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Cna > Final > Flashcards

Final Flashcards

1
Q

Cna scope of practice are _____ and _______ that I are permitted to follow

A

Skills
Responsibilities

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2
Q

Nursing assistant programs are regulated by _______ code

A

The state and federal

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3
Q

It’s your responsibility to know

A

What my scope of practice is

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4
Q

Cna scope of practice includes (5)

A

Basic personal care (bathing/grooming)
Restorative tasks
Offering emotional/social support
Providing dementia care
Assisting with ADLs

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5
Q

What are the 3 ways cnas learn basic nursing skills?

A

Textbook, in class training , clinical

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6
Q

What’s not in your scope of practice? (5)

A

Delivering medicine
Placing indwelling medical device - catheters & Ivs
Changing a care plan
Teaching
Delegation

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7
Q

Can new skills be added to the cna scope of practice?

A

Yes, depending on the facility they may ask you to do more

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8
Q

How to refuse a delegated task since it’s not in your scope of practice

A

Explain to nurse it’s not in your scope of practice, then document refusal

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9
Q

How many CEUs (continuing education units) are needed to renew/maintain your license?

A

48 hours of In service training w/in 2 year period (24 months)

-

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10
Q

What’s the minimum of hours that can be completed each year w/in 2 year renewal?

A

12 per year

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11
Q

How many CEUs can be completed online

A

24 - by a CDPH approved training

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12
Q

What is title 22

A

The California code that provides info about regulations regarding cna programs & other health care related programs

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13
Q

California nursing assistants must abide by _____ & ______

A

Obra
Title 22

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14
Q

Tittle 22 are laws that govern what 3 things

A

Health care facilities
Nursing assistant programs
Minimum standard of care for long term facilities

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15
Q

Cna training programs must include

A

60hr of theory
100 hr clinical

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16
Q

Does tittle 22 include nursing assistant programs must have an orientation the 1st eight hours at a facility

TRUE or FALSE

A

True : it allOws you to become familiar with facility
Residents, emergency procedures and any/ all equipment

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17
Q

The 2nd 8hrs of orientation requires to cover

A

Patient care, how to keep a resident comfortable & legal/ ethical considerations

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18
Q

Residents have the right to receive care that is unbiased regarding culture and race and creed

TRUE or FALSE

A

True

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19
Q

The federal law protects residents rights by allowing

A

Access to medical records, making informed consent
Keeping medical info/ records private

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20
Q

What law protects individuals medical info from being shared

A

HIPPA
Health insurance portability and accountability act

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21
Q

HIPPA protects what type of info

A

Spoken , written, heard, read

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22
Q

If HIPPA is violated what will happen

A

Given a large fine and have to submit a plan of correction

  • sometimes loss of license
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23
Q

What is informed concent

A

The right to know what treatments are available and the risks associated with them

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24
Q

Who’s job is it to give information about treatments and teaching the resident about medication

A

Dr or nurse

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25
Q

What are Medicare rights in a long term facility (9)

A
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26
Q

When should a resident be given a copy of their rights

A

When admitted

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27
Q

Ombudsman can help with what 4 things

A

Residents rights / dignity concerns
- poor quality of care
- use of restraints

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28
Q

What 4 things is ombudsman responsible for

A

Teaching residents/ family about their rights
- teaching public of long term care rights
- advocating for quality of life in long term facilities
- promoting resident councils

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29
Q

Invasion of privacy is

A

Not respecting an individuals right to keep items personal/ private ( entering the room w/o knocking)

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30
Q

Misappropriation of funds

A

Intentionally using another persons money or belongings w/o permission

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31
Q

Negligence is when

A

A caregiver doesn’t not follow the standards of their job
(Failing to toilet a resident)

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32
Q

Abandonment is when

A

A caregiver walks away from assignment either before end of shift or before replacement

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33
Q

False imprisonment is

A

Limiting a residents ability to move freely ( locking brakes of wheelchair)

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34
Q

Neglect is

A

When care or treatment is not provided causing the resident to get hurt ( ignoring physical, emotional, mental needs)

  • not giving water causing them to get dehydrated
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35
Q

Assault is

A

Threatening a resident with physical, mental or emotional harm
( giving an ultimatum)

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36
Q

Battery is

A

Physically touching a resident who didn’t give you permission to touch ( showering / changing a resident who refuses )

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37
Q

Abuse is

A

A single or repeated action that is purposely done to inflict harm

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38
Q

Examples of abuse

A
  • not repositioning the resident
  • with holding care
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39
Q

Who is more vulnerable to abuse?

