Hartman's Nursing Assistant Care Chapter 2 Quiz & Flashcards

Questions and Answers

What does verbal communication include?

speaking

What do facial expressions represent?

nonverbal communication

Is skin rash objective or subjective?

objective

Is crying objective or subjective?

objective Signup and view all the answers

Is rapid pulse objective or subjective?

objective Signup and view all the answers

Is headache objective or subjective?

subjective Signup and view all the answers

Is nausea objective or subjective?

subjective Signup and view all the answers

Is vomiting objective or subjective?

objective Signup and view all the answers

Is swelling objective or subjective?

objective Signup and view all the answers

Is cloudy urine objective or subjective?

objective Signup and view all the answers

Is feeling sad objective or subjective?

subjective Signup and view all the answers

Is red area on skin objective or subjective?

objective Signup and view all the answers

Is fever objective or subjective?

objective Signup and view all the answers

Is dizziness objective or subjective?

subjective Signup and view all the answers

Is wheezing objective or subjective?

objective Signup and view all the answers

Is chest pain objective or subjective?

subjective Signup and view all the answers

Is toothache objective or subjective?

subjective Signup and view all the answers

Is coughing objective or subjective?

objective Signup and view all the answers

Is fruity breath objective or subjective?

objective Signup and view all the answers

Is itchy arm objective or subjective?

subjective Signup and view all the answers

Which sense is used to observe residents' body or breath odor?

smell Signup and view all the answers

Which sense is used to observe a change in residents' skin?

sight Signup and view all the answers

Which sense is used to observe residents' words, tone, and breathing?

hearing Signup and view all the answers

Which sense is used to observe residents' skin and pulse?

touch Signup and view all the answers

What is a root in terms of medical terminology?

the word's basic meaning Signup and view all the answers

What is a prefix in medical terminology?

comes before the root to give it a new meaning Signup and view all the answers

What is a suffix in medical terminology?

comes at the end of the word to make a new word Signup and view all the answers

Why should NAs use simple, non-medical terms when speaking with residents and their families?

residents may not understand medical terms Signup and view all the answers

Where should call lights be placed in residents' rooms?

near the residents' dominant hand Signup and view all the answers

What type of terminology should NAs avoid when communicating?

medical Signup and view all the answers

What types of questions should be asked to elicit more than a 'yes' or 'no' answer?

open ended Signup and view all the answers

What are cliches?

phrases that are used over and over again and do not really mean anything Signup and view all the answers

What type of language should NAs be aware of while speaking?

body Signup and view all the answers

What promotes better communication when residents are difficult to understand?

being patient Signup and view all the answers

What can't NAs offer because it is not within their scope of practice?

advice Signup and view all the answers

Why should 'why' be avoided when residents make statements?

it often makes people feel defensive Signup and view all the answers

What types of words should not be used by NAs?

slang Signup and view all the answers

What would have been a better way for Mark to communicate with a hearing impaired resident?

He shouldn't have yelled. He should have called her by her name again in a low, clear voice before tapping her shoulder. Signup and view all the answers

What could Virginia have done to better assist Ms. Crawford with her visual impairment?

Virginia should have explained to Ms. Crawford where the furniture was in the room. Signup and view all the answers

What is wrong with how Sabrina is communicating with Mrs. Rogers?

Sabrina was being disrespectful and not understanding of Mrs. Rogers's needs. Signup and view all the answers

What would have been a better way for Serena to communicate with Mr. Morteno?

Serena should have respected him and not lashed back at him. She could have asked him how could she improve. Signup and view all the answers

What would have been a better way for Joan to respond to Mrs. Singer's behavior?

She should have distracted Mrs. Singer, moved her to a private area, and told the nurse. Signup and view all the answers

Why should an NA arrange a signal when moving a resident?

to make sure that everyone is moving together Signup and view all the answers

Using proper body mechanics can help save energy and prevent injury.

True Signup and view all the answers

To avoid choking, residents should eat in a reclined position.

False Signup and view all the answers

When lifting an object, it is safer to hold it far away from the body.

False Signup and view all the answers

Knees should be bent when lifting an object.

