Podcast
Questions and Answers
A resident in an Assisted Living Residence (ALR) requires assistance with medication management, personal hygiene and transportation. Which of the following best describes the level of care this resident needs?
A resident in an Assisted Living Residence (ALR) requires assistance with medication management, personal hygiene and transportation. Which of the following best describes the level of care this resident needs?
- The resident is likely in need of hospice care due to declining health.
- The resident needs complete 24-hour skilled nursing care.
- The resident needs assistance with activities of daily living and support services. (correct)
- The resident requires chronic illness management.
Which action violates a patient's or resident's right to privacy and confidentiality?
Which action violates a patient's or resident's right to privacy and confidentiality?
- Sharing information about a resident's diagnosis with a visitor without the resident's consent. (correct)
- Closing the privacy curtains during a resident's bath.
- Allowing only staff involved in the resident's care to be present during treatment.
- Discussing a resident's condition with other nursing assistants in a private area.
A patient has been diagnosed with a terminal illness. Which type of care is most appropriate for this patient?
A patient has been diagnosed with a terminal illness. Which type of care is most appropriate for this patient?
- Hospice care to promote comfort and quality of life. (correct)
- Long-term care to manage the chronic condition
- Acute care to focus on rapid recovery.
- Rehabilitation to restore function.
A nursing assistant observes another staff member speaking disrespectfully to a resident. What is the MOST appropriate action for the nursing assistant to take?
A nursing assistant observes another staff member speaking disrespectfully to a resident. What is the MOST appropriate action for the nursing assistant to take?
Which statement BEST describes the role of an ombudsman?
Which statement BEST describes the role of an ombudsman?
A nursing assistant (NA) is asked to perform a task that is not included in their job description. What is the MOST appropriate course of action for the NA?
A nursing assistant (NA) is asked to perform a task that is not included in their job description. What is the MOST appropriate course of action for the NA?
Under OBRA, what is the MINIMUM number of supervised practical training hours a nursing assistant must complete?
Under OBRA, what is the MINIMUM number of supervised practical training hours a nursing assistant must complete?
Which of the following scenarios BEST exemplifies a 'boundary violation'?
Which of the following scenarios BEST exemplifies a 'boundary violation'?
Which of the following actions constitutes 'battery'?
Which of the following actions constitutes 'battery'?
What is the MAIN purpose of OBRA in the context of nursing center care?
What is the MAIN purpose of OBRA in the context of nursing center care?
A resident is consistently left in soiled linens because the assigned nursing assistant is frequently late for their shift. This is an example of:
A resident is consistently left in soiled linens because the assigned nursing assistant is frequently late for their shift. This is an example of:
Which action by a nursing assistant (NA) demonstrates accountability?
Which action by a nursing assistant (NA) demonstrates accountability?
A CNA sees a fellow staff member taking a picture of a resident without their consent and posting it to social media. What form of misconduct is this?
A CNA sees a fellow staff member taking a picture of a resident without their consent and posting it to social media. What form of misconduct is this?
When communicating with a resident, what is the BEST strategy to ensure effective verbal communication?
When communicating with a resident, what is the BEST strategy to ensure effective verbal communication?
A nursing assistant is caring for a resident who is comatose. Which of the following communication strategies is MOST appropriate?
A nursing assistant is caring for a resident who is comatose. Which of the following communication strategies is MOST appropriate?
Which of the following actions exemplifies the 'Assessment' step of the nursing process?
Which of the following actions exemplifies the 'Assessment' step of the nursing process?
A patient reports feeling nauseous after taking their medication. This information would be categorized as:
A patient reports feeling nauseous after taking their medication. This information would be categorized as:
In the planning stage of the nursing process, what action would be most important?
In the planning stage of the nursing process, what action would be most important?
Which of the following describes the primary purpose of the 'Implementation' step in the nursing process?
Which of the following describes the primary purpose of the 'Implementation' step in the nursing process?
A nurse is reviewing a patient's care plan and notices a goal has not been met. Which step of the nursing process should the nurse prioritize?
A nurse is reviewing a patient's care plan and notices a goal has not been met. Which step of the nursing process should the nurse prioritize?
Which of the following best describes the purpose of a medical record?
Which of the following best describes the purpose of a medical record?
A CNA is documenting a patient's intake and output on a flowsheet. This documentation falls under which component of the medical record?
A CNA is documenting a patient's intake and output on a flowsheet. This documentation falls under which component of the medical record?
Why is it important to use at least two identifiers before providing care or services to a person?
Why is it important to use at least two identifiers before providing care or services to a person?
When finding a fire, what does the acronym 'RACE' stand for?
When finding a fire, what does the acronym 'RACE' stand for?