A

Residents with physical, developmental, or communication disabilities

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40
Q

Having good communication will

A

Help reduce resident stress
Improve resident comfort
Make job easier

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41
Q

What are the 2 ways people communicate with each other?

A

Verbal / nonverbal

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42
Q

What communication is combined with verbal and nonverbal

A

Therapeutic communication

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43
Q

What does therapeutic communication help decrease?

A

Conflict / tension

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44
Q

Therapeutic communication help make people fell more _____ & ______

A

Valued
Cared

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45
Q

Therapeutic communication is a combination of what specifically

A

Active listening & acknowledging feelings

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46
Q

Therapeutic communication involves empathy

TRUE or FALSE

A

True

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47
Q

What are the 4 ways to improve active listening?

A
  • making eye contact
  • no negative expressions
  • occasionally repeating self / rephrasing
  • summarize what speaker said
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48
Q

What are the 3 techniques involved in therapeutic communication

A
  • use “I” statements
  • open to suggestions
  • brainstorm ideas to improve / avoid difficult situations
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49
Q

If nonverbal communication dos t match verbal communication how do you fix this?

A

Ask an open ended question

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50
Q

How to improve speaking to a hearing impaired resident?

A
  • speak clearly
  • be face to face @ eye level
  • speak in normal pitch
  • allow time to read lips
  • use whiteboard
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51
Q

What is the leading cause of death?

A

Cardiovascular disease

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52
Q

What is hand sanitizer ineffective against?

A

C Diff

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53
Q

When should you use hand hygiene (that’s not already obviously dirty)

A
  • before going on break
  • unpin returning from break
  • before smoking
  • at end of resident contact
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54
Q

What are Maslow’s hierarchy of needs?

A

Self actualization
Self esteem
Love/ belonging
Safety/ security
Physiological

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55
Q

What is included in Maslow’S hierarchy of needs for safety/ security

A
  • money (employment)
  • safety of body/mind
  • morality/ ethics
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56
Q

What is part of physiological needs

A
  • food
    Water
    Homeostasis
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57
Q

Expressive aphasia

A

The inability to speak

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58
Q

What should you do if someone has expressive aphasia and you’re trying to communicate?

A

Use a picture board or a computer

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59
Q

Receptive aphasia

A

The inability to understand spoken language

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60
Q

What are some interventions you can take for individuals with receptive aphasia

A

Break tasks into small steps
- going slowly to decrease confusion

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61
Q

What should be included in an oral report

A

Anything important!

  • vital signs, behavior any pain
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62
Q

If anything is out of normal range for a resident when should you notify the nurse?

A

Right away

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63
Q

Who can you give oral reports to?

A

The nurse & person taking oVer shift

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64
Q

What are the 4 things to include in your oral report?

A

Any info to help ease interaction
- resident preferences
- updated on care plan
- any new info occurred during shift

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65
Q

What type of data should you report during reporting?

A

Subjective followed by objective data

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66
Q

What a re the 5 stages of death (grief)

A

Denial
Anger
Bargening
Depression
Acceptance

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67
Q

Denial is when

A

A person with feel shocked, disbelief or numb

  • unwilling to accept love one has passed
68
Q

Anger is when

A

A person feels upset or angry with the person who passed, the healthcare team, other family member, themselves or god

69
Q

When a person is experiencing anger they tend to

A

Question why this happens and believe it’s unfair

70
Q

Bargaining is

A

A series of “what if’s” and “what only”

71
Q

Bargaining stage is usually associated which feeling

A

Guilt

72
Q

Depression stage will make a person feel

A

Empty, alone and overwhelmingly sad

73
Q

When experiencing depression a person tends to ________ from others

A

Withdraw

74
Q

The acceptance stage is

A

When an individual accepts their “new normal “
- okay with loved one being gone

75
Q

What is the normal urine output?

A

1200-1500ml a day

50-60ml per hour

76
Q

Should a persons intake or output be higher?

A

Intake should be higher
(Up to 500ml)

  • water is used throughout body: for organs to function
77
Q

When is military time used for

A

Documentation & communication

78
Q

Why is military time used?

A

To reduce confusion

79
Q

When do you measure liquids

A

For intake during meals/snacks
- urinary output

80
Q

How to properly measure liquid

A

Pour into graduate
Place on a flat surface
Measure @ eye level

81
Q

When is it okay to use restraints

A

To prevent falls
To prevent patient from hurting themselves / others
- prevent from pulling on and pulling out tubing

82
Q

When should restraints NOT be used?

