Exam Review Flashcards

1
Q

What is residents rights?

A

The right to quality of life, focusing on resident-centered care that enhances each person’s dignity and self-esteem (personal pride)

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2
Q

What is communication?

A

Speaking, listening, feedback, and actions

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3
Q

What are the 6 different body positions?

A

-Lateral (lying on side)
-Supine (lying on back)
-Sim’s (shoulders nearly prone, hips in side-lying position)
-Prone (lying on stomach)
-Fowler (sitting 45-60 degrees)
-Semi fowler (sitting 30-45 degrees)

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4
Q

What are the most effective ways to help with infection control?

A

-Washing hands
-PPE
-Disinfecting

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5
Q

What is the unit measurement for weight?

A

-lb (pounds)
-kg (kilograms)
-oz (ounce)

16oz=1lb
1lb=.45kg

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6
Q

What is the unit measurement for fluids?

A

-cc (cubic centimeter)
-mL (milliliter)
-oz (ounce)

1cc=1mL
30cc=1oz

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7
Q

What is the unit measurement for food intake?

A

percentage

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8
Q

What activities are part of basic care?

A

-Bathing
-Perineal care
-Bed baths
-Shower bath
-Dressing
-Foot/nail care
-Shaving
-Oral care
-Hair care

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9
Q

What are the vital signs that you must take?

A

-Temperature
-Pulse
-Respiration
-Blood Pressure

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10
Q

What is Dysphagia?

A

Difficulty in swallowing

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11
Q

Define RACE

A

R- RESCUE resident
A- sound the ALARM
C- CONTAIN fire
E- EXTINGUISH fire

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12
Q

Define BEFAST

A

B- balance
E- eyes
F- face
A- arms
S- speech
T- time

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13
Q

What is the job of the CNA

A

-To observe and report
-Promote health
-Prevent harm
-Preventing/controlling infection

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14
Q

What is the first thing a CNA do if they find a resident on the floor during rounds?

A

Call the charge nurse for assistance

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15
Q

What is neglect/examples of neglect?

A

-Failure to give assigned care, or giving improper care that causes harm

-failing to provide appropriate care
-failing to feed/provide fluids to resident
-fall risk patient falls and results in injury/death
-restraints without Dr. order
-not repositioning patient, resulting in sores

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16
Q

What is the first thing you do when a resident asks you for food at night?

A

Check the patients diet card

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17
Q

Convert 1oz to mL

A

1oz=29.5737mL

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18
Q

Where is it most accurate to take temperature?

A

In the rectum

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19
Q

What areas can you take a residents temperature? What are the average temperatures in those areas?

A

-Oral (mouth): 98.6 F
-Rectal (anus): 99.6 F
-Tympanic (ear): 99.6 F
-Axillary (armpit): 97.6 F

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20
Q

What is the average normal temperature

A

98.6 degrees F

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21
Q

When do you prepare best for disaster?

A

Before is happens

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22
Q

When is it most important to wear gloves?

A

When you are exposed to:
-bleeding/open wounds
-bodily fluids
-soiled linen
-nose, eyes, mouth, genital area

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23
Q

How do you promote a patients independence?

A

Encourage/allow patients to do tasks they are capable of doing on their own

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24
Q

What is the role of the ombudsman?

A

To investigate complaints and acts as an advocate for residents and their families to resolve conflicts

25
Q

When transferring a resident, what is important that a CNA should do?

A

The CNA should stand with their legs apart for more support

26
Q

What should you do if you are unable to reposition a patient?

A

Ask the nurse for help

27
Q

How should you speak to a confused resident?

A

-Slow
-Clear
-Use simple words/short sentences

28
Q

What is adduction?

A

Moving a body part TOWARD the body

29
Q

What is abduction?

A

Moving a body part AWAY from the body

30
Q

What is Flexion?

A

Bending a limb or joint

31
Q

What is extension?

A

Straightening a body part

32
Q

What is prosthesis?

A

An artificial substitute for a missing body part

33
Q

What is the first thing you should do when there is a fire in a patients room?

A

Remove the patient

34
Q

What is the importance of padding a patients siderails

A

To prevent injury

35
Q

What are the 5 different stages of dying and describe them

A

-DENIAL: state of shock and does not accept what is happening

-ANGER: no longer deny what is happening and becomes angry

-BARGAINING: tries to make deals to postpone death

-DEPRESSION: when person become withdrawn, not wanting to eat/interact/be upset

ACCEPTANCE: resigned to the fact that death is inevitable

36
Q

How should you dress a client with a weak side? Why?

A

-Dress the client with the weak side first to lessen movements on that side. The stronger side is able to move/maneuver more.

-Undress client using the clients stronger side first

37
Q

Where should you tape a catheter to prevent a patient from pulling it?

A

On the patients thight

38
Q

What is HIPAA?

A

-Health Insurance and Portability and Accountability Act

-Health information privacy, governmental rules and regulations

-Confidentiality

39
Q

When is it appropriate to share a patients information?

A

Never, unless it is to the nurse regarding the patients condition/safety

40
Q

What should you do if you have mail from a resident?

A

Don’t open it. Give it straight to the resident.

41
Q

What is rehab?

A

The process to help an individual with an underlying condition to get back to baseline

42
Q

When is the best time to check a patients weight?

A

In the morning

43
Q

What is the right way to answer a patient who wants to know the time?

A

Tell them the time

44
Q

When should you report a patients skin condition?

A

-redness/pinkness
-brusing
-cuts/wounds
-sores

45
Q

What are the beginning signs of pressure sores?

A

-Skin surface that is red, pink, bruised, or mottled.
-Discoloration does not fade within 15 mins after pressure is released

46
Q

Where should the CNA stand when ambulating a patient who just had a stroke?

A

On the weak side of the patient

47
Q

What are some barriers in communication?

A

-Emotion
-Visual impairment
-Hearing impairment
-Cognitive impairment
-Aphasia (partial/total loss of ability to communicate verbally/written)

48
Q

What should you do with unused linen that was brought into a patients room?

A

Do not put it back on the clean linen cart. Put in soiled linen cart instead.

49
Q

What should you do when taking a patients oral temperature who just drank something hot/cold?

A

You should wait at least 20 minutes to take the patients oral temperature

50
Q

What is the last sense to go when a resident is dying?

A

Hearing

51
Q

What safety device do you use when ambulating a resident?

A

Transfer/Gait belt

52
Q

What should you do for denture care?

A

Clean and store dentures in a clean and labeled container filled with liquid

53
Q

When should you use restraints?

A

Never. Unless it is under the doctors orders

54
Q

When should you use an isolation gown?
(Be sure to know how to put it on and remove it)

A

When you are in direct contact with infection material or bodily fluids

-Remove gloves first, then pull gown away from neck and shoulders. hold gown away from you turning it inwards keeping it inside out and roll it.

55
Q

What is the Heimlich maneuver? When/how should you perform it?

A

The abdominal thrust/ emergency aid procedure to prevent suffocation.

This is usually used when someones airway is obstructed and needs to be dislodged by forcing it upwards out the throat

56
Q

What is the unit measurement of intake and output?

A

Cubic centimeters (cc)

57
Q

What is dehydration

A

When the body loses more fluid than it takes in and is unable to perform normal functions

58
Q

What is the order of recording vital signs?

A

-Temperature
-Pulse
-Respiration
-Blood Pressure