CNA Test 1 Review Flashcards

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Questions and Answers

Define culture change.

A term given to the process of transforming services for elders so that they are based on the values and practices of the person receiving care.

A long-term care facility may also be called what?

Nursing Homes

Who is the nurse aide's direct supervisor?

Staff Nurses (RNs, LPNs/LVNs)

Why is the health care team interested in the work the nurse aide does?

A nursing assistant (NA) performs assigned nursing tasks. Signup and view all the answers

What does the term legal liability mean?

It means that someone can be held responsible for harming someone else. Signup and view all the answers

What does OBRA do?

OBRA (Omnibus Budget Reconciliation Act, 1987) was passed in response to reports of poor care and abuse in long-term care facilities. It requires minimum standards for nursing assistant training. Signup and view all the answers

Name the Resident Rights.

<ol> <li>Quality of Life 2. Services and activities 3. Right to be informed 4. Right to participate in care 5. Right to make choices 6. Right to privacy 7. Right to dignity 8. Right to security 9. Rights during transfers 10. Right to complain 11. Right to visits 12. Rights with social services</li> </ol> Signup and view all the answers

What is an INCIDENT in a healthcare facility?

An accident, problem, or unexpected event during the course of care. Signup and view all the answers

Define verbal communication.

Spoken or written words, like oral reports. Signup and view all the answers

Define non-verbal communication, and give examples.

Communication without using words, like a person shrugging his shoulders. Signup and view all the answers

What things should be reported immediately to your supervisor?

Anything that endangers residents, like falls, chest pain, severe headache, trouble breathing, abnormal vital signs. Signup and view all the answers

Name some common barriers to effective communication.

<ol> <li>Resident does not hear correctly 2. Resident is difficult to understand 3. Use of slang or profanity 4. Speaking different languages</li> </ol> Signup and view all the answers

How do you care for a visually impaired person?

Encourage eyeglass use, identify yourself, ensure proper lighting, and provide specific directions. Signup and view all the answers

How do you communicate with a combative resident?

Signup and view all the answers

Who is responsible for safety in a healthcare facility?

The healthcare workers. Signup and view all the answers

Name several causes of falls in a healthcare facility/home.

<ol> <li>Clutter 2. Throw rugs 3. Slippery floors 4. Poor lighting</li> </ol> Signup and view all the answers

Define ethics and give examples of unethical behavior by the nurse aide.

The knowledge of right and wrong. Unethical behaviors include not being honest, not respecting privacy, or accepting gifts. Signup and view all the answers

What is an Ombudsman? What are his/her duties?

An ombudsman is a legal advocate for residents. Signup and view all the answers

The acronym PASS means?

PULL, AIM, SQUEEZE, SWEEP. Signup and view all the answers

What is the best way to stop infections from spreading?

WASH YOUR HANDS! Signup and view all the answers

Name the basic physical needs of all humans.

<ol> <li>Food and water 2. Protection and shelter 3. Activity 4. Sleep and rest.</li> </ol> Signup and view all the answers

Name some of the legal rights of a dying resident/patient.

<ol> <li>The right to refuse treatment 2. The right to have visitors 3. The right to privacy.</li> </ol> Signup and view all the answers

Explain abuse, neglect, assault, exploitation as it applies to the resident.

ABUSE is purposeful mistreatment causing harm, NEGLECT is failure to provide needed care, ASSAULT is a threat to harm, EXPLOITATION involves various forms of violence or harassment. Signup and view all the answers

Who provides rehab to patients/residents?

Given by specialists, not NAs. Signup and view all the answers

Where can one obtain information on a patient if the nurse is not available?

NO EXCEPTIONS, HIPAA laws prevent the sharing of patient information. Signup and view all the answers

List some of the normal changes of aging.

<ol> <li>Difficulty maintaining weight 2. Decrease in strength and energy 3. Slower metabolism.</li> </ol> Signup and view all the answers

Explain which infections may be caused by blood-borne pathogens.

Bloodborne pathogens are microorganisms found in human blood, including AIDS and Hepatitis. Signup and view all the answers

What does the nurse aide do to prevent accidents to residents?

Clear walkways, use non-slip rugs, ensure proper lighting, and respond to call lights. Signup and view all the answers

What type of adjustments must be made by the person entering a nursing home environment?

EMOTIONAL ADJUSTMENTS. Signup and view all the answers

Who is part of the health care team?

<ol> <li>Nursing Assistant (NA) 2. Registered Nurse (RN) 3. Licensed Practical Nurse (LPN) 4. Physician (MD or DO) 5. Physical Therapist (PT) 6. Occupational Therapist (OT) 7. Speech-Language Pathologist (SLP) 8. Registered Dietitian (RD) 9. Medical Social Worker (MSW) 10. Activities Director 11. Resident and Resident's Family.</li> </ol> Signup and view all the answers

What should the nurse aide call a resident when addressing them for any reason?

Call a resident Mr., Mrs., Ms., or Miss, and his or her last name. Signup and view all the answers

What is mental health?

The normal functioning of emotional and intellectual abilities. Signup and view all the answers

Explain how the nurse aide should use his/her body when lifting objects/residents/patients.

Signup and view all the answers

When caring for residents, describe the identification process the nurse aide uses prior to offering care.

Signup and view all the answers

Define the RACE acronym.