A

To prevent falls, and outbursts
And to make job more convenient

83
Q

When should restraints be removed if not approved by a dr?

A

Every 2 hours for at least 10 min to help with bathroom

84
Q

How often should you check a resident in restraints?

A

15 min

85
Q

When checking restraints you should look that the skin is

A

Warm
Has color
Has circulation ( no numbness or tingling)
Can still move

86
Q

Restraints can only be used if they are

A

Order by a physician

87
Q

What are some things you should help with when removing a restraint every 2 hrs?

A

Toileting
Rom exercises
Ambulating
Repositioning
Encourage socialization

88
Q

How should you apply a restraint

A

Quick release knot - tie to movable bed frame or chair NOT side rail

89
Q

When are side rails considered restraint?

A

When they do not use it to help move themselves

90
Q

If a resident wants to use side rails what must happen

A

They need to sign a waiver acknowledging the risks of using it or their pose of attorney

91
Q

What are so,e alternatives to restraints ?

A

Ambulation
Distraction
Decrease noise
Message
Team approch

92
Q

What time other then the every 2 hours is it only to remove a restraint?

A

Meal time

93
Q

Restraints are considered

A

Anything that represents a resident to move freely around their environment

94
Q

Restraints can increase the risk of physical and emotional harm

TRUE or FALSE

A

True

95
Q

What are the 2 types of restraints

A

Physical - vest, wrist
chemical - medication

96
Q

What is a cnas role in oxygen therapy

A
  • ensure flow rate is coming out
  • ensure flow amount is correct ( if amount in tank is low let the nurse know)
  • check skin integrity
  • report any complaints to the nurse / anything wrong
97
Q

Oxygen used for acute reasons usually have a higher concentration

TRUE or FALSE

A

True : acute = short term

Chronic = lower

98
Q

Chronic conditions usually have oxygen flow rate at

A

1-6 liters per minute

99
Q

You can’t administer oxygen but you can

A

Change from portable tank to concentrator

100
Q

What are ways that oxygen can be delivered

A

Nasal cannula (up to 6 liters)
Face mask

101
Q

Are you allowed to adjust a nasal cannula

A

Yes

102
Q

When should oxygen tubing be replaced

A

Once a week

103
Q

Common side affects of continuous o2 use

A

Nose bleeds

104
Q

What should not happen around o2 use

A

Smoking
Sparks
Alcohol
Static electricity
Petroleum based products

105
Q

What should be checked before and after the use of o2

A

Heart rate & respirations

106
Q

A portable tank should be kept _____

A

Upright standing up

107
Q

How often should you weigh a resident

A

Once a week in the morning after voiding

108
Q

Why is weighing a resident an important?

A

To determine medication doses & fluid intake

109
Q

When should you weigh a dialysis patient

A

Before / after dialysis

110
Q

Can you use a gait belt when measuring a resident?

A

Yes, just try not to put pressure

111
Q

What is considered out of range weight

A

+/- 3 pounds

112
Q

CNS footwear be worn when taking weight

A

Yes, on an upright scale

113
Q

What can be used to weight a bed bound / dependent resident?

A

Mechanical lift & bed scale

114
Q

What type of environment does bacteria/ fungi grow best in?

A

Warm, dark moist area

115
Q

OSHA ensures that

A

Employees have a safe and healthy working conditions

116
Q

What does osha stand for?

A

Occupational safety and health administration

117
Q

What does osha require healthcare entities to provide their employees

A

Ppe
Hepatitis b vaccines

118
Q

When was osha created

A

1970

119
Q

Where should sharps be put? And why is this important

A

Sharps bin
- protects from blood borne pathogen

120
Q

What should be put into a biohazard bag?

A

Anything containing bodily fluids

121
Q

What 2 ways does intake recording include

A

Orally
& via IV

122
Q

Output recording includes

A

Urine
Vomit
Feces

( sweat, tears)

123
Q

When recording fluid intake what should you include

A

Anything that would be liquid at room temp
- ice cream, jello, pudding

124
Q

When do you officially document I’s and o’s?

A

At the end of the shift
- keep track in notebook throughout shift

125
Q

What should you do if there is a large difference b/w input and output?

