CNA Exam Flashcards
Your feelings about death?
Affect the care you give
Which age thinks death is final?
6-11/teenagers
Which age thinks death is temporary?
2-6 years
Which age thinks death is a punishment for being bad?
2-6 years
A resident is dying, what do you anticipate in the care plan?
Change linens/gowns as needed
Person is incontinent in urine/feces, what care do they need?
Perineal Care as needed
A person is dying, promote comfort by?
Position person in good alignment
Hospice care focuses on?
Pain relief and comfort
Signs that death is near?
Pulse is fast/weak, loss of muscle tone
Signs of death?
No reparations, no pulse
WHo calls time of death?
Doctor
Body produces sounds during post mortem care:
this is normal and expected
Vietnam prefers death to be where?
At home
Chinese donation of body parts is encouraged?
True
Patient dies, autopsy is done, post mortem care is not done?
True
Terminal Illness is?
an illness or injury from which the person will not likely recover
Palliative Care is?
relieving or reducing the intensity of uncomfortable symptoms
Stages of grief?
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Comfort needs:
listening, touch, religious leader, privacy
Rigor Mortis
is the stiffness of skeletal muscles after death
What is the last sense to go when death is near?
Hearing
Rehabilitation
is the process of restoring the person to his or her highest possible level of physical, psych, social.
Restorative Nursing Care
care that helps regain health, strength, independence, highest level of function
Restorative aid
nursing assistant with special training
Prosthesis
an artificial replacement for a missing body part
Focus of rehabilitation?
preventing further loss of function
What is stressed during rehabilitation?
What the person can do
Rehabilitation takes longer for?
Older persons
What prevents contraction/pressure injuries?
good skin care
To better direct or guide a person
practice what the person has to do
Who has access to the persons home?
The rehabilitation team
Deconditioning
is the loss of muscle strength from inactivity
Strict Bedrest is
everything is done for the person
A contractive
is the lack of joint mobility caused by abnormal shortening
Orthostatic Hypotension
abnormally low blood pressure when the person suddenly stands up
Another word for Syncope
Fainting
Bed boards
placed under the mattress to prevent it from sagging
Foot Boards
prevent plantar flexion that can lead to footdrop
Plantar flexion
the foot is bent
Trochanter roll does what?
prevents the hips and legs from turning outward
Hip abduction wedge?
keeps the hips abducted, placed between the legs
Handroll or hand grip
prevents contractures of the thumb, fingers, wrist
Bed cradle
keeps the weight of top linen off the feet and toes
Range of Motion
involve moving joints through complete ROM activities 2 times a day
A walker should be positioned
6-8 inches in front of the feet if wheeled
When using a crane..
the feet DO NOT move first
A trapeze is used to?
Strengthen arm muscles
Pronation
is turning the joint downward
A cane is held on what side?
the strong side
Ambulating a person
a gait belt is used if weak/unsteady
How people cope with aging depends on what?
Finances
Older Persons
have frequent contact with their children
During aging, psycho/social changes occur
True
Changes in the nervous system
nerve cells are lost
result in slowed responses
Changes in the ear occur with aging
high pitched sounds are hard to hear `
Causes of poor circulation
narrowed arteries
Chewing difficulties avoid what?
