Test 1 Flashcards

Chapters 1-8

1
Q

TB Guidelines

A

Standard and Airborne precautions, use special care when handling sputum or Phlegm (thick mucus from the respiratory passage

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2
Q

Financial abuse

A

Illegal use of a persons money, stuff, property or any other asset

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3
Q

Person-Centered Care

A

Focuses on the individual receiving care, their choices, preferences, beliefs, culture, background, & tradition

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4
Q

Verbal Communication

A

Using words, spoken or written, to communicate

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5
Q

Chain of Command

A

Describes the line of authority & protects employees & employers from liability

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6
Q

Agnostic

A

Believe they do not or can not know if a god exists

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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

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8
Q

Susceptible Host

A

An uninfected person who could become ill

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9
Q

What are facts?

A

Something factually true that has evidence to back it up.

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10
Q

What happens when a resident complains of abuse by an NA

A

The relevant state agency runs the investigation

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11
Q

Most common way to get infected with a blood borne pathogen

A

Contact with infected blood or body fluids

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12
Q

Advance Directives

A

Legal Documents that gives someone permission to speak and make decisions in the event the resident cannot

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13
Q

Incident

A

Accident, problem, or unexpected event that takes place during care

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14
Q

Jewish dietary restriction

A

Kosher food, don’t eat pork or shellfish

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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

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16
Q

Subjective Information

A

Based on what the resident has said or reported, may or may not be true

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17
Q

Why you need activity?

A

It increases energy

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18
Q

Guidelines for using restraints

A

Resident must be constantly monitored, checked every 15 minutes, restraints released and care given every 2 hrs

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19
Q

OSHAs blood borne pathogen standard for employers

A

Free Hep B vaccine, available biohazard containers, must give personnel proper PPE

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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.

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21
Q

(DNR) Do Not Resusitate

A

Not allowed to perform life saving measures like CPR (cardio pulmonary resuscitation)

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22
Q

Standard precautions

A

Washing hands, wearing gloves - used with every resident

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23
Q

(MO)

A

Microorganism

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24
Q

Implementation

A

Putting the plan into action

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25
Q

What is true of residents spirituality?

A

Residents beliefs will differ

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26
Q

How to handle private documents?

A

Store, file, or shred docs according to facilities policy

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27
Q

OSHAs chemical requirements

A

SDS Safety data sheet outlines chemical ingredients, dangers, disposal, and safe handling along with emergency response action

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28
Q

Objective Information

A

Observed info that is collected through the senses: sees, hears, smells, or touches

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29
Q

Legal behavior of an NA

A

Only discussing residents cases with other members of the care team

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30
Q

Standard precautions for needles

A

In the sharps container, never attempt to recap them

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31
Q

Cerebral Palsy

A

Allow residents to move slowly

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32
Q

Doctor (MD or DO)

A

Licensed professional that diagnoses and prescribes treatment and medication

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33
Q

Chain of Infection

A

How disease is transmitted from person to person. Causative agent, Reservoir, Portal of exit, Mode of transmission, Portal of entry, Susceptible host.

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34
Q

What does an NA need to do after a fall?

A

Write an incident report on the fall

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35
Q

Infection Prevention

A

Methods practiced to prevent and control the spread of disease

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36
Q

How does physical development in infancy move?

A

From head down

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37
Q

Mandated Reporter

A

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

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38
Q

What activities should you perform with residents?

A

Only activities listed on the care plan

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39
Q

Durable Power of Attorney for Health Care

A

Aka Health Care Proxy, legal doc that gives someone else permission to make medical decisions if the person is unable to

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40
Q

How should you communicate with stroke or CVA victims?

A

Verbal and Non-verbal communication through smiles, touches, and gestures to show a positive attitude

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41
Q

Fulcrum

A

The elbow

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42
Q

Planning

A

Creating a care plan

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43
Q

How to handle combative residents?

A

Remain calm, lower the tone of your voice

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44
Q

Why is it important for you to get to know residents families

A

To help communicate with the care team

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45
Q

Diagnosis

A

Identifying health problems after looking at all the residents needs

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46
Q

How to prevent burns or scalds

A

Check water temperature (with inside of wrist or thermometer, 105F or less), Pour hot drinks away from residents

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47
Q

COVID-19 classification

A

Classified as both droplet and airborne disease.

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48
Q

Sequence of donning PPE

A

Gown, Mask, Goggles, Gloves

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49
Q

Why is Oxygen dangerous?

