Chapter 1 Flashcards

1
Q

Long-Term Care

A

Care for people who need 24 hours skilled care.

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2
Q

—- is ordered by a doctor and involves a treatment plan.

A

Skilled care

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3
Q

Skilled Care

A

A care for people with ongoing conditions.

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4
Q

Other names that can be used in nursing homes is called

A
  1. Extended care
  2. Rehab care
  3. Longterm care
  4. Skilled care
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5
Q

The length of stay of people in Long-Term facilities are

A

Few days, months or longer than six months

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6
Q

The illness that eventually cause death is called

A

Terminal illness

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7
Q

What kind of Condition or Illness do People Have in Long-Term Facilities?

A

Terminal and Chronic condition

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8
Q

The illness that lasts long is called

A

Chronic illness

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9
Q

Chronic conditions are

A
  1. Physical disabilities
  2. heart disease
  3. Dementia
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10
Q

People who live in Long-Term facilities are called

A

Resident

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11
Q

What care is provided at home

A

Home health care

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12
Q

Assisted Living Facilities

A

A care for people with daily tasks.

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13
Q

Adult day service care

A

For people who are not critically ill but need some help

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14
Q

—- care is for people who need short term and hasty care for injuries.

A

Acute care

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15
Q

Subacute care

A

For people who need less care and more care for chronic conditions.

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16
Q

Outpatient care

A

For people who had treatment already but need short-term skilled care.

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17
Q

—- care is given by specialists, to help improve an illness.

A

Rehabilitation

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18
Q

—- care is for people with six or less month to live

A

Hospice

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19
Q

Activities of Daily living

A

This is the personal care given to the residents.

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20
Q

Example of the personal care (ADL)

A
Bathing
Eating
Skincare
Nail
Dressing
Drinking
Transferring
Elimination
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21
Q

When specialized care is offered at Long Term care facilities, the——-

A

Employees must have a special training

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22
Q

Nonprofit companies or for-profit can own their own long-term care facilities.

A

True

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23
Q

Culture Change

A

To transform services for elders.

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24
Q

Person-centered care

A

This concludes around the resident and promotes their individual preference, choice, dignity, and interest.

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25
Q

Medicare

A

A federal health insurance program, for people aged 65 or older.

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26
Q

What are the parts of Medicare?

A
  1. It pays for hospital
  2. Doctor and other services
  3. Pays for prescribe medication
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27
Q

Medicaid

A

For people with low income and disabilities.

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28
Q

What is an essential element of a nursing assistant?

A

To help residents feed and drink

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29
Q

Nursing assistants are prohibited from inserting or removing tubes, giving tube feeding, or changing the sterile dressing.

A

True

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30
Q

—– spend more time with the resident than other care team members.

A

Nursing assistant

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31
Q

Charting or documenting for a nursing assistant means.

A

To document crucial information about the resident.

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32
Q

The residents and the family are part of the care team.

A

True

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33
Q

What should a nursing assistant do, if he or she sees a resident who need care and is not part of the assignment.

A

The n.a should still provide care

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34
Q

What is a care team?

A

The healthcare professionals

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35
Q

The Nursing Assistants must have—- of training, and in many states, training exceeding –hrs.

A

75hrs/100

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36
Q

——- nurse coordinates, manages, and provides skilled nursing care.

A

Registered

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37
Q

—— nurse is a licensed professional graduated from a two-four-year associate/bachelor’s degree nursing program.

A

Registered

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38
Q

—- nurse give medication and treatment.

A

License practical or vocational

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39
Q

—– nurse has completed one to two years of education and has passed a national licensure examination.

A

License practical nurse

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40
Q

—– diagnose disease or disability and prescribe treatment.

A

Medical doctor or physician

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41
Q

——- view a person and develops a treatment plan.

A

Physical therapist

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42
Q

What are the Goals of Physical Therapist.

A
  1. To improve circulation
  2. To promote healing
  3. Increase movement
  4. Reduce pain
  5. Prevent disabilities
  6. Regain mobility
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43
Q

Occupational Therapist

A

Help resident to adapt to their disabilities.

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44
Q

What kind of equipment does occupational therapist use.

A

Assistive or adaptive device

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45
Q

Speech Language Pathologist

A

Help resident to improve their speech problems

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46
Q

—— creates a diet to meet the resident special need

A

Registered dietitian

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47
Q

Medical social worker

A

They are in control of the residents needs and help them get support services.