A fire extinguisher should be operated using the acronym 'PASS'. What does 'PASS' stand for?
A fire extinguisher should be operated using the acronym 'PASS'. What does 'PASS' stand for?
Which of the following is the MOST important reason for health care providers to wear non-skid footwear?
Which of the following is the MOST important reason for health care providers to wear non-skid footwear?
Which action demonstrates respecting the sexuality needs of older persons?
Which action demonstrates respecting the sexuality needs of older persons?
A resident is confused and trying to get out of bed but is at risk for falls. What is the MOST appropriate action for the nursing assistant?
A resident is confused and trying to get out of bed but is at risk for falls. What is the MOST appropriate action for the nursing assistant?
A patient has paralysis on their right side. What does 'paralysis' mean?
A patient has paralysis on their right side. What does 'paralysis' mean?
A nursing assistant finds a patient unresponsive and not breathing. After calling for help, what should the nursing assistant do NEXT?
A nursing assistant finds a patient unresponsive and not breathing. After calling for help, what should the nursing assistant do NEXT?
When making an unoccupied bed, how should the hem of the bed linen be oriented?
When making an unoccupied bed, how should the hem of the bed linen be oriented?
Which action would compromise aspiration precautions when providing mouth care for an unconscious patient?
Which action would compromise aspiration precautions when providing mouth care for an unconscious patient?
During bathing, which observation would warrant immediate reporting to the nurse?
During bathing, which observation would warrant immediate reporting to the nurse?
A patient is 78 inches tall. How would you correctly document this patient's height in feet and inches?
A patient is 78 inches tall. How would you correctly document this patient's height in feet and inches?
What is the appropriate water temperature to use for a tub bath or shower, to ensure patient safety and comfort?
What is the appropriate water temperature to use for a tub bath or shower, to ensure patient safety and comfort?
What is the primary safety consideration when shampooing a patient's hair in bed?
What is the primary safety consideration when shampooing a patient's hair in bed?
When shaving a patient's face, why are short strokes recommended around the chin and lips?
When shaving a patient's face, why are short strokes recommended around the chin and lips?
When assisting a patient with dressing who has an affected (weak) side, which principle should guide your actions?
When assisting a patient with dressing who has an affected (weak) side, which principle should guide your actions?
Which action demonstrates correct hand hygiene technique to prevent the spread of infection?
Which action demonstrates correct hand hygiene technique to prevent the spread of infection?
A healthcare worker is caring for a patient with a known bloodborne pathogen. Which action is most important to prevent transmission?
A healthcare worker is caring for a patient with a known bloodborne pathogen. Which action is most important to prevent transmission?
Which step is crucial when providing nail care to prevent complications?
Which step is crucial when providing nail care to prevent complications?
If a patient consumed 6 oz of juice, 1 oz of coffee, and 3 oz of milk, what would be the total fluid intake documented in milliliters (mL)?
If a patient consumed 6 oz of juice, 1 oz of coffee, and 3 oz of milk, what would be the total fluid intake documented in milliliters (mL)?
A patient reports feeling isolated and lonely due to transmission-based precautions. What is the most appropriate nursing action?
A patient reports feeling isolated and lonely due to transmission-based precautions. What is the most appropriate nursing action?
When handling used laundry, which of the following practices is essential to prevent the spread of infection?
When handling used laundry, which of the following practices is essential to prevent the spread of infection?
Which of the following best describes the condition of 'nocturia'?
Which of the following best describes the condition of 'nocturia'?
For which type of urinary incontinence is a person at risk for falls from trying to go to the bathroom quickly?
For which type of urinary incontinence is a person at risk for falls from trying to go to the bathroom quickly?
Which of the following describes the correct body mechanics for a nurse when repositioning a patient in bed?
Which of the following describes the correct body mechanics for a nurse when repositioning a patient in bed?
A patient is recovering from a hip fracture. Which technique is most appropriate for turning the person in bed?
A patient is recovering from a hip fracture. Which technique is most appropriate for turning the person in bed?
A patient with functional incontinence has bladder control but they cannot use the toilet in time. Which scenario would be a cause of their incontinence?
A patient with functional incontinence has bladder control but they cannot use the toilet in time. Which scenario would be a cause of their incontinence?
Which type of catheter is designed to remain in the bladder for continuous urine drainage?
Which type of catheter is designed to remain in the bladder for continuous urine drainage?
A nurse is preparing to use a mechanical lift to transfer a patient. What safety measure is most important before initiating the transfer?
A nurse is preparing to use a mechanical lift to transfer a patient. What safety measure is most important before initiating the transfer?
When securing an indwelling catheter to prevent complications, where should it be secured on a female patient?
