Podcast
Questions and Answers
Which action is NOT considered a basic nursing skill?
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?
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?
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?
What misconception might arise regarding teamwork qualities?
What does maceration refer to in nursing?
What does maceration refer to in nursing?
What is the primary role of a nurse aide in North Carolina?
What is the primary role of a nurse aide in North Carolina?
How frequently must a nurse aide renew their listing on the NC Nurse Aide I Registry?
How frequently must a nurse aide renew their listing on the NC Nurse Aide I Registry?
Which of the following is NOT one of the five rights of delegation?
Which of the following is NOT one of the five rights of delegation?
What is the purpose of the Omnibus Budget Reconciliation Act (OBRA) of 1987?
What is the purpose of the Omnibus Budget Reconciliation Act (OBRA) of 1987?
What does the North Carolina Board of Nursing (NCBON) refer to when discussing unlicensed personnel?
What does the North Carolina Board of Nursing (NCBON) refer to when discussing unlicensed personnel?
What is the primary purpose of taking vital signs?
What is the primary purpose of taking vital signs?
Which measurement method provides the least accurate temperature reading?
Which measurement method provides the least accurate temperature reading?
How long should you wait to take an oral temperature after eating or drinking?
How long should you wait to take an oral temperature after eating or drinking?
What does output refer to in fluid measurement?
What does output refer to in fluid measurement?
When using a balance bar, what should be done if the bar is off-center?
When using a balance bar, what should be done if the bar is off-center?
How do you convert 68 inches into feet and inches?
How do you convert 68 inches into feet and inches?
What should you do if the balance bar does not float freely?
What should you do if the balance bar does not float freely?
How many milliliters are contained in a fluid ounce?
How many milliliters are contained in a fluid ounce?
What characterizes a localized infection?
What characterizes a localized infection?
What is the normal range for an adult's oral temperature?
What is the normal range for an adult's oral temperature?
What is a common symptom of a systemic infection?
What is a common symptom of a systemic infection?
Which method is used to measure blood pressure?
Which method is used to measure blood pressure?
Why are elderly individuals at a higher risk for infections?
Why are elderly individuals at a higher risk for infections?
What is the normal range for adult blood pressure systolic values?
What is the normal range for adult blood pressure systolic values?
Which statement best describes a healthcare-associated infection (HAI)?
Which statement best describes a healthcare-associated infection (HAI)?
What does the chain of infection illustrate?
What does the chain of infection illustrate?
How should a nurse document the pulse if it is found to be strong and regular?
How should a nurse document the pulse if it is found to be strong and regular?
What is classified as hypertension in adults?
What is classified as hypertension in adults?
What is the typical range for normal respiration rates in adults?
What is the typical range for normal respiration rates in adults?
What is the proper way to check a pulse according to the guidelines?
What is the proper way to check a pulse according to the guidelines?
What should the nurse do if the measured pulse rate is 55 BPM?
What should the nurse do if the measured pulse rate is 55 BPM?
What task is included in standard precautions to prevent the spread of infection?
What task is included in standard precautions to prevent the spread of infection?
Which step is NOT part of the proper hand-washing procedure?
Which step is NOT part of the proper hand-washing procedure?
What is the minimum duration for effective hand lathering during washing?
What is the minimum duration for effective hand lathering during washing?
What is the recommended way to dry hands after washing them?
What is the recommended way to dry hands after washing them?
What should you do if you accidentally touch the inside of the sink while washing your hands?
What should you do if you accidentally touch the inside of the sink while washing your hands?
What is an intrinsic risk factor affecting older adults?
What is an intrinsic risk factor affecting older adults?
Which of the following statements about falls is accurate?
Which of the following statements about falls is accurate?
What is a requirement set by OBRA for room temperature?
What is a requirement set by OBRA for room temperature?
Which action best fosters independence in residents according to their care protocols?
Which action best fosters independence in residents according to their care protocols?
Which device is NOT typically used to prevent falls in a healthcare setting?
Which device is NOT typically used to prevent falls in a healthcare setting?
What is a primary responsibility of a nursing assistant regarding resident safety?
What is a primary responsibility of a nursing assistant regarding resident safety?
What is the primary risk associated with elopement from a healthcare facility?
What is the primary risk associated with elopement from a healthcare facility?
Which step is NOT part of the RACE protocol during a fire emergency?
Which step is NOT part of the RACE protocol during a fire emergency?
In the PASS technique for using a fire extinguisher, what is the correct sequence to follow?
In the PASS technique for using a fire extinguisher, what is the correct sequence to follow?
What is one of the recommended actions for nurse aides to prevent residents from choking?
What is one of the recommended actions for nurse aides to prevent residents from choking?
What is a key characteristic of non-verbal communication?
What is a key characteristic of non-verbal communication?
Which of the following is a barrier to effective communication?
Which of the following is a barrier to effective communication?
What role does communication play in establishing trust with residents?
What role does communication play in establishing trust with residents?
Which action should be performed immediately to prevent a fall?
Which action should be performed immediately to prevent a fall?
What type of communication is primarily used when delivering care instructions verbally to a resident?
What type of communication is primarily used when delivering care instructions verbally to a resident?
Why is it important to listen and observe during communication with residents?
Why is it important to listen and observe during communication with residents?
What is the primary guideline when oxygen is in use?
What is the primary guideline when oxygen is in use?
What indicates the appropriate time to perform the choking maneuver?
What indicates the appropriate time to perform the choking maneuver?
Which of the following is essential for maintaining a safe environment for residents?
Which of the following is essential for maintaining a safe environment for residents?
Which action is crucial in ensuring a resident's safety while using oxygen?
Which action is crucial in ensuring a resident's safety while using oxygen?
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.