True Signup and view all the answers

Liquids thickened to the consistency of honey are easier to swallow.

True Signup and view all the answers

To help guard against falls, all walkways should be clear of clutter.

True Signup and view all the answers

Feet should be pointed toward the object that a person is lifting.

True Signup and view all the answers

A high center of gravity gives a more stable base of support.

False Signup and view all the answers

Keeping the feet close together gives the body the best base of support and keeps a person more stable.

False Signup and view all the answers

If a resident starts to fall, the NA should try to catch the resident to stop the fall.

False Signup and view all the answers

Residents in wheelchairs should be facing the back of the elevator when riding the elevators.

False Signup and view all the answers

A nursing assistant should check the temperature of hot water with a bath thermometer before using the water.

True Signup and view all the answers

Keeping call lights within a resident's reach can help prevent falls.

True Signup and view all the answers

Cuts most often occur in a person's bedroom.

False Signup and view all the answers

Residents must be identified before helping with feeding or placing meal trays.

True Signup and view all the answers

Hot food or drinks should be placed on the edges of tables.

False Signup and view all the answers

The safety data sheet (SDS) details chemical ingredients and dangers of products.

True Signup and view all the answers

An NA should call a resident by name as a way to identify the resident.

True Signup and view all the answers

The correct way to move a wheelchair is for a NA to push it forward.

True Signup and view all the answers

If a fire occurs, an NA should...

plug doorways to prevent smoke from entering. Signup and view all the answers

What is an NA's first concern if a fire occurs?

getting residents to safety. Signup and view all the answers

What does PASS stand for?

Pull the pin, Aim at base of fire, Squeeze the handle, Sweeping motion. Signup and view all the answers

What does RACE stand for?

Remove anyone in danger, Activate Alarm or emergency response system, Contain fire if possible, Extinguish Fire. Signup and view all the answers

What guidelines apply in any disaster situation?

remain calm, know all exits, know where the fire alarms are, and what actions to take. Signup and view all the answers

When coming upon an emergency situation, what two important steps should the NA take first?

make sure she is not in danger and notice the time. Signup and view all the answers

First aid refers to...

care given by the first people to respond to an emergency. Signup and view all the answers

If an emergency occurs, the NA should immediately notify the...

nurse. Signup and view all the answers

How can someone usually tell if a person is choking?

the choking victims will put his hands on his throat. Signup and view all the answers

Where should the hand be placed to give abdominal thrusts?

under the person's arms and around his waist. Signup and view all the answers

How does a rescuer obtain consent to give a choking victim abdominal thrusts?

rescuer asks victim 'are you choking?' Signup and view all the answers

What do the signs of shock include?

pale or bluish skin. Signup and view all the answers

If a NA suspects that a resident is having a heart attack she should...

loosen the clothing around the resident's neck. Signup and view all the answers

To control bleeding, an NA should...

hold a thick sterile pad against the wound and press down hard. Signup and view all the answers

To treat a minor burn, the NA should use...

cool, clean water. Signup and view all the answers

How should an NA assist a resident if he or she faints?

lower the resident to the floor. Signup and view all the answers

When a resident is first experiencing signs of insulin reaction, what needs to happen?

food that can be rapidly absorbed, such as hard candy, should be consumed. Signup and view all the answers

Why is a quick response to a suspected stroke/CVA critical?

early treatment may reduce the severity of the stroke. Signup and view all the answers

An NA will come into contact with microorganisms...

every time the NA touches something. Signup and view all the answers

The Centers for Disease Control and Prevention defines hand hygiene as...

handwashing with soap and water or using alcohol-based hand rubs. Signup and view all the answers

Standard Precautions include the following measures...

wearing gloves if there is a possibility of coming into contact with blood or body fluids. Signup and view all the answers

Why should an NA not wear artificial nails to work?

they harbor bacteria and increase risks of contamination. Signup and view all the answers

Standard precautions should be practiced on...

every single person under an NA's care. Signup and view all the answers

Infections acquired in healthcare settings are called...

Healthcare-associated infection (HAI). Signup and view all the answers

How many times can disposable equipment be used before it needs to be discarded?

one time. Signup and view all the answers

How should sharps be discarded?

sharps should be placed in biohazard containers. Signup and view all the answers

How long should a CNA use friction when lathering and washing his hands?

