Chapter 1 - The Nursing Assistant in Long-Term Care Flashcards
Answerable for one’s actions.
Accountable
Personal daily care tasks, including bathing, skin, nail, and hair care, walking, eating and drinking, mouth care, dressing, transferring, and toileting.
Activities of Daily Living (ADLs)
24-hour skilled care for short-term illnesses or injuries; generally given in hospitals and ambulatory surgical centers.
Acute Care
Special equipment that helps a person who is ill or disabled perform activities of daily living; also called assistive devices.
Adaptive Devices
Care for people who need some assistance or Supervision during certain hours, but who do not live in the facility where care is given.
Adult Day Services
The practice of bringing pets into a facility or home to provide stimulation and companionship.
Animal-Assisted Therapy (AAT)
Residences for people who do not need skilled, 24 hour care, But do require some help with daily care.
Assisted Living
Special equipment that helps a person who is ill or disabled perform activities of daily living; also called adaptive devices.
Assistive Devices
The group of people with different kinds of education and experience who provide resident care.
Care Team
The order of authority within a facility.
Chain of Command
A nurse responsible for a team of healthcare workers.
Charge Nurse (Nurse-in-Charge)
Long-term or long-lasting.
Chronic
In a long-term care facility, to find a problem through a survey.
Cite
Guided by a sense of right and wrong; principled.
Conscientious
An ongoing coordination of a resident’s care over time, during which the care team is regularly exchanging information and is working toward shared goals.
Continuity of Care
Polite, kind, and considerate.
Courteous
Transferring responsibility to a person for a specific task.
Delegation
The serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating.
Dementia
The identification of disease or other problems by its signs and symptoms and from the results of different tests.
Diagnosis
Identifying with and understanding another’s feelings.
Empathetic
A way of classifying or categorizing someone or something at the first meeting.
First Impression
Method of care that involves assigning specific tasks to each team member.
Functional Nursing
Care that involves the whole person; this includes his or her physical, social, emotional, and spiritual needs.
Holistic
Care that takes place in a person’s home.
Home Health Care
Care for people who have approximately six months or less to live; care is available until the person dies.
Hospice Care
Mixing children and the elderly in the same care setting.
Inter-Generational Care
A not-for-profit organization that evaluates and accredits different types of healthcare facilities.
Joint Commission
The number of days a person stays in a healthcare facility.
Length of Stay
A legal term that means a person can be held responsible for harming someone else.
Liability
A licensed nurse who administers medications, gives treatments, and may supervise daily care of residents.
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)
24-hour care provided for people with ongoing conditions who are generally unable to manage their activities of daily living.
Long-Term Care
A medical assistance program for people with low incomes, as well as for people with disabilities.
Medicaid
A federal health insurance program for people who are 65 or older, are disabled, or are ill and cannot work.
Medicare
Person who performs assigned nursing tasks and gives personal care.
Nursing Assistant (NA)
Care given to people who have had treatments, procedures, or surgery and do not require an overnight stay in a hospital or other care facility.
Outpatient Care
A type of care that places the emphasis on the person needing care and his or her individuality and capabilities.
Person-Centered Care
A course of action to be followed.
Policy
A method of care in which the registered nurse gives much of the daily care to residents.
Primary Nursing
A method, or way, of doing something.
Procedure
The act of behaving properly for a certain job.
Professionalism
A licensed nurse who assesses residents, creates the care plan, monitors progress, provides skilled nursing care, gives treatments and medications, and supervises the care given by nursing assistants and other members of the care team.
Registered Nurse (RN)
A program if care given by a specialist or a team of specialists to restore or improve function after an illness or injury.
Rehabilitation
A person living in a long-term care facikity.
Resident
People responsible for the care of both their children and aging relatives.
Sandwich Generation
Medically necessary care given by a skilled nurse or therapist.
Skilled Care
Care for an illness or condition given to people who need less care than for an acute (sudden onset, short-term] illness or injury but more than for a chronic (long-term) illness.
Subacute Care
A nurse in charge of a group of residents for one shift of duty.
Team Leader
Method of care in which a nurse acts as a leader of a group of people giving care.
Team Nursing
Deserving the trust of others.
Trustworthy
A registered nurse who has completed training at the postgraduate level (master’s or doctoral) as a nurse practitioner (NP), nurse anesthetist, (CRNA), nurse mid-wifr (CNM), or clinical nurse specialist (CNS). Other types include a gerontological nurse practitioner (GNP).
Advanced Practice Nurse (APRN)
Somebody who diagnoses disease or disability and prescribes treatment.
Physician or Doctor
Somebody who develops a treatment plan to improve blood circulation, promote healing, ease pain, prevent disability, and help a resident regain or maintain mobility.
Physical Therapist (PT or DPT)
Somebody who works with people who need help adapting to disabilities and performing their activities of daily living.
Occupational Therapist
Somebody who identifies communication disorders ad develops a care plan to aid in improvement or recovery.
Speech-Language Pathologist (SLP)
Somebody who assesses a person’s nutritional status and develops a care program.
Gistered Dietitian (RDT)
Somebody who helps determine residents’ social needs and helps with support services.
