NAB 8 Flashcards
A 90-year old lady who is ambulatory is admitted to your facility. About 12 midnight she jumps out of bed and starts walking around. When the CNA
tries to get her back in bed, she Says, “I Can’t stay in bed. I have to walk around for awhile.” What would you suspect her problem is?
1. Insomnia
2. RLS
3. Somnambulism
4. Bad dreams
RLS – Restless Leg Syndrome
RLS - a disorder that causes a strong urge to move your legs. This urge to move often occurs with strange and unpleasant feelings in your legs. Moving your legs relieves the urge and the unpleasant feelings.
People who have RLS describe the unpleasant feelings as creeping, crawling, pulling, itching, tingling, burning, aching, or electric shocks. Sometimes, these feelings also occur in the arms.
The urge to move and unpleasant feelings happen when you’re resting and inactive. Thus, they tend to be worse in the evening and at night
William Hazard and his associates conducted an extensive study on geriatric
persons. What percent of nursing home residents did they determine suffer
from incontinence?
1. Almost 60 percent
2. Almost 50 percent
3. More than 40 Percent
4. It4ore than 30 percent
1-Almost 60 percent
The primary objective of the Medicaid assessment made by the
interdisciplinary team is to determine:
1. the potential for maintaining or improving the five ADL’s.
2. whether the person meets qualifications for admission to the facility.
3. what roommate to assign the new resident to.
4. in which resource utilization group the resident fits.
- the potential for maintaining or improving the five ADL’s.
Restorative Nursing uses Range of Motion (ROM) procedures very frequently. Which of the following is not a PRIMARY RISK factor that causes decreased range of motion?
- Bedridden
- Strokes
- Alzheimer’s disease
- Loss of vision
- Loss of Vision
Stokes can often lead to a whole side of a persons body being unusable
Alzheimer’s Disease end of stage often people are just sitting around in wheel chairs.
- What are the procedures found most effective for residents with depression?
- Spending two or three weeks in a psychiatric program in a hospital
- Medications, family involvement, and staff attention
- Counseling, activities, and medications
- Treatment in a local mental health center
3-Counseling, Activities and medications
Mr. Smith gives you a written request for a copy of his medical records on a Friday afternoon. When must you have the copy available for him?
- Saturday by noon
- Monday afternoon
- Tuesday afternoon
- Within three days of the request
3- Tuesday Afternoon
- ** Resident Rights ***
(1) To SEE FACILITY has 24 hours (not weekends of Holidays)
(2) photocopies of all or any portion of the records, at a cost not to exceed the community standard, upon request and 2 workdays advance notice to the facility
Workdays are not SAT or SUN
What two areas of training should be mandatory for dietary employees?
- Food preparation and serving techniques
- Proper use of equipment and proper portioning of food
- Food preparation and garbage disposal
- Safe work techniques and providing a safe environment
4- Safe work techniques and providing a safe environment
A facility is required to maintain an emergency drug kit which must be approved by whom?
- The medical director
- State Medicaid agency
- The pharmacist
- State pharmacy boards
4- State Pharmacy Boards
What is the first step in administering a drug?
- Identify the drug.
- Review the physician order.
- Prepare the drug for administration.
- Identify the resident.
2-Review the physician ORDER
- 1508 -
* Drugs to be administered are to be checked against the PHYSICIAN ORDERS
How must discontinued drugs be destroyed?
1. Scheduled drugs by a pharmacist
2. Nonscheduled drugs by an RN
3. According to DEA regulations for your district
4 By the DON with a health care professional as witness
3-According to DEA regulations for your district
19.1504 (a) The facility must establish procedures for storing and disposing of drugs and biologicals in accordance with federal, state, and LOCAL LAWS
Who is responsible for ensuring that a facility is providing the appropriate resident care?
- Administrator
- Medical director
- Director of nursing
- Quality assurance committee
2-Medical Director
19.1907-
(b) The medical director is responsible for:
(1) implementation of resident care policies AND
the coordination of medical care in the facility.
Surveyors select a sample of residents who have dry skin, cracked lips, poor skin turgor, or fever. What are they looking for?
- Probability of developing pressure sores
- Evidence of dehydration from lack of fluids
- Evidence of poor skin care /
- Possibility of inadequate diet
2-Evidence of dehydration from lack of fluids
Causes:
•Fever, heat exposure, and too much exercise
•Vomiting, diarrhea, and increased urination due to infection
•Diseases such as diabetes
•The inability to seek appropriate water and food (as in the case of a disabled person)
•An impaired ability to drink (for instance, someone in a coma or on a respirator)
•No access to safe drinking water
•Significant injuries to skin, such as burns or mouth sores, or severe skin diseases or infections (water is lost through the damaged skin
Signs and symptoms: •Dry mouth and swollen tongue •Weakness •Dizziness •Palpitations (feeling that the heart is jumping or pounding) •Confusion •Sluggishness fainting •Fainting •Inability to sweat •Decreased urine output
*If urine is concentrated and deeply yellow or amber, you may be dehydrated.
As a minimum, what should the resident’s admission order include?
- Level of resident’s functioning in the 5 ADLs
- A full medical and social history
- Dietary needs, drugs used, and routine care to maintain resident’s present level of care.
- Interdisciplinary team’s pre-admission assessment of the resident’s current level of functioning
3-Dietary needs, drugs used, and routine care to maintain resident’s present level of care.
This is True because the PRIMARY GOAL is keeping the RESIDENT ALIVE, this is the MINIMUM.
The first step in personnel management is:
- establishing pay and benefit packages.
- hiring employees.
- writing job descriptions for all positions.
- Developing personnel policies, procedures, and rules.
4-Developing personnel policies, procedures, and rules.
The number one priority in OVERALL staff training is:
- resident care policies and procedures.
- fire prevention and control.
- resident rights.
- prevention and control of infections.
2-Fire Prevention and CONTROL