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CNA > chapter 1 the nursing assistant in long term care > Flashcards

chapter 1 the nursing assistant in long term care Flashcards

1
Q

long term care

A

people who need 24 hour skilled care

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2
Q

long term care

A

LTC

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3
Q

skilled care

A

medically necessary care given by a skilled nurse or therapist (available 24 hours a day)

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4
Q

skilled care

A

ordered by a doctor and involves a treatment plan

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5
Q

skilled care

A

given to people who need a high level of care for ongoing conditions

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6
Q

LTCFs

A

long term care facilities

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7
Q

SNFs

A

skilled nursing facilities

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8
Q

people who live in long term care may arrive from

A

hospitals or other healthcare settings

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9
Q

length of stay

A

the number of days a person stays in a healthcare facility

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10
Q

terminal illness

A

will cause death

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11
Q

chronic conditions

A

last a long period of time, even a lifetime

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12
Q

chronic conditions may include

A

physical disabilities, heart disease, and dementia

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13
Q

people who live in these facilities are usually referred to as

A

residents

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14
Q

diagnoses

A

medical conditions determined by a doctor

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15
Q

home health care

A

home care is provided in a person’s home

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16
Q

home health care is generally given to

A

people who are older and are chronically ill but who are able to and wish to remain at home

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17
Q

home health care may also be needed when

A

a person is weak after a recent hospital stay

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18
Q

assisted living

A

for people who need some help with daily tasks such as showering, meals, and dressing

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19
Q

people who live in assisted living do not need

A

24 hour skilled care

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20
Q

adult day services

A

people who need some help and supervision during certain hours, but who do not live in the facility where care is provided

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21
Q

adult day services generally are for

A

people who need some help but not seriously ill or disabled

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22
Q

acute care

A

24 hour skilled care given in hospitals and ambulatory surgical centers

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23
Q

acute care is for

A

people who require short term, immediate care for illnesses or injuries

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24
Q

subacute care

A

care given in hospitals or long term care facilities

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25
Q

subacute care is used for

A

people who need less care than for an acute (sudden-onset, short term) illness but more care than for a chronic illness

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26
Q

treatment for subacute care usually ends

A

when the condition has stabilized or after the set time for treatment has been completed

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27
Q

what is the cost for subacute care

A

less for acute care but more than for long term care

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28
Q

outpatient care

A

given to people who have had treatments, procedures, or surgeries and need short term skilled care

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29
Q

patients who are given outpatient care

A

require an overnight stay in a hospital or other care facility

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30
Q

rehabilitation

A

care given by specialists and professionals to help restore or improve function after an illness or injury

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31
Q

hospice care

A

given in facilities or homes for people who have six months or less to live

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32
Q

hospice workers give

A

physical and emotional care and comfort until a person dies, also support families during this process

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33
Q

the typical long term care facility offers

A

personal care for all residents and focused care for residents with special needs

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34
Q

activities of daily living

A

bathing, nail care, hair care, mouth care; assistance with walking, eating and drinking, dressing, transferring, and elimination

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35
Q

when specialized care is offered at long term care facilities

A

the employees must have special training

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36
Q

person-centered care

A

emphasizes the individuality of the person who needs care, and recognizes and develops the person’s capabilities

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37
Q

person-centered care revolves around

A

the resident and promotes his individual preferences, choices dignity, and interests

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38
Q

trauma-informed care

A

an approach to patient care that recognizes that people may have experienced trauma in their lives

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39
Q

trauma informed care

A

seeks to consider each person’s trauma, experiences, and preferences and provide a person centered approach to care

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40
Q

centers for meidcare and medicaid services

A

a federal agency within the US department of health and human services

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41
Q

medicare

A

federal health insurance program that was established in 1965 for people aged 65 or older

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42
Q

medicare covers

A

people of any age with permanent kidney failure or certain disabilities

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43
Q

part A of medicare

A

helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice

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44
Q

part B of medicare

A

helps pay for doctor services and other medical services and equipment

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45
Q

part C of medicare

A

allows private health insurance companies to provide Medicare benefits

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46
Q

part D of medicare

A

helps pay for medications prescribed for treatment (will only pay what is medically necessary)

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47
Q

mediaid

A

medical assistance program for people who have a low income as well as for people with disabilities

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48
Q

mediaid is funded by

A

both the federal government and each state

49
Q

how is eligibility determined for mediaid

A

by income and special circumstances

50
Q

medicare and medicaid pay for

A

long term care facilities at a fixed amount for services

51
Q

what is the fixed amount of services is based on

A

resident’s needs upon admission and throughout his stay at the facility

52
Q

nursing assistant

A

performs assigned nursing task, such as measuring a resident’s temperature; also provides personal care

53
Q

while a nursing assistant perform these duties, it is important they

A

promote independence and self care

54
Q

nursing assistants are not allowed to

A

insert or remove tubes, give tube feedings, or change sterile dressings

55
Q

important duties of a nursing assistant

A

oberserving and reporting any changes

56
Q

when can a resident care can be revised or updated

A

when their conditions change

57
Q

charting

A

noting and recording important information about the resident

58
Q

what duty is charting

A

nursing assistant

59
Q

nursing assistant may have various titles including

A

nurse aide, certified nurse aide, patient care technician, and certified nursing assistant

60
Q

all residents are the responsibility of

A

each nursing assistant

61
Q

if a nursing assistant sees a resident who needs help but is not on their assignment what should they do

A

they should provide the needed care

62
Q

registered nurse

A

in a long term care facility, they coordinate, manages, and provides skilled nursing care, including giving special treatments and medication as prescribed by a doctor

