Knowledge Exam Flashcards

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1
Q

Which of the following best helps reduce pressure on the bony prominences?

A

Flotation mattress

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2
Q

A client is paralyzed on the right side. The nurse aide should place the signaling device

A

On the left side of the bed near the clients hand

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3
Q

The equipment you need for oral care of an unconscious client includes

A

Toothette and mouth swab

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4
Q

Clean bed linen placed in a client’s room but NOT used should be

A

Put in the dirty linen container

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5
Q

Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects?

A

Speech therapist

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6
Q

When transferring a client, MOST of the client’s weight should be supported by the nurse aide’s

A

Legs

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7
Q

To avoid pulling on the catheter while you’re turning a male client, the catheter tube must be taped to his

A

Upper thigh

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8
Q

To convert four ounces (oz) of liquid to milliliters (mL), the nurse aide should multiply 4 by

A

30 ml

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9
Q

A client is to be assisted out of bed to sit in a wheelchair. How can this procedure be made safe?

A

Place the bed in the lowest position

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10
Q

What is the term for a device used to take the place of a missing body part?

A

Prosthesis

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11
Q

The nurse aide notices that the client’s radio cord is draped across a chair to reach the nearest outlet. The FIRST thing the nurse aide should do is

A

See if any changes can be made so that the radio can be plugged in safely

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12
Q

When taking a client’s radial pulse, the nurse aide’s fingertips should be placed on the client’s

A

Wrist

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13
Q

While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD

A

Report the broken side rail immediately

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14
Q

Physical restraints are used most often when

A

Used to prevent client injury

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15
Q

The nursing care plan states, “Transfer with mechanical lift.” However, the client is very agitated. To transfer the client, the nurse aide SHOULD

A

Get assistance to move the client

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16
Q

NPO

A

nothing by mouth

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17
Q

The nurse aide is responsible for the following fire prevention measures EXCEPT

A

Taking cigarettes and matches away from all clients and visitors

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18
Q

While eating dinner, a client starts to choke and turn blue. The nurse aide SHOULD

A

Call for assurances and perform the Heimlich maneuver (abdominal thrusts)

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19
Q

What type of fir can be put out with water?

A

Paper

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20
Q

To take an oral temperature the nurse aide should

A

Place the thermometer under the tongue

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21
Q

The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client’s feet?

A

Rubber-soiled shoes or socks

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22
Q

To lift an object using good body mechanics, the nurse aide SHOULD

A

Bend the knees and keep the back straight

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23
Q

If the nurse aide discovers fire in a client’s room, the FIRST thing to do is

A

Remove the client

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24
Q

The purpose of padding side rails on the client’s bed is to

A

Protect the client from injury

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25
Q

Which of the following is NOT considered a way to restrain a client?

A

Pain management

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26
Q

For safety, when leaving a client alone in a room, the nurse aide SHOULD

A

Place the signaling device within the clients reach

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27
Q

The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD

A

Clean up the spill

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28
Q

When caring for a client who uses a protective device (restraint), the nurse aide SHOULD

A

Check the clients body alignment

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29
Q

When helping a client who is recovering from a stroke to walk, the nurse aide should assist

A

On the clients weak side

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30
Q

To be sure that a client’s weight is measured accurately, the client should be weighed

A

At the same time of day

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31
Q

A client needs to be repositioned but is heavy, and the nurse aide is not sure that she can move the client alone. The nurse aide should

A

Ask another nurse aide to help

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32
Q

The Heimlich maneuver (abdominal thrusts) is used on a client who has

A

A blocked airway

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33
Q

How many tips does a quad-cane base have?

A

4

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34
Q

What is the FIRST thing a nurse aide should do when finding an unresponsive client?

A

Call for help

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35
Q

Insulin, a hormone, regulates

A

The amount of sugar in the blodd

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36
Q

When operating a manual bed, the nurse aide should remember to

A

Fold the cranks under the bed

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37
Q

The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD

A

Comfort the client while moving the person to a safe place

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38
Q

The electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST?

A

Unplug the shaver

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39
Q

Which of the following is a correct measurement of urinary output?

A

Ml
300ml

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40
Q

Which of the following is the most comfortable position for a client with a respiratory problem?

