CNA Chapter 6 Personal Care Skills Quiz
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Questions and Answers

Promoting independence is a part of how a nursing assistant cares for residents?

True

Styling one's hair is a part of grooming oneself.

True

Perineal care is care of the fingernails and toenails.

False

It is best for the NA to make decisions about when and where procedures will be done.

<p>False</p> Signup and view all the answers

Having care explained before it is performed is a resident's legal right.

<p>True</p> Signup and view all the answers

The NA should knock and wait for permission to enter a resident's room.

<p>True</p> Signup and view all the answers

Personal care provides the NA with an opportunity to observe residents' mental state.

<p>True</p> Signup and view all the answers

If a resident appears tired during a procedure, the NA should encourage him to keep going so that the procedure is more efficient.

<p>False</p> Signup and view all the answers

Before leaving a resident's room, the NA should leave the bed in its highest position.

<p>False</p> Signup and view all the answers

The call light should always be left where the NA can easily reach it when she returns to the room.

<p>False</p> Signup and view all the answers

The bottom sheet on a resident's bed must be kept tight and free from (blank)?

<p>wrinkles</p> Signup and view all the answers

Cloth-covered items that keep the hand or fingers in a normal, natural position are called?

<p>handrolls</p> Signup and view all the answers

A problem that can result from pulling a resident across the sheets when transferring him is called?

<p>shearing</p> Signup and view all the answers

Skin should be kept clean and (blank)?

<p>dry</p> Signup and view all the answers

Keeps covers from resting on the legs and feet?

<p>bed cradle</p> Signup and view all the answers

One type of material that prevents air from circulating, causing the skin to sweat is?

<p>plastic</p> Signup and view all the answers

At minimum, the number of hours at which immobile residents should be repositioned?

<p>two</p> Signup and view all the answers

Skin this color should not be massaged.

<p>red</p> Signup and view all the answers

With a stage 1 pressure injury, skin is intact but may appear red and may be warmer than the area around it.

<p>True</p> Signup and view all the answers

Immobile residents should be repositioned every four hours.

<p>False</p> Signup and view all the answers

Areas of the body where bone is close to the skin are at higher risk for skin breakdown.

<p>True</p> Signup and view all the answers

Residents seated in wheelchairs do not need to be repositioned.

<p>False</p> Signup and view all the answers

The NA should massage any red areas he notices.

<p>False</p> Signup and view all the answers

Proper nutrition helps keep the skin healthy.

<p>True</p> Signup and view all the answers

When transferring or positioning residents, the NA should pull them slowly across the sheets to make the job easier.

<p>False</p> Signup and view all the answers

Another name for pressure injuries is decubitus ulcers.

<p>True</p> Signup and view all the answers

Common sites for pressure injuries are the chest, nose, and hands.

<p>False</p> Signup and view all the answers

A type of device that helps support and align a limb is called an orthosis.

<p>True</p> Signup and view all the answers

Keeps bed covers from resting on the legs.

<p>bed cradle</p> Signup and view all the answers

Areas of the body where the bone lies close to the skin.

<p>bony prominences</p> Signup and view all the answers

Used to help residents who cannot help with turning or moving in bed; helps prevent skin damage from shearing.

<p>draw sheet</p> Signup and view all the answers

Placed against the feet to keep them properly aligned and to prevent foot drop.

<p>footboard</p> Signup and view all the answers

Keeps fingers in a natural position.

<p>handrolls</p> Signup and view all the answers

Helps support and align limbs and improve its functioning.

<p>orthotic device</p> Signup and view all the answers

Areas of the body that bear much of its weight.

<p>pressure points</p> Signup and view all the answers

Rolled towels used to keep the hips and legs from turning outward.

<p>trochanter rolls</p> Signup and view all the answers

A partial bath includes washing the resident's (blank).

<p>genitals</p> Signup and view all the answers

(blank) should be used to wash the resident's face when giving a bed bath.

<p>a washcloth and water</p> Signup and view all the answers

Who is best able to choose a comfortable water temperature for the resident?

<p>the resident</p> Signup and view all the answers

How hot should the water be when shampooing the resident's hair?

<p>no higher than 105° F</p> Signup and view all the answers

How often should the resident's perineum be washed?

<p>once a day</p> Signup and view all the answers

What product should be used when giving a shower or tub bath? (do not use powder or oils)

<p>shampoo</p> Signup and view all the answers

When should gloves be changed during a bed bath?

<p>before washing the perineal area.</p> Signup and view all the answers

What type of clothing would be best for the resident to wear during the day?

<p>a clean blouse and pair of pants</p> Signup and view all the answers

For a resident who has weakness or paralysis on one side, the NA should place the (blank) arm or leg through the garment first.

<p>weaker</p> Signup and view all the answers

When undressing a resident who has a weakness or paralysis on one side, the NA should start with the (blank) side.

<p>stronger</p> Signup and view all the answers

The resident's clothing for the day should be chosen by who?

<p>the resident</p> Signup and view all the answers

How often should oral care be performed?

<p>at least twice a day</p> Signup and view all the answers

A fracture pan is used for voiding for?

<p>residents who cannot raise their hips</p> Signup and view all the answers

Men will generally use a (blank) for urination.

<p>urinal</p> Signup and view all the answers

Residents who can get out of bed but cannot walk to the bathroom may use a(n)

<p>portable commode</p> Signup and view all the answers

Another name for portable commode is?

<p>bedside commode</p> Signup and view all the answers

When handling body waste, the NA should wear gloves.

<p>True</p> Signup and view all the answers

Why should the NA note color order and qualities of urine and stool?

<p>changes could be signs of problems</p> Signup and view all the answers

Lying flat on the back.

