TEST 1 Flashcards
_____ is a medical assistance program for low-income people.
Medicaid
_____ is care given by specialists to help restore or improve function after an illness or injury.
Rehabilitation
Regular inspections performed in facilities to make sure they are following state and federal regulations are called…
Surverys
The abbreviation HMO means
Health maintenance organization
Where is long-term care offered?
In skilled nursing facilities
Which of the following healthcare settings is generally for people who will die in 6 months or less?
Hospice care
What is one reason why reporting a resident’s changes and problems to the supervisor is a very important role of the NA?
The care plan must be updated as the resident’s condition changes.
Which of the following statements is true of residents as a part of the care team?
The care team revolves around the resident and his or her condition, treatment, and progress.
Which of the following statements is true of a NA’s responsibilities if an activity is not listed in the care plan?
The NA should not perform the activity if it is not listed on the care plan.
Which of the following tasks is outside the scope of practice for an NA?
Inserting tubes into a resident’s body
How many hours of in-service education does OBRA require for NAs every year?
At least 12 hours
How many hours of training does OBRA require for NAs
At least 75 hours
OBRA was passed as a response to…
Reports of poor care and abuse in long-term care facilities
One reason that the Health Insurance Probability and Accountability Act (HIPPA) was created is to…
Protect privacy of health information.
What are some typical duties of an ombudsman
An ombudsman advocates for residents and helps settle disputes.
What is the purpose of the Patient Self-Determination Act (PSDA)?
To encourage people to make decisions about advance directives.
Which of the following terms means harming a person physically, mentally, or emotionally by failing to provide needed care?
Neglect
Which of the following is an example of physical abuse?
Shoving a resident
Which of the following behaviors promotes Residents’ Rights?
Encouraging a resident to participate in care planning
Which of the following is an example of an advance directive?
Durable Power of Attorney for Health Care
Which of the following types of advance directives instruct medical personnel not to perform cardiopulmonary resuscitation (CPR) if the person’s lungs and/or heart have stopped working?
Do-not-resuscitate order (DNR)
Which organization typically investigates charges of abuse against NAs?
NA Training Competency Evaluation Program (NATCEP)
With whom may an NA share a resident’s medical information?
With other members of the care team
If a resident has a hearing impairment, the NA should…
Face the resident with the light on the NA’s face
One way that an NA can help a resident who is visually impaired is to…
Use the face of an imaginary clock to explain the position of objects
Positive responses to cultural diversity include…
Valuing and respecting each person as an individual
The part of the word that is added to the end of a root to form a new word is called a(n)
Suffix
Types of verbal communication include…
Writing
What is a proper way for an NA to respond if a resident does not hear her or does not understand her?
The NA should speak slowly and clearly
What is the best way a nursing assistant can respond to a combative resident?
The NA should remain calm and lower the tone of her voice
What is the correct order of the three-step communication process?
The sender sends a message. The receiver receives message. Receiver provides feedback.
When should documentation be recorded?
Immediately after care is given
Which of the following is an example of nonverbal communication?
Pointing to a cookie
Which of the following shows the correct conversion of 2:35 p.m. to military time?
14:35 hours
Which of the following are ways for NAs to avoid barriers to communication?
The NA should ask open-ended questions that require more than yes or no responses.
Which of the following should an NA report about a resident to the nurse immediately?
Chest pain, high fever
Which of the following shows the correct conversion of 0530 to regular time?
5:30 am
Why is it important for an NA to consider a resident’s cultural background when communicating with him?
Because cultural background helps determine how people communicate and can help the NA communicate better with the resident.
A sign that a stroke is occurring is
The inability to speak or to speak clearly
If a resident is in shock, a nursing assistant should
Elevate the legs unless the resident has a head or abdominal injury
In which of the following situations should an NA give abdominal thrusts to a resident?
The resident cannot speak, breathe, or cough.
The first two steps to take when approaching an emergency are
Assess the situation and assess the victim
To control bleeding, a nursing assistant should
Hold a thick pad against the wound and press down hard
What is the medical term for difficulty breathing?
Dyspnea
What is the medical term for fainting?
Syncope
Which of the following is best to use on a burn?
Cool water
Which of the following is true of resident falls?
An incident report will need to be completed for all falls.
A condition in which the person has suffered brain damage either while in the uterus or during birth and which causes problems with muscle coordination, gait, and speech is
Cerebral palsy
Activities of daily living (ADLs) include
Brushing teeth
If a nursing assistant encounters a consenting adult resident in a sexual situation, she should
Provide privacy and leave the room
Mrs. Goldman, a resident, begins to tell her nursing assistant, Gene, about the last religious service she attended. Gene does not believe in God. Gene’s best response is to
Listen quietly to Mrs. Goldman
Normal changes of aging include
Thinner, drier skin
The most common developmental disability is
Intellectual disability
What is one way a nursing assistant can promote a resident’s independence?
Allowing a resident to do a task by himself no matter how long it takes him
Which of the following statements is true of the normal aging process?
Most elderly people are active and engaged in activities.
A resident who has her head and shoulders elevated and is in a semi-sitting position (45 to 60 degrees) is in the ________ position.
Fowler’s
A resident who is lying on either her left or her right side is in the _______ position.
Lateral
A resident who is lying on her stomach with her arms at her sides is in the ________ position.
Prone
A resident who is lying flat on his back with his head and shoulders supported by a pillow is in the ________ position.
Supine
Dangling means
Sitting up with legs over side of bed
How often should bed-bound residents be repositioned?
At least every two hours
How often should residents in wheelchairs be repositioned?
At least every hour
How should a resident use a cane to aid ambulation?
Place the cane about six inches in front of his stronger leg.
If a resident starts to fall, the best thing an NA can do is to
Widen her stance and bring the resident’s body close to her
When a resident can walk, he or she is
Ambulating
When transferring residents who have a strong side and a weak side, the NA should plan the move so that
The stronger side moves first
When using a transfer belt, the NA should
Place it over the resident’s clothing
Baseline vital signs are
Initial values that can be compared to future measurements
Before weighing a resident, the scale should be balanced at
Zero
Which of the following is a reason that new residents may have trouble adjusting to life in a care facility?
They have had to leave their home.
RACE is an acronym for a safety rule, and means
Remove residents, Activate alarm or call 911, Contain fire, Extinguish
What information does a Material Safety Data Sheet (MSDS) contain?
Description of emergency response actions
When should a nursing assistant identify a resident?
Before helping with feeding
Which of the following statements is true of preventing falls?
Clear walkways of clutter.
Which of the following terms applies to body mechanics?
Fulcrum and lever
Which of the following is a way to use proper body mechanics?
The NA should stand with her legs shoulder-width apart.
A ____ is the permanent and painful shortening of a muscle.
Contracture
Bending a body part is called
Flexion
Deep breathing exercises help
Clear the lungs of mucus
Goals of rehabilitation include
Helping a resident adapt to a disability
Passive range of motion (PROM) exercises are done
When a resident cannot move on her own
Which of the following is an example of a prosthesis?
An artificial eye to replace an eye that has been lost
