Test 1 Flashcards
Chapters 1-8 (142 cards)
1
Q
TB Guidelines
A
Standard and Airborne precautions, use special care when handling sputum or Phlegm (thick mucus from the respiratory passage
2
Q
Financial abuse
A
Illegal use of a persons money, stuff, property or any other asset
3
Q
Person-Centered Care
A
Focuses on the individual receiving care, their choices, preferences, beliefs, culture, background, & tradition
4
Q
Verbal Communication
A
Using words, spoken or written, to communicate
5
Q
Chain of Command
A
Describes the line of authority & protects employees & employers from liability
6
Q
Agnostic
A
Believe they do not or can not know if a god exists
7
Q
Why are NAs observations important to report to RNs?
A
Care plans are updated every 60 days, findings might determine how the plan needs to change
8
Q
Susceptible Host
A
An uninfected person who could become ill
9
Q
What are facts?
A
Something factually true that has evidence to back it up.
10
Q
What happens when a resident complains of abuse by an NA
A
The relevant state agency runs the investigation
11
Q
Most common way to get infected with a blood borne pathogen
A
Contact with infected blood or body fluids
12
Q
Advance Directives
A
Legal Documents that gives someone permission to speak and make decisions in the event the resident cannot
13
Q
Incident
A
Accident, problem, or unexpected event that takes place during care
14
Q
Jewish dietary restriction
A
Kosher food, don’t eat pork or shellfish
15
Q
Transmission based precautions
A
Wearing PPE, Varies based on how the infection is transmitted, used in addition to standard precautions made by the CDC
16
Q
Subjective Information
A
Based on what the resident has said or reported, may or may not be true
17
Q
Why you need activity?
A
It increases energy
18
Q
Guidelines for using restraints
A
Resident must be constantly monitored, checked every 15 minutes, restraints released and care given every 2 hrs
19
Q
OSHAs blood borne pathogen standard for employers
A
Free Hep B vaccine, available biohazard containers, must give personnel proper PPE
20
Q
How and why should you use touch?
A
Always as permission before softly patting or holding the residents hands or shoulders to show them care.
21
Q
(DNR) Do Not Resusitate
A
Not allowed to perform life saving measures like CPR (cardio pulmonary resuscitation)
22
Q
Standard precautions
A
Washing hands, wearing gloves - used with every resident
23
Q
(MO)
A
Microorganism
24
Q
Implementation
A
Putting the plan into action
25
What is true of residents spirituality?
Residents beliefs will differ
26
How to handle private documents?
Store, file, or shred docs according to facilities policy
27
OSHAs chemical requirements
SDS Safety data sheet outlines chemical ingredients, dangers, disposal, and safe handling along with emergency response action
28
Objective Information
Observed info that is collected through the senses: sees, hears, smells, or touches
29
Legal behavior of an NA
Only discussing residents cases with other members of the care team
30
Standard precautions for needles
In the sharps container, never attempt to recap them
31
Cerebral Palsy
Allow residents to move slowly
32
Doctor (MD or DO)
Licensed professional that diagnoses and prescribes treatment and medication
33
Chain of Infection
How disease is transmitted from person to person. Causative agent, Reservoir, Portal of exit, Mode of transmission, Portal of entry, Susceptible host.
34
What does an NA need to do after a fall?
Write an incident report on the fall
35
Infection Prevention
Methods practiced to prevent and control the spread of disease
36
How does physical development in infancy move?
From head down
37
Mandated Reporter
People in regular contact with vulnerable populations that are legally required to report suspected, or observed abuse. Report as much info as possible to the nurse
38
What activities should you perform with residents?
Only activities listed on the care plan
39
Durable Power of Attorney for Health Care
Aka Health Care Proxy, legal doc that gives someone else permission to make medical decisions if the person is unable to
40
How should you communicate with stroke or CVA victims?
Verbal and Non-verbal communication through smiles, touches, and gestures to show a positive attitude
41
Fulcrum
The elbow
42
Planning
Creating a care plan
43
How to handle combative residents?
