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CNA > Chapter 6 > Flashcards

Chapter 6 Flashcards

1
Q

The idea that microorganisms, or germs, are the cause of illness

A

Germ theory

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2
Q

The specific germ that can cause illness

A

Infectious agent

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3
Q

How the germ exists the host

A

Portal of exit

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4
Q

Where the germ is housed, or lives

A

Reservoir

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5
Q

How the germs move from the first host to the second host

A

Mode of transmission

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6
Q

An individual who is at risk for infection

A

Susceptible host

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6
Q

How the germ enters the second host

A

Portal of entry

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7
Q

Preventing or limiting the spread of germs

A

Infection control

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8
Q

Bodily defenses (antibodies) that prevent illness from occurring upon exposure to a specific germ

A

Immunity

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9
Q

A body defense against a specific invader; antibodies are produced by either a vaccine or exposure to the disease itself

A

Antibody

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10
Q

Preventing disease before it starts

A

Primary prevention

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11
Q

Specialty equipment that acts as a barrier between the healthcare worker and potentially infectious bodily fluid

A

Personal protective equipment (PPE)

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12
Q

The medical community accepted the use of antiseptic solutions as a way to prevent the spread of disease after

A)Semmelweis conducted experiments in the 1700s
B)Semmelweis made midwives wash their hands after delivery
C)Pasteur conducted experiments to prove germ theory
D) Medical students were made to wash their hands before seeing residents

A

C)Pasteur conducted experiments to prove germ theory

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13
Q

Hand sanitizers must contain what percent of alcohol to be effective?

A)5-15%
B)20-30%
C)40-65%
D)60-95%

A

D)60-95%

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14
Q

One example of a fomite might be

A) the healthcare worker’s hands
B)Bodily fluids
C)Bedpans and urinals
D)An open area in the skin

A

C)Bedpans and urinals

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15
Q

Airborne precautions require the use of a

A)Surgical mask if closer than 3 feet to the resident
B)Particulate respirator (N95) mask
C)Surgical mask and isolation gown
D)Isolation gown and goggles

A

B)Particulate respirator (N95) mask

16
Q

The most important primary preventative measure against the spread of disease is to

A) Eat a healthy diet and exercise
B)Get recommended vaccinations on schedule
C)See healthcare provider as soon as you become ill
D)Wash hands or use hand sanitizer consistently

A

D)Wash hands or use hand sanitizer consistently

17
Q

Louis Pasteur was an inventor responsible for the pasteurization process and for developing a vaccine for?

A) Rabies
B)Measles
C)Smallpox
D)Tuberculosis

A

A) Rabies

18
Q

The MAIN reason a healthcare worker should be vaccinated against disease is that

A)Employers offers free vaccinations
B) The CDC requires all healthcare workers to be immunized
C)Vaccines help protect the worker and her residents
D)Vaccinations need to be complete to work as a nursing assistant

A

C)Vaccines help protect the worker and her residents

19
Q

Hand hygiene may be done using hand sanitizer in all of the following situations EXCEPT

A)After using the restroom
B)After taking off gloves
C)Before and after eating
D)When coming back from break

A

A)After using the restroom

19
Q

One example of the body’s nonspecific defense mechanisms would be

A) Immunizations
B)Exposure to past illness
C)Bacteria in the digestive tract
D)Wearing the appropriate PPE

A

C)Bacteria in the digestive tract

20
Q

When caring for a resident who is on contact precautions for MRSA, you should use

A)Soap and water after resident contact
B)Hand sanitizer before exiting the room
C)Either soap and water OR hand sanitizer after providing care
D)Soap and water only if the resident has a fever

A

A)Soap and water after resident contact

21
Q

Compared to washing with soap and water, using hand sanitizer is

A)More effective in killing germs
B)More time consuming
C)Harder on the caregiver’s skin
D)Less effective against germs

A

A)More effective in killing germs

22
Q

The PPE that a NA must wear when taking care of a resident based upon the

A)Resident’s ability and needs
B)Nursing assistant’s risk or exposure
C)PPE available in the facility
D)Resident’s physical appearance

A

B)Nursing assistant’s risk or exposure

23
Q

The benefits of performing hand hygiene include

A)Limiting the spread of illnesses from one resident to the next
B)Reducing the risk of the healthcare worker becoming ill
C)Controlling healthcare costs
D)All of the above

A

D)All of the above

23
Q

The nursing assistant should wear gloves when

A)Feeding a resident in a common dining room
B)Carrying linens from the linen closet to a resident’s room
C)Leaving a resident’s room
D)Washing a resident’s face and hands

A

D)Washing a resident’s face and hands

24
Q

Thomas is taking care of a resident who has been placed on droplet precautions due to influenza. Before entering the resident’s room, Thomas must put on a(n)

A)N95 respirator
B)Isolation gown, gloves, and goggles
C)Surgical mask
D)Gown and gloves

A

C)Surgical mask

25
Q

An example of a staph infection that is resistant to a number of antibiotics is ____.

