Nurse Aide I Overview and OBRA
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Questions and Answers

Which action is NOT considered a basic nursing skill?

  • Application of warm/cold treatments
  • Conducting dressing changes
  • Offering emotional support to family members (correct)
  • Monitoring and documenting vital signs

    • What quality is essential for a NA1 to make a positive first impression?

  • Maintaining a professional appearance (correct)
  • Possessing extensive medical knowledge
  • Communicating loudly
  • Adhering to personal beliefs

    • Which of the following best describes effective interpersonal skills in nursing?

  • Maintaining a patient, understanding demeanor (correct)
  • Prioritizing efficiency over empathy
  • Viewing situations solely from one's perspective
  • Anticipating needs without asking

    • What misconception might arise regarding teamwork qualities?

    <p>Honesty and trustworthiness are optional</p> Signup and view all the answers

    What does maceration refer to in nursing?

    <p>Skin becoming too wet and wrinkly</p> Signup and view all the answers

    What is the primary role of a nurse aide in North Carolina?

    <p>Performing delegated nursing tasks under a licensed nurse's supervision</p> Signup and view all the answers

    How frequently must a nurse aide renew their listing on the NC Nurse Aide I Registry?

    <p>Every two years or every 34 months</p> Signup and view all the answers

    Which of the following is NOT one of the five rights of delegation?

    <p>Right environment</p> Signup and view all the answers

    What is the purpose of the Omnibus Budget Reconciliation Act (OBRA) of 1987?

    <p>To improve the quality of life for nursing home residents</p> Signup and view all the answers

    What does the North Carolina Board of Nursing (NCBON) refer to when discussing unlicensed personnel?

    <p>Unlicensed Assistive Personnel (UAP)</p> Signup and view all the answers

    What is the primary purpose of taking vital signs?

    <p>To evaluate the patient's reaction to treatment</p> Signup and view all the answers

    Which measurement method provides the least accurate temperature reading?

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

    How long should you wait to take an oral temperature after eating or drinking?

    <p>10 minutes</p> Signup and view all the answers

    What does output refer to in fluid measurement?

    <p>The amount of fluids lost</p> Signup and view all the answers

    When using a balance bar, what should be done if the bar is off-center?

    <p>Notify the nurse and avoid weighing</p> Signup and view all the answers

    How do you convert 68 inches into feet and inches?

    <p>5 feet 8 inches</p> Signup and view all the answers

    What should you do if the balance bar does not float freely?

    <p>Notify the nurse immediately</p> Signup and view all the answers

    How many milliliters are contained in a fluid ounce?

    <p>30 mL</p> Signup and view all the answers

    What characterizes a localized infection?

    <p>It is confined to one area with symptoms noted only there.</p> Signup and view all the answers

    What is the normal range for an adult's oral temperature?

    <p>97.6°F to 99.6°F</p> Signup and view all the answers

    What is a common symptom of a systemic infection?

    <p>Fever or change in mental state.</p> Signup and view all the answers

    Which method is used to measure blood pressure?

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

    Why are elderly individuals at a higher risk for infections?

    <p>They have a weaker immune system.</p> Signup and view all the answers

    What is the normal range for adult blood pressure systolic values?

    <p>90 mm Hg to 119 mm Hg</p> Signup and view all the answers

    Which statement best describes a healthcare-associated infection (HAI)?

    <p>An infection acquired while residing in a healthcare environment.</p> Signup and view all the answers

    What does the chain of infection illustrate?

    <p>How infections are transmitted from host to host.</p> Signup and view all the answers

    How should a nurse document the pulse if it is found to be strong and regular?

    <p>Document it on the resident's record.</p> Signup and view all the answers

    What is classified as hypertension in adults?

    <p>Systolic 130 mm Hg or higher</p> Signup and view all the answers

    What is the typical range for normal respiration rates in adults?

    <p>12 to 20 breaths per minute</p> Signup and view all the answers

    What is the proper way to check a pulse according to the guidelines?

    <p>Count for 60 seconds.</p> Signup and view all the answers

    What should the nurse do if the measured pulse rate is 55 BPM?

    <p>Notify the nurse immediately.</p> Signup and view all the answers

    What task is included in standard precautions to prevent the spread of infection?

    <p>Treating all body fluids and non-intact skin as if infected</p> Signup and view all the answers

    Which step is NOT part of the proper hand-washing procedure?

    <p>Use soap only on the palms</p> Signup and view all the answers

    What is the minimum duration for effective hand lathering during washing?

    <p>30 seconds</p> Signup and view all the answers

    What is the recommended way to dry hands after washing them?

    <p>Use a clean, dry paper towel to dry all surfaces</p> Signup and view all the answers

    What should you do if you accidentally touch the inside of the sink while washing your hands?

    <p>Stop washing and start again from the beginning</p> Signup and view all the answers

    What is an intrinsic risk factor affecting older adults?

    <p>Decline in function due to inactivity</p> Signup and view all the answers

    Which of the following statements about falls is accurate?

    <p>Falls are unintentional and lead to a rest on the ground</p> Signup and view all the answers

    What is a requirement set by OBRA for room temperature?

    <p>Between 71°F and 81°F</p> Signup and view all the answers

    Which action best fosters independence in residents according to their care protocols?

    <p>Arranging the room for convenience</p> Signup and view all the answers

    Which device is NOT typically used to prevent falls in a healthcare setting?

    <p>Hold bars</p> Signup and view all the answers

    What is a primary responsibility of a nursing assistant regarding resident safety?

    <p>To ensure the right care goes to the correct resident</p> Signup and view all the answers

    What is the primary risk associated with elopement from a healthcare facility?

