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CNA > 4. Communication Challenges > Flashcards

4. Communication Challenges Flashcards

1
Q

What is a method to explain the position of objects to a resident who is visually impaired? [STAR]

A

use the face of an imaginary clock as a guide

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2
Q

T/F - most hearing loss occurs very suddenly

A

False - most occurs gradually

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3
Q

Define defense mechanisms

A

unconscious behaviors used to release tension and/or help a person cope with stress

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4
Q

Denial [STAR]

A

blocking reality; rejecting the thought or feeling

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5
Q

Displacement [STAR]

A

transferring a strong feeling to a less threatening object or person

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6
Q

Projection [STAR]

A

seeing feelings in others that are actually one’s own

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7
Q

Rationalization [STAR]

A

making excuses to justify something

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8
Q

Repression [STAR]

A

blocking painful events or feelings from the mind

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9
Q

Regression [STAR]

A

going back to behavior from the past for comfort

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10
Q

Anxiety vs fear

A
  • Anxiety: unease or worry, often about a situation or condition
  • Fear: occurs when dealing with a specific and immediate danger
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11
Q

Name 5 physical symptoms of anxiety

A

nausea, shaking, sweating, chest pain, and tachycardia

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12
Q

T/F - residents who have recently moved into the facility may be depressed

A

True

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13
Q

What are some causes of anger (6)?

A

illness, fear, pain, grief, loneliness, or loss of independence

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14
Q

Name some ways that anger is expressed

A
  • yelling, throwing things, being sarcastic, pacing, and threatening others
  • narrowed eyes and clenched or raised fists
  • being withdrawn, silent, or sulking
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15
Q

Assertive vs Aggressive behavior

A
  • Assertive - expressing thoughts and feelings in a direct, honest, and respectful way (a desired trait)
  • Aggressive - expressing thoughts and feelings in a way that humiliates or overpowers another person (doesn’t show respect)
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16
Q

What are some early signs of possible combativeness that you should look out for?

A

pacing, tensing of the body, a flushed face, and an angry look

17
Q

T/F - if a resident tries to hit you, never hit back [STAR]

A

True

18
Q

What can cause inappropriate sexual behavior in residents? What can cause it if the resident is confused?

A
  • illness, dementia, confusion, or medication
  • if the resident is confused, may be caused by a rash, clothes that are too tight, too hot, or too scratchy, or they need to use the restroom
19
Q

Disorientation vs Confusion [STAR]

A
  • Disorientation - confusion about a person, place, or time; may be permanent or temporary
  • Confusion - inability to think clearly or logically
20
Q

What 5 physical problems may cause disorientation?

A
  • injury or disorder in the brain
  • dehydration
  • constipation
  • hypoxia
  • medication
21
Q

Define coma [STAR]

A

state of unconsciousness in which a person is unable to be aroused even by powerful stimulation; they do not respond to pain, open their eyes, or speak

22
Q

Define persistent vegetative state (PVC) [STAR]

A

person may have some level of consciousness; may open eyes and have some facial movements (mostly physical reactions)

23
Q

Define minimally conscious state (MCS) [STAR]

A

person exhibits some cognitive behavior and shows sporadic signs of consciousness such as crying or laughing appropriately

24
Q

T/F - CNA does not need to speak to unconscious residents such as those in a come [STAR]

A

False - residents may be able to hear what is going on around them; speak respectfully and explain what you are doing like with any other resident

25
Q

Name some physical problems of the lips/mouth/tongue that could cause dyspnea

A
  • lip, mouth, or tongue sores
  • missing teeth, mouth pain, or recent dental work
  • poorly-fitting dentures
  • birth defects (such as cleft palate)
  • paralysis on one side of mouth (due to stroke)
26
Q

T/F - CNA does not remove a resident’s oxygen for any reason; only the nurse can remove oxygen

A

True

CNA (17 decks)

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