A

Fowler’s

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41
Q

In the Nursing Care Plan, you note that it is written, “O2 per N/C @3L, Orthopnea pos. as needed”. As a CNA, you know that this means which of the following?

A

The resident is on oxygen with a cannula on three liters. Assist to sit in the Fowlers position

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42
Q

Before performing any procedure, a nurse aide must

A

Wash his or her hands
Identify the resident
Explain the procedure

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43
Q

You are caring for Mr. Brown, who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do?

A

Report it immediately to the nurse

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44
Q

Which of the following is the recommended position for giving an enema?

A

Left sims

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45
Q

Postpartum refers to

A

The period of time after delivery of a baby

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46
Q

The brain is part of the

A

Nervous system

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47
Q

Meal trays have arrived. Before serving each tray, the nurse aide should

A

Check each armband even on familiar patients

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48
Q

Which of the following are associated with smoking?

A

Heart attacks
Pneumonia
Vitamin c deficiency

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49
Q

The charge nurse has asked you to take Mrs. Shumway’s vital signs. Before doing so, you must

A

Gather all appropriate equipment
Identify the patient and introduce yourself
Wash your hands

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50
Q

A nurse aide notices blood in a patient’s IV tubing. The aide should

A

Notify the IV nurse

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51
Q

Mrs. Shumway’s nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include which of the following

A

Daily am weight measurements

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52
Q

Ok which sided should the patient lie for an enema

A

Left

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53
Q

In a report, the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should

A

Take away the water pitcher at midnight

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54
Q

A patient appears paler than usual. The nurse aide should

A

Ask the patient how he feels and take his vital signs immediately

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55
Q

A patient has a diagnosis of psoriasis. Her nurse aide should

A

Treat her the same way as any other patient with a non-infectious disease

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56
Q

The circulatory systems includes

A

Hearts, arteries, capillaries, veins

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57
Q

A nurse assistant notices red marks on a resident’s back and buttocks. The aide acts in the knowledge that

A

The skin can break down if nothing is done

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58
Q

Mrs. Shumway has an order for I&O. You have picked up her breakfast and note that she drank half of a 6 oz. glass of juice, 4 oz. of milk, and 8 oz. of coffee. Therefore, you document

A

450ml

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59
Q

Who can order a warm or cold application?

A

A doctor

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60
Q

A patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient

A

Had breakfast

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61
Q

Signs and symptoms of shock may include

A

Low blood pressure; tachycardia; and clammy, pale skin

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62
Q

Mrs. Sparks is an 83-year-old female patient who suffers from the late effects of a CVA. She has {L} sided hemiplegia. This is

A

Paralysis on the left side of the body

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63
Q

Most of our calories should come from

A

Carbohydrates

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64
Q

Drainage bags from urinary catheters should always

A

Be kept below the level of the bladder

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65
Q

Continuing education is

A

important for keeping abreast of new developments.
necessary for recertification in many states.
a professional standard

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66
Q

A professional and safe working appearance would include which of the following?

A

Clean, wrinkle free uniform; short fingernails; and off the shoulders hair

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67
Q

Mrs. Hernandez had a hip replacement and is admitted to the long-term care facility for rehabilitation. Her condition is considered

A

Acute

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68
Q

Which of the following measurements that you obtained from Mrs. Shumway should be reported immediately to the charge nurse?

A

Blood pressure: 190/114

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69
Q

Which of the following should be reported immediately?

A

Blood pressure of 90/40

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70
Q

Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that?

A

6 ounces

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71
Q

To help ensure adequate circulation to prevent patient skin breakdown, you should

A

give back massages.
change the patient’s position frequently.
perform active or passive range-of-motion exercises.

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72
Q

To take a rectal temperature, the nurse aide should insert the thermometer and

A

Hold onto the thermometer until it can be removed

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73
Q

Which of the following statements about blindness are false?

A

Most legally blind or visually impaired ripple have no sight at all

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74
Q

Normal urine color is

A

Yellow

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75
Q

Normal characteristics of stool are?

A

Brown and soft

76
Q

Which of the following is the safest way to confirm a resident’s identity?