Remain calm, lower the tone of your voice
44
Why is it important for you to get to know residents families
To help communicate with the care team
45
Diagnosis
Identifying health problems after looking at all the residents needs
46
How to prevent burns or scalds
Check water temperature (with inside of wrist or thermometer, 105F or less), Pour hot drinks away from residents
47
COVID-19 classification
Classified as both droplet and airborne disease.
48
Sequence of donning PPE
Gown, Mask, Goggles, Gloves
49
Why is Oxygen dangerous?
It supports combustion and is a major fire hazard- makes other things burn
50
What will medical cover?
Only what they determine as “Medically necessary
51
What kinds of questions should NA’s ask residents?
Open ended questions, not yes or no
52
Microorganism
Living thing, everywhere in the environment, so small can only be seen under a microscope
53
Single-Parent families
One parent and one or more children
54
Insulin Reaction - Hypoglycemia
Results from too much insulin or too little food
55
Acute Care
24hr skilled care given in hospitals
56
(OBRA) Omnibus Budget Reconciliation Act
Passed b/c of poor care & abuse in LTCF. Requires NAs have 75 hours of training & an annual 12 hours of in-service continuing education
57
What are NAs not allowed to do?
Insert or remove tubes, give tube feedings, or change sterile dressings
58
Disposable
Equipment that is discarded after use
59
Gender identity
Deeply felt sense of ones gender
60
Disinfection
Destroys most but not all pathogens
61
When to use abdominal thrusts?
If a resident can no longer speak, breathe or cough, call for help immediately using emergency chord or call light
62
What is important to adolescence?
Peer acceptance, they might be afraid they are unattractive or abnormal.
63
Delegation
NAs NEVER delegate, transferring responsibility to another person for a specific task
64
Evalation
Evaluating if goals or progress has been achieved
65
Cliches
Phrases used again and again, ex: everything will be okay. Do not use cliches
66
Neglect
Failing to care for a person resulting in physical, emotional, or mental harm
67
How to control bleeding?
Press down hard on wound with clean sterile pad, cloth, or towel until help arrives
68
How to prevent problems from a loss of independence?
Encourage residents to do as much as possible for themselves
69
Bulimia
Binge eats large amounts of food, then purges, or exercise excessively
70
Most basic physiological needs
Water and Food; ADL eating, pooping, bathing, grooming, and reading
71
3 parts of communication
Sending, receiving, and feedback
72
Resident Council
Gives residents a voice in facilities through regular meetings discussing issues
73
What is TB
Tuberculosis - highly contagious, caused by bacterium, carried on mucous droplets, usually affects lungs, coughing can spread it
74
Joint Commission
Evaluates patient rights, treatment, & infection prevention in a comprehensive survey process every three years
75
Restraint alternatives
Creative approaches work best, like distracting or redirecting, or giving the resident a repetitive task
76
How to be a good listener?
Concentrate on what the resident is saying
77
Sterilization
Destroys all microorganisms, including the ones that make spores
78
Empathy
Identifying with the feelings of others
79
How to handle spills
Immediately don gloves
80
Sexual Abuse
Nonconsensual sexual contact of any type
81
Who has the longest stay in LTCF?
People who are developmentally disabled
82
How can residents call for help?
Call lights. NEVER ignore the call light
83
Down syndrome signs
Small skull, flattened nose, short fingers
84
Why are Elderly at higher risk for infection
They have limited mobility - a risk factor for, pressure injuries, skin infections, & pneumonia
85
(TIA) Transient ischemic attack
A warning sign of a stroke or CVA, Symptoms: difficulty speaking, weakness on one side of the body, temporary loss of vision, numbness or tingling
86
How to work safely around oxygen?
No smoking, No flames, No oil-based lubricants or petroleum based products
87
How to communicate with the hearing impaired
In good lighting facing the resident, speak slowly and clearly
88
How to respect a residents spiritual needs?
Learn about their religion or beliefs, listen carefully to what they say, NEVER try to change someones religion
89
How to stop the chain of infection
Wearing gloves & washing hands stops the mode of transmission (the 4th link), immunizations prevent a susceptible host (the 6th link)
90
How to avoid injury
Apply principles of body mechanics to help avoid injury and spend less energy, bend your knees not your hips, push instead of lift when you can
91
What is an Obudsman
Legal advocate for residents, help to settle disputes
92
Down syndrome
Caused by abnormal cell division, called trisomy 21, experience different degrees on intellectual and physical symptoms or disabilities
93
How to prevent falls
Clear walkways, answer the call light right away
94
How do you be a professional employee?
