Questions and Answers
Why is moving to a long-term care facility a big adjustment for new residents?
New residents may be experiencing big losses, such as familiar environment, loss of independence, etc.
Why might lesbian, gay, bisexual, transgender, or queer (LGBTQ) residents have additional concerns when moving into a care facility?
LGBT residents may fear that they will not be accepted by staff or other residents.
______ is often the first time a nursing assistant meets a new resident.
Admission
The NA should try to make sure the resident has a positive ______.
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The NA should prepare the ______ before the resident arrives.
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The NA should ask ______ to find out a resident's personal preferences and ______.
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The NA should ______ herself to the resident and state her position.
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The NA should always call a resident by her ______ name until she tells the NA what she prefers to be called.
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The NA should try to make sure the new resident feels welcome and wanted. The NA should not ______ the process or the new residents.
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The NA can help the resident by explaining daily life in the facility and offering to take the resident on a ______.
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New residents must be given a copy of their legal ______.
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It is important for the nursing assistant to ______ the new resident's condition in order to recognize any changes that may take place later.
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A resident has a legal right to have his ______ items that he has bought with him treated carefully.
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Why must a nursing assistant report any weight a resident loses?
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How many inches are in one foot?
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Residents should be informed of transfers as early as possible.
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The resident will usually pack her own belongings for a transfer.
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The nursing assistant should introduce the resident to everyone in this way.
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One way that a nursing assistant can involve the resident in the packing process is to show the resident.
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What can the nursing assistant say to reassure Mr. Carpenter about returning home after his recovery?
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What are five things that the nurse will probably discuss with Mr. Carpenter and his family before he is discharged?
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What is a responsibility of the nursing assistant regarding a resident's discharge?
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What are the nursing assistant's duties during residents' physical exam?
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In which position is the resident placed for examination of the breasts, chest, abdomen, and perineal area?
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Which piece of equipment is used to measure blood pressure?
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In which position is the resident in stirrups in order to examine the vagina?
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In which position is the resident on her abdomen with her knees pulled toward the abdomen in order to examine the rectum or the vagina?
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List three responsibilities of nursing assistants after a resident has had a physical exam.
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List two legal rights that residents are entitled to regarding exams.
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Study Notes
Adjustments for New Residents
- Moving to a long-term care facility involves significant adjustments due to losses like familiar surroundings and independence.
- Common losses may include health, mobility, independence, social connections, and personal belongings.
Concerns for LGBTQ Residents
- LGBTQ residents might face additional challenges, fearing lack of acceptance from staff and other residents.
- Concerns about the recognition and treatment of their partners compared to heterosexual counterparts are prevalent.
Admission Process
- Admission is typically when a nursing assistant first meets a new resident.
- A positive first impression is crucial during the admission process.
Preparation for New Residents
- The resident's room should be prepared prior to their arrival to create a welcoming environment.
- Questions should be asked to determine residents' personal preferences and daily routines.
Communication and Interaction
- Introduction of the nursing assistant to the resident should include stating their position clearly.
- Residents should be addressed with their formal name until they specify a preferred name.
Making Residents Feel Welcome
- It's essential to ensure new residents feel welcomed and wanted, with no rushing during the process.
- Offering a tour of the facility can help residents acclimate to their new surroundings.
Legal Rights and Observations
- New residents must receive a copy of their legal rights upon admission.
- Nursing assistants should observe the resident's condition to identify any changes that may occur over time.
Personal Items and Their Care
- Residents have the legal right to have their personal items treated with respect and care.
Monitoring Health Changes
- It is critical to report any weight change in residents as it can indicate underlying health issues.
Transfer and Discharge Procedures
- Residents should be informed of transfers as soon as possible.
- Contrary to common practice, residents typically do not pack their own belongings for transfers.
- Nursing assistants play a key role in introducing residents to others and involving them in the packing process.
Discharge Readiness
- When preparing for discharge, nursing assistants provide reassurance and express concern for the resident's well-being.
- Discussions before discharge may include future appointments, medications, ambulation instructions, required medical equipment, and transportation arrangements.
Nursing Assistant Responsibilities
- Nursing assistants are responsible for collecting and packing resident belongings, ensuring a positive and supportive environment.
- They assist in preparing for physical exams by gathering necessary equipment.
Positions during Physical Exams
- Dorsal recumbent position is used for examining the breasts, chest, abdomen, and perineal area.
- Lithotomy position is utilized for vaginal examinations, while knee-chest position is for rectal or vaginal examinations.
Post-Examination Responsibilities
- After a physical exam, nursing assistants help residents clean up, get dressed, and return safely to their rooms.
- They must dispose of used materials properly and manage the cleaning and storing of reusable equipment.
Legal Rights During Examinations
- Residents possess the right to choose their examiners and have family members present during examinations.
- Privacy rights and the ability to refuse care or treatment are essential legal protections for residents.
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Description
Explore key concepts from Chapter 11 on admitting, transferring, and discharging patients. This quiz addresses the emotional and practical adjustments new residents face when moving to long-term care facilities. Additionally, it touches on the unique challenges faced by LGBTQ+ individuals in these contexts.
