Week 5 Quiz Guide Flashcards
Chapters 10 & 12
What are some of the physiological benefits of sleep?
Sleep is necessary for the body to replace old cells with new ones and providing new energy to organs.
Adequate and consistent sleep can help decrease the risk of certain illnesses and disease.
What are some of the psychological benefits of sleep?
Sleep helps improve cognitive function and promotes emotional health.
What is insomnia?
Insomnia is a sleep disorder in which a person is unable to fall asleep or remain asleep for adequate periods of time.
What is a parasomnia?
A sleep disorder.
What is somnambulism?
Sleep walking. A person affected by this disorder performs activities that people normally perform while awake.
A person who frequently speaks during their sleep, without recollection or awareness of the event, may have this parasomnia:
Sleep talking
What is Bruxism?
The grinding and clenching of teeth during sleep. This condition can cause headaches, jaw problems, neck aches, and loosen teeth.
What is RBD?
REM behavior disorder (RBD) is talking, often along with violent movements, during REM sleep. The person is typically acting out their dreams.
What are the common signs and symptoms of sleep apnea?
Loud snoring
Feeling very tired during the daytime
Having headaches in the morning
Choking or gasping
Irritability
What are the factors than can affect sleep quality?
Environment
Noise level and lighting
Problems with odors and/or inadequate ventilation
Temperature
Anxiety
Illness
Aging
Dietary habits
Medications, alcohol, and cigarettes
List common guidelines for the cleaning and maintenance of a Resident’s room:
Clean the overbed table, place the table within reach before leaving the room
Keep the call light within the reach of the resident’s stronger hand
Report to the nurse immediately if call light is malfunctioning
Straighten bed linens and clear of any debris, especially after meals
Write a supply order of any room supplies that require restocking. If this is the NA duty, restock those supplies yourself
Notify housekeeping if the bathroom(s) require cleaning. Report any non-functioning equipment immediately
Check all equipment in the room, including electronics and medical devices, to ensure proper functioning and report any damages
Refill water pitchers regularly, unless the resident is under order for fluid restriction. Report to the nurse if the resident is refusing or having challenges drinking fluids
Remove trash, clean spills/hazards, dispose of disposable supplies
Report signs of pests or insects
Leave resident’s belongings where you find them. Personal items should never be discarded
Clean, disinfect, and tidy the room and all equipment before leaving
What are the four basic types of beds?
Closed
Open
Occupied
Surgical (post-op, recovery, gurney, stretcher)
Which areas of the body are included in a partial bath?
A partial bath includes the washing of the face, underarms, hands, and the perineal area.
Who is a partial bath best suited for?
An individual that:
Has drier, fragile, and more sensitive skin
Should not have daily full baths
Is unable to get up to take a shower or tub bath
Wants a quick bath before a meal and plans on taking a shower/bath later in the day
What are the four basic types of baths?
Partial bath
Shower
Tab bath
Complete bed bath
Who is a shower best suited for?
An individual that:
Is able to stand during the shower
Is able to safely sit in a shower chair for the duration of the shower
Who is a tab bath best suited for?
An individual that:
Is able to transfer into and out of a tub safely
Has a doctor’s order for a special bath using an additive: bran, oatmeal, sodium bicarb, Epsom salts
Who is a complete bed bath best suited for?
An individual that:
Is unable to get out of bed to shower or bathe and requires a full bath
List common guidelines for bathing:
Ensure you can perform the procedure alone, safely. Ask for assistance, if needed.
FOLLOW THE CARE PLAN–this may include special orders for bathing.
Ensure the showers, tubs, and all equipment are clean before use.
MAKE SURE THE FLOOR IN THE SHOWER/TUB ROOM ARE DRY.
Place nonslip mats in regular tubs.
Ensure handrails and grab bars are secure and working properly. Encourage their use by the patient.
GATHER ALL SUPPLIES AND EQUIPMENT BEFORE ENTERING THE SHOWER/TUB ROOM. Place items within reach.
Do not use bath oils, gels, or powders as these can create slippery surfaces.
Water temperature should not exceed 105 degrees Farenheit. Check against your wrist and also have the patient test temperature for comfort.
Remove all electrical devices from the bathing area.
DO NOT LEAVE THE PATIENT ALONE WHILE BATHING OR SHOWERING.
List the order in which body parts are washed during bathing:
- Eyes
- Face
- Ears
- Neck
- Arms, axilla, and hands
- Chest and abdomen
- Legs and feet
- Back
- Perineal area
- Buttocks
How can NAs promote dignity and independence when providing personal care?
The NA should explain exactly what will be done and answer any questions asked. Patients/residents should make as many choices as possible about the care that will be provided.
PRIVACY SHOULD ALWAYS BE PROVIDED.
Allow enough time to use the bathroom without rushing or interrupting.
Assist with dressing, but allow as much independence as possible. Patient/resident has the right to choose what they will wear and NAs should be patient as they make these decisions.
NAs should always encourage patient/resident to do whatever they can for themselves
Take time to talk with patient/resident during care tasks
Promote safety–NAs should never leave patient/resident alone during bathing, do not rush tasks, and always ask for help when needed.
Describe the process for providing perineal care to a male:
If uncircumcised, pull back the foreskin first and gently push the skin toward the base of the penis.
Hold the penis by the shaft and gently wash in circular motion from tip down to base
Thoroughly rinse the penis and pat dry with a clean, dry towel
In uncircumcised, return the foreskin to its normal position
Wash, rinse, and pat dry the scrotum and groin
Ask the patient/resident to turn on their side
Wash, rinse, and dry buttocks/anal area. Work from front to back
Cover patient/resident with a bath blanket. Remove the absorbent pad/towel and place in proper container
Empty, rinse, dry the bath basin. Place in appropriate supply area.
Place soiled clothing and linens in proper containers. Avoid contact with your clothing.
WASH YOUR HANDS
Help dress patient/resident with clean undergarments/gown. Replace bedding.
BED IS LOW, BED IS LOCKED, CALL LIGHT IN REACH
Remove privacy
WASH HANDS