When securing an indwelling catheter to prevent complications, where should it be secured on a female patient?
When assisting a patient with transferring from the bed to a wheelchair in the bathroom, what safety precaution should the healthcare worker take?
When assisting a patient with transferring from the bed to a wheelchair in the bathroom, what safety precaution should the healthcare worker take?
Which of the following actions promotes full visual privacy for a patient in a healthcare setting?
Which of the following actions promotes full visual privacy for a patient in a healthcare setting?
For which of the following bed positions is a doctor's order required?
For which of the following bed positions is a doctor's order required?
When arranging items on a patient's bedside table and in the bedside stand drawers, what principle should guide the organization?
When arranging items on a patient's bedside table and in the bedside stand drawers, what principle should guide the organization?
To promote safety when a patient is using the call system, where should the call light be placed?
To promote safety when a patient is using the call system, where should the call light be placed?
What is the primary purpose of a drawsheet in bed making?
What is the primary purpose of a drawsheet in bed making?
An open bed is typically prepared in which of the following ways?
An open bed is typically prepared in which of the following ways?
When making a closed bed, what action should be avoided to minimize the spread of microbes?
When making a closed bed, what action should be avoided to minimize the spread of microbes?
Why is it important to ask a patient to void before measuring their weight on a standing scale?
Why is it important to ask a patient to void before measuring their weight on a standing scale?
When using a glass thermometer, what increment do the short lines typically represent in Fahrenheit?
When using a glass thermometer, what increment do the short lines typically represent in Fahrenheit?
What physiological factors primarily control blood pressure?
What physiological factors primarily control blood pressure?
An elderly patient reports experiencing pain that has persisted for 14 weeks following a fall. How would this pain be classified?
An elderly patient reports experiencing pain that has persisted for 14 weeks following a fall. How would this pain be classified?
A patient is found unresponsive, but is breathing and has a pulse after CPR. You suspect no neck injuries. What position is MOST appropriate?
A patient is found unresponsive, but is breathing and has a pulse after CPR. You suspect no neck injuries. What position is MOST appropriate?
What is the primary action to take if you observe active, heavy bleeding from a wound despite an initial dressing being applied?
What is the primary action to take if you observe active, heavy bleeding from a wound despite an initial dressing being applied?
Which pulse site is typically assessed during routine vital sign measurements?
Which pulse site is typically assessed during routine vital sign measurements?
After performing adult CPR, the patient begins to regain consciousness but is still weak. What immediate action should you take?
After performing adult CPR, the patient begins to regain consciousness but is still weak. What immediate action should you take?
Which of the following best describes the physiological process of 'systole'?
Which of the following best describes the physiological process of 'systole'?
A patient's blood pressure reading is consistently around 142/92 mm Hg. How would this blood pressure be categorized?
A patient's blood pressure reading is consistently around 142/92 mm Hg. How would this blood pressure be categorized?
What is the MOST important action immediately following a seizure?
What is the MOST important action immediately following a seizure?
In the context of vital signs, what does the term 'SpO2' refer to?
In the context of vital signs, what does the term 'SpO2' refer to?
A patient has a respiratory rate of 25 breaths per minute. How would this be described?
A patient has a respiratory rate of 25 breaths per minute. How would this be described?
What is the recommended chest compression rate for adult CPR?
What is the recommended chest compression rate for adult CPR?
During assessment, you note a patient's pulse is not evenly spaced, with some beats skipped. How is this pulse rhythm BEST described?
During assessment, you note a patient's pulse is not evenly spaced, with some beats skipped. How is this pulse rhythm BEST described?
A patient with heart disease is prescribed a sodium-controlled diet. Which of the following food choices would be MOST appropriate for this patient?
A patient with heart disease is prescribed a sodium-controlled diet. Which of the following food choices would be MOST appropriate for this patient?
When providing catheter care, which action is MOST important to prevent infection?
When providing catheter care, which action is MOST important to prevent infection?
A patient is experiencing dysphagia after a stroke. What is the MOST appropriate intervention to ensure safe feeding?
A patient is experiencing dysphagia after a stroke. What is the MOST appropriate intervention to ensure safe feeding?
Which nutrient is MOST crucial for tissue repair and growth?
Which nutrient is MOST crucial for tissue repair and growth?
During a bed bath, you notice that your patient has edema in their lower extremities. What does edema indicate?
During a bed bath, you notice that your patient has edema in their lower extremities. What does edema indicate?
A patient reports feeling anxious and has a rapid heart rate of 110 beats per minute. This condition is known as:
A patient reports feeling anxious and has a rapid heart rate of 110 beats per minute. This condition is known as:
You are assisting a patient with a condom catheter. What is the MOST important safety measure to follow when applying the catheter?