RESCUE, ALARM, CONFINE, EXTINGUISH. Signup and view all the answers

Define HAI.

Hospital acquired infection. Signup and view all the answers

Discuss hospice care goals.

Signup and view all the answers

What does palliative mean?

Relieving pain without dealing with the cause of the condition. Signup and view all the answers

Define ADLs.

Signup and view all the answers

Define N/V.

Nausea & Vomiting. Signup and view all the answers

What does CNA mean?

Certified Nursing Assistant. Signup and view all the answers

Explain the terms policy and procedure.

Policy is a course of action, while procedure is a method of doing something. Signup and view all the answers

Define DNR.

Do Not Resuscitate - Tells medical personnel not to attempt emergency CPR. Signup and view all the answers

Define DON.

Director of Nursing - Manages the Nursing staff at a facility. Signup and view all the answers

What does the suffix -itis mean?

Inflammation, preoccupation. Signup and view all the answers

Study Notes

Culture Change

Transforms elder care to align with the values and practices of recipients.

Long-Term Care Facilities

Also known as Nursing Homes.

Nurse Aide Supervision

Directly supervised by Staff Nurses (RNs, LPNs/LVNs).

Role of Nursing Assistants

Perform assigned nursing tasks, enhance personal care, and support patient independence.

Legal Liability

Refers to the responsibility for harming another individual.

OBRA Overview

Omnibus Budget Reconciliation Act (1987) introduced to address poor care in long-term facilities, establishing training minimums for Nurse Aides.

Resident Rights

Include quality of life, informed choice, privacy, dignity, and the right to complain.

Incidents in Healthcare

Classified as accidents or unexpected events affecting care delivery.

Communication Types

Verbal Communication: Involves spoken or written words.
Non-Verbal Communication: Involves gestures, facial expressions, and body language.

Immediate Reporting

Report any serious changes in residents' health or safety conditions immediately to supervisors.

Barriers to Effective Communication

Include mishearing, misunderstandings, slang usage, and cultural language differences.

Caring for Visually Impaired Residents

Ensure clarity in communication, orientation to surroundings, and utilize non-verbal cues effectively.

Addressing Combative Residents

Strategies are required for managing aggression calmly and respectfully.

Safety Responsibility

All healthcare workers share the responsibility for the safety of residents.

Causes of Falls

Common risks include clutter, poor lighting, and uneven floors.

Ethics in Nursing

Ethical behavior revolves around honesty and respect; unethical behavior includes ignoring resident privacy or signs of abuse.

Ombudsman Role

Advocates for residents’ rights and well-being, resolving conflicts and monitoring care conditions.

Fire Safety (PASS)

PULL, AIM, SQUEEZE, SWEEP when using a fire extinguisher.

Infection Control

Hand washing is crucial to prevent infection spread.

Basic Physical Needs

Include food, water, sleep, safety, and comfort.

Rights of Dying Residents

Include the rights to refuse treatment, have visitors, and maintain privacy.

Types of Mistreatment

Abuse: Deliberate harm.
Neglect: Failure to provide necessary care.
Assault: Threat of harm causing fear.
Exploitation: Various forms of violence and harassment.

Rehabilitation Services

Provided by specialists, not nursing assistants.

Protecting Patient Information

Sharing patient information is strictly regulated under HIPAA laws.

Normal Aging Changes

Include decreased strength, weight changes, and increased susceptibility to illness.

Bloodborne Pathogen Infections

Include diseases like AIDS and Hepatitis.

Accident Prevention

Proper environmental management and immediate responses to hazards are essential for safety.

Emotional Adjustments for New Residents

Common feelings include fear and uncertainty as residents face health-related changes.

Healthcare Team Members

Comprises NAs, RNs, LPNs, physicians, therapists, dietitians, and social workers.

Appropriate Resident Address

Use respectful titles (Mr., Mrs., Name) avoiding informal terms of endearment.

Mental Health Definition

Refers to the functioning of emotional and cognitive abilities.

Body Mechanics for Lifting

Proper techniques are essential to avoid injury when lifting patients.

Patient Identification Process

Must confirm each resident's identity before providing care.

Fire Safety (RACE)

RACE stands for RESCUE, ALARM, CONFINE, EXTINGUISH.

HAI Definition

Hospital-Acquired Infection, contracted during hospital care.

Hospice Care Goals

Aim to enhance the quality of life for patients with terminal illnesses.

Palliative Care Definition

Focuses on relieving pain without targeting the underlying cause.

Activities of Daily Living (ADLs)

Essential daily tasks that support residents’ health and well-being.

Nausea and Vomiting (N/V)

Common gastrointestinal symptoms requiring monitoring.

CNA Definition

Stands for Certified Nursing Assistant, a key role in patient care.

Policies and Procedures

Policies dictate guiding principles, while procedures outline specific methods for action.

DNR Definition

Do Not Resuscitate orders indicate no CPR if heartbeat or breathing stops.

DON Definition

Director of Nursing oversees nursing staff and care quality.

Suffix -itis

Indicates inflammation, e.g., appendicitis or tonsillitis.

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Description

This quiz provides key flashcard questions and answers to help review important concepts for the CNA Test 1 at MCC. Topics include culture change, long-term care facilities, and nurse aide supervision. Perfect for students preparing for their certification exam.