Written Questions from PowerPoints Flashcards
What is the goal of rehabilitation/restorative care?
to return the person to their highest level of physical and mental functioning + independence
What is acute illness?
sudden illness where a person is expected to recover
What is chronic illness?
ongoing illness with a slow/gradual onset & no known cure
What is terminal illness?
illness or injury where a person is not expected to recover
what are persons in long-term care centers called?
residents
when is a long term care center (like a nursing home) needed?
when a person doesn’t need hospital treatment but cannot live at home by themselves
What is the difference between a skilled nursing facility (SNF) and a nursing home?
- they provide more complex care
- residents are often recovering from a surgery and return home after a short stay
What is a home care agency?
- people are provided with care where they live
- services provided by nursing assistants
What is a hospice?
- health care agency for a dying person
- no longer respond to treatment & expected to live around 6 months
- focus on COMFORT not CURE
What do the board of directors do for healthcare agencies?
- make the policies
- ensure safe care for lowest cost
- ensure laws are followed
who leads the team of healthcare providers?
the RN
what does the RN do?
- asses, make nursing diagnosis and develop care plan
- delegate tasks to the nursing team
what does the survey team do?
- review policies and medical records
- interview staff, patients, families to asses care
what is OBRA?
- omnibus budget reconciliation act
- requires nursing centers to provide care that maintains or improves quality of life
- requires nursing assistant training
Can all residents exercise their rights?
- no, some residents have representatives that acts on their behalf
what is the main focus of surveys?
- the residents
- they will observe staff behaviors and remarks made to the residents
what is the persons right to information?
- residents have access to all records
- the right to be informed about their health
- the right to information about one’s doctor
Does the person have the right to refuse treatment?
yes, treatment refusal should be reported to the nurse
What does the right to privacy and confidentiality entail for a persons body?
- staff maintains care in a way to provide privacy to a persons body (only expose the necessary areas)
What does privacy and confidentiality look like for a persons room & clothes?
- close curtains, doors, and windows
- provide clothes or drape over the person
- never leave them without clothes or covering
- never leave door open when they use the bathroom
what does providing privacy and confidentiality look like for a residents conversation and mail?
- they have the right to private conversation and phone calls
- no one can open the residents mail except themselves
Can residents choose their own doctors?
yes (right to make their own choices)
Can residents report concerns about treatment?
- yes, the center must try to quickly fix the problem & there will be no punishment for the report
Can a resident work if they wish?
yes, it would be part of their care plan
Are you allowed to go through a residents drawers, closet, purse, etc. without their consent?
no, you need consent
What is an ombudsman?
someone who supports and promotes the needs and interests of another person (they act on behalf of that person)
A resident on your unit has been refusing to take a shower for the past 2 weeks. Today is her shower day and she is refusing again. What is the next appropriate action?
Find out the reason the resident is refusing
Once you find out the reason why, you may be able to offer another alternative
You also want to educate the resident about the problems that can result from not bathing
Report refusal to the nurse
how many hours of instruction does OBRA require for the CNA training program?
75
can the nurse assistant delegate a task?
no, can only ask for help cannot tell someone else to do the task
what is an unintentional tort?
wrong committed against a person that was not intended
what is an intentional tort?
a wrong committed where harm was intended
What is malpractice?
negligence by a professional person
what is false imprisonment?
unlawful restriction of a person’s movement
what is battery?
touching someone’s body without their consent (why you must explain the procedure to the resident)