A

Tell the nurse

126
Q

Fluid overload is when

A

Intake is more than output

127
Q

What are some causes of fluid overload

A

Congestive heart failure
Impaired kidney function

128
Q

How many ml is 8oz

A

240ml

129
Q

How many ml is 1oz

A

30 ml

130
Q

How many ml is 4oz

A

120 ml

131
Q

How should you position an unconscious resident for oral care?

A

Side laying w/ head of bed slightly elevated
And make sure head is looking down to allow drainage of excess. Water

132
Q

When doing oral care on an unconscious resident it is important to

A

Drain all excess water from swab
& do opening / closing steps

133
Q

How do you remove dentures

A

Position in high Fowler
Ask to resident to remove them - if need assistance use tongue depressed w/ cloth wrapped around it

Place inside emesis basin

134
Q

Proper way to clean dentures

A

Place washcloth in sick - prevents damage if dropped

Rinse dentures w/ warm water

Put pea sized amount of toothpaste on brush

Clean each tooth & rinse

Put warm water in denture cup

135
Q

What to do after cleaning residents dentures

A
  • offer mouth wash
  • wash tongue ( back to front)
  • place top ➡️ bottom denture
136
Q

When should a colostomy bag be emptied

A

When 1/2 full or when requested

137
Q

Is changing a colostomy appliance in your scope of practice?

A

Yes
Just not changing faceplate / starting one

138
Q

What position should a resident be in when changing a colostomy bag?

A

Side laying/ sitting

139
Q

What foods are high in protein

A

Meat
Poultry
Eggs
Nuts
Seafood
Soy
Peas
Beans

140
Q

What patients should eat a low protein diet?

A

Ones with chronic kidney disease

141
Q

What types of protein are best for lowering your risk of obesity, heart disease and some cancers

A

Nuts, seeds, beans and peas

142
Q

What are ways to prevent falls

A
  • keep hallways free of clatter
  • keep equipment on one side of hallway
  • clean up any spills
  • answer call lights promptly
  • instal grab bars in showers/ bathrooms
  • ensure vision / hearing aids are being used
  • assist with daily activities
143
Q

Where can you find if a person is a fall risk

A

Care plan

144
Q

What type of training can help with falls

A

Balance retaining & strengthening

145
Q

What are ways to help with fall risk patients

A

Alarm systems
Antiroll back brakes on wheelchair
- pads near bed

146
Q

If a resident falls what should you do

A

Call for help and keep them on the floor until help arrives
- make sure to provide emotional support

147
Q

During ambulating a resident falls what should you do?

A

Assist to ground and protect their head

148
Q

How should a gait belt be held

A

Underhand

149
Q

How to assist resident off the floor

A

Ask to get on hands/ knees
Place chair in front of them - have grab and stand

150
Q

If a resident hits their head during a fall you need to take vitals every

A

15 min for 1st hr
30min for 2nd hr
Every hour for rest of shift .
Every shift for next 3 days

151
Q

What is the first question that is asked when a fall is noticed?

A

Was it witnessed - if not assume hit head

152
Q

Who evals / assesses a resident when they are admitted into a new facility

A

Pt / Ot

153
Q

What is the purpose of Rom exercises?

A

To prevent atrophy and contractures

  • help keep Muscle toneness
154
Q

Who should have ROM exercises?

A

Bed bound patients
- patients with weakness

155
Q

Rom exercises move ______ through it’s natural position

A

Joints

156
Q

When doing rom exercises what should you be asking the resident

A

If they have any pain/ discomfort

157
Q

Where should you support when doing ROM exercises

A

At the joints

158
Q

During restorative care what should be reported to the nurse?

A
  • increased / decreased ability
  • change in attitude
    Change in health
159
Q

During active ROM exercises what should you remind the resident

A

What exercises they need to do and how many

160
Q

Race and pass mean

A

R- rescue/ remove residents
A - activate alarms
C - contain fire
E - evacuate/ extinguish

P- pull pin
A - aim @ base of fire
S- squeeze handle
S- sweep back and forth

161
Q

How do you correct documentation errors

A

Cross it off and put your initials next to it

162
Q

What happens to a dying residents heart rate

A

It increases - above 100 beats per min

163
Q

Signs and symptoms of a dying resident

A
  • breathing is deeper / pauses
  • motting
  • deletions / hallucinations
  • decreased appetite/ thirst
  • dark urine / incontinent
164
Q

How to care for a dying resident

A

Provide emotional/ spiritual support for them/ family
- reposition every 2 hrs
- provide oral care w/ swab
- provide layers if cold

165
Q

What’s the main goal of caring for a dying resident?

A

To keep them comfortable

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