Test One Flashcards
Goals in LTC facility and who is responsible to meet those goals?
Help the person maintain highest possible level of function. All team members.
Who is responsible for work that the nurse aides perform?
The charge nurse
What is a survey process and the purpose a survey?
It is an inspection by regulatory agencies to:
- Ensure Quality of Care
- Protect Resident Rights
- Evaluate Compliance
- Identify Areas for Improvement
Its purpose is to maintain high standards of care and accountability in long-term care facilities.
What are some deficiencies?
where the facility does not meet regulatory standards, such as medication errors, inadequate staffing, infection control issues, or resident care neglect. They are identified during surveys and must be corrected promptly to ensure compliance and quality care.
What does OBRA mean?
OBRA stands for Omnibus Budget Reconciliation Act. It sets federal standards for nursing homes and long-term care facilities to ensure quality care and rights for residents.
OBRA requires how many hours of continuing education for the nursing assistant each year?
12 hrs
The nurse aide registry is directed by?
DIA
Define nursing task?
A nursing task is a specific duty performed by a nurse to provide patient care, such as administering medications or monitoring vital signs.
When can a nurse aide refuse to perform a task?
- It is outside their scope of practice or training.
- It puts the safety or well-being of the resident or themselves at risk.
- It violates resident rights or facility policies.
- They believe it is not in the best interest of the resident.
Resident Rights- Information
Residents have the right to access information about their health, care plans, and facility rules.
Resident Rights- Refusing treatment
Providers must respect this decision unless the patient lacks decision-making capacity or there is an emergency situation.
Resident Rights- Privacy and Confidentiality
Resident rights to privacy ensure confidentiality of medical information, personal space during care, access to records, private visitation, and dignity during examinations.
Resident Rights- Personal choice
Residents have the right to make choices about their daily routines, healthcare, activities, meals, and finances in long-term care facilities.
Resident Rights- Grievances
Residents have the right to voice grievances and have them addressed promptly in long-term care facilities.
Resident Rights- Work
facilities may offer opportunities for residents to engage in meaningful activities and programs that promote personal fulfillment and social interaction.
Resident Rights- Taking Part in Resident Groups
Residents in long-term care facilities have the right to participate in resident groups and activities that promote social interaction, recreation, and community engagement. These groups can provide opportunities for residents to share experiences, interests, and concerns, fostering a sense of belonging and community within the facility.
Resident Rights- Personal Items
Residents in long-term care facilities have the right to keep personal items that are important to them for comfort and identity.
Resident Rights- Freedom from Abuse, Mistreatment and Neglect
Residents in long-term care facilities have the right to live free from abuse, mistreatment, and neglect. This includes physical, verbal, psychological, sexual, and financial abuse. Facilities must ensure a safe environment and promptly address any concerns or incidents of mistreatment to protect the well-being and dignity of residents.
Resident Rights- Freedom from Restraint
Residents in long-term care facilities have the right to be free from unnecessary physical or chemical restraints.
Resident Rights- Quality of Life
Residents in long-term care facilities have the right to a good quality of life, including respectful care, social activities, autonomy, and a safe environment.
Resident Rights- Activities
Residents in long-term care facilities have the right to participate in activities that promote their well-being, social interaction, and personal interests. These activities enhance quality of life and support residents’ physical, emotional, and mental health.
Resident Rights- Environment
Residents in long-term care facilities have the right to live in a safe, clean, and comfortable environment that promotes their well-being and dignity. This includes access to adequate lighting, ventilation, temperature control, and facilities that support their mobility and independence.
Ethics
Ethics are principles that guide decisions about what is right or wrong, guiding moral behavior and choices.
Boundaries
Boundaries define the limits and expectations in personal and professional relationships. They help establish appropriate interactions, responsibilities, and respect between individuals.
Negligence
Negligence is the failure to exercise reasonable care, resulting in harm or injury to another person.
Defamation
Defamation is the act of making false statements about someone that damages their reputation.
Libel
Libel is a form of defamation that involves making false and damaging statements about someone in writing or through media, such as newspapers or online platforms.
Slander
Slander is a form of defamation that involves making false and damaging spoken statements about someone, harming their reputation.
