chapters 1-5

Question 1

What do HMO and PPO stand for?

Answer 1

Health Maintenance Organization and Preferred Provider Organization

Question 2

Difference between a policy and a procedure?

Answer 2

Policy is a course of action that should be taken every time a certain situation occurs. A procedure is a method or way of doing something.

Question 3

Medicare vs. Medicaid

Answer 3

Provide health care to elderly vs. provide health care to poor people

Question 4

Purpose of culture change

Answer 4

a term given to the process of transforming services for elders so that they are based on the values and practices of the person receiving care; core values include choice, dignity, respect, self-determination, and purposeful living

Question 5

The survey process

Answer 5

Methodology that the state/federal surveyors practice when inspecting care facilities.

Question 6

What are tasks within your scope of practice?

Answer 6

• bathing residents
• assisting with grooming tasks
• helping with elimination needs
• assisting with range of motion exercise and ambulation (walking)
• transferring residents from a bed to a chair or wheelchair
• measuring vital signs (temperature, pulse rate, respiratory rate, and blood pressure)
• assisting with meals
• helping residents dress and undress
• giving backrubs
• helping with mouth care
• making and changing beds
• keeping residents’ living areas neat and clean

-caring for supplies and equipment

Question 7

Importance of reporting changes in condition

Answer 7

observing changes in a resident’s condition and reporting them is a very important duty of the NA, so the resident’s care can be revised or updated as conditions change

Question 8

1 personal grooming question

Answer 8

-bathing/showering- daily and using deodorant (perfumes, cologne, aftershave, or scented body cremes shouldn’t be used)

• brush teeth frequently and use mouth wash when necessary
• keeping hair clean and neatly brushed
• keeping facial hair short, clean, and neat
• dressing neatly in a clean, wrinkle-free uniform
• not wearing clothes that are too tight or too baggy, torn, stained, or revealing
• not wearing large jewelry
• wear an ID badge
• no visible tattoos or piercings (except for ears)
• clean nails/ no acrylics
• simple/no makeup

Question 9

Empathy vs. sympathy

Answer 9

In empathy, we understand the feelings of others.

In sympathy, we feel the feelings of others.

Question 10

Why is following the chain of command important?

Answer 10

the chain of command describes the line of authority and helps to make sure that residents get proper health care. It also protects employees and employers from liability, so it is important that they (NAs) don’t harm residents or involve themselves or their employers in lawsuits.

Question 11

Nursing process- what are the steps?

Answer 11

1. assessment: getting information from many sources, including medical history, physical assessment, and environment, and reviewing this information; the purpose is to identify actual or potential problems
2. diagnosis: identify health problems after looking at all the resident’s needs
3. Planning: setting goals and creating a care plan in accordance with the resident’s preferences to meet the resident’s needs
4. implementation: putting the care plan into action giving care
5. evaluation: a careful examination to see if the goals were met or progress was achieved

Question 12

1 question on time management

Answer 12

Manage time:

1. Plan ahead
2. prioritize: identify the most important tasks to get done and do these first
3. make a schedule: write out the hours of the day and fill in what needs to be done and when. this allows for a realistic schedule
4. combine activities: nursing assistants can visit with residents while providing care, which combines two important tasks. work more efficiently whenever possible
5. get help: sometimes the NA’s will need help to ensure a resident’s safety, and they should not be afraid to ask for help.

Question 13

Professional relationship with the employer; with residents

Answer 13

• Providing person-centered care
• Being positive
• Doing only assigned tasks
• Keeping residents’ information confidential
• Always being polite
• Not discussing personal problems
• Not using personal phones in residents’ rooms or care areas
• Not using profanity
• Listening
• Calling residents by their proper names or preferred names/pronouns
• Not giving or accepting gifts
• Explaining care
• Following care practices

Question 14

The care plan and your responsibility

Answer 14

the care plan is a guide to help the resident reach and maintain the best possible level of health. Must be followed very carefully. A nursing assistant must never perform any activity not listed on the care plan.

Question 15

Ethics vs. laws

Answer 15

the knowledge of right and wrong, an ethical person has a sense of duty and responsibility towards others. Laws tell people what they must do, help people live peacefully together, and ensure order and safety

Question 16

What is honesty?

Answer 16

Truthfulness and integrity

Question 17

Codes of ethics

Answer 17

articulated statements of role morality as seen by the members of a profession