You are assisting a patient with a condom catheter. What is the MOST important safety measure to follow when applying the catheter?
If a patient is ordered on a 'clear liquid diet', which of the following could they consume?
If a patient is ordered on a 'clear liquid diet', which of the following could they consume?
What is the MOST likely reason a rectal temperature should NOT be taken?
What is the MOST likely reason a rectal temperature should NOT be taken?
A patient's blood pressure consistently reads 140/90 mm Hg or higher. This condition is referred to as:
A patient's blood pressure consistently reads 140/90 mm Hg or higher. This condition is referred to as:
Which of the following best describes the process of 'gavage'?
Which of the following best describes the process of 'gavage'?
An adult patient's urine output for an 8-hour shift was 300 mL. What is the MOST appropriate nursing action?
An adult patient's urine output for an 8-hour shift was 300 mL. What is the MOST appropriate nursing action?
When measuring vital signs, which site is GENERALLY considered the LEAST reliable for assessing body temperature?
When measuring vital signs, which site is GENERALLY considered the LEAST reliable for assessing body temperature?
Which of the following is an example of output?
Which of the following is an example of output?
Which information MUST the nursing assistant report to the nurse regarding serving meals to patients?
Which information MUST the nursing assistant report to the nurse regarding serving meals to patients?
A patient is experiencing difficulty swallowing. Which of the following terms would MOST accurately describe this condition in medical documentation?
A patient is experiencing difficulty swallowing. Which of the following terms would MOST accurately describe this condition in medical documentation?
A doctor notes that a patient has an abnormally fast heart rate. Which prefix would MOST likely be used when documenting this condition?
A doctor notes that a patient has an abnormally fast heart rate. Which prefix would MOST likely be used when documenting this condition?
A patient's lab results indicate an excessive level of glucose in their blood. Which prefix would MOST likely be used to describe this condition?
A patient's lab results indicate an excessive level of glucose in their blood. Which prefix would MOST likely be used to describe this condition?
A resident is scheduled for a surgical procedure to create an opening in their colon. Which suffix would MOST likely be included in the name of this procedure?
A resident is scheduled for a surgical procedure to create an opening in their colon. Which suffix would MOST likely be included in the name of this procedure?
A patient is experiencing inflammation of the joints. Which suffix would MOST likely be used to describe this condition?
A patient is experiencing inflammation of the joints. Which suffix would MOST likely be used to describe this condition?
A patient is having difficulty forming words. Which suffix would MOST likely be used to describe this condition?
A patient is having difficulty forming words. Which suffix would MOST likely be used to describe this condition?
A patient has a decreased amount of urine. Which prefix would MOST likely be used when documenting this condition?
A patient has a decreased amount of urine. Which prefix would MOST likely be used when documenting this condition?
A resident is breathing rapidly. Which suffix would MOST likely be used to describe this condition?
A resident is breathing rapidly. Which suffix would MOST likely be used to describe this condition?
A doctor notes that a patient has a slow heart rate. Which prefix would MOST likely be used when documenting this condition?
A doctor notes that a patient has a slow heart rate. Which prefix would MOST likely be used when documenting this condition?
A resident consistently refuses to take their prescribed medication despite understanding the potential health consequences. What should the healthcare provider do FIRST?
A resident consistently refuses to take their prescribed medication despite understanding the potential health consequences. What should the healthcare provider do FIRST?
What is the primary purpose of providing residents with information in writing regarding their care?
What is the primary purpose of providing residents with information in writing regarding their care?
A resident requests to review their medical records, but the facility administrator hesitates, citing concerns about the resident's emotional stability. How should the administrator proceed?
A resident requests to review their medical records, but the facility administrator hesitates, citing concerns about the resident's emotional stability. How should the administrator proceed?
A healthcare provider is observed consistently speaking to a resident in a condescending and disrespectful tone. Which right is being violated?
A healthcare provider is observed consistently speaking to a resident in a condescending and disrespectful tone. Which right is being violated?
If a resident's cultural beliefs conflict with a prescribed medical treatment, what is the MOST appropriate course of action?
If a resident's cultural beliefs conflict with a prescribed medical treatment, what is the MOST appropriate course of action?
A resident, who is hard of hearing, has repeatedly expressed that they cannot understand the care instructions being given. What is the MOST appropriate initial step to take?
A resident, who is hard of hearing, has repeatedly expressed that they cannot understand the care instructions being given. What is the MOST appropriate initial step to take?
What is the primary ethical consideration when a resident with cognitive impairment is unable to fully understand their treatment options?
What is the primary ethical consideration when a resident with cognitive impairment is unable to fully understand their treatment options?
