and understanding the feelings of another without feeling sorry for the person

75
Q

what is the NAs role in dignity

A

meet residents physical, social, emotional, intelectual and spiritual needs. explain procedure, respect residents room and personal items, dont rush patient, encourage resident to make as many decisions, refrain from judging

76
Q

define body mechanics

A

effecient and safe use of the body by the coordination of body alignment, balance, and movement

77
Q

what is the importance of body mechanics

A

nurse aide subject to back and other injuries. maximizes strenght, min fatigue, avoid strains, reduces cost to facility, reduce employee absence.

78
Q

ABCs of body mechanics

A

alignment- posture, position, object close, dont twist at waist

base of support- foundation, balance, wide base support

coordination- point where most weight concentrated, low center of gravity

79
Q

what should you do when a resident is about to fall

A

control direction of fall, ease to floor, protect head, keep resident still

80
Q

what different positions can patients be put in

A

supine
prone
fowlers
high fowlers
lateral
sims

81
Q

why do we use mechanical lifts

A

helps prevent injury, transfer residents from bed, chairs, wheelchairs,

82
Q

know the names of the bed angles

A

supine
fowlers
high fowlers

83
Q

define person centered care

A

the practice of basing resident care on individual resident needs, preferences, and expectations

84
Q

what is the importance of person centered care

A

where a person lives, wether at home or assisted living is persons home. encourage personal choice, honor individuals preferences as much as possible, fosters engagement, improves quality of life.

85
Q

what is the nurse aides role in person centered care

A

support residents to be independent, honor preferences, support relationships of resident, support residents identity, pay attention to wellbeing.

86
Q

what is abandonment

A

leave without coverage

87
Q

what information should you know before transfering a patient

A

their weight bearing status

88
Q

What is ADL

A

term used in health care to describe everyday things that a resident routinely does, such a hygeine and gromming, dressing, eating, and transferrring.

89
Q

cognition

A

the manner in which messages from the five senses are collected, stored in memory, recovered from memory, and later used to answer questions.

90
Q

north carolina board of nursing

A

regulatory body that provides list of tasks that fall within the range of function for nurse aides in north carolina.

91
Q

nurse aide registry

A

a registry of all people who meet state and federal training and testing requirements to perform nurse aide 1 tasks in the state of north carolina.

92
Q

afebrile

A

without a fever

93
Q

apical pulse

A

a pulse point located over the heart

94
Q

apnea

A

no breathing

95
Q

bradycardia

A

a pulse rate less than 60 beats per minute

96
Q

bradypnea

A

a respiratory rate less than 12 breaths per minute

97
Q

centigrade

A

metric scale used to measure temperature. expressed in degrees

98
Q

cheyne-strokes

A

alternating periods of slow, irregular breathing and rapid, shallow breathing, plus short periods of sbsent breathing.

99
Q

diastole

A

the resting phase of the heart when the heart fills with blood.

100
Q

dyspnea

A

painful or difficult breathing

101
Q

eupnea

A

normal breathing

102
Q

febrile

A

with a fever

103
Q

orthostatic hypotension

A

abnormal low blood pressure occuring when the resident sudeenly stands up

104
Q

systole

A

the working phase of the heart when the heart is pumping blood to the body

105
Q

tachycardia

A

a pulse rate more than 100 beats per minute

106
Q

tachypnea

A

a respiratory rate more than 20 breaths per minute

107
Q

commode hat

A

a plastic collection container placed under a commode lid, used when resident has bathroom privileges

108
Q

edema

A

when fluid intake is more that fluid output and body tissues swell with water

109
Q

emesis basin

A

a plastic, shallow basin shaped like a kidney that fits against the residents neck and collects fluid when a resident is nausated

110
Q

what are vital signs also called

A

TPR

111
Q

veins

A

carry blood with waste products away from the cells and to the heart

112
Q

arteries

A

carry blood with oxygen and nutrients away from the heart snd to the cells

113
Q

when do you not take a oral temperature

A

unconscious
recent injury
confused
seizures
using oxygen
mouth breather

114
Q

hen do you not take a rectal temperature

A

rectal problem
heart disease
confused

115
Q

aerobic

A

requires oxygen to survive

116
Q

aseptic

A

clean

117
Q

medical aseptis

A

practice used to remove or destroy germs and to prevent their spread from one person or place to another person or place

118
Q

symptoms of respiratory infection

A

fever
sniffling
coughing
hacking up globs of green or yellow

119
Q

when do you wash your hands

A

visibly dirty
using restroom
blowing nose
sneezing

120
Q

when do you use the hand rub

A

eating food
handling food
routine resident care

121
Q

What does BEFAST stand for

A

balance
eyes
face
arms
speech
time

122
Q

cerebrovascular accident

A

occurs when blood supply to a part of the brain is blocked or a blood vessel leaks in a part of the brain

123
Q

liason

A

a person who establishes and maintains communication for mutual understanding and cooperation

124
Q

defamation

A

fasle statement made to a third person that causes a person shame or ridicule, or ruins their reputation

125
Q

what is assualt

A

forcing medication or changing or showering not allowed

126
Q

what is an example of false imprisonment

A

refusing to take patient to the bathroom

127
Q

health care personnel registry

A

lists pending allegations and substantial findings of nurse aides and other unlicensed personnel

128
Q

ombudsman

A

every resident living in north carolina long term facility has access to a person assigned to their district who supports or promotes their intrests

129
Q

logrolling

A

turning the resident as a unit, while maintaining the head, back, and legs in a straight line.

130
Q

what is the importance of positioning the resident

A

promote wellbeing
easier breathing
circulation
pressure ulcers
change position every two hours