63
Q

licensed practical nurse (LPN) or licensed vocational nurse (LVN)

A

gives medication and treatments

64
Q

advanced practice registered nurse (APRN)

A

can make diagnoses and prescribe treatment

65
Q

nurse practitioners are

A

one type of advanced practice registered nurse

66
Q

physician or doctor

A

a licensed professional who diagnoses disease or disability and prescribes treatment and medication

67
Q

physician assistant (PA)

A

diagnoses disease or disability and develops treatment plans as well as prescribes medication

68
Q

a physician assistant works under

A

the supervision of a doctor

69
Q

physical therapist

A

evaluates a person and develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain or maintain mobility

70
Q

a physical therapist gives therapy in forms of

A

heat, cold, massage, ultrasound, electrical stimulation, and exercise to muscles, bones, and joints

71
Q

occupational therapist

A

helps residents learn to adapt to disabilities

72
Q

an occupational therapist may help

A

train residents to perform activities of daily living, such as bathing, dressing, and eating (often involves the use of equipment called assistive devices)

73
Q

occupational therapist will

A

evaluate the resident’s needs and plan a treatment program

74
Q

speech language pathologist (SLP)

A

identifies communication disorders, addresses factors involved in recovery, and develops a plan of care to meet goals

75
Q

a speech language pathologist teaches

A

exercises to help the resident improve or overcome speech problems

76
Q

what does a speech language pathologist evaluate

A

a person’s ability to swallow food and drink

77
Q

registered dietitian

A

assesses a resident’s nutritional status and develops a treatment plan to improve health and manage illness

78
Q

registered dietitian creates

A

diets to meet residents’ special needs and may also supervise the preparation of food and educate people about nutrition

79
Q

medical social worker

A

determines residents’ needs and helps get them support services, such as counselling and financial assistance

80
Q

medical social worker may help

A

residents obtain clothing and personal items if the family is not involved or does not visit often

81
Q

activities director

A

plans activities for residents to help them socialize and stay active, meant to improve and maintain resident’s well-being and to prevent further complications from illness or disability

82
Q

an activities director may be called

A

a recreational therapist or recreational worker depending upon education and experience

83
Q

resident and residents’ family

A

an important member of the care team, providing person centered care means placing the resident’s well-being first and giving her the right to make decisions and choices about her own care

84
Q

chain of command

A

describes the line of authority and helps to make sure that residents get proper health care

85
Q

the chain of command protects

A

employees and employers from liability

86
Q

liability

A

means someone can be held responsible for harming someone else

87
Q

if a nursing assistant does something that is not in the care plan that harms a resident

A

she could be held responsible

88
Q

scope of practice

A

defines tasks that healthcare providers are legally allowed to do according to state or federal law

89
Q

care plan

A

developed to help achieve the goals of care and meet the resident’s specific needs

90
Q

what does a care plan

A

it lists the tasks, services, and treatments that team members, including nursing assistant must perform. it also states how often these tasks should be performed and how they should be carried out

91
Q

care planning should involve

A

the input from the resident and/or the family, as well as from health professionals

92
Q

the care plan is also a guide to

A

help the resident be as healthy as possible

93
Q

policy

A

a course of action that should be taken every time a certain situation occurs (ex. very basic policy is that healthcare information must remain confidential)

94
Q

procedure

A

a method, or way, of doing something (ex. a facility has a procedure for reporting information about residents)

95
Q

what does a procedure explain

A

what form to complete, when and how often to complete it, and to whom it is given

96
Q

all resident information must be what

A

remain confidential. you cannot tell anyone about it. this is the law!

97
Q

true or false. the care plan must always be followed

A

true

98
Q

if tasks not listed in the care plan or approved by the nurse, it should what

A

it should NOT be followed

99
Q

what should nursing assistants report

A

they must report important events or changes in residents to a nurse

100
Q

should nursing assistants discuss their personal problems with residents or resident’s families

A

no they should not

101
Q

nursing assistant are able to take money or gifts from residents or their families

A

false

102
Q

nursing assistants must be on time for work and be dependable

A

very true

103
Q

professional

A

having to do with work or a job

104
Q

personal

A

refers to life outside a job, such as family, friends, and home life

105
Q

professionalism

A

behaving properly when on the job. this also includes dressing appropriately, speaking well, being on time, completing tasks, reporting to the nurse

106
Q

a nursing assistant professionalism means

A

following the care plan, making careful observations, and reporting accurately

107
Q

being compassionate means

A

being caring, concerned, empathetic, and understanding

108
Q

demonstrating empathy

A

identifying with the feelings of others’ problems

109
Q

true or false. compassionate people are also sympathetic

A

true

110
Q

sympathy

A

sharing in the feelings and difficulties of others

111
Q

honest

A

residents need to feel that they can trust those who care for them. the care team depends on honesty in planning care

112
Q

tactful

A

showing sensitivity and having a sense of what is appropriate when dealing with others

113
Q

conscientious

A

people who try to do their best. they are guided by a sense of right and wrong. they are alert, observant, accurate, and responsible

114
Q

what does conscientious care mean

A

making accurate observations and reports, following the care plan, and taking responsibility for one’s actions

115
Q

dependable

A

nursing assistants must be able to make and keep commitments. they must be at work on time, must skillfully do tasks, avoid absences, and help their peers when needed

116
Q

patient

A

people do not lose their temper easily. they do not act irritated or complain when things are hard. they must be patient and not rush residents or act annoyed

117
Q

respectful

A

valuing other people’s individuality. includes their age, religion, culture, feelings, practices, and beliefs

118
Q
A

CNA (10 decks)

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