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NUA1001 > Week 1 Quiz Guide > Flashcards

Week 1 Quiz Guide Flashcards

Chapters 1-5

1
Q

What is Medicare?

A

Medicare is a federal health insurance program for people who are 65 years of age or older. Medicare also covers people of any age with permanent kidney failure or certain disabilities.

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2
Q

Describe Part A of the Medicare program.

A

Part A helps pay for care in or from a hospital, skilled nursing facility, home health agency, or hospice.

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3
Q

Describe Part B of the Medicare program.

A

Part B helps pay for doctor services and other medical services and equipment.

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4
Q

Describe Part C of the Medicare program.

A

Part C allows private health insurance companies to provide Medicare benefits.

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5
Q

Describe Part D of the Medicare program.

A

Part D helps pays for medications prescribed for treatment.

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6
Q

What is Medicaid?

A

Medicaid is a medical assistance program for people who have a low income, as well as for people with disabilities. Is it funded by both the federal government and each state.

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7
Q

How is Medicaid eligibility determined?

A

Eligibility for Medicaid is determined by income and special circumstances. Individuals must qualify for the program to receive benefits.

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8
Q

What is the Nursing Assistant’s (NA) Role?

A

The Nursing Assistant (NA) performs assigned nursing tasks related to helping care or residents/patients. NA’s also assist with activities of daily living (ADLs), which are daily personal care tasks.

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9
Q

What are some NA tasks?

A

Serving meal trays and helping eat and drink

Helping dress and undress

Bathing

Grooming

Measuring and recording vital signs

Assisting with elimination needs

Observing and reporting changes in resident/patient condition

Reporting resident/patient complaints to the nurse

Assisting with ambulating and transfer of resident/patient

Caring for supplies and equipment

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10
Q

What are tasks are NAs NOT permitted to do?

A

NAs are not allowed to insert or remove tubes, give tube feedings, or change sterile dressings. NAs are not allowed to give medication.

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11
Q

What are some examples of professional behavior?

A

Being neatly dressed and groomed, with clean uniform and shoes.

Being on time when scheduled to work; calling your facility as early as possible if sick or unable to work.

Avoiding unnecessary absences.

Keeping a positive attitude.

Speaking politely to all people in the facility.

Keeping all resident information confidential.

Following all facility policies and procedures.

Meeting and maintaining all educational requirements.

Asking questions when you do not understand something.

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12
Q

What are some examples of unprofessional behavior?

A

Leaving early without permission and without reporting to the nurse in charge when leaving the unit.

Reporting to work under the influence of alcohol and/or illegal substances.

Using pet names like “sweetie”, “honey”, or “dear” when addressing residents/patients, family members, or visitors.

Using profanity or inappropriate language.

Gossiping or speaking badly about residents, coworkers, or bosses.

Not reporting problems or concerns to your supervisor.

Being dishonest or careless in documents or reports.

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13
Q

Who are the members of the healthcare team?

A

Resident/Patient and their family

Nurses (RN, LPN/LVN, APRN)

Physician or Doctor (MD or DO)

Physician Assistant (PA)

Physical Therapist (PT or DPT)

Occupational Therapist (OT or OTD)

Speech Language Pathologist (SLP)

Registered Dietician or Nutritionist (RD or RDN)

Respiratory Therapist (RT)

Medical Social Worker (MSW)

Medication Aide

Nursing Assistant (NA)

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14
Q

What is the NA Code of Ethics?

A

I will strive to provide and maintain the highest quality of care for all residents. I will fully recognize and follow all Residents’ Rights.

I will communicate well, serve on committees, and read all material as provided and required by my employer.

I will demonstrate a positive attitude with all residents, their family members, staff, and other visitors.

I will always provide privacy for all residents. I will maintain the confidentiality of resident, staff, and visitor information.

I will be trustworthy and honest in all dealing with residents, staff, and visitors.

I will strive to preserve resident safety. I will report mistakes I make, along with anything that I deem dangerous, to the right person(s).

I will have empathy for all residents, staff, and visitors, giving support and encouragement when needed.

I will respect all people, regardless of age, gender, sexual orientation, gender identity, religion, race, ethnicity, economic situation, or diagnosis.

I will never abuse residents in any way. I will report any suspected abuse to the proper person immediately.

I will be patient will all people at my facility.

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15
Q

What are Residents’ Rights?

A

Residents’ Rights specify how residents must be treated while in a living facility. They provide an ethical code of conduct for healthcare workers. Facility staff give residents a list of these rights and review each one with them.

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16
Q

List each of the Residents’ Rights:

A

Be Treated with Respect

Participate in Activities

Be Free from Discrimination

Be Free from Abuse and Neglect

Be Free from Restraints

Make Complaints

Get Proper Medical Care

Have Your Representative Notified

Get Information on Services and Fees

Manage Your Money

Get Proper Privacy, Property, and Living Arrangements

Spend Time with Visitors

Get Social Services

Leave the Facility

Have Protection Against Unfair Transfer or Discharge

Form or Participate in Resident Groups

Have Your Family and Friends Involved

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17
Q

What is Abuse?

A

Abuse is purposeful mistreatment that causes physical, mental, emotional, or financial pain or injury to someone.

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18
Q

What are the different types of abuse?

A

Physical abuse

Psychological abuse

Verbal abuse

Sexual abuse

Financial abuse

Assault

Battery

Domestic violence

Intimate partner violence

Workplace violence

False imprisonment

Involuntary seclusion

Sexual harassment

Substance abuse

Defamation (Libel or Slander)

19
Q

What is Neglect?

A

Neglect is the failure to provide necessary care or services, resulting in physical, mental, or emotional harm to a person.