A

Check the ID bracelet or tag attached to the resident

77
Q

A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The nurse assistant should

A

Notify the IV nurse that the infusion appears to have infiltrated

78
Q

The opening of the colostomy to the outside of the body is called

A

The stoma

79
Q

A resident with an ileostomy evacuates feces through the

A

Ileum

80
Q

When caring for a resident with an indwelling Foley catheter, you should

A

Check the bagging and tubing frequently for adequate ordinary flow

81
Q

If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do?

A

Wait 15 minutes to take the temperature

82
Q

When lifting a heavy object, which muscle groups should you use?

A

Muscles of the legs

83
Q

All of the following statements about type 2 diabetes are true EXCEPT

A

Type 2 diabetes is very rare in adults

84
Q

Why should heat NOT be applied to a diabetic resident’s feet?

A

Diabetics have increased sensitivity to heat 

85
Q

The loss of the ability to express oneself is known as

A

Aphasia

86
Q

There are two kinds of restraints

A

Physical and chemical

87
Q

What can the nurse aide give a resident who has an order for NPO?

A

No food or liquids

88
Q

When dry, hard stool fills the rectum and will not pass, it is called

A

Impaction

89
Q

A Hepatitis B vaccination protects the person receiving it against a disease that affects

A

The liver

90
Q

Elderly residents sometimes appear stooped over and seem to have lost height. This is due to

A

Osteoporosis in the spinal column

91
Q

A hospice specializes in the care of people who are

A

Terminally ill

92
Q

The nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should

A

Report this to the charge nurse

93
Q

Constipation and indigestion can result from

A

Slowed peristalsis

94
Q

Who supervises the work of a nurse aide?

A

A nurse

95
Q

When lifting, the nurse aide should have his or her feet separated in the standing position to

A

Provide a wide base of support

96
Q

Diabetes mellitus makes a resident more prone to develop

A

Infections

97
Q

Many elderly residents lose their appetite because of

A

Social isolation, decrease in number of taste buds, depression

98
Q

Wasting or a decrease in the size of a muscle is called

A

Atrophy

99
Q

Various factors will change pulse rate. An increased pulse rate can be caused by

A

Exercise

100
Q

A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should

A

Tell the resident that the nurse aide can not do it but will report it to the charge nurse

101
Q

A Foley catheter is used

A

To drain urine from the bladder

102
Q

A nurse aide is going to take Mr. Heath’s vital signs. What should the nurse aide do to reduce Mr. Heath’s anxiety and get him to cooperate?

A

Explain the procedure to Mr. Heath

103
Q

The exchange of oxygen and carbon dioxide takes place

A

In the lungs

104
Q

The thinning of the fatty layer under the skin could cause a resident to

A

Develop pressure sores

105
Q

What is the purpose of the chain of command in a long-term care facility?

A

To keep communication about a problem flowing smoothly

106
Q

The best way for a nurse aide to gather information about the safety and well-being of a resident is

A

Observation

107
Q

Signs of poor circulation include

A

Paleness; cold skin; and edema

108
Q

Which of the following is true regarding the use of side rails on a bed?

A

Side rails should not be raised unless listed in the care plan

109
Q

Which of the following is a proper way to correct an error in charting?

A

Draw a single line through it
Use correction fluid

110
Q

A resident is NPO for tests. The nurse aide should

A

Remove the water pitcher and glass from the room

111
Q

To count respirations, one respiration includes

A

One inhalation and one exhalation

112
Q

A bedsore or decubitus ulcer is caused by

A

Inadequate turning

113
Q

Headaches, nausea, and pain are considered

A

Symptoms

114
Q

A sitting or semi-sitting position with the head of the bed elevated is called

A

Fowlers

115
Q

The plan that starts on the resident’s admission and assists when the resident goes home is called

A

The discharge plan

116
Q

Which of the following is a major reason for urinary incontinence in the elderly?

A

The muscle that keeps urine in the bladder weakens

117
Q

For most residents, the range of normal respiration is

A

12 to 20 inspirations per minute

118
Q

A nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows that

A

The resident cannot talk

119
Q

The nurse aide knows to wear which of the following when performing care for clients?