Medical Social Worker
Somebody who plans activities for residents to help them socialize and stay physically and mentally active.
Activities Director
Whom does Medicare insurance cover?
Medicare is a federal health insurance program for people who are 65 years of age or older. Medicare also covers people of any age with permanent kidney failure or certain disabilities.
Who makes up the majority of residents in long-term care facilities–men or women?
Just over 71 percent of residents are female.
What are tasks that nursing assistants do not usually perform?
Nursing assistants are not allowed to insert and remove tubes, give tube feedings, change sterile dressings, and give medication.
What are some ways that a nursing assistant can demonstrate professionalism?
Being neatly groomed and dressed, does not discuss personal conflicts, being on time to work, avoiding unnecessary absences, never leaving job without permission, not reporting to work under the influence of any drugs or alcohols, keeping a positive attitude by speaking politely and maintaing good body language, not gossiping about residents, addressing others in the way they wish to be addressed, not using profanity or inappropriate language, keeping all residents information confidential, reporting concerns and problems to your supervisor(s), asking questions when you do not understand something, and being honest.
List each of the ten qualities that nursing assistants must have. For each example, list one example of a wa that a nursing assistant can demonstrate that quality.
- Patient and Understanding: Working with people who are ill or disabled requires the NA to cope with difficulties without complaining.
- Honest and Trustworthy: Coworkers will depend on honesty in planning care for truthful observations and documentation.
- Conscientious: People with this quality are guided by a sense of right and wrong and always try to do their best. They are alert, observant, accurate, and responsible.
- Enthusiastic: Positive attitudes are encouraging and show interest in others. This gives positive influences on people who want to be heard and consoled.
- Courteous and Respectful: Respecting beliefs by being kind, polite, and considerate allow others to feel accepted as an equal human being.
- Empathetic: Identifying personal feelings with others and putting your feet in others shoes shows how caring a person is. An NA should always try to understand and care for a person as they are in their plce.
- Dependable and Responsible: NAs must be at work in time and avoid being absent often. They must also be able to be trusted on doing their assigned tasks properly.
- Humble and Open to Growth: NAs who are willing to admit their mistakes hold themselves accountable which allows for them to apologize and avoid making that mistake again.
- Tolerant: Keeping opposing opinions to yourself and not judging others stops others from feeling like their ideas are wrong. This allows them to feel seen as individuals of their own.
- Unpredjudiced: NAs will work with different people from many backgrounds and must give quality care regardless of any type of orientations. This allows them to feel like individuals.
Who is the most important member or the care team?
The resident is the most important part–the center–of the care team.
List the Five Rights of Delegation.
The Five Rights of Delegation are the Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Before delegating tasks, nurses consider these questions:
1. Is there a match between the resident’s needs and the nursing assistant’s skills, abilities, and experience.
2. What is the level of resident stability?
3. Is the nursing assistant the Right person to do the job?
4. Can the nurse give appropriate direction and communication?
5. Is the nurse available to give the nursing assistant needs?
Before accepting tasks, NAs consider these questions:
1. Do I have all the information I need to do this job? Are there questions I should ask?
2. Do I believe that I can do this task? Do I have the necessary skills?
3. Do I have the needed supplies, equipments, and other support?
4. Do I know who my supervisor is, and how to reach him/her?
5. Have I told my supervisor of my special needs for help and support?
6. Do we both understand who is doing what?
Define person-centered care.
Person-centeeed care revolves around the resident and promotes his or her individual preferences, choices, dignity, and interests. Each person’s background, culture, language, beliefs, and traditions are respected.
When surveyors visit a facility, what do they study or observe?
Surveyors study how well the staff cares for residents. They focus on how residents’ nutritional, physical, social, emotional, and spiritual needs are being met.
When a surveyor asks a nursing assistant a question she does not know the answer to, how should she respond?
She should be honest and never guess.
Which of the following statements is true of long-term care?
A. Long-term care is only given during certain hours of the day.
B. Long-term care assists people with ongoing, chronic medical conditions.
C. Long-term care is given in a person’s home.
D. Long-term care is for people who need care for a short time after surgery.
B. Long-term care assists people with ongoing, chronic medical conditions.
What is one common nursing assistant task?
A. Prescribing medicine
B. Creating residents’ care plans
C. Managing other nursing assistants’ work
D. Bathing residents
D. Bathing residents
Which of the following is true of proper grooming for a nursing assistant?
A. Gel nails should be freshly applied.
B. A simple waterproof watch should be worn.
C. Earrings should dangle just past the earlobe.
D. Perfume should be applied behind the ears and /or on both wrists.
B. A simple waterproof watch should be worn.
If a nursing assistant is following the chain of command, to whom would she normally report a problem?
A. Nurse
B. Administrator
C. Resident
D. Medical Social Worker
A. Nurse
If a nursing assistant has forgotten the correct order in which to perform a procedure which of the following would be the best way for her to proceed?
A. The NA should review the procedure manual before beginning.
B. The NA should ask the resident to see if he remembers the correct order.
C. The NA should perform the procedure to the best of her memory, knowing that she will probably do it correctly.
D. The NA should consult with the administrator to find out the correct order.
A. The NA should review the procedure manual before beginning.
