test 4

Question 1

unnecessary restraints are considered

Answer 1

false imprisonment

Question 2

be familiar with the criteria for using restraints

Answer 2

protect patient, doctors order, last resort, least restrictive, informed consent,

Question 3

list everyday practices that can be considered a restraint

Answer 3

side rails, gerichair, walker out of reach, tucking velcro

Question 4

be familiar with safety guidelines for restraints

Answer 4

patient safety, applied properly, fasten correctly, secure out of reach

Question 5

restraints should be removed how often and for how long

Answer 5

2 hours for 10 minutes

Question 6

why do we remove restraints

Answer 6

reposition, attend basic needs

Question 7

how often do we check on patients in restraints

Answer 7

every 15 minutes

Question 8

what is the highest priority for restraints

Answer 8

patient safety

Question 9

define family

Answer 9

a group of people related by blood, marriage, or a feeling of closeness

Question 10

what is the nurse aides role in family support

Answer 10

orient family, learn names, get to know, remember tradition, communicate, respect, reassure, encourage, avoid family affairs, report negative visit effects

Question 11

define cognition

Answer 11

the nammer in which messges from the five senses are changed stored in memory, recovered from memory, and later used to answer questions, respond and perform tasks

Question 12

normal cognitive changes with age

Answer 12

brain cells decrease, total brain mass decrease, increased learning time, slower esponse, easily confused, mild shortterm memory loss

Question 13

what are the effects of a fast pace in the elderly

Answer 13

negetively impact ability to learn, more cautious for fear of failure,

Question 14

what are the three stages of alzheimers

Answer 14

mild moderate severe
moderate is the longest

Question 15

define dementia

Answer 15

progressive condition marked by development of multiple cognitive deficits such as memory impairment, and inability to plan and iniate complex behavior

Question 16

define delirium

Answer 16

state of sudden confusion that is usually reversible triggered by illness, or change in physical condition

Question 17

what is the difference between dementia and delirium

Answer 17

deliruim is sudden, severe and reversible, dementia is progressive and irreversible

Question 18

know the goals of activity based care

Answer 18

focused on assisting resident to find meaning in his day, rather than activities just to keep busy

Question 19

what is wandering

Answer 19

wandering is known and persistant problem behavior that is high risk for patient safety

Question 20

what is the priority concern for wandering patients

Answer 20

patient safety

Question 21

what are alzheimers patients at higher risk of

Question 22

understand nurse aide burnout and why it is prevalent in caring for cognitively impaired patients

Answer 22

extremely stressful, prone to abuse, extra precautions to avoid overreacting

Question 23

what is mental health

Answer 23

a resident ability to cope with and adjust to everyday stresses in ways that society accepts

Question 24

what is importance of mental health caregiving

Answer 24

good day to day relationships. nurse aides knows there normal from agitation

Question 25

list causes of mental illness

Answer 25

illness, aging, disability, substance, environment, ptsd, traits, stress

Question 26

know the nurse aides role in caring for those with mental illness

Answer 26

recognize innapropriate behavior, report, deescalate

Question 27

how do we define pain

Answer 27

anything the patient says it is, occuring whenever patient says

Question 28

what is the difference between acute and chronic

Answer 28

temporary comes on suddenly, long term, over 6 months, continues after healing

Question 29

know the effects that pain can have on patients

Answer 29

giving up hope, depression, exhaustion, withdrawel

Question 30

know the nurse aides role in pain management

Answer 30

most likely to notice, personal reltaionships important, active role in management

Question 31

what are some comfort measures that can be taken with pain

Answer 31

supportive talk, music, soft lighting, warm packs, massage, reposition, favorite things.

Question 32

define end of life care

Answer 32

support anc care provided during the tiem surronding death, last days, weeks and months

Question 33

what are the five stages of grief

Answer 33

denial anger bargain depression acceptance

Question 34

what are the physical needs of someone dying

Answer 34

positioning, clean, mouth, nutrition, elimination

Question 35

what are the emotional needs of someone dying

Answer 35

note behavior changes, give dignity, respect, support, listen, positive attitude, privacy, spend time

Question 36

know how culture affects end of life care

Answer 36

who can provide care, steps after death, dying at home, organ donation, autopsy, cremation, no meds

Question 37

what are the symptoms of someone nearing death

Answer 37

physical withdrawel, sleep more, slow pulse, bp drops, shallow breathing, fecal incontinence, dark urine, blurred vision

Question 38

what are the signs of someone who has died

Answer 38

no pulse, respirations none, pupils dilated