A

It supports combustion and is a major fire hazard- makes other things burn

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50
Q

What will medical cover?

A

Only what they determine as “Medically necessary

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51
Q

What kinds of questions should NA’s ask residents?

A

Open ended questions, not yes or no

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52
Q

Microorganism

A

Living thing, everywhere in the environment, so small can only be seen under a microscope

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53
Q

Single-Parent families

A

One parent and one or more children

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54
Q

Insulin Reaction - Hypoglycemia

A

Results from too much insulin or too little food

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55
Q

Acute Care

A

24hr skilled care given in hospitals

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56
Q

(OBRA) Omnibus Budget Reconciliation Act

A

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

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57
Q

What are NAs not allowed to do?

A

Insert or remove tubes, give tube feedings, or change sterile dressings

58
Q

Disposable

A

Equipment that is discarded after use

59
Q

Gender identity

A

Deeply felt sense of ones gender

60
Q

Disinfection

A

Destroys most but not all pathogens

61
Q

When to use abdominal thrusts?

A

If a resident can no longer speak, breathe or cough, call for help immediately using emergency chord or call light

62
Q

What is important to adolescence?

A

Peer acceptance, they might be afraid they are unattractive or abnormal.

63
Q

Delegation

A

NAs NEVER delegate, transferring responsibility to another person for a specific task

64
Q

Evalation

A

Evaluating if goals or progress has been achieved

65
Q

Cliches

A

Phrases used again and again, ex: everything will be okay. Do not use cliches

66
Q

Neglect

A

Failing to care for a person resulting in physical, emotional, or mental harm

67
Q

How to control bleeding?

A

Press down hard on wound with clean sterile pad, cloth, or towel until help arrives

68
Q

How to prevent problems from a loss of independence?

A

Encourage residents to do as much as possible for themselves

69
Q

Bulimia

A

Binge eats large amounts of food, then purges, or exercise excessively

70
Q

Most basic physiological needs

A

Water and Food; ADL eating, pooping, bathing, grooming, and reading

71
Q

3 parts of communication

A

Sending, receiving, and feedback

72
Q

Resident Council

A

Gives residents a voice in facilities through regular meetings discussing issues

73
Q

What is TB

A

Tuberculosis - highly contagious, caused by bacterium, carried on mucous droplets, usually affects lungs, coughing can spread it

74
Q

Joint Commission

A

Evaluates patient rights, treatment, & infection prevention in a comprehensive survey process every three years

75
Q

Restraint alternatives

A

Creative approaches work best, like distracting or redirecting, or giving the resident a repetitive task

76
Q

How to be a good listener?

A

Concentrate on what the resident is saying

77
Q

Sterilization

A

Destroys all microorganisms, including the ones that make spores

78
Q

Empathy

A

Identifying with the feelings of others

79
Q

How to handle spills

A

Immediately don gloves

80
Q

Sexual Abuse

A

Nonconsensual sexual contact of any type

81
Q

Who has the longest stay in LTCF?

A

People who are developmentally disabled

82
Q

How can residents call for help?

A

Call lights. NEVER ignore the call light

83
Q

Down syndrome signs

A

Small skull, flattened nose, short fingers

84
Q

Why are Elderly at higher risk for infection

A

They have limited mobility - a risk factor for, pressure injuries, skin infections, & pneumonia

85
Q

(TIA) Transient ischemic attack

A

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
Q

How to work safely around oxygen?

A

No smoking, No flames, No oil-based lubricants or petroleum based products

87
Q

How to communicate with the hearing impaired

A

In good lighting facing the resident, speak slowly and clearly

88
Q

How to respect a residents spiritual needs?

A

Learn about their religion or beliefs, listen carefully to what they say, NEVER try to change someones religion

89
Q

How to stop the chain of infection

A

Wearing gloves & washing hands stops the mode of transmission (the 4th link), immunizations prevent a susceptible host (the 6th link)

90
Q

How to avoid injury

A

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
Q

What is an Obudsman

A

Legal advocate for residents, help to settle disputes

92
Q

Down syndrome

A

Caused by abnormal cell division, called trisomy 21, experience different degrees on intellectual and physical symptoms or disabilities

93
Q

How to prevent falls

A

Clear walkways, answer the call light right away

94
Q

How do you be a professional employee?

A

Document and report carefully and correctly. Present clean, neatly dressed, and groomed

95
Q

What is a common NA duty?