20 seconds. Signup and view all the answers

How should dirty linen be rolled or folded?

the dirty area should be inside. Signup and view all the answers

Dirty linens should be...

carried away from NA's uniform. Signup and view all the answers

Transmission-based precautions are used...

in addition to standard precautions. Signup and view all the answers

Dedicated equipment refers to...

equipment that is used by only one resident. Signup and view all the answers

Bloodborne diseases can be transmitted by...

infected blood entering the bloodstream. Signup and view all the answers

In health care, the most common way to get a bloodborne disease is by...

contact with infected blood or certain body fluids. Signup and view all the answers

Employers must offer a free vaccine to protect NAs from...

Hepatitis B. Signup and view all the answers

Tuberculosis is...

an airborne disease. Signup and view all the answers

What is the proper way to put on PPE?

Wash hands, gown, mask, goggles, gloves. Signup and view all the answers

What is the proper way to remove PPE?

Gloves, goggles, mask, gown, wash hands. Signup and view all the answers

Sterilization is a cleaning measure that destroys only pathogens, but not all microorganisms.

False Signup and view all the answers

Study Notes

Communication

Verbal communication includes speaking directly to individuals.
Nonverbal communication encompasses facial expressions, body language, and gestures.
Listening patiently is crucial, especially when residents struggle to articulate their needs.

Objective vs. Subjective Observations

Objective observations are measurable and observable, e.g., skin rash, crying, rapid pulse.
Subjective observations are based on personal feelings or symptoms reported by the resident, e.g., headache, nausea, feeling sad.

Effective Communication Techniques

Use simple, non-medical terms to ensure understanding among residents and families.
Open-ended questions encourage dialogue and provide deeper insights into residents' needs.
Avoid cliches that lack meaning, as well as slang and profanity.

Senses in Assessment

Smell is essential for detecting odors from the body or breath.
Sight assists in observing skin changes.
Hearing is vital for interpreting words, tone, and breathing patterns.
Touch assists in assessing skin texture and pulse.

Terminology in Healthcare

A root provides the basic meaning of a word.
A prefix modifies the root to alter its meaning.
A suffix is added at the end of a word to create a new term.

Handling Special Needs

Call lights should be placed near the resident’s dominant hand for easy access.
When caring for residents with visual impairments, detailed explanations regarding surroundings can prevent accidents.

Behavior and Attitude

Respect and understanding are essential when communicating with residents who may be combative or withdrawn.
It's crucial to respond appropriately to residents with mental health disorders.

Emergency Protocols

When encountering an emergency, confirm the resident's safety and observe the situation carefully.
First aid is defined as immediate care given by first responders to an emergency.

Medical Emergencies

Recognize symptoms of choking, such as a person placing their hands on their throat.
Abdominal thrusts should be administered correctly to a choking victim.
Signs of shock include pale or bluish skin, indicating severe distress.

Infection Control and Safety

Handwashing is vital in preventing healthcare-associated infections; it is defined as the use of soap and water or alcohol-based rubs.
Standard precautions require gloves when potential exposure to bodily fluids exists.
Artificial nails should be avoided as they can harbor bacteria.

Waste Management and Equipment Use

Disposable equipment should only be used once before disposal.
Sharps must be discarded in biohazard containers to prevent injury.
Dirty linens should be rolled with the dirty side inside and carried away from the NA’s uniform.

Personal Protective Equipment (PPE)

Proper protocol for donning PPE involves the sequence: Wash hands, gown, mask, goggles, and gloves.
Removal of PPE should follow the reverse order to minimize contamination.

Additional Safety Guidelines

Always check the temperature of hot water before use and ensure clear pathways to prevent falls.
Knowledge of immediate actions in the event of fires, such as containing the fire and safely evacuating residents, is essential.

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Description

Test your knowledge of key concepts from Chapter 2 of Hartman's Nursing Assistant Care. This quiz covers important terms related to verbal and nonverbal communication, as well as objective and subjective observations. Perfect for nursing students preparing for their exams!