A new policy is implemented at a long-term care facility that restricts residents' access to their medical records. How does this policy impact resident rights?
A new policy is implemented at a long-term care facility that restricts residents' access to their medical records. How does this policy impact resident rights?
A resident is scheduled for a complex medical procedure. What should the informed consent process include?
A resident is scheduled for a complex medical procedure. What should the informed consent process include?
A staff member notices that a resident's personal belongings are frequently being taken by other residents. What action BEST supports the affected resident's right to dignity and respect?
A staff member notices that a resident's personal belongings are frequently being taken by other residents. What action BEST supports the affected resident's right to dignity and respect?
A resident consistently expresses dissatisfaction with the quality of meals provided at the facility. How can the facility BEST address this concern while upholding their right to quality care?
A resident consistently expresses dissatisfaction with the quality of meals provided at the facility. How can the facility BEST address this concern while upholding their right to quality care?
When a resident is no longer capable of making healthcare decisions, who typically becomes the primary decision-maker?
When a resident is no longer capable of making healthcare decisions, who typically becomes the primary decision-maker?
A resident is hesitant to participate in a physical therapy session due to past pain experiences. What is the MOST appropriate way to address their concerns?
A resident is hesitant to participate in a physical therapy session due to past pain experiences. What is the MOST appropriate way to address their concerns?
A staff member is unsure whether a particular action is in accordance with a resident's rights. What is the BEST first step for the staff member to take?
A staff member is unsure whether a particular action is in accordance with a resident's rights. What is the BEST first step for the staff member to take?
A resident consistently requests information about their medical condition, but the nursing staff avoids providing detailed explanations. Which resident right is being potentially violated?
A resident consistently requests information about their medical condition, but the nursing staff avoids providing detailed explanations. Which resident right is being potentially violated?
How often should residents be informed of their rights?
How often should residents be informed of their rights?
A resident wants to review their medical chart, but is told that they must have a family member present to do so. Is this permissible?
A resident wants to review their medical chart, but is told that they must have a family member present to do so. Is this permissible?
A resident disagrees with the care plan developed by their healthcare team and decides to seek a second opinion from an outside specialist. Which right allows them to take this action?
A resident disagrees with the care plan developed by their healthcare team and decides to seek a second opinion from an outside specialist. Which right allows them to take this action?
A nursing assistant consistently addresses a resident by a demeaning nickname, despite the resident expressing discomfort. Which resident right is being violated?
A nursing assistant consistently addresses a resident by a demeaning nickname, despite the resident expressing discomfort. Which resident right is being violated?
A healthcare provider insists that a resident take a particular medication, even after the resident has voiced clear objections and understanding of the possible consequences of refusal. Which resident right is being disregarded?
A healthcare provider insists that a resident take a particular medication, even after the resident has voiced clear objections and understanding of the possible consequences of refusal. Which resident right is being disregarded?
The staff discusses a resident's medical condition in the hallway during shift change. Which right is MOST likely being violated?
The staff discusses a resident's medical condition in the hallway during shift change. Which right is MOST likely being violated?
If a resident wants to see their medical records, how quickly should the facility make these available?
If a resident wants to see their medical records, how quickly should the facility make these available?
A resident repeatedly expresses dissatisfaction with the care provided by a specific nursing assistant. What is the most appropriate initial action to uphold the resident's right to quality care?
A resident repeatedly expresses dissatisfaction with the care provided by a specific nursing assistant. What is the most appropriate initial action to uphold the resident's right to quality care?
What is the BEST way to explain a resident's care plan to them to ensure they are 'informed orally'?
What is the BEST way to explain a resident's care plan to them to ensure they are 'informed orally'?
What is the primary reason for ensuring residents are informed of their rights both orally and in writing?
What is the primary reason for ensuring residents are informed of their rights both orally and in writing?
A resident wants to review their medical records, but the facility administrator is hesitant, citing concerns about the resident's emotional stability. How should the administrator proceed to respect the resident's rights?
A resident wants to review their medical records, but the facility administrator is hesitant, citing concerns about the resident's emotional stability. How should the administrator proceed to respect the resident's rights?
A resident consistently complains about the quality of food served in the facility. Which action demonstrates respect for their rights?
A resident consistently complains about the quality of food served in the facility. Which action demonstrates respect for their rights?
A resident consistently refuses to take their prescribed medication, despite understanding the potential health consequences. What is the MOST appropriate course of action for the healthcare team?
A resident consistently refuses to take their prescribed medication, despite understanding the potential health consequences. What is the MOST appropriate course of action for the healthcare team?
A resident has expressed a desire to change their daily routine. Which of the following actions respects their right to make choices?
A resident has expressed a desire to change their daily routine. Which of the following actions respects their right to make choices?
