Chapter 1-10 Review Flashcards

1
Q

You are a Certified Nursing Assistant (CNA) working in a long-term care facility. One of the residents, Mrs. Johnson, has been expressing dissatisfaction with her care and feels that her concerns are not being addressed adequately. She has mentioned wanting to speak with someone who can advocate for her rights and ensure her voice is heard. She should speak to:

a. Representative
b. Ombudsman
c. Advocate
d. Advance directives

A

b. Ombudsman

Someone who supports or promotes the needs and interests of another pers

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2
Q

While providing care to a patient, you notice that they are experiencing discomfort and are hesitant to voice their concerns. What action should you take to uphold the Patient Care Partnership?

A) Disregard the patient’s discomfort, as they may be exaggerating.
B) Encourage the patient to keep quiet to avoid causing trouble.
C) Respect the patient’s right to voice concerns and promptly report the discomfort to the nurse in charge.
D) Remind the patient that complaining won’t change anything and continue with the care routine.

A

C) Respect the patient’s right to voice concerns and promptly report the discomfort to the nurse in charge.

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3
Q

What document explains the person’s rights and expectations during hospital stays?

A) Medical Guidelines
B) Omnibus Budget Reconciliation Act of 1987 (OBRA)
C) Patient Care Partnership (formerly Patient’s Bill of Rights)
D) Hospital Regulations

A

C) Patient Care Partnership (formerly Patient’s Bill of Rights)

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4
Q

As a Certified Nursing Assistant (CNA) in a long-term care facility, you are responsible for providing care to residents while adhering to OBRA regulations. Which of the following actions best demonstrates compliance with OBRA standards?

A) Limiting residents’ access to their medical records to maintain confidentiality.
B) Administering medication to residents without verifying their identities.
C) Encouraging residents to make decisions about their daily routines and activities.
D) Restricting residents’ access to social activities to ensure a quiet environment.

A

C) Encouraging residents to make decisions about their daily routines and activities.

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5
Q

T/F: The Patient Care Partnership is a federal law that set the minimum standards for quality of care in nursing centers

A

FALSE

OBRA is the federal law

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6
Q

In the context of a Certified Nursing Assistant’s (CNA) role in a healthcare facility, which of the following accurately describes the term “representative”?

A) A healthcare provider responsible for overseeing the daily care of residents.
B) An individual designated by a resident to make decisions on their behalf.
C) A legal advisor assisting the facility in matters related to patient care.
D) A government-appointed official monitoring compliance with healthcare regulations.

A

B) An individual designated by a resident to make decisions on their behalf.

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7
Q

Someone with the legal right to act on the patient’s behalf when the person cannot do so alone is:

a. Ombudsman
b. Representative
c. Advocate
d. Advance Directives

A

b. Representative

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8
Q

As a Certified Nursing Assistant (CNA), you encounter a resident who has recently completed an advance directive form. What action should you take regarding the resident’s advance directive?

A) Respect the resident’s privacy and keep the advance directive in their medical record for future reference.
B) Disregard the advance directive, as it may conflict with the facility’s policies and procedures.
C) Discuss the contents of the advance directive with the resident to ensure their wishes are understood and respected.
D) Report the existence of the advance directive to the facility administrator for further review and approval.

A

C) Discuss the contents of the advance directive with the resident to ensure their wishes are understood and respected.

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9
Q

As a Certified Nursing Assistant (CNA) in a long-term care facility, you encounter a resident who is unable to communicate their healthcare wishes due to a recent decline in cognitive function. What action should you take regarding the resident’s advance directives?

A) Disregard the resident’s advance directives since they are unable to communicate.
B) Inform the resident’s family members about the situation and follow their instructions.
C) Consult the facility’s healthcare team to review the resident’s advance directives and ensure they are followed.
D) Wait until the resident’s condition improves before discussing advance directives with them.

A

C) Consult the facility’s healthcare team to review the resident’s advance directives and ensure they are followed.

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10
Q

Which federal law requires a long-term care ombudsman program in every state?

a. OBRA
b. Patient Care Partnership
c. Older Americans Act
d. Hospital Regulations

A

C. Older Americans Act

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11
Q

In a long-term care facility, who can act as an advocate for a patient/resident?

A) Only licensed healthcare professionals, such as nurses and doctors.
B) Only family members or legal guardians designated by the resident.
C) Any individual chosen by the facility administration.
D) Any person who supports the resident’s rights and well-being, regardless of their relationship or role.

A

D) Any person who supports the resident’s rights and well-being, regardless of their relationship or role.