A

Helping with elimination needs

96
Q

What else is considered a type of incident

A

Accusations from residents to staff, & employee injuries

97
Q

What to do if you suspect poisoning

A

Don gloves and look for container to determine what the resident has taken or eaten

98
Q

Atheist

A

Believe there is no god

99
Q

Systematic Infection

A

Affects the entire body, travels through the bloodstream

100
Q

Issue with a loss of sensation

A

Leads to burns and other issues, happens a lot with diabetic individuals

101
Q

Rehabilitation

A

Helping to improve or restore function post injury or illness through Physical, Occupational, and Speech therapy

102
Q

Body Mechanics

A

Parts of the body working together when a person moves.

103
Q

How to orient the vision impaired

A

Use the face of a clock as a guide to explain the position of objects in front of the resident

104
Q

How to maintain a professional relationship with residents?

A

Keeping all residents information confidential

105
Q

Physical Abuse

A

Treatment intentional or not that causes physical harm

106
Q

What to do incase of fire

A

RACE, Remove people from danger, Activate the alarm or 911, Contain the fire (close windows, doors), Extinguish or Evacuate

107
Q

HIPAA

A

Health Insurance Portability Accountability Act

108
Q

How to provide feedback?

A

Focus on what they are saying and repeat it back to them

109
Q

Signs and Symptoms of TB

A

Fatigue, Night Sweats, Coughing up blood

110
Q

How to communicate effectively?

A

Use facts instead of opinions

111
Q

What can be considered a restraint

A

Raised side rails on beds- depending on intended se and the residents abilities

112
Q

Ethics

A

The knowledge of right and wrong

113
Q

Cognitive

A

Related to thinking and learning

114
Q

How to respond to shock?

A

Put the resident on their back, with the legs elevated 8-12 inches. Unless injury to head, back, neck, spinal chord, or abdomen

115
Q

Chronic Illness

A

Most people in LTCF have life-long or long-term conditions

116
Q

Laws

A

The rules that tell you what you must do

117
Q

Anorexia

A

Eating disorder, they don’t eat or exercise excessively to lose weight

118
Q

Holistic Care

A

Includes the entire person; mind and body

119
Q

Lever

A

The forearm

120
Q

How do RNs interact with CNAs?

A

They supervise daily care & assign and delegate tasks

121
Q

What is one of the rights residents have?

A

The right to visits

122
Q

Sequence of doffing PPE

A

Gloves, Goggles, Mask, Gown

123
Q

What does HIPAA do?

A

Keeps health info private and secure

124
Q

Physical Problems associated with restraints

A

Pressure Injuries, Risk of suffocation

125
Q

Standard precautions for contaminated supplies

A

Carefully bag all contaminated supplies

126
Q

How to treat minor burns

A

Use cool, clean water to decrease skin temperature and reduce further damage

127
Q

Procedure

A

The method or way that something is done

128
Q

What does learning and tuning into other cultures do?

A

Promotes person centered care and helps the NA understand the resident more

129
Q

MRSA

A

Strain of bacterium, spread by direct physical contact w/ infected people, Handwashing is the only way to control the spread

130
Q

People who are at higher risk for COVID

A

People with COPD (Chronic Obstructive Pulmonary Disease)

131
Q

How to answer the phone?

A

Identify your facilities name & your position, always be friendly and professional

132
Q

Paralysis

A

Loss of ability to move all or part of the body.

133
Q

(HMOs) Health Maintenance Organizations

A

Help control cost by managing care though dictating healthcare providers and facilities

134
Q

When & why you document legally

A

Its the only way to guarantee complete communication throughout the care team. Carefully document immediately after care is given, NEVER before.

135
Q

Assessment

A

Getting information, medical history & looking the resident over for actual or potential problems

136
Q

Localized Infection

A

Infection limited to a specific part of the body, local symptoms

137
Q

Yarmulke

A

A small skullcap some jewish men wear.

138
Q

What to do in a medical emergency

A

Assess the situation, Assess the victim, when reporting emergency give 911 phone number and address of the emergency

139
Q

(DKA) Diabetic Ketoacidosis sign

A

Breath that smells fruity

140
Q

What should you do for residents with intellectual disabilities?

A

Promote independence, but assist with activities and motor functions that are difficult

141
Q

What is the Nursing Process?

A

Asses, diagnose, plan, implement, & evaluate

142
Q

How is COVID transmitted?

A

Respiratory Droplets made when the person breathes, sneezes, coughs (spread among people within 6 feet of each other)