Chapter 2: The Nursing Assistant and the Care Team

Question 1

Licensed Practical Nurse or Licensed Vocational Nurse

Answer 1

LPN OR LVN

licensed professional who administers medications and gives treatments much like a registered nurse (RN).
May also supervise NA’s daily care of residents

Question 2

Occupational Therapist

Answer 2

OT

Helps residents learn to compensate for disabilities.
Helps residents perform ADLs
often involves assistive or adaptive devics

Question 3

Speech Language Pathologist

Answer 3

SLP

Helps with speech and swallowing problems

Question 4

Registered dietitian

Answer 4

RD

Creates diets for residents with special needs.
Can improve health and help manage illness

Question 5

Medical social worker

Answer 5

MSW

Determines residents needs and helps get them support services such as counseling.
May help obtain clothing and personal items or may book appts and transportation.

Question 6

Activities director

Answer 6

Plans activities for residents to help them socialize and stay physically and mentally active

Question 7

Resident and Residents family

Answer 7

Important member of care team. Has the right to make decisions and choices about his or her own care.
Residents family may also be involved in these decisions.

Question 8

The Nursing Assistant’s Role

Answer 8

Perform delegated/ assigned nursing tasks such as taking a residents temp and blood pressure and personal care and also promoting independence and self care. Also writing down important info about resident called charting.

Others include:
Feeding residents, helping residents with toileting needs, assisting residents to move around safely, keeping residents living areas neat and clean, encouraging residents to eat and drink, caring for supplies and equipment, helping dress residents, making beds, giving backrubs, helping residents with mouth care.

• generally not allowed to give medications, insert/remove tubes, change sterile dressings, and give tube feedings.

Question 9

Professionalism

Answer 9

How you behave on the job, including how you dress, words you use and things you talk about, also being on time, completing tasks.

For NA professionalism means following the care plan, making careful observations and reporting accurately and following policies and procedures

Question 10

Nursing assistants must be:

Answer 10

• compassionate
• honest
• tactful
• conscientious
• dependable
• respectful
• unprejudiced
• tolerant

Question 11

The chain of command

Answer 11

The line of authority

physician - charge nurse - RN/LPN - NA

Question 12

Liability

Answer 12

A legal term that means someone can be held responsible for harming someone else

Question 13

Scope of practice

Answer 13

The things you are allowed to do and how to do them correctly

Question 14

Tasks outside the scope of practice of a NA

Answer 14

• administering medicine
• performing procedures that require sterile technique
• diagnosing or prescribing treatments
• telling the resident or family the diagnosis or treatment plan

Question 15

Care plan

Answer 15

Created by nurse or doctor
Individualized for each resident
The resident assists with developing the care plan
Lists the steps and tasks the care team must perform and how often and how they should be carried out

** activities not listed on the care plan should not be performed

Question 16

Factors considered when formulating a care plan

Answer 16

The residents :

• health and physical condition
• diagnosis and treatment
• goals or expectations

Question 17

The nursing process

Answer 17

1. Assessment: getting info about the residents status from various sources including medical history, physical assessment, environment.
2. Diagnosis: identifying the health problems after looking at all the residents needs
3. Planning: setting goals and creating a care plan tok meet the residents needs
4. Implementation: putting the care plan into action
5. Evaluation: a careful examination to see if the goals are being met.

Question 18

The 5 rights of delegation

Answer 18

Right task - right circumstance - right person - right direction/communication - right supervision/evaluation

Question 19

Ways to manage time

Answer 19

Plan ahead
Prioritize 
Make a sched
Combine activities
Get help