A

Clean uniform and scrubs, shoes with non-skid soles, name badge with job on it

120
Q

Exercises that move each muscle and joint are called

A

Range of motion

121
Q

You are delegated to provide passive R.O.M. to L lower and upper extremities. This means you must

A

Support each joint and provide extension and flexion movements in the left side of the body

122
Q

Goals of arthritis care include

A

Preventing contractures, strengthening bones and muscles, decreasing inflammation and preserving joints

123
Q

ROM exercises will help prevent

A

Contractures

124
Q

The nurse aide documents that about 45 minutes after the resident was put to bed for an afternoon nap, the person urinated in bed. To help with bladder training, what should the nurse aide do?

A

Take the resident to the restroom right before he or she goes to bed

125
Q

A patient is leaving the hospital. The family has been told to give her medications “bid.” The wife asks what that means. The nurse aide tells her to give the medications

A

Twice a day

126
Q

After assisting with evening care, the nurse aide notices the client has bilateral hearing aids. The nurse aide understands that if a hearing aid is not in use

A

The battery should be disengaged

127
Q

A nurse aide moves a resident’s joint during range-of-motion (ROM) exercises. If the resident complains of pain, what should the nurse aide do?

A

Stop the movement at the point that the pain occurs and report it to the nurse

128
Q

The primary goal of restorative care is

A

To return the resident to a normal life at home

129
Q

A button hook and a sock assist are part of what kind of nursing care?

A

Restorative and rehabilitative

130
Q

Equipment used to help the resident maintain correct body alignment includes all of the following EXCEPT

A

Cones

131
Q

A patient has had hip surgery. Her legs should be

A

Abducted

132
Q

A nursing assistant is helping a resident to walk. If the resident becomes faint and starts to fall, what should the nursing assistant do?

A

Ease the resident to the floor and call for help

133
Q

The role of an ombudsman is

A

To work with the nursing home to protect clients’ rights

134
Q

The nurse aide is making an occupied bed. Which of the following is the most restorative approach?

A

Encourage the resident to help

135
Q

What is the process of restoring a disabled client to the highest level of functioning possible?

A

Rehabilitation

136
Q

According to the principles of proper body mechanics, a nurse aide who is lifting an object should place his or her feet

A

12-18 inches apart

137
Q

A contracture (tightening or shortening of a muscle) is caused by

A

Lack of movement of the muscle

138
Q

How can you give a helpless resident some independence when he or she must be fed?

A

Ask the resident which food he or she would like to eat first

139
Q

Pressure sores can often be prevented if the client is

A

Turned or repositioned every two hours

140
Q

If a client has hand tremors, the nurse aide should

A

Assist the client with the activities of daily living as needed

141
Q

The nurse aide just admitted a new male resident. Which of the following is the most restorative approach?

A

Encourage the resident to participate in unpacking his clothes

142
Q

When ambulating an unsteady client, it is BEST for the nurse aide to use a

A

Gait belt

143
Q

The most basic rule of body mechanics is to

A

Bend from the knees and hips

144
Q

Mr. Johnson has just returned from surgery. Which of the following things do you do?

A

Perform turns, coughs and deep breathing exercises, leg exercises

145
Q

A way to make sure a resident with dementia gets adequate nutrition is to

A

Offer small meals and snacks that match the residents limited attention span

146
Q

If a resident exhibits paranoid behavior, what should the nurse aide know?

A

Delusions are a normal part of the progression of the dementia process

147
Q

Residents with cognitive impairments often have difficulty sleeping. What can be helpful?

A

Establish a bedtime schedule and make sure the residents go to bed within 15 minutes of that time

148
Q

For a resident, reality orientation should include

A

Calling the resident by his or her name

149
Q

Communication with a resident who has late-stage dementia or Alzheimer’s includes

A

Speaking in one or two word sentences

150
Q

Toward the end of the day, residents with dementia commonly experience which of the following?

A

Sundown syndrome

151
Q

Which of the following is NOT true of patients with dementia?

A

They act uncooperative just to be spiteful

152
Q

A confused resident tells you there is a monster in the closet. You should

A

Open the closet and show the resident that there is nothing in jt

153
Q

A resident with Alzheimer’s disease tells the nurse aide that she smells smoke. The nurse aide should

A

Look around for a fire

154
Q

A resident has difficulty remembering what day it is and where the person is. How can you best help the resident?