A resident is visually impaired. How can the staff BEST ensure that the resident is 'informed in writing'?
A resident is visually impaired. How can the staff BEST ensure that the resident is 'informed in writing'?
A nursing assistant is consistently late providing care to one particular resident, which causes the resident to express feelings of worthlessness. How does this behavior MOST directly violate the resident's rights?
A nursing assistant is consistently late providing care to one particular resident, which causes the resident to express feelings of worthlessness. How does this behavior MOST directly violate the resident's rights?
A resident is being encouraged to participate in a clinical trial for a new medication, what MUST they be told?
A resident is being encouraged to participate in a clinical trial for a new medication, what MUST they be told?
Which of the following actions BEST demonstrates a healthcare worker's commitment to upholding a resident's right to dignity?
Which of the following actions BEST demonstrates a healthcare worker's commitment to upholding a resident's right to dignity?
A resident has requested to see their financial records related to the care they are receiving at the facility. What is the facility's obligation regarding this request?
A resident has requested to see their financial records related to the care they are receiving at the facility. What is the facility's obligation regarding this request?
If a resident wants to access their records, but they are currently being stored offsite, what should the facility do?
If a resident wants to access their records, but they are currently being stored offsite, what should the facility do?
A new policy is implemented at a care facility restricting visiting hours due to staffing shortages. Several residents express concern that this limits their social interaction. What is the ethical responsibility of the facility?
A new policy is implemented at a care facility restricting visiting hours due to staffing shortages. Several residents express concern that this limits their social interaction. What is the ethical responsibility of the facility?
A resident refuses to take their medication, citing concerns about side effects that they read about online, what should you do?
A resident refuses to take their medication, citing concerns about side effects that they read about online, what should you do?
What is an element of treating a patient with dignity and respect?
What is an element of treating a patient with dignity and respect?
A resident, who is capable of making their own decisions, consistently makes choices that staff believe are not in their best interest. How should staff respond to uphold the resident's autonomy?
A resident, who is capable of making their own decisions, consistently makes choices that staff believe are not in their best interest. How should staff respond to uphold the resident's autonomy?
A resident with dementia becomes agitated and verbally aggressive during personal care. How should a nursing assistant respond to respect the resident's dignity?
A resident with dementia becomes agitated and verbally aggressive during personal care. How should a nursing assistant respond to respect the resident's dignity?
What does providing 'quality care' entail, beyond simply meeting basic needs like feeding and hygiene?
What does providing 'quality care' entail, beyond simply meeting basic needs like feeding and hygiene?
How should a healthcare provider balance the right of a resident to access their records with the need to protect the confidentiality of other residents mentioned in those records?
How should a healthcare provider balance the right of a resident to access their records with the need to protect the confidentiality of other residents mentioned in those records?
A resident refuses a shower, stating they are too tired. The nursing assistant knows the resident hasn't showered in several days. What is the MOST appropriate action?
A resident refuses a shower, stating they are too tired. The nursing assistant knows the resident hasn't showered in several days. What is the MOST appropriate action?
A staff member consistently uses demeaning language when speaking to a resident with cognitive impairment. How does this behavior violate the resident's rights?
A staff member consistently uses demeaning language when speaking to a resident with cognitive impairment. How does this behavior violate the resident's rights?
A resident is concerned about potential mistreatment within the facility but fears retaliation if they voice their concerns. What resources or mechanisms should be in place to protect the resident's right to voice grievances?
A resident is concerned about potential mistreatment within the facility but fears retaliation if they voice their concerns. What resources or mechanisms should be in place to protect the resident's right to voice grievances?
A patient is scheduled for a nephrectomy. Which body part is involved in this surgery?
A patient is scheduled for a nephrectomy. Which body part is involved in this surgery?
A patient reports experiencing gastrointestinal discomfort. Which area of the body relates to these symptoms?
A patient reports experiencing gastrointestinal discomfort. Which area of the body relates to these symptoms?
A doctor orders a 'hematocrit' blood test for a patient. Which element of the blood is being specifically examined?
A doctor orders a 'hematocrit' blood test for a patient. Which element of the blood is being specifically examined?
A patient is diagnosed with a neurological disorder. Which part of the body is primarily affected?
A patient is diagnosed with a neurological disorder. Which part of the body is primarily affected?
A patient is scheduled for a 'stomatoscopy.' Which area of the body will be examined during this procedure?
A patient is scheduled for a 'stomatoscopy.' Which area of the body will be examined during this procedure?
A care provider notices a change in a patient's urine output. According to documentation guidelines, what action should the care provider take?
A care provider notices a change in a patient's urine output. According to documentation guidelines, what action should the care provider take?