high-fiber diet
Brown spots on the skin
common on the wrists/hands
skin disorders
increase with age
Autism
is a brain disorder with no cure
Spina Bifiola
defect of the spinal column, vertabrae does not form properly
Oculla
vertebrae is closed, normal, dimple tuft hair on the back
Cystica
spinal column pouch or sac
Meningocele
does not contain nerve tissue
Myelomenigocele
contains nerves, spinal cord, meninges
Hydrocephalus
fluid collects in and around the brain, a shunt is placed
Development Disability
disability before 22 years of age
Intellectual Disabilities
involves severe limits in intellectual function and adaptive behavior
Down Syndrome
common genetic cause of mild to moderate intellectual disabilities
Fragile X syndrome
most common form of inherited intellectual disabilities
Cerebral Palsy
group of disorders involving muscle weakness or poor muscle control
Hemiplegia
arm/leg on one side is paralyzed
Diplegia
on both sides of the body are paralyzed
Quadriplegia
both arms and legs, trunk, neck muscles paralyzed
Acute confusion
occur suddenly includes infection, drugs, illness, and surgery
Dementia
the loss of cognitive function that interferes with routine personal, social, and occupational activities
Pseudo dementia
false dementia, has signs, no changes in brain
Delirium
state of sudden, severe confusion, rapid changes in brain
Alzheimer’s disease
brain disease, nerve cells damaged
3 terms
mild, moderate, and severe
the legally blind person sees
less than 20 feet
the normal person sees
less than 200 feet
Braile
is a touch vending/writing system that uses raised dots for each letter of the alphabet
AMD
women and white people are at greater risks
Otitis media
is the infection of the middle ear
Acute
short term
Chronic
long term
Ossicles
three bones in the ear
Menieres Disease
involves the inner ear
Vertigo
dizziness, hearing loss, pain
Hearing Aids
make sounds louder they DO NOT correct, restore, or cure speech
Dysarthia
difficult or poor speech
Aphasia
loss of the ability to understand or express speech
Expressive apahasia
brocas, difficulty expressing/sending out
Receptive Aphasia
wernickes, difficulty understanding language
Cataract
clouding of the lens Blue/Purple hard to see
Glaucoma
damage to the optic nerve, side vision is lost
Diabetic retinopathy
tiny blood vessels in the retina damaged usually both eyes
Age related macular degenernation AMD
blurs central vision
Cystitis
is a bladder infection caused by bacteria
Oliguria
scant amount of urine
Hematuria
blood in urine
Dysuria
difficult or painful urniation
Pyuria
pus in urine
Pyelonephritis
inflammation of the kidney pelvis
Benign Prostatic Hyperplasia BPH
the prostate enlarges
Urinary diversion
a surgically created pathway for urine to leave
a urostomy
surgically created opening between the ureter and the abdomen
TURP Transurethral resection of the prostate
surgical procedure
Hemodialysis
removes waste by filtering through artificial kidney
Dialysis
the process of removing waste products from blood
Pertioneldialysis
uses the lining of the abdomen activity
STD
spread by oral, vaginal, anal sex
Cirrhosis
liver condition caused by damage, scar tissue, blocks blood flow through the liver
Endoctrine System
made up of glands; hormones in the bloodstream
Gestational diabetes
develops pregnancy, goes away after baby born but mother is at risks
Hypoglycemia
low blood sugar
Hyperglycemia
high blood sugar
Person with diverticulosis disease you assist with
promoting bowel elimination
If vomitus looks like coffee grounds that signals what?
bleeding
If a person has gastro-esophageal reflux disease
position in the supine position after meals
Gallbladder attack usually occurs
suddenly after eating
Hepatitis is inflammation of the
liver
food water contaminated with feces from an infected person is
hepatitis A
sign of diabetes is
hunger
a person with diabetes needs
good foot care
vomiting after meals is a risk for someone with diabetes of
hyperglycemia high blood sugar
Chyme
food that is mixed up and churned with gastric juices to form a semi-liquid substance
Duodenum
the 1st part of the small intestine
Bile
a greenish liquid made in the liver, stored in the gallbladder
Peristalsis
moves chyme through 2 other parts of the small intestine
esophageal reflux disease
stomach contents flow up into the esophagus
Esophagitis
inflammation of the esophagus
Heartburn
is a burning sensation in the chest or throat
Diverticulosis
condition of having pouches bulge outward from colon wall
Risk factors of diverticulosis
aging, obesity, smoking, some drugs
Diverticulitis
inflamed
Chrons disease
lining of large intestine small, both inflamed
Ulcerative disease