False Imprisonment
False imprisonment is the unlawful restraint or confinement of a person against their will, without legal justification or consent.
Invasion of Privacy
Invasion of privacy refers to the unauthorized intrusion into someone’s personal matters or private life, violating their right to privacy.
Abuse
Abuse refers to the harmful or mistreatment of someone, often involving physical, emotional, sexual, or financial harm. It can occur in various settings, including domestic environments, institutions, or relationships where trust is breached.
What is a violation of code of ethics?
Receiving gifts
What is good communication?
It includes active listening, using appropriate language and tone, and providing information effectively.
What is the medical record?
A medical record is a document that contains a patient’s health information, including medical history, treatments, and diagnoses.
Define Observation?
Watching and monitoring to gather information.
What is the difference between Objective data and subjective data?
Objective data: Measurable and observable facts.
Subjective data: Reported personal experiences or opinions.
What is a care plan?
Document outlining personalized care goals and interventions.
What information is found on the care plan?
Diagnoses, goals, interventions, medications, ADLs, evaluations.
What are assignment sheets?
Documents assigning tasks and responsibilities.
What is a need?
Requirement for care, treatment, or support.
What basic need must be met first?
Safety and security.
What rules of communication?
Be clear, listen actively, be respectful, use appropriate language and tone.
What is verbal communication?
Spoken words to convey messages.
What is nonverbal communication?
Gestures, body language, facial expressions. Writing and images
What are communication methods?
Verbal, written, nonverbal, and technology-mediated.
How are we going to treat a comatose resident?
Ensure comfort, monitor vital signs, provide sensory stimulation, communicate as if they can hear.
Culture
Beliefs, customs, traditions of a group; important for culturally competent care.
Ethnicity
Cultural background or nationality.
Personal Space
Individual’s private physical area.
Religion
Beliefs about divine or supernatural beings.
Sexuality
Sexual orientation and identity.
HOH
Hard of hearing
PRN
As needed
C/O
Complain of
Q2H
Every 2 hours.
HS
Bedtime or hour of sleep.
Practices for a Professional Appearance
Grooming, attire, and demeanor for work.
Qualities and Traits for Good Work Ethics
Reliability, empathy, teamwork, communication, ethics.
Rules of Reporting
Guidelines for clear and timely communication.
24-hour Clock
3:45 pm- 15:45 pm
Common Health Care Terms and Phrases
- Diagnosis: Identifying illness.
- Treatment: Managing conditions.
- Symptoms: Signs of illness.
- Vital Signs: Body function checks.
- Prognosis: Disease outlook.
- Medication: Prescribed drugs.
- Patient History: Health background.
- Procedure: Medical treatment.
- Lab Tests: Diagnostic exams.
- Rehabilitation: Recovery therapies.
Basic Observations
Vital signs and patient condition checks.
Observations to Report at Once
Critical changes like sudden pain or difficulty breathing.
Common Physical Changes During the Aging Process
Muscle loss, vision changes, chronic conditions.
Features of Quality Nursing Center
Skilled staff, compassionate care, safety, cleanliness.
Environment Requirements
Clean, safe, accessible, comfortable, equipped.
What is the nurse aid based off of?
The care plan
Who do you report to for abuse?
Charge nurse
3 things to report to a charge nurse
Pain, observations, changes in vitals
What can a cna not do?
Tell others about the patients condition. Give meds.
Diagnose.
Insert/remove tubes.
2 things a cna can do
ADLS
Assist the nurse
2 things to do if you don’t understand your assignment.
Ask questions.
Refuse task.
What does ADL stand for?
Activities of daily life
3 examples of an ADL
Bathing
Dressing
Walking
2 different services long-term facility
Medications
Nurses
3 ways to provide privacy to the resident
- Close curtains or doors during personal care.
- Avoid discussing sensitive topics in public areas.
- Knock and ask before entering a resident’s room.
What to do if you see a patient master bating in the hallway
Lead them to their room
What to do if you see a patient master bating in the hallway
Lead them to their room
2 things to do if your patient is blind
Identify self
Explain actions
2 factors of effective communication
Eye contact
Good body language
Can a cna discuss condition w resident?
No
