Midterm Review

Question 1

What is the Patient Care Partnership?

Answer 1

understanding expectations, rights, and responsibilities

Question 2

OBRA

Answer 2

Omnibus Budget Reconciliation Act

Question 3

What is the purpose of OBRA?

Answer 3

Requires nursing centers to provide care in a manner and in a setting that maintains or improves each person’s quality of life, health, and safety

Question 4

What 4 pieces of info do patients have the rights to?

Answer 4

medical record, contracts, incident reports, and financial records

Question 5

T/F The person has the right to be fully informed about his or her condition

Answer 5

T

Question 6

T/F The person does not have the right to refuse treatment

Answer 6

F. The person has the right to refuse treatment

Question 7

What are the advance directives part of the right to refuse treatment?

Answer 7

living wills and instructions about life support

Question 8

What does personal choice promote?

Answer 8

quality of life, dignity, and self-respect

Question 9

T/F Residents have the right not have body movements restricted via restraints or drugs

Answer 9

T

Question 10

What is the only way restraints may be used?

Answer 10

by doctor’s orders

Question 11

The Older Americans Act/ Ombudsman Program is a federal law that states?

Answer 11

residents have the right to voice grievances and disputes

Question 12

What shapes a NA

Answer 12

laws, job descriptions, the person’s conditions and the amount of supervision needed

Question 13

What are 3 requirements for the OBRA training program?

Answer 13

75 hours of instruction, classroom and min of 16 hours of practical training

Question 14

What are the 2 requirements for the competency evaluation?

Answer 14

a written and a skills test with 3 total attempts

Question 15

What is the purpose of a job description?

Answer 15

describes what the agency expects you to do, states educational requirements

Question 16

What are 4 things you need to know about your role and responsibilities?

Answer 16

what you can safely do, the things you should never do, your job description, the ethical and legal aspects of your role

Question 17

Who can delegate?

Answer 17

RNs

Question 18

What are the 4 steps stated by the National Council of State Boards in the delegation process>

Answer 18

1. Assess
2. Communicate
3. Surveillance and supervision
4. Evaluate and feedback from nurse

Question 19

tort

Answer 19

a wrong committed against a person or person’s property

Question 20

What are the 2 types of Torts?

Answer 20

intentional and unintentional

Question 21

what category does negligence fall under intentional or unintentional?

Answer 21

unintentional

Question 22

what does defamation, libel and slander fall under unintentional or intentional tort?

Answer 22

intentional

Question 23

what are the types of abuse?

Answer 23

intimidation, punishment, deprivation, involuntary seclusion, willful infliction of injury and unreasonable confinement

Question 24

What type of form is a written or electronic account of a person’s condition and response to treatment and care?

Answer 24

Medical record

Question 25

What type of sheet is used to record measurements and observation made daily, every shift or 3-4x/day?

Answer 25

graphic sheet

Question 26

What type of document describes the care given and the person’s response and progress?

Answer 26

progress notes

Question 27

What type of document is used to record frequent measurements or observations?

Answer 27

flow sheets

Question 28

What is a type of card file summarizes info in the medical record?

Answer 28

the kardex

Question 29

What type of document contains the person’s background info when first admitted?

Answer 29

health history

Question 30

What type of document is completed when the person is admitted to the center?

Answer 30

admission record

Question 31

another term for supine position

Answer 31

dorsal recumbent position

Question 32

sims’ position

Answer 32

left side-lying position

Question 33

hirsutism

Answer 33

excessive body hair

Question 34

alopecia

Answer 34

hair loss

Question 35

What is the first sign of a pressure ulcer?

Answer 35

a reddened bony area

Question 36

The process of restoring the person to his or her highest possible level of physical psychological, social and economic function

Answer 36

rehabilitation

Question 37

The process of promoting self-care, elimination, positioning, mobility, communication, and cognitive function

Answer 37

restorative

Question 38

What are the 6 principles of care?

Answer 38

1. infection control
2. safety
3. privacy
4. communication
5. independence
6. dignity

Question 39

A slow heart rate

Answer 39

bradycardia

Question 40

A rapid heart beat

Answer 40

tachycardia

Question 41

RACE

Answer 41

rescue, alarm, confine, and evacuate

Question 42

PASS

Answer 42

pull, aim, squeeze, sweep

Question 43

A state of sudden, severe, confusion, and rapid changes in brain function

Answer 43

delirium

Question 44

The loss of cognitive function that interferes with routine, social, and occupational activities

Answer 44

dementia

Question 45

What are the signs of a stroke?

Answer 45

nausea, vomiting, high BP, slow pulse, redness of the face, and memory loss

Question 46

List the common places to take a pulse

Answer 46

1. radial
2. apical
3. popliteal
4. brachial
5. dorsalis pedis
6. temporal
7. carotid

Question 47

What is the number one disability in America?

Answer 47

rheumatoid arthritis

Question 48

Who is an ombudsman?

Answer 48

someone who supports or promotes the needs and interests of another person

Question 49

What are the food sources of vitamin D?

Answer 49

milk, butter, liver, and exposure to the sun

Question 50

Rapid respirations

Answer 50

tachypnea

Question 51

Slow respirations

Answer 51

bradypnea

Question 52

A document stating a person’s wished about health care when that person cannot make his or her own decisions

Answer 52

advance directives