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12
Q

Understanding Maslow’s Hierarchy of Needs is essential for providing holistic care to patients/residents. Which of the following accurately represents the hierarchy, starting from the most basic to the highest level?

A) Safety, Esteem, Physiological, Self-Actualization, Love/Belonging
B) Physiological, Safety, Love/Belonging, Esteem, Self-Actualization
C) Self-Actualization, Safety, Love/Belonging, Physiological, Esteem
D) Love/Belonging, Self-Actualization, Physiological, Safety, Esteem

A

B) Physiological, Safety, Love/Belonging, Esteem, Self-Actualization

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13
Q

What is the medical term for a sudden loss of consciousness caused by an insufficient blood supply to the brain, often resulting in a temporary disruption of brain function?

A) Stroke
B) Seizure
C) Syncope
D) Hypoglycemia

A

C. Syncope

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14
Q

In medical documentation, what does the abbreviation “NPO” typically indicate?

A) No Primary Observation
B) Nothing by Oral
C) Nil Per Os
D) Non-Painful Occurrence

A

C) Nil Per Os

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15
Q

Which abbreviation is commonly used to indicate that a medication should be administered immediately?

A) PRN
B) STAT
C) QID
D) BID

A

B) STAT

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16
Q

Which abbreviation commonly refers to a heart attack, characterized by a sudden interruption of blood flow to the heart muscle?

A) COPD
B) MI
C) UTI
D) CAD

A

B) MI (Myocardial Infarction)

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17
Q

In medical documentation, what does the abbreviation “AC” typically refer to?

A) After Care
B) Acute Condition
C) Before Meals
D) Active Care

A

C) Before Meals

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18
Q

What does the abbreviation “ad lib” indicate in healthcare settings?

A) Administered Liberally
B) Advanced Lipids
C) As Directed
D) As Desired

A

D) As Desired

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19
Q

What does the abbreviation “BRP” commonly indicate in healthcare documentation?

A) Bathroom Privileges
B) Bed Rest Protocol
C) Basic Rehabilitation Plan
D) Bowel Resection Procedure

A

A) Bathroom Privileges

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20
Q

What does the abbreviation “CBR” typically represent in medical charts?

A) Continuous Bed Rest
B) Continuous Bladder Retention
C) Complete Bowel Reversal
D) Complete Bed Rest

A

D) Complete Bed Rest

21
Q

While providing care to a resident, you notice they are experiencing increased discomfort despite receiving their scheduled pain medication earlier. As a Certified Nursing Assistant (CNA), what should you do regarding the abbreviation “prn” in the resident’s care plan?

A) Administer additional pain medication to alleviate the discomfort.
B) Inform the nurse in charge about the resident’s increased discomfort and request further assessment.
C) Ignore the resident’s discomfort, assuming it will resolve on its own.
D) Follow the resident’s care plan strictly and refrain from taking any action regarding “prn” medication.

A

B) Inform the nurse in charge about the resident’s increased discomfort and request further assessment.

22
Q

In medical documentation, what does the abbreviation “R/O” typically signify?

A) Routine Observation
B) Regular Operations
C) Rule Out
D) Resident’s Orders

A

C) Rule Out

23
Q

Which of the following statements accurately describes the difference between veins and arteries?

A) Veins carry oxygenated blood away from the heart, while arteries carry deoxygenated blood to the heart.
B) Veins have thicker walls and a higher pressure than arteries.
C) Arteries have valves to prevent blood backflow, while veins do not.
D) Veins carry deoxygenated blood back to the heart, while arteries carry oxygenated blood away from the heart.

A

D) Veins carry deoxygenated blood back to the heart, while arteries carry oxygenated blood away from the heart.

24
Q

The process of supplying cells with oxygen and removing carbon dioxide from them is called?

A) Oxygenation
B) Respiration
C) Circulation
D) Ventilation

A

B) Respiration

25
Q

Which of the following is a primary focus of gerontological nursing care?

A) Promoting growth and development
B) Addressing acute illnesses
C) Enhancing quality of life in older adults
D) Preventing childhood diseases

A

C) Enhancing quality of life in older adults

26
Q

In caring for elderly patients, what is a common consideration related to geriatrics?