A patient asks to see their medical records. What is the appropriate course of action?
A patient asks to see their medical records. What is the appropriate course of action?
A patient consistently refuses a prescribed medication. What should the care provider do FIRST?
A patient consistently refuses a prescribed medication. What should the care provider do FIRST?
Which action demonstrates respect for a patient's dignity?
Which action demonstrates respect for a patient's dignity?
While assisting a patient, you accidentally spill water on their clothing. How should you handle this situation according to ethical care standards?
While assisting a patient, you accidentally spill water on their clothing. How should you handle this situation according to ethical care standards?
When documenting information in a patient's chart, which practice is essential for maintaining accuracy and legal defensibility?
When documenting information in a patient's chart, which practice is essential for maintaining accuracy and legal defensibility?
If a patient expresses concerns about their care and asks for clarification on their treatment plan, what is the MOST appropriate initial response?
If a patient expresses concerns about their care and asks for clarification on their treatment plan, what is the MOST appropriate initial response?
Which of the following documentation practices ensures accountability and prevents assumptions in patient care?
Which of the following documentation practices ensures accountability and prevents assumptions in patient care?
You make an error while charting on a paper record. What is the correct procedure for correcting the mistake?
You make an error while charting on a paper record. What is the correct procedure for correcting the mistake?
A patient has a skin condition characterized by inflammation. Which of the following prefixes would MOST likely be associated with its medical term?
A patient has a skin condition characterized by inflammation. Which of the following prefixes would MOST likely be associated with its medical term?
Flashcards
Acute illness
Acute illness
Illness with rapid onset and short duration.
Chronic illness
Chronic illness
Long-term health condition that may be controlled but not cured.
Hospice
Hospice
Health care agency for comfort in dying persons and families, usually under 6 months to live.
Advocate
Advocate
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Involuntary seclusion
Involuntary seclusion
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OBRA
OBRA
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Delegation
Delegation
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Elder Abuse
Elder Abuse
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Informed Consent
Informed Consent
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Boundary Violation
Boundary Violation
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Neglect
Neglect
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Nonverbal Communication
Nonverbal Communication
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Holism
Holism
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Defamation
Defamation
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Malpractice
Malpractice
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Assessment
Assessment
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Electronic Health Record (EHR)
Electronic Health Record (EHR)
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Nursing Diagnosis
Nursing Diagnosis
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Nursing Intervention
Nursing Intervention
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Nursing Process
Nursing Process
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Objective Data
Objective Data
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Subjective Data
Subjective Data
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Planning
Planning
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Menopause
Menopause
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CPR
CPR
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RACE
RACE
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PPE
PPE
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Falls Prevention
Falls Prevention
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Bed Rails
Bed Rails
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Dementia
Dementia
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Asepsis
Asepsis
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Bloodborne pathogen
Bloodborne pathogen
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Communicable disease
Communicable disease
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Disinfection
Disinfection
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Medical asepsis
Medical asepsis
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Sterilization
Sterilization
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Fowler’s position
Fowler’s position
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Logrolling
Logrolling
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Transferring pt
Transferring pt
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Trendelenburg position
Trendelenburg position
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Closed bed
Closed bed
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Occupational bed
Occupational bed
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Cross-contamination
Cross-contamination
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Ergonomics
Ergonomics
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Entrapment
Entrapment
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Fanfold
Fanfold
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Aspiration
Aspiration
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Denture care equipment
Denture care equipment
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Perineal care
Perineal care
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Diaphoresis
Diaphoresis
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Alopecia
Alopecia
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Polyuria
Polyuria
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Functional incontinence
Functional incontinence
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Indwelling catheter
Indwelling catheter
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Urinary urgency
Urinary urgency
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Scabies
Scabies
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Hematuria
Hematuria
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Bite blocs
Bite blocs
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Reflex incontinence
Reflex incontinence
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Garment
Garment
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Gastro
Gastro
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Gluc
Gluc
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Stomat
Stomat
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Urin
Urin
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Hem/Hema/Hemat
Hem/Hema/Hemat
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Glyc
Glyc
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Derm/Dermat
Derm/Dermat
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Nephr
Nephr
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Neur
Neur
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Card/Cardi
Card/Cardi
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Charting Protocol
Charting Protocol
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Dignity in Care
Dignity in Care
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Agency Approval
Agency Approval
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Record Access
Record Access
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Catheter care
Catheter care
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Urinary drainage system