    <p>Possible drowning</p> Signup and view all the answers

    Which step is NOT part of the RACE protocol during a fire emergency?

    <p>Monitor vital signs</p> Signup and view all the answers

    In the PASS technique for using a fire extinguisher, what is the correct sequence to follow?

    <p>Pull, Aim, Squeeze, Sweep</p> Signup and view all the answers

    What is one of the recommended actions for nurse aides to prevent residents from choking?

    <p>Assist residents by cutting food into small pieces</p> Signup and view all the answers

    What is a key characteristic of non-verbal communication?

    <p>It can include facial expressions and gestures.</p> Signup and view all the answers

    Which of the following is a barrier to effective communication?

    <p>Using technical jargon familiar only to healthcare professionals.</p> Signup and view all the answers

    What role does communication play in establishing trust with residents?

    <p>It fosters a transparent exchange of information.</p> Signup and view all the answers

    Which action should be performed immediately to prevent a fall?

    <p>Wipe up spilled liquids</p> Signup and view all the answers

    What type of communication is primarily used when delivering care instructions verbally to a resident?

    <p>Verbal communication</p> Signup and view all the answers

    Why is it important to listen and observe during communication with residents?

    <p>To gather accurate information and respond appropriately.</p> Signup and view all the answers

    What is the primary guideline when oxygen is in use?

    <p>Keep electrical equipment approved for use</p> Signup and view all the answers

    What indicates the appropriate time to perform the choking maneuver?

    <p>When the patient turns blue or stops coughing</p> Signup and view all the answers

    Which of the following is essential for maintaining a safe environment for residents?

    <p>Keeping walkways free from obstructions</p> Signup and view all the answers

    Which action is crucial in ensuring a resident's safety while using oxygen?

    <p>Avoiding any form of open flames in the vicinity</p> Signup and view all the answers

    Study Notes

    Nurse Aide Overview

    • Nurse Aide I in North Carolina is an unlicensed healthcare team member providing delegated nursing tasks and listed on the NC Nurse Aide I Registry.
    • The Omnibus Budget Reconciliation Act (OBRA) of 1987 aims to improve nursing home residents' quality of life through regulation updates.

    North Carolina Board of Nursing

    • The North Carolina Board of Nursing (NCBON) defines unlicensed personnel (UAP) as trained healthcare associates performing specific client care tasks under a licensed provider's direction.
    • Nurse Aide I Registry contains individuals who meet state and federal training/testing requirements to perform Nurse Aide I tasks.

    Job Responsibilities

    • Nurse aides perform basic nursing and personal care tasks competently and with care.
    • Effective interpersonal skills are critical, encompassing empathy, patience, and respect for residents and families.

    Delegation Rights

    • Understand the five rights of delegation: right task, right circumstance, right person, right direction and communication, and right supervision and evaluation.
    • Nurse aides work directly under a nurse's supervision.

    Basic Nursing Skills

    • Key tasks include monitoring vital signs, managing pain, applying hot/cold treatments, and dressing changes.
    • Privacy is emphasized when performing nursing skills.

    Interpersonal Skills

    • Key qualities include empathy, anticipating needs, respecting individual resident preferences, and maintaining positive team relationships.

    Professional Appearance and Attitude

    • A nurse aide must maintain professionalism, good work ethic, appropriate dress, and a positive attitude towards teamwork and problem-solving.

    Vital Signs

    • Normal temperature ranges: Oral (97.6°F-99.6°F), Rectal (98.6°F-100.6°F), Axillary (96.6°F-98.6°F).
    • Normal pulse is 62 to 100 BPM; normal respiration is 12 to 20 breaths per minute.
    • Blood pressure norms: Systolic (90-119 mm Hg), Diastolic (60-79 mm Hg).

    Blood Pressure and Temperature Measurement

    • Abnormal blood pressure includes elevated (120-129 systolic, <80 diastolic) and hypertension (≥130 systolic or ≥80 diastolic).
    • Rectal is the most accurate temperature method; the armpit is the least accurate.

    Fluid Balance

    • Intake refers to fluid consumption; output refers to fluid loss, abbreviated as I&O.
    • 1 fluid ounce equals 30 mL.

    Safety and Hazards

    • Hazards in resident environments include anything that could cause injury or illness.
    • Key NA roles: proper care, keeping beds low, ensuring easy access to call signals, and maintaining a comfortable room temperature (71°F-81°F).

    Fall Prevention

    • Intrinsic risk factors include age and medication; extrinsic factors include environmental hazards.
    • Devices to prevent falls: gait belts, canes, walkers, handrails, grab bars, and lower beds.

    Infection Control

    • Infection prevention involves practices to stop the spread of infections and understanding the chain of infection.
    • Standard precautions treat all body fluids and broken skin as potentially infectious with hand washing as the primary method of prevention.

    Communication Skills

    • Communication involves both verbal (spoken) and non-verbal (body language) methods of message exchange.
    • Effective communication builds trust, serves residents' needs, and overcomes barriers such as language or noise.

    Emergency Responses

    • RACE: Remove, Activate, Contain, Extinguish for fire emergencies.
    • PASS for using a fire extinguisher: Pull, Aim, Squeeze, Sweep.

    Choking Prevention and Response

    • To help prevent choking, position residents upright during meals and assist with food preparation.
    • Choking maneuver should only be performed when the individual shows severe distress (turning blue or unable to cough).

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    Description

    This quiz covers essential information about the role of a Nurse Aide I as defined in North Carolina, including responsibilities and the importance of being listed on the NC Nurse Aide I Registry. It also reviews the Omnibus Budget Reconciliation Act (OBRA) of 1987, which aims to enhance the quality of life for residents in healthcare settings.

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