Review Ch. 1-7, 9 and 18

Question 1

what is the intent of OBRA?

Answer 1

the intent to improve the quality of life for residents in nursing facilities

Question 2

OBRA’s requirements for nurse aid training

Answer 2

100 clock hours (60 classroom 40 clinical)

state test 2 parts written/skills

Question 3

OBRA’s requirements for placement on the state registry

Answer 3

must keep address/phone number
complete 24 hours of in-service education every 2 yrs
must stay in good standing
must show employment within 24 months

Question 4

Purpose of LTC facility

Answer 4

for people who need 24 hour skilled care

Question 5

Type of residents in LTC facility

Answer 5

disabled, elderly, terminal illness, and residents with chronic conditions

Question 6

common needs of residents

Answer 6

social,physical,privacy, and psychosocial (emotional well-being)

Question 7

Feelings about aging

Answer 7

not everyone is negative

Question 8

History of the nurse aide

Answer 8

began in home
responsibility of the facility and community
full circle begin in home/ end in the home

Question 9

Qualities of an effective nurse aid

Answer 9

professional attitude
responsible
ability to communicate
ethics

Question 10

Responsibilities of nurse aid to resident, facility, and staff

Answer 10

job description
commitment to professionalism
cooperation,dependability, and conflict resolution

Question 11

Providing a safe environment in a LTC facility

Answer 11

call lights 
recognize and report unsafe conditions, 
keep things at one side,
bed at the lowest
report broken equipment

Question 12

unsafe or broken equipment

Answer 12

report and removed from service

Question 13

identify a resident by

Answer 13

their wristband, or simply ask them

Question 14

how is O2 delivered delivered

Answer 14

Nasal cannula or mask

Question 15

Safety precautions with O2

Answer 15

post oxygen sign
never use flammable liquids
cylinder is secure to wall
report/stop smoking
report empty tank
use cotton blankets

Question 16

RACE stands for

Answer 16

rescue/remove,activate,contain, estinguish

Question 17

The safe medical device act of 1991

Answer 17

requires the FDA be notified of any death or serious injury caused by medical device

Question 18

Texas concealed handgun law

Answer 18

No weapons in hospitals, facilities

Question 19

OSHA

Answer 19

federal government agency that makes rules to protect workers from hazards on the job

Question 20

What to do to prevent falls

Answer 20

Clear walkways
bed lowest position, call lights
call for help, notify nurse
good position to support

Question 21

responding to faints

Answer 21

notify nurse immediately
have person lie down before fainting occurs
stay in position

Question 22

responding to seizure

Answer 22

note the time, gloves
lower the person to the floor
have someone call the nurse immediately
do not leave person

Question 23

Respond to vomitting

Answer 23

notify nurse immediately
gloves
make sure head is up or turned to the side

Question 24

Heimlich Maneuver

Answer 24

behind person
wrap arms around the person’s waist
make a fist with one hand
pull both hands toward you and up

Question 25

Microorganism

Answer 25

tiny living things

Question 26

pathogens

Answer 26

harmful microorganisms

Question 27

localized infection

Answer 27

infection that is limited to a specific location in the body

Question 28

Systemic infection

Answer 28

affects the entire body

Question 29

symptoms of localized infections are

Answer 29

pain,redness, heat

Question 30

Symptoms of systemic infection are

Answer 30

fever,vomitting, headache

Question 31

medical asepsis

Answer 31

measures to reduce and prevent the spread of pathogens

Question 32

Why the elderly are at higher risk for infections

Answer 32

weakened immune system,decreased circulation and slow wound healing

Question 33

3 places where microorganisms can be found

Answer 33

everywhere, armpits, mouth, between legs

Question 34

3 places microorganisms thrive

Answer 34

warm, dark, moist places

Question 35

3 defenses to prevent illnesses

Answer 35

coughing, sneezing,intact skin

Question 36

chain of infection

Answer 36

``` causative agent (pathogen) resevoir portal of exit mode of transmission (direct/indirect) portal of entry host ```

Question 37

methods used to kill or control microorganisms

Answer 37

disinfectant and sterilization

Question 38

Single most important measure to prevent spread of infection

Answer 38

HAND-WASHING

Question 39

principle of standard precatuion

Answer 39

treating everyone as if they were infected

Question 40

hands should be lathered withing

Answer 40

20 seconds

Question 41

what is PPE

Answer 41

Personal Protective Equipment

Question 42

Principles of Transmission based precautions

Answer 42

specific disease, extra step. airborne, contact,droplet

Question 43

What is TB and how is it spread

Answer 43

infection in the lungs, spread by airborne

Question 44

What is SCABIES, and how is it spread

Answer 44

mice, skin rashes, contact

Question 45

What is lice, how is it spread

Answer 45

mites in hair, droplet

Question 46

2 blood borne pathogens are

Answer 46

Hepatitis, and HIV

Question 47

prevent exposure to blood-borne pathogens by

Answer 47

PPE, gloves

Question 48

5 Rights of Residents

Answer 48

``` Right to privacy Right to refuse Right to personal belonging Right to complain Right to personal choice ```

Question 49

HIPPA

Answer 49

confidentiality, don't talk about patients and keep info close to you

Question 50

Two communication styles

Answer 50

nonverbal and verbal

Question 51

Ways to protect yourself legally

Answer 51

cover your assets, DOCUMENT EVERYTHING CLEARLY

Question 52

7 Physical changes associated with aging that increase risk of accidents

Answer 52

``` Decreased vision Impaired hearing Tremors Dizziness Slower reflexes Mental changes Weakness ```