large intestine of rectum inflamed/ulcers
Gallstones
the bile hardens into stone like pieces, bile flow is blocked
Jaundice
yellowish color of the skin or whites of the eyes
Hepa D
live/sex with infected person with B
Hepa E
international travelers E outbreaks common
Hepa C
injection, infants, health care wounds, blood infected
Hepa B
blood and body fluids
the epidermis
the outer layer living and dead cells
the dermis
the inner layer connective tissue and blood vessels
Shingles
caused by same virus that caused chicken pox
Lung cancer is more common in children than adults
FALSE
an autoimmune disorder, the persons body attacks its own cell tissues and organs
TRUE
With shingles, a painful rash covers the body
FALSE
general sign of cancer
feeling very tired
Celiacs disease is a
autoimmune disorder
what is a acquired immunodeficiency syndrome is caused by
HIV
when caring for someone with HIV
prevent pressure injuries
risk factor for diverticulosis
obesity
complication of IBD
colon cancer
when providing care to person with cirrhosis
follow fluid restriction
signs of diabetes
tingling loss in feet
Hypo; cold, clammy skin
Hyper; eating too much food
Celiacs disease causes the thyroid gland to produce excess thyroid hormone
false
Benign Tumors
do not spread to other body parts
Malignant Tumors
invade and destroy nearby tissue other body parts
Metastasis
is the spead of cancer to othe rbody parts
signs of cancer
weight loss, fever, fatigue, pain
Larynx
hoarse voice, sore throat, lump in neck, trouble swallowing
Ethics
knowledge of what is right or wrong conduct
Code of ethics
has rules, standard of conduct, for groups to follow
Professional Boundaries
separate helpful behaviors from behaviors that are not helpful
Boundary Crossing
over involved with the person
Boundary Violation
act of behavior that meets your needs not the patients needed
Criminal Laws
offenses against public/society
Civil Laws
concerned with relationships between people
A tort
a wrong committed against a person or their property
False Imprisionment
the unlawful restraint of a persons movement
MalPractice
negligence by a professional person
Defamation
injuring a persons name/reputation by false statements
Libel
false statements in print, writing, pictures
Slander
false statements by spoken word, sounds, gestures
Fraud
saying something to trick a person
Assault
attempting to threaten a persons body without consent
Battery
touching the person without consent
Consent
people under the age of 18 cannot give consent
Vulnerable Adults
18 or older who have disabilities who are at risk for injury
IPV Intimate Partner Violence
one person has control of the other harm from partner
On your day off you call to check on a patient this is
a boundary sign
you help a friend with hospital care this is
boundary crossing
what is an example of a crime
abuse
you scold an older person for not eating this is
verbal abuse
you leave home care before finishing assignments this is
abandonment
older person has black eye, bruises, and bite marks this is
physical abuse
Leukemia
a cancer of the blood and bone marrow
Radiation Therapy
radio therapy kills cancer cells can destroy shrink or control
Skin damages from cancer
itching, dryness, swelling, redness, blistering
Stomatitis
an inflammation of the mouth, may occur when given chemo
Hormone Therapy
involves blocking or removing hormone sources from the body
Biological Therapy
immunotherapy helps immune system fight cancer
Stem cell transplant
a stem is a cell from which new cell types develop
Complementary and alternative medicine (CAM):
standard cancer treatment
a person cannot tolerate given, causes damage to small intestines
Celiacs Disease
when the thyroid gland produces excess amount of thyroid hormone
Graves disease
Celiac
abnormal bloating, pain, diarrhea, constipation, and weight loss
Graves
anxiety, problems sleeping, sweating, shakey hands
Hashimotos disease
thyroid gland does not produce enough thyroid gland
Lupus
damages joints, skin, kidneys, hearts, and lungs
HIV
spread by blood, semen, vaginal fluids
When respiratory changes occur
person is turned often if on bedrest
avoid dry foods because
decrease in salivia
digestive systems should eat
protein foods
changes in urinary system
fluids are needed for kidney function
Older person is increased fluid intake
give most fluids before 5pm
Most older people are in
a family setting
A quality nursing center is
medicare/medicaid certified
Reduced blood flow to the brain aging results in
increased forgetfulness
Glaucoma fluids build up in which part of the eye
optic nerve
what affects body temp
loss of fatty tissue
Presbyopia
older persons become farsighted