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48
Q

—— help plan social activities for residents.

A

Activities director

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49
Q

Activities director are called —–

A

Recreation worker or therapist

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50
Q

The chain of command

A

The line of authority, to make sure the resident gets a proper treatment.

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51
Q

The chain of command protects workers and the organisation from —–

A

Liability

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52
Q

Health care liability means

A

Been held responsible for harming someone

53
Q

Will the nursing assistant be blamed for harming a resident doing care mistakenly, if the resident is in the care plan?

A

No

54
Q

If the nursing assistant harms a resident who is not in the care plan mistakenly, will the nurse be liable?

A

Yes, because the resident is not in the care plan of the nurse

55
Q

Scope of Practice

A

The task healthcare workers are allowed to perform, which is permitted by the state.

56
Q

—– list the task that the health care members must perform.

A

Care plan

57
Q

—- is developed to help achieve the goal of care.

A

Care plan

58
Q

— is a guide to help the residents be healthy as possible.

A

Care plan

59
Q

—- is an action that should be taken every time a situation occur.

A

Policy

60
Q

A Procedure

A

A way of doing things

61
Q

—- explain what form need to complete, when and how often to complete it.

A

Procedure

62
Q

Should a nurse perform care that is not listed or not approved by the nurse.

A

No

63
Q

Professional

A

This has to do with your job.

64
Q

Personal

A

Outside the job

65
Q

Professionalism

A

To behave in a proper manner when working.

66
Q

N.A Professionalism —-

A

To follow the care plan, make careful observation and make a report.

67
Q

Example of a Professional relationship with a Resident

A
  1. Politeness
  2. Avoid discussing personal issue
  3. Not accepting gifts
  4. Providing person centered care
  5. Explaining care before procedure
  6. Calling a resident by their preferred name
68
Q

A Professional Relationship with the Health Organization.

A
  1. Completing task efficaciously
  2. Be on time
  3. Following chain of command
  4. Follow the job policies and procedure
  5. Documenting and reporting
69
Q

Being Compassionate is—

A

Showing careness, empathy, and understanding

70
Q

Empathy–

A

Understanding other people feelings

71
Q

Sympathy—–

A

Sharing in the feelings and difficulties with others

72
Q

Tactful

A

Knowing what is right when dealing with others

73
Q

Conscientiousness

A

Able to observe and report, also follow care plan, and take responsibility of your action.

74
Q

—- is the knowledge of right or wrong

A

Ethics

75
Q

—- are rules set by the government to ensure safety.

A

Laws

76
Q

The nursing assistant and all care teams should be guided by —

A

Code of ethics

77
Q

OBRA was passed in —- year

A

1987

78
Q

Why was OBRA enforced/ implemented

A

To report poor care and abuse in long term facilities

79
Q

What Program does OBRA require NA to pass before they can be employed.

A

Testing program

80
Q

NA must attend regular in service education, minimum of—- per year to keep their skills updated.

A

12hrs

81
Q

OBRA requires that complete assessments be done on—-

A

Every resident

82
Q

List the Residents Rights

A
  1. Resident right to life
  2. Informing residents about their rights
  3. The right to participate in their own care
  4. The right to their privacy and confidentiality
  5. The right to respect and freedom
  6. The right to protection and possession
  7. The right to complain
  8. The right to visit
83
Q

How do you Protect a Resident Rights

A
  1. Knock before entering
  2. Avoid exposing their whole body
  3. Avoid gossiping about resident
  4. Be polite
  5. Always explain the procedure before performing
  6. Be truthful when documenting
84
Q

Why Should NA Set Boundaries With the Resident

A

It helps support a healthy resident-staff relationship

85
Q

What is an Abuse

A

It is an intentional maltreatment, which causes physical, mental or emotional pain or injury to a person

86
Q

—– is intentional or not that causes harm to a person’s body.

A

Physical abuse

87
Q

Psychological Abuse

A

An emotional harm, caused by intimidating, scaring or treating a person like a child.

88
Q

Verbal Abuse

A

The use of spoken or written word to make a person feel bad

89
Q

—– is forcing a person to perform a sexual act against his or her will.

A

Sexual abuse

90
Q

Financial Abuse

A

Misusing a person assets or possession illegally.

91
Q

—- refers to threating a person, which leads to harm.

