Nurse Aide I Overview and OBRA

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?

Honesty and trustworthiness are optional Signup and view all the answers

What does maceration refer to in nursing?

Skin becoming too wet and wrinkly Signup and view all the answers

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

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

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

Every two years or every 34 months Signup and view all the answers

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

Right environment Signup and view all the answers

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

To improve the quality of life for nursing home residents Signup and view all the answers

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

Unlicensed Assistive Personnel (UAP) Signup and view all the answers

What is the primary purpose of taking vital signs?

To evaluate the patient's reaction to treatment Signup and view all the answers

Which measurement method provides the least accurate temperature reading?

Armpit Signup and view all the answers

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

10 minutes Signup and view all the answers

What does output refer to in fluid measurement?

The amount of fluids lost Signup and view all the answers

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

Notify the nurse and avoid weighing Signup and view all the answers

How do you convert 68 inches into feet and inches?

5 feet 8 inches Signup and view all the answers

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

Notify the nurse immediately Signup and view all the answers

How many milliliters are contained in a fluid ounce?

30 mL Signup and view all the answers

What characterizes a localized infection?

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

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

97.6°F to 99.6°F Signup and view all the answers

What is a common symptom of a systemic infection?

Fever or change in mental state. Signup and view all the answers

Which method is used to measure blood pressure?

Sphygmomanometer Signup and view all the answers

Why are elderly individuals at a higher risk for infections?

They have a weaker immune system. Signup and view all the answers

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

90 mm Hg to 119 mm Hg Signup and view all the answers

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

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

What does the chain of infection illustrate?

How infections are transmitted from host to host. Signup and view all the answers

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

Document it on the resident's record. Signup and view all the answers

What is classified as hypertension in adults?

Systolic 130 mm Hg or higher Signup and view all the answers

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

12 to 20 breaths per minute Signup and view all the answers

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

Count for 60 seconds. Signup and view all the answers

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

Notify the nurse immediately. Signup and view all the answers

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

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

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

Use soap only on the palms Signup and view all the answers

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

30 seconds Signup and view all the answers

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

Use a clean, dry paper towel to dry all surfaces Signup and view all the answers

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

Stop washing and start again from the beginning Signup and view all the answers

What is an intrinsic risk factor affecting older adults?

Decline in function due to inactivity Signup and view all the answers

Which of the following statements about falls is accurate?

Falls are unintentional and lead to a rest on the ground Signup and view all the answers

What is a requirement set by OBRA for room temperature?

Between 71°F and 81°F Signup and view all the answers

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

Arranging the room for convenience Signup and view all the answers

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

Hold bars Signup and view all the answers

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

To ensure the right care goes to the correct resident Signup and view all the answers

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

Possible drowning Signup and view all the answers

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

Monitor vital signs Signup and view all the answers

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

Pull, Aim, Squeeze, Sweep Signup and view all the answers

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

Assist residents by cutting food into small pieces Signup and view all the answers

What is a key characteristic of non-verbal communication?

It can include facial expressions and gestures. Signup and view all the answers

Which of the following is a barrier to effective communication?

Using technical jargon familiar only to healthcare professionals. Signup and view all the answers

What role does communication play in establishing trust with residents?

It fosters a transparent exchange of information. Signup and view all the answers

Which action should be performed immediately to prevent a fall?

Wipe up spilled liquids Signup and view all the answers

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

Verbal communication Signup and view all the answers

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

To gather accurate information and respond appropriately. Signup and view all the answers

What is the primary guideline when oxygen is in use?

Keep electrical equipment approved for use Signup and view all the answers

What indicates the appropriate time to perform the choking maneuver?

When the patient turns blue or stops coughing Signup and view all the answers

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

Keeping walkways free from obstructions Signup and view all the answers

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

Avoiding any form of open flames in the vicinity 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.