20
Q

What is Negligence?

A

Negligence means actions or the failure to act or give proper care to a person, resulting in unintended injury.

21
Q

What are some common signs that abuse is occurring?

A

Cuts, abrasions, wounds, blisters, or bumps

Broken bones

Bruising, contusions, welts, or hematomas

Recurring injuries

Burns of unusual shape and in unusual locations

Bite marks or scratches

Unexplained weight loss, malnutrition

Missing hair

Broken or missing teeth

Blood in underwear

Mood swings

Fear, anxiety, and agitation, especially when a particular caregiver is present

Fear of being left alone

Depression or withdrawal

22
Q

What are some common signs that neglect is occurring?

A

Pressure injuries

Weight loss or poor appetite, malnutrition

Dehydration

Frequent complaints or hunger or thirst

Strong smell or urine

Unclean body

Dirty, matted, or unstyled hair

Ragged or dirty fingernails

Soiled clothes or bedlinens or incontinence briefs not being changed

Ripped or torn clothing

Damaged or poorly fitting hearing aids, eyeglasses, or dentures

Unanswered call lights

23
Q

What is HIPPA?

A

HIPPA is the Health Insurance Portability and Accountability Act. It was passed by Congress in 1996 and has been further defined and revised since. This law sets standards or protecting the privacy of patients’ health information.

24
Q

What are ethics?

A

Ethics are the knowledge of what is right and wrong; they are what guide conduct.

25
Q

What is Verbal Communication?

A

Verbal communication involves using words, such as speaking and writing. This includes the way in which words are spoken or written, including symbols such as emojis. Oral reports are an example of verbal communication.

26
Q

What is Nonverbal Communication?

A

Nonverbal communication is communication that happens without the use of words. Body language and touch are forms of nonverbal communication.

27
Q

What are some proper communication guidelines?

A

Using appropriate words and ensuring residents are able to understand what you say.

Using proper words and terms with care team members.

Being aware of your body language.

Using a friendly, professional tone of voice.

Communicate care and concern.

Not interrupting or trying to finish resident/patient sentences. Wait for responses, patiently, and let pauses happen.

Practice Active Listening.

Use facts when communicating.

28
Q

What is a medical chart?

A

The medical chart, or clinical/medical record, is the legal record of care for a resident/patient. The chart is a legal document and what is included in its content is considered to be a factual account of what actually happened.

29
Q

List the common documentation and information found in a medical chart:

A

Admission forms

Resident/Patient history and results of physical examinations

Care plans

Doctors’ orders

Doctors’ progress notes

Nursing assessments

Nurses’ notes

Notes from PTs, OTs, and other specialists

Flow sheets (check-off sheets for documentation of care; ADL sheet)

Graphic record

Intake and output record

Consent forms

Lab and test results

Surgery reports

Advance directives

30
Q

What is the NAs role in documentation?

A

NAs chart, or document, all resident/patient care that they provide. They also document their observations. This task is critical in ensuring that the chart is an up-to-date record of each resident’s/patient’s status and care.

31
Q

List some guidelines for accurate documentation:

A

Keep all information in the chart confidential

Document immediately after care is given

Never record care before it is given

Use black ink and write neatly, if recording by hand, and sign each note made with full name, title, date, and time

Use only facts, not opinions, when documenting

Use comparisons to describe size

Follow facility policy for correcting/updating mistakes made during documenting

Use the facility’s accepted abbreviations and terms

32
Q

What is objective information?

A

Objective information is information based on what a person sees, hears, touches, or smells. “Signs”

33
Q

What is subjective information?

A

Subjective information is information collected from something that resident/patient or their families reported, and it may or may not be true. “Symptoms”

34
Q

What are some immediate reports?

A

Falls

Wheezing

Difficulty breathing

Chest pain or pressure

Pain calf or leg

Blurred vision

Slurred speech

Abdominal pain

Vomiting

Sudden limp or change in ability to walk

Numbness or loss of feeling in one side of the body or in arms or legs

Change in vital signs

Sudden or severe headache

Change in mental status, such as confusion or disorientation

35
Q

What is an incident?

A

An incident is an accident, problem, or unexpected event that happens during the course of care; something that is not part of normal routine.

36
Q

What are some examples of types of incidents?

A

A mistake in care, such as feeding from the wrong meal tray.

A fall or injury.

Accusations made by residents/patients against staff, as well as employee injuries.

37
Q

List and Order correctly Maslow’s Hierarchy of Needs:

A

Need for self-actualization

Need for self-esteem

Need for love

Safety and security needs

Physiological needs

38
Q

What are examples of physiological needs?

A

Oxygen, water, food, elimination, and rest

39
Q

What are examples of safety and security needs?

A

Shelter, protection, and stability

40
Q

What are examples of the need for love?

A

Feeling loved and accepted, belonging

41
Q

What are examples of the need for self-esteem?

A

Achievement, belief in one’s own worth and value

42
Q

What are examples of the need for self-actualization?

A

Learning, creating, and realizing one’s own potential

43
Q

What are some guidelines for helping a resident/patient with a development disability?

A

Treating adult residents/patients as adults, regardless of their intellectual abilities.

Praise and encourage often, especially positive behavior.

Help teach them to perform ADLs by dividing a task into small steps.

Repeat words to ensure understanding.

Talk to them, even if they cannot speak, using alternate methods of communication as directed.

Promote independence while ensuring safety.

Assist with safe activities and motor functions that are difficult.

Prevent falls where balance problems are known.

Encourage following special diets and knowing any food allergies they may have.

Encourage social interaction.

Always be patient.

NUA1001 (18 decks)

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