Unit 5 Test Flashcards
a feeling or worry, nervousness, or unease
anxiety
to (cause to) become less dangerous or difficult
de-escalate
feelings of sadness and/or a loss of interest in activities once enjoyed
depression
a resident’s ability to cope with and adjust to everyday stresses in ways that society accepts
mental health
a disturbance in the ability to cope or adjust to stress; behavior and function are impaired; mental disorder, emotional illness, psychiatric disorder
mental illness
What is the importance of mental health and mental illness?
Great day-to-day relationships are at the heart of de-escalation
The nurse aide can come to know what is normal for a particular resident and what signs the resident may have that he or she is becoming agitated
True or False. Physical factors such as illness, disability, aging, substance abuse, and chemical imbalances are causes of a mental illness.
True
What are the five causes of mental illness?
Physical factors such as illness, disability, aging, substance abuse, and chemical imbalances
•Environmental factors such as weak interpersonal or family relationships
•Traumatic past experiences, such as abuse
•Inherited traits
•Ability to cope with stress
Name the four types of anxiety disorders
- generalized anxiety
- obsessive-compulsive disorder
- post-traumatic stress
- phobia
Fear of flying is an example of what type of anxiety disorder?
phobia
A person who has witnessed a crime could experience what anxiety disorder?
post-traumatic stress
A person who repeatedly washes his or her hands could be diagnosed as having…
obsessive-compulsive disorder
A person who constantly worries may have a…
general anxiety disorder
Mr. Robinson used to enjoy playing chess with another resident. He no longer enjoys playing and wants to lie in bed all day. Mr. Robinson is experiencing…
depression
Ms. Alberto was happy five minutes ago and now she’s extremely angry. Twenty minutes later, she’s back to her old self. Ms. Alberto is having a
bipolar episode
Dr. Rex thought he’d seen his wife, whom passed away six months ago. He also claims she speaks to him at night. Dr. Rex is diagnosed with…
schizophrenia
What are the three types of treatment for mental health and mental illnesses?
- Medication
- Psychotherapy
- Cognitive behavioral therapy
True or False. If a nurse aide sees a resident behaving out of the norm, she should not report it to the nurse.
False, nurse aide should report all inappropriate behaviors to the nurse immediately.
True or False. It is the nurse aide’s duty to de-escalate behaviors.
True
True or False. Depression can make resident feel anxious and unsafe which can escalate aggression.
False. Anxiety can make a resident feel anxious and unsafe because the resident may be worried that someone is trying to hurt him.
True or False. When de-escalating a situation, nurse aid should stand with both feet close together and with a slouched posture.
False, nurse aid should stand up straigh with feet should width apart.
True or False. Never be on the same eye level as the resident as this can make them anxious.
False, always be same eye level as the resident.. Stand if they’re standing or sit if they’re sitting.
When de-escalating, should the nurse stand with hands behind their back? Why or why not?
Nurse aid should stand with hands in front in an open and relaxed position. This gesture appears as a non-threatening and great position for blocking if the need arises.
True or False. Nurse aid should smile when a resident is agitated.
False, NA should keep a neutral facial expression.
Why must one not lose eye contact?
It is an expression of fear, lack of interest or regard, or rejection.
True or False. You should never stare a resident down.
True, this could be interpreted as a threat.
A resident asks the NA, “Why are you so stupid?” Should the NA respond?
No
A resident asks, “Why am I in the stupid place?” Should the NA respond?
Yes, this is an informational question and should be responded to in a respectful, calm manner.
True or False. When reasoning with a resident, NA should give choices, where possible,
True
True or False. NA should empathize with behavior, but not with feelings.
False, NA should never empathize with behavior. It’s ok to empathize with feelings.
True or False. A cognitively impaired resident is extremely agitated, the NA should stand with feet 18 in. apart and to the side of the resident; with a 6 feet distance.
True
When looking for meaning of behavior, NA should:
A. Only address what is said by the resident
B. Keep eye contact
C. Look at body language and facial expression
D. Hug the resident
C. Look at body language and facial expression
True or False. All behavior does not have meaning behind it.