A) Increased bone density
B) Accelerated wound healing
C) Decreased metabolism
D) Heightened sensory perception

A

C) Decreased metabolism

27
Q

You assist Mr. Rhey with shaving. Which of the following is false?

a. Soften the skin before shaving
b. Hold the skin taut as necessary
c. Shave away from the direction of hair growth
d. Report nicks or cuts to the nurse at once

A

c. shave away from the direction of hair growth

28
Q

Where should emergency telephone numbers be?
a. Personal telephone book
b. By the phone
c. In the kitchen
d. Telephone directory

A

b. By the phone

29
Q

You are assisting Mr. Rhey with a tub bath. Which of the following procedures is incorrect?
a. Place a bath mat in the tub
b. Have him use safety bars when getting in and out of the rub
c. Use bath oils to soften the skin
d. Fill the tub half full with warm water (105 F, 41 degree Celsius)

A

c. Use bath oils to soften the skin

30
Q

The nursing center has white, yellow, green, blue, and lilac-colored linens. What color should you use for Mr. Rhey?
a. white
b. green or blue
c. yellow or lilac
d. whatever he chooses

A

d. whatever he chooses

Personal choice matters

31
Q

Which will influence hygiene choices?
a. The person’s care plan
b. The person’s culture
c. The person’s family
d. The skin care products available

A

a. The person’s care plan

32
Q

When changing linens you must follow
a. The material safety data
b. Standard precautions and bloodborne pathogen standard
c. Standard precautions and transmission based precaution
d. OBRA and OSHA standards

A

d. OBRA and OSHA standards

33
Q

Mr. Rhey is a nursing center resident who is not feeling well. What kind of bed should you make after his bath?

A

Open bed

34
Q

Mr. Rhey needed hospital care and is returning to the nursing center by ambulance. What kind of bed should you make?

A

Surgical

35
Q

You are going to make a bed, for good body mechanics the bed is:
a. Fowlers position
b. Raised
c. Locked into position
d. Moved so you can reach it with ease

A

b. Raised

36
Q

Bathing does the following except:
a. Decrease circulation
b. Exercises body parts
c. Relaxes the person
d. Refreshes the person

A

a. Decreases circulation

37
Q

How often should an ostomy bag be emptied?
a. Every two days
b. Once per hour
c. Three times per day
d. Whenever stool is eliminated

A

d. Whenever stool is eliminated

38
Q

Regular inspections performed in facilities to make sure they are following state and federal regulations are called?
a. Surveys
b. Citations
c. Procedures
d. Licenses

A

a. Surveys

39
Q

Baseline vital signs are
a. Initial values that can be compared to future measurements
b. Normal ranges for vital signs
c. Vital signs that are out of normal range
d. Changes in vital signs from one measurement to another

A

a. Initial values that can be compared to future measurements

40
Q

Where is long-term care offered?
a. In adult day services facilities
b. In hospitals
c. In skilled nursing facilities
d. In ambulatory surgical centers

A

c. In skilled nursing facilities

41
Q

When should bed sheets be changed?

A

When they are soiled or damp

42
Q

Which of the following is a type of advance directive?
a. Durable Power of Attorney for Health
b. Power of Attorney
c. Divorce Decree
d. Last Will and Testament

A

a. Durable Power of Attorney for Health

43
Q

At what age during infancy do you start to walk and begin developing an emotional relationship with parents?

A) 0-3 months
B) 4-6 months
C) 7-9 months
D) 10-12 months

A

D) 10-12 months

44
Q

At what age during infancy can you start eating solid foods?

A) 0-3 months
B) 4-6 months
C) 7-9 months
D) 10-12 months

A

B) 4-6 months

45
Q

What is the age range for Young Adulthood?

A

18-40 Years

46
Q

What is the age range for adolescence?

A

12 to 18 years

47
Q

What is the age range for middle adulthood?

A

40 to 65 years

48
Q

Which requirement made by the Omnibus Budget Reconciliation Act of 1987 is true regarding nursing home facilities?

A) Mandate for regular inspections and reporting of deficiencies
B) Establishment of minimum staffing ratios
C) Requirement for annual resident satisfaction surveys
D) Provision for free healthcare services for residents

A

A) Mandate for regular inspections and reporting of deficiencies

49
Q

Which requirement made by the Omnibus Budget Reconciliation Act of 1987 is true regarding sexuality needs for residents at nursing homes?

a) It mandates that nursing homes must provide sexual education to residents upon admission.

b) It requires nursing homes to establish policies and procedures to support the sexual needs and preferences of residents.

c) It prohibits any sexual activity among residents within the nursing home premises.

d) It encourages nursing homes to ignore the sexual needs of residents to maintain a professional environment.

A

b) It requires nursing homes to establish policies and procedures to support the sexual needs and preferences of residents.