A

Assault

92
Q

—– is touching a person without their consent.

A

Battery

93
Q

Domestic violence

A

An abuse by spouse, partner or family member.

94
Q

False Imprisonment

A

Restraining a resident from freedom of movement

95
Q

Involuntary Seclusion

A

Separating a resident from others against their will

96
Q

—- is an abuse of staff, residents or visitor.

A

Workplace violence

97
Q

Sexual Harassment

A

A request of sexual favors/ unwanted touch

98
Q

Substance Abuse

A

Coherently using cigarette or alcohol in a way of hurting others or yourself.

99
Q

Neglect

A

Not providing needed care, which leads to physical, mental or emotional hurt to a person

100
Q

Active Neglect

A

Purposeful failure not to provide needed care, which lead to harm to a person.

101
Q

Passive Neglect

A

Unintentional failure not to provide needed care, which causes physical, mental or emotional harm to a person.

102
Q

Negligence

A

Not providing proper care to a resident, which may lead to an unintended injury to a person.

103
Q

Malpractice care

A

A person injured through professional negligence or carelessness.

104
Q

What should an NA do when seeing another nurse abuse a resident.

A

The NA should report the situation immediately

105
Q

The following injury are considered suspicious and should be reported.

A
  1. Poisoning a resident
  2. Teeth mark
  3. Bruises
  4. Scars
  5. Fractures
  6. Burns
  7. Swelling of any body part
  8. Virginal discharge
106
Q

What are the signs that a resident is abused.

A
  1. The resident yells
  2. Continous pain
  3. Fear
  4. Anxiety
  5. Low self esteem
107
Q

The signs that shows neglect care.

A
  1. Not answering call light
  2. The body is not clean
  3. Food is not eaten
  4. Residents lacking water
  5. Injury pressure in the body
  6. Weight loss
108
Q

The NA must follow ——- when reporting an abuse.

A

Chain of command

109
Q

Who is the Ombudsman

A

They work for the law to advocate for residents

110
Q

What is the older American act (OAA) requirement

A

All state should have an ombudsman program

111
Q

NA must learn to keep residents information confidential.

A

True

112
Q

Why did congress pass the Health Insurance Portability and Accountability Act? (HIPAA)

A

To make sure residents health information is kept private and secure.

113
Q

Protected Health Information (PHI)

A

Can be used to find a person and relate to its condition.

114
Q

Example of PHI

A

Email, social security, address, number, name, and medical record number.

115
Q

Which set of people should not get the information of a resident.

A

People who are not directly involved with the resident. Unless the resident offer its consent or if the law permits it.

116
Q

How to Protect a Resident Privacy.

A
  1. Do not discuss a resident in public
  2. Enter a private room to listen or read any resident message
  3. Avoid bringing family or friend to meet resident
  4. Avoid allow people to see the resident document
  5. Do not share anything about the resident on any social network.
117
Q

What are the penalties for violating HIPAA regulations?

A
  1. 100 dollars to 1.5 million dollars

2. Up to ten years prison sentence

118
Q

Why is the Resident medical report significant

A

To determine if a care is given or not.

119
Q

What are the Guideline in Documenting care

A
  1. Document after care is given
  2. It should be factful
  3. Draw one line through when make mistake and write it on the next available space
  4. Use black ink
  5. Sign your full name
  6. And document using the 24 hrs military clock
120
Q

Do not let anyone enter information for you, even if it is convenient?

A

True

121
Q

What do you understand by the minimum data set (MDS)

A

It is a guideline form in assessing a resident.

122
Q

NA must complete the MDS for every resident within —- days of admission and again each year.

A

14

123
Q

The MDS for every residents must be reviewed every — months.

A

Three (3)

124
Q

A new MDS should be done as follow?

A

When there is a major change of the resident health condition.

125
Q

How does NA contribute to the MDS?

A

By reporting changes of the residents and document correctly.

126
Q

Incident, what do you understand by it.

A

It is an unexpected problem that occur in giving care.

127
Q

An incident report is defined as

A

A report that document the incident and the response to it.

128
Q

Example of Incidents

A
  1. Falls
  2. Resident or NA damages stuff
  3. NA exposed to body fluids
  4. Injury
  5. Mistake in the course of care
129
Q

How to Report an Incident

A
  1. Tell what happened
  2. State facts and not opinion
  3. Narrate the reaction of the person