<p>supine</p> Signup and view all the answers

Lying on either side.

<p>lateral</p> Signup and view all the answers

Lying on the stomach.

<p>prone</p> Signup and view all the answers

Semi-sitting position (partially reclined).

<p>Fowler's</p> Signup and view all the answers

Lying on left side with one leg drawn up.

<p>Sims</p> Signup and view all the answers

Why do residents who spend a lot of time in a bed or wheelchair need to be repositioned often?

<p>they are at risk of skin breakdown and pressure injuries</p> Signup and view all the answers

In this position, the resident is lying on either side.

<p>lateral</p> Signup and view all the answers

In this position, the resident is lying on his stomach.

<p>prone</p> Signup and view all the answers

Weaker sides of the body should be referred to as?

<p>involved side</p> Signup and view all the answers

Reposition residents without causing shearing.

<p>a draw sheet</p> Signup and view all the answers

Moving a resident as a unit without disturbing alignment.

<p>logrolling</p> Signup and view all the answers

A way to help residents regain balance before standing up.

<p>dangling</p> Signup and view all the answers

A resident in Fowler's position is?

<p>in a semi-sitting position</p> Signup and view all the answers

The NA should check the resident's alignment in the wheelchair after transfer is complete.

<p>True</p> Signup and view all the answers

This piece of equipment may be used to help transfer patients who are unable to bear weight on their legs.

<p>slide board</p> Signup and view all the answers

Lifts help prevent injury to the NA and the resident?

<p>True</p> Signup and view all the answers

When applying a transfer belt, the NA should place it....

<p>over the resident's clothing around the waist</p> Signup and view all the answers

If the resident starts to fall during the transfer, the NA should...

<p>bend their knees and lower the resident to the floor.</p> Signup and view all the answers

Study Notes

Personal Care Skills in Nursing Assistance

  • Promoting independence is an essential responsibility for nursing assistants (NAs).
  • Grooming tasks include activities such as styling one’s hair, which contributes to personal appearance.
  • Perineal care refers specifically to the care of the genital area, not fingernails or toenails.
  • NAs should not make unilateral decisions about patient care without consulting the residents.
  • Residents have the legal right to have care procedures explained to them beforehand.
  • NAs are required to knock and wait for permission before entering a resident’s room.
  • Personal care allows NAs to observe the mental state of residents, which can be crucial for their wellbeing.
  • If a resident appears tired during a procedure, NAs should allow them to rest, rather than pushing them to continue.
  • Beds should not be left in the highest position; proper bed height is necessary for resident safety.
  • The call light should be accessible to residents, ensuring they can reach it easily if needed.

Bed and Skin Care

  • The bottom sheet of a resident’s bed must be smooth and free from wrinkles to prevent skin issues.
  • Handrolls help maintain fingers in a natural position and are crucial for comfort.
  • Shearing occurs when a resident is pulled on sheets during transfer, which can harm the skin.
  • Skin must be kept clean and dry to maintain health and prevent infections.
  • A bed cradle is used to keep bed covers off the legs and feet, promoting comfort.
  • Plastic materials can cause sweating because they prevent air circulation, which is unhealthy for skin.

Repositioning and Pressure Injuries

  • Immobile residents should be repositioned at least every two hours to prevent skin breakdown.
  • Red skin areas should not be massaged, as this could worsen potential injuries.
  • Stage 1 pressure injuries present as intact skin with redness; they require careful monitoring.
  • Routine repositioning is essential even for residents in wheelchairs to avoid pressure injuries.
  • Areas where bones are close to the skin, identified as bony prominences, are more susceptible to skin breakdown.

Supportive Devices and Care Techniques

  • Orthotic devices support and align limbs to improve function.
  • A draw sheet prevents skin damage while transferring residents, ensuring alignment is maintained.
  • A footboard ensures feet are properly positioned and helps prevent foot drop.
  • Trochanter rolls are rolled towels used to maintain proper leg and hip alignment.
  • A partial bath generally involves washing the genitals and areas prone to odor.

Bathing and Dressing Residents

  • Use a washcloth and water to wash the resident's face during a bed bath.
  • The comfort of water temperature during bathing is best determined by the resident.
  • Perineal care is required at least once a day to maintain hygiene.
  • Shampoo is the recommended product for showers or baths; powders and oils should be avoided.
  • Gloves must be changed before washing the perineal area to maintain hygiene.

Mobility and Transfer Techniques

  • Clothing should be chosen by the resident, promoting dignity and personal choice.
  • When dressing a resident with weakness, start with the weaker arm or leg.
  • Undressing should begin with the stronger side for ease and comfort.
  • Oral care should be performed at least twice daily to ensure dental health.
  • A fraction pan is designated for residents unable to lift their hips for voiding.

Positions and Transfer Safety

  • Various positions such as supine (on back), lateral (on side), and prone (on stomach) are used for residents based on their needs.
  • Residents should be repositioned frequently to prevent skin breakdown, especially if they are sedentary.
  • Repositioning techniques, like logrolling, help to maintain body alignment during transfers.
  • Dangling aids residents in regaining balance before standing, enhancing safety.
  • If a resident begins to fall, the NA should bend knees to help lower the resident gently to the floor.

Equipment and Safety Precautions

  • Slide boards can assist in transferring residents unable to bear weight on their legs.
  • Transfer belts are placed over residents' clothing at the waist to provide safe maneuvering.
  • Gloves are required when handling body substances to maintain safety and hygiene.
  • Monitoring color and characteristics of urine and stool can indicate potential health issues.

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Description

Test your knowledge on personal care skills covered in CNA Chapter 6. This quiz focuses on promoting independence and essential grooming tasks for nursing assistants. Determine if statements regarding personal care are true or false.

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