A)Tuberculosis
B)MRSA
C) Clostridium difficile
D)VRE

A

B)MRSA

26
Q

You are assigned to care for Clarice, a resident with a respiratory infection. You must wear gloves when

A)Transporting Clarice to radiology
B)Helping Clarice with her meal
C)Helping Clarice into a clean gown
D)Assisting Clarice with oral care

A

D)Assisting Clarice with oral care

27
Q

The nursing assistant should remove her gloves

A)When they are visibly soiled
B)Immediately after leaving a resident’s room
C)When the resident requests her to do so
D)Only when care for the resident is complete

A

A)When they are visibly soiled

28
Q

VRE infectious occur most often in

A)Hospitals
B)The community
C)Long-term care facilities
D)The resident’s home

A

A)Hospitals

29
Q

You notice an older, more experienced nursing assistant not washing her hands after assisting her assigned residents with morning showers. What should you do?

A)Ignore this, since she has more experience with providing care
B)Remind her of the importance of hand hygiene
C)Report her to your supervisor
D)Ask not to work with her

A

B)Remind her of the importance of hand hygiene

30
Q

Your resident is upset and feels she is contaminated because everyone is wearing PPE when entering
her room. What is your best response?

A)Reassure her that the PPE is required to prevent the infection from spreading to others
B)Agree with her and take off your PPE once you are in the room
C)Tell the nurse to take her off of precautions- it is upsetting her
D)Ask to be reassigned because the resident is too emotionally exhausting

A

A)Reassure her that the PPE is required to prevent the infection from spreading to others

31
Q

Your resident has been admitted to the hospital a third time with an infection obtained during a
previous hospital stay. The resident tells you it is the doctor’s fault. What is the best response?

A)Agree with the resident - you know the doctor has bad infection rates.
B)Listen sympathetically and assure the resident you are there to help.
C)Report the doctor to your direct supervisor.
D)Say nothing -the resident does not understand how hospitals work.

A

B)Listen sympathetically and assure the resident you are there to help.

32
Q

Your employer offers you the flu vaccine, but you’re unsure if you want the vaccination. What show
you do?

A)Try to avoid the situation as long as possible.
B)Tell everyone how the employer is forcing you to become vaccinated.
C)If indicated, receive the vaccination to help protect you and your residents from illness.
D)Look for another job that doesn’t require a flu shot.

A

C)If indicated, receive the vaccination to help protect you and your residents from illness.

33
Q

You notice one of your coworkers exiting the bathroom without washing his hands. What is the best response?

A)Politely remind him it is important that all healthcare workers wash hands after using the restroom.
B)Tell your supervisor what you have witnessed.
C)Refuse to work with him.
D)Tell the coworker he must purchase hand sanitizer to use while working.

A

A)Politely remind him it is important that all healthcare workers wash hands after using the restroom.

34
Q

You are in a hurry and forget to wash your hands after leaving a resident’s room. What should you do?

A)Only use hand sanitizer for the remainder of your shift
B)Do nothing and go to the next resident
C)Rub your hands on your uniform
D)Use your hand sanitizer before touching anything else

A

D)Use your hand sanitizer before touching anything else

35
Q

You have just discovered that the woman you have been caring for all week is HIV-positive. What
should you do?

A)Ask the nurse to assign another nursing assistant to care for the resident.
B)Talk with the resident and relay your feelings that you are upset with her for not reporting this
to you.
C)Carry out your duties as normal; you are safe because you use standard precautions when providing care.
D)Request that the nurse supply you with isolation gowns, masks, gloves, and goggles in order to
care for the resident safely.

A

C)Carry out your duties as normal; you are safe because you use standard precautions when providing care.

36
Q

You witness a coworker not wearing the proper PPE as indicated. When you remind her, she says, “I’m not worried about it. It takes too long to put on.” What is the best response?

A)Suggest she keep an isolation gown on during her entire shift and change gloves after leaving
residents’ rooms.
B)Remind her that the extra time to put on the PPE is protecting herself and her resident.
C)Tell her that the PPE is only required if she is bathing or toileting residents.
D)Ask the director of nursing to have an in-service on proper PPE use.

A

B)Remind her that the extra time to put on the PPE is protecting herself and her resident.

CNA (11 decks)

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