Document and report carefully and correctly. Present clean, neatly dressed, and groomed
95
What is a common NA duty?
Helping with elimination needs
96
What else is considered a type of incident
Accusations from residents to staff, & employee injuries
97
What to do if you suspect poisoning
Don gloves and look for container to determine what the resident has taken or eaten
98
Atheist
Believe there is no god
99
Systematic Infection
Affects the entire body, travels through the bloodstream
100
Issue with a loss of sensation
Leads to burns and other issues, happens a lot with diabetic individuals
101
Rehabilitation
Helping to improve or restore function post injury or illness through Physical, Occupational, and Speech therapy
102
Body Mechanics
Parts of the body working together when a person moves.
103
How to orient the vision impaired
Use the face of a clock as a guide to explain the position of objects in front of the resident
104
How to maintain a professional relationship with residents?
Keeping all residents information confidential
105
Physical Abuse
Treatment intentional or not that causes physical harm
106
What to do incase of fire
RACE, Remove people from danger, Activate the alarm or 911, Contain the fire (close windows, doors), Extinguish or Evacuate
107
HIPAA
Health Insurance Portability Accountability Act
108
How to provide feedback?
Focus on what they are saying and repeat it back to them
109
Signs and Symptoms of TB
Fatigue, Night Sweats, Coughing up blood
110
How to communicate effectively?
Use facts instead of opinions
111
What can be considered a restraint
Raised side rails on beds- depending on intended se and the residents abilities
112
Ethics
The knowledge of right and wrong
113
Cognitive
Related to thinking and learning
114
How to respond to shock?
Put the resident on their back, with the legs elevated 8-12 inches. Unless injury to head, back, neck, spinal chord, or abdomen
115
Chronic Illness
Most people in LTCF have life-long or long-term conditions
116
Laws
The rules that tell you what you must do
117
Anorexia
Eating disorder, they don’t eat or exercise excessively to lose weight
118
Holistic Care
Includes the entire person; mind and body
119
Lever
The forearm
120
How do RNs interact with CNAs?
They supervise daily care & assign and delegate tasks
121
What is one of the rights residents have?
The right to visits
122
Sequence of doffing PPE
Gloves, Goggles, Mask, Gown
123
What does HIPAA do?
Keeps health info private and secure
124
Physical Problems associated with restraints
Pressure Injuries, Risk of suffocation
125
Standard precautions for contaminated supplies
Carefully bag all contaminated supplies
126
How to treat minor burns
Use cool, clean water to decrease skin temperature and reduce further damage
127
Procedure
The method or way that something is done
128
What does learning and tuning into other cultures do?
Promotes person centered care and helps the NA understand the resident more
129
MRSA
Strain of bacterium, spread by direct physical contact w/ infected people, Handwashing is the only way to control the spread
130
People who are at higher risk for COVID
People with COPD (Chronic Obstructive Pulmonary Disease)
131
How to answer the phone?
Identify your facilities name & your position, always be friendly and professional
132
Paralysis
Loss of ability to move all or part of the body.
133
(HMOs) Health Maintenance Organizations
Help control cost by managing care though dictating healthcare providers and facilities
134
When & why you document legally
Its the only way to guarantee complete communication throughout the care team. Carefully document immediately after care is given, NEVER before.
135
Assessment
Getting information, medical history & looking the resident over for actual or potential problems
136
Localized Infection
Infection limited to a specific part of the body, local symptoms
137
Yarmulke
A small skullcap some jewish men wear.
138
What to do in a medical emergency
Assess the situation, Assess the victim, when reporting emergency give 911 phone number and address of the emergency
139
(DKA) Diabetic Ketoacidosis sign
Breath that smells fruity
140
What should you do for residents with intellectual disabilities?
Promote independence, but assist with activities and motor functions that are difficult
141
What is the Nursing Process?
Asses, diagnose, plan, implement, & evaluate
142
How is COVID transmitted?
Respiratory Droplets made when the person breathes, sneezes, coughs (spread among people within 6 feet of each other)