False.
Where should the NA look for specific details about the resident’s condition?
The nursing care plan
An important tool to calm residents who are agitated is
A. de-escalation
B. ignoring the resident
C. yelling at the resident
D. calling a family member
A. de-escalation
True or False. Great day-to-day relationships are at the heart of de-escalation.
True, this is important in mental health and mental illness.
Name at least five risks of restraints:
Cuts, bruises, skin tears, skin breakdown, pressure ulcers and fractures
oAspiration
oDeath from strangulation
oConstipation, contractures, decreased ability to walk
oDehydration, incontinence infections such as pneumonia and urinary tract
oSwelling (edema) in limbs, nerve damage
oMental health issues: agitation, anger, delirium, depression, reduced social contact, withdrawal
oSelf-esteem issues: embarrassment, humiliation, loss of dignity, confidence and self-worth
All of the following meets the criteria for use of restraints, except:
A. doctor’s order
B. informed consent by resident or legal rep
C. restraints must protect the resident
D. the most restrictive method should be used
D.
The least restrictive method should be used.
NA should observe and check on a resident who is in restraints every: A. 30 minutes B. 1 hour C. 15 minutes D. 45 minutes
C.
NA should observe, visit and check on the resident every 15 minutes or more often
For safety and security, NA should do all of the following except:
A. Position bed at lowest height, lock wheels
B. Remove the call bell so resident does not have to reach
C. Remove or relocate furniture with sharp corners
D. Place floor cushions next to bed, when applicable
B.
Call bell should always in within reach of the resident
NA is applying restraints for a resident’s safety, NA should leave how much slack?
A. 3 to 4 inches
B. 1 to 2 inches
C. 6 inches
D. No slack, should fit tightly against the skin
B.
NA should provide basic needs to a restrained resident every
A. 3 hours
B. 4 hours
C. 2 hours
D. 1 hour
C.
NA should remove/release the restraint, reposition the resident and attend to their basic needs(food, water, elimination, comfort, safety, hygiene and skin care) at least every 2 hours for at least 10 minutes,or as often as stated in the Nursing Care Plan
Wrist restraints are used for
A. preventing resident from self-pleasuring
B. getting out of bed
C. preventing pulling of tubes or medical devices and scratching skin or wound
D. continuously ringing the call bell
C.
The soft part is next to the skin.
Should allow 1 finger between the wrist and restraint
Seat belt restraint should be placed at what degree angle?
A. 45 degree
B. 90 degree
C. 30 degree
D. 100 degree
A.
Should be placed at a 45-degree angle over the thighs when sitting.
Resident’s hips should touch the back of the chair.
Allows the resident to turn from side to side or sit up in bed.
True or False. Restraints can be used as a convenience as an act of punishment.
False.
Restraints are NEVER used as a convenience for the nursing staff or as an act of discipline/punishment.
True or False. Always ask for clarification before applying restraints.
True.
True or False. NA should ignore setbacks when providing basic restorative care.
False.
NA should recognize that setbacks will occur
This device helps supports and align limb, and improves function.
A. brace
B. Walker
C. wedge-shaped foam pillow
D. hip prosthetic
A.
Examples include splints, braces, and shoe inserts
An assistive or adaptive device for positioning can be a
A. regular pillow
B. cane
C. walker
D. motorized chair
A.
Examples for positioning include regular pillows, cylindrical pillows, and/or wedge-shaped foam pillows (pictured).
Bed cradles –keep bed covers off legs and feet (pictured)
Footboards –help prevent foot drop
Heel protectors –help with foot alignment
All of the following can be used to encourage void, except
A. put resident hand in water
B. run water in the sink
C. pour warm water over the perineum
D. give warm tea
D.
NA should attempt voids on a schedule which includes all of the following except
A. one hour before meals
B. immediately after resident’s meals
C. every two hours b/t meals
D. before going to bed
B.
True or False. Bowel and Bladder Training can be accomplished in 1 to 2 weeks.
False
success can take 8 to 10 weeks.