A

Tell the resident often what day it is and where the resident is

155
Q

The primary cause of combative behavior in a resident with dementia is

A

Confusion

156
Q

While the nurse aide is giving care to Mr. T., he calls the nurse aide by the name of his son who died several years ago. The nurse aide’s BEST response is to

A

Ask Mr. T about his favorite memories of his son

157
Q

As dementia progresses, incontinence can become an issue. How can the nurse aide assist?

A

Watch for signs of discomfort so you can take the resident to the bathroom

158
Q

A client with dementia has developed a fear of taking a shower. What can a nurse aide do?

A

Give the client a bed bath and try a shower a different day

159
Q

When caring for a confused resident, what should a nursing assistant do?

A

Give simple directions

160
Q

A resident is standing in the hallway, holding a bag. She asks the nurse aide when the train is due. The aide should tell her

A

Where she is, in a matter of fact time of voice

161
Q

A resident who has not been discharged insists she is going home. What should the nurse aide do?

A

Notify the charge nurse immediately

162
Q

Which of the following is an important way to help a resident feel comfortable in a long-term care facility?

A

Provide space for personal possessions

163
Q

All of the following are signs of aggressive behavior EXCEPT

A

Depressed mood

164
Q

When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?

A

Ask the family to get several identical items

165
Q

If a client says, “God is punishing me,” or asks, “Why me?” how should the nurse aide respond?

A

Listen and ask questions to learn more

166
Q

A visitor enters the room while the nurse aide is changing the client. How SHOULD the nurse aide respond?

A

“Would you please wait in the lobby”

167
Q

A female resident calls the nurse aide and says, “Someone spilled water on my bed.” The nurse aide observes a wet area on the pad, directly underneath the resident. The nurse aide should

A

Change the linens and make a mental note to offer the bedpan more often

168
Q

After you’ve had to complete several assignments that a co-worker didn’t do, what is the best approach?

A

Ask the coworker is there is a reason

169
Q

A resident complains that his children never visit. The aide should

A

Listen quietly as the talks about his feelings

170
Q

You are assigned to care for a new resident, but you don’t know what to call her. You should introduce yourself and then

A

Ask her what name she would like to be called by

171
Q

Which of the following is an acceptable way for the CNA to cope with feelings of anger and frustration?

A

Ask your supervisor for time to talk about your feelings

172
Q

When communicating with a nonverbal resident, the nurse aide should do all of the following EXCEPT

A

Providing routine care while assuming the resident has no way to communicate

173
Q

To BEST communicate with a client who is totally deaf, the nurse aide should

A

Write down information for the client to read

174
Q

The nurse aide asks a resident how she feels, and she replies, “Fine.” Still, the nurse aide suspects the resident is in pain because

A

The resident is grimacing

175
Q

The nurse aide finds a resident sobbing. What is the best thing for the nurse aide to say to the person?

A

“You seem sad. Can you tell me about it?”

176
Q

Active listening is important because

A

It prevents misunderstandings

177
Q

When interacting with clients, the nurse aide should remember that

A

More than half of all communication is nonverbal

178
Q

How can the nurse aide BEST help a client who is not accepting a loss?

A

Encourage the client to talk about the loss

179
Q

Which is the best way to talk to a resident with a visual impairment?

A

Announce your presence when entering the room

180
Q

If you are unsure of the steps of a task that the nurse told you to do, you should

A

Ask the nurse to clarify the instructions

181
Q

When communicating with the client’s family, the nurse aide SHOULD

A

Listen to their concerns and offer support 

182
Q

Mrs. Smith, your patient, tells you that her hearing aid is missing. What do you do?

A

Immediately report it to the nurse

183
Q

A confused client asks a nurse aide what day it is. The nurse aide should

A

Point to the date on the calendar and save the date 

184
Q

A nurse aide is caring for a client who answers every question by nodding and saying “Yes.” How should the nurse aide handle this behavior?

A

Determine if the client is able to understand

185
Q

To communicate clearly with a client who has hearing loss, what should you do?

A

Look directly at the client when you speak

186
Q

How should you communicate with a client who only speaks and understands a foreign language?

A

Here’s a picture boards and gestures