Modules (P, R, S, T, U, W, K, O)

Question 1

What is family to a resident?

Answer 1

It is a group of individuals related by blood, marriage, or a feeling of closeness.

Question 2

Even if you are getting older, can you still learn new information?

Answer 2

Yes, they can. Healthy older adults DO NOT have notable decreases in cognitive ability and ARE ABLE to learn new information. But it is important for an older person to use his/her brain or lose it.

Question 3

What happens to the size of NEURONS (brain cells) as you age?

Answer 3

The neurons (brain cells) progressively DECREASE

Question 4

What happens to the total BRAIN MASS as you get older?

Answer 4

The total brain mass DECREASES, the actual brain gets smaller as we age.

Question 5

At what age does the reaction time gradually slow down?

Answer 5

Slows down after the age of “60”, it takes longer for a resident to begin with an answer or start a movement.

Question 6

What is a person’s reaction time impaired by?

Answer 6

The aging process, sensory deficits, or chronic disease

Question 7

Does the nurse aide have enough time to complete his/her work?

Answer 7

NO, the nurse aide tend to have a lot to do in a short period of time. When working with residents, nurse aides may accidentally quicken pace and expectations as they get pressed for time.

Question 8

Should residents be allowed to take their own time/set their own pace?

Answer 8

Yes, residents are better able to perform tasks or learn new things, they have time to use their physical and physiological assets to respond to the best of their abilities.

Question 9

What are the “Physical needs” (requirements for sustaining life) for someone with “OXYGEN”?

Answer 9

Elevate the head of the bed, they are up in the chair, assist with breathing exercises, report cyanosis (or blue lip color)

Question 10

Who’s role is it to get the resident to church/worship services?

Answer 10

It is the NURSE AIDES role, residents have right to worship and express faith freely, and provide privacy for visits by members of the clergy.

Question 11

What are late adulthood tasks/skills that must be mastered during a stage of development?

Answer 11

Adjustment to retirement, reduced income, death of friends, death of spouse, physical changes, and loss of independence.

Question 12

What might an older adult fear more than death?

Answer 12

The older adult may fear life in a nursing home more than death

Question 13

What is the percentage of females in a nursing home?

Answer 13

75% are females

Question 14

If a resident is “COMBATIVE”, what should the nurse aide do?

Answer 14

Display a calm manner, avoid TOUCHING the resident, provide privacy for out of control residents, secure help if necessary, protect yourself from harm, listen to verbal aggression without argument and DO NOT IGNORE THREATS

Question 15

What is dementia?

Answer 15

Usually “PROGRESSIVE” condition marked by development of multiple cognitive deficits such as memory impairment, APHASIA (difficulty in speaking), and inability to plan and initiate complex behavior.

Question 16

What is the average lifespan following the diagnosis of Alzheimer’s disease?

Answer 16

It is “8” years! but survival may be anywhere from “THREE” to “TWENTY” YEARS!!!!! (8, 3, 20)

Question 17

What stage of Alzheimer’s disease does memory loss begin to affect EVERYDAY ACTIVITIES? aka: POOR MEMORY

Answer 17

The “EARLY” stage

Question 18

What is the “LONGEST” stage of Alzheimer’s disease?

Answer 18

The “MIDDLE” stage

Question 19

What stage of Alzheimer’s disease is considered the “TERMINAL” stage?

Answer 19

The “LATE” stage, total dependence for ADL’s

Question 20

What is “DELIRIUM”?

Answer 20

It is the state of severe confusion that is “REVERSIBLE” and occurs suddenly. It is usually triggered by a rapid onset of (acute) illness or change in physical condition that is life threatening, if not recognized and treated.

Question 21

What is some signs/symptoms of “DELIRIUM”?

Answer 21

Rapid decline in cognitive function, disorientation to time and place, decreased attention span.

Question 22

What is the difference of “DEMENTIA” and “DELIRIUM”?

Answer 22

Delirium is “REVERSIBLE” and Dementia is “PROGRESSIVE AND IRREVERSIBLE”

Question 23

What may REDUCE BEHAVIOR issues with someone who has Dementia or Alzheimers?

Answer 23

Changing the environment (such as reducing excessive noise, and activity) or (PROVIDING COMFORT MEASURES) such as rest OR PAIN MEDICATION

Question 24

What are some strategies to help the nurse aide from getting burnt out on work?

Answer 24

Maintain good physical and mental health, GET ADEQUATE AMOUNTS OF SLEEP ON DAYS OFF AND BEFORE EACH SHIFT, remain active with family and community…TAKE CARE OF SELF ON DAYS OFF

Question 25

What is at the HEART of de-escalation?

Answer 25

Great DAY-to-DAY relationships

Question 26

How should you position yourself for safety with mental health residents?

Answer 26

NEVER TURN YOUR BACK FOR ANY REASON, maintain distance of at least “2” arm lengths between self and agitated resident, Place HANDS in front of body in open and relaxed position because this gesture appears non-threatening and positions hands for blocking if need arises.

Question 27

What is “TERMINAL ILLNESS”?

Answer 27

It is an illness or injury form which the person WILL NOT LIKELY TO RECOVER; a terminal illness ends in death

Question 28

What are the “5” stages of grief?

Answer 28

1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance

Question 29

Each person may experience the stages of grief?

Answer 29

At a different rate or time

Question 30

What is “HOSPICE”?

Answer 30

It is a health care agency or program for people who are dying (usually with LESS THAN “6” MONTHS TO LIVE) and its purpose is to improve the quality of life for a person who is dying

Question 31

Who all does “HOSPICE” work with?

Answer 31

With STAFF, as well as RESIDENT, and FAMILY

Question 32

What signs should be reported to the nurse when you know the resident is within hours or days of dying?

Answer 32

Psychological and physical withdrawal, decreased level of alertness, with increased periods of sleeping, respiratory is irregular, rapid, and shallow or slow and heavy, apnea (respiration stops)

Question 33

What are some “NEGATIVE” effects of restraints?

Answer 33

Physical and psychological discomfort, pressure ulcers, pneumonia, reduced blood circulation

Question 34

What is needed for restraint use?

Answer 34

A DOCTOR’S ORDER, and use as directed by the NURSE

Question 35

Resident who requires restraints must be observed?

Answer 35

at least “ONCE” every “15” minutes or more ofter as required by the care plan

Question 36

Residents must be removed, repositioned, and basic needs met?

Answer 36

Met for “15” MINUTES at least every “2” HOURS

Question 37

What should the “NURSE AIDE” do for a resident wearing restraints?

Answer 37

Check the resident every “15” minutes, remove the restraints, release, exercise at LEAST EVERY “2” hours

Question 38

In critical thinking, what should the nurse aide report?

Answer 38

Abnormal vital signs, good observations, and report potential problems: objective: see, touch, smell, hear, etc..

Question 39

After a family visit with the resident is finished what should the nurse aide report?

Answer 39

Any negative visit effects to the supervisor

Question 40

What should the nurse aide observe the resident for after a family visit?

Answer 40

Observe effects the visit had on the resident