Urinary drainage system
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Condom catheter
Condom catheter
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Dysphagia
Dysphagia
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Enteral nutrition
Enteral nutrition
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Aspiration precautions
Aspiration precautions
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Dehydration
Dehydration
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Edema
Edema
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Nutrient
Nutrient
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Vital signs
Vital signs
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Hypertension
Hypertension
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Hypotension
Hypotension
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Bradycardia
Bradycardia
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Tachycardia
Tachycardia
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Quality Care
Quality Care
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Access to Records
Access to Records
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Refusal of Treatment
Refusal of Treatment
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Dignity and Respect
Dignity and Respect
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Oral Information
Oral Information
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Written Information
Written Information
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Patient Rights
Patient Rights
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Healthcare Advocate
Healthcare Advocate
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Patient Education
Patient Education
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Treatment Plan
Treatment Plan
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Confidentiality
Confidentiality
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Patient-Centered Care
Patient-Centered Care
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Respectful Communication
Respectful Communication
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Empowerment in Healthcare
Empowerment in Healthcare
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Normal Body Temperature
Normal Body Temperature
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Systole vs Diastole
Systole vs Diastole
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Blood Pressure Classification
Blood Pressure Classification
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Pulse Measurement
Pulse Measurement
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Respiratory Rate
Respiratory Rate
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Oxygen Saturation
Oxygen Saturation
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Fainting
Fainting
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Shock Symptoms
Shock Symptoms
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Stroke
Stroke
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Seizure
Seizure
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Insomnia
Insomnia
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Concussion
Concussion
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Burns
Burns
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Chronic Pain
Chronic Pain
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Refuse Treatment
Refuse Treatment
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Patient Autonomy
Patient Autonomy
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Informed Decision-Making
Informed Decision-Making
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Oral and Written Information
Oral and Written Information
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Safe Environment
Safe Environment
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Patient Advocacy
Patient Advocacy
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Healthcare Records Privacy
Healthcare Records Privacy
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Continuity of Care
Continuity of Care
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Quality Care Rights
Quality Care Rights
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Right to Refuse Treatment
Right to Refuse Treatment
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Prefixes in Medical Terms
Prefixes in Medical Terms
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Suffixes in Medical Terms
Suffixes in Medical Terms
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Hyperglycemia
Hyperglycemia
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Oliguria
Oliguria
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Right to Information
Right to Information
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Clinical Records
Clinical Records
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Respectful Treatment
Respectful Treatment
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Oral Communication
Oral Communication
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Written Communication
Written Communication
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Healthcare Team
Healthcare Team
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Patient Engagement
Patient Engagement
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Health Literacy
Health Literacy
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Study Notes
Acute Illness
- Illness with rapid onset and short duration
Assisted Living Residence (ALR)
- Provides housing, personal care, support services, healthcare, and social activities in a home-like setting.
- For individuals needing some help with daily activities (independent level assistance).
- Includes: personal care, meals, medication administration, housekeeping, personal safety, and transportation.
Chronic Illness
- Long-term health condition that may not have a cure but can be controlled and prevented.
Terminal Illness
- Illness or injury from which recovery is not expected.
Licensed Practical Nurse (LPN)
- Completed a practical nursing program.
- Also called Licensed Vocational Nurse (LVN).
Nursing Assistant
- Passed a nursing assistant training program (NATCEP).
- Works under the supervision of a licensed nurse.
Nursing Team
- Provides nursing care.
- Includes registered nurses (RNs), licensed practical nurses (LPNs), and nursing assistants.
Hospice
- Healthcare agency promoting comfort and quality of life for the dying person and family.
- Usually for individuals with less than 6 months to live.
Advocate
- Acts or speaks on behalf of another person.
Involuntary Seclusion
- Separating a person from others against the person's will.
Ombudsman
- Supports or promotes the needs and interests of another person.
Representative
- Person with legal right to act on a patient's or resident's behalf.
Treatment
- Care provided to maintain or restore health or improve function/relieve symptoms.
Privacy and Confidentiality
- Residents have the right to personal privacy.
- Only staff involved in care and treatment are present without consent.
- Privacy maintained for all personal care measures (bathing, dressing, and elimination).
- Use privacy curtains and remove residents from public view when necessary.
- Use clothing or drapes to prevent unnecessary body exposure.
Patient and Resident Rights (OBRA)
- Applies to all 50 states.
- Federal law requiring nursing centers to provide care that maintains or improves quality of life, health, and safety.
Accountable
- Answer for one's choices, decisions, and actions.
Certification
- Official state recognition that standards/requirements have been met.
Delegate
- Authorize or direct a nursing assistant to perform a nursing task.
Delegation
- Process a nurse uses to direct a nursing assistant to perform a nursing task.
Job Description
- Document outlining the agency's expectations of the employee's duties.
Nursing Task
- Any nursing care function, procedure, skill, or activity.
OBRA (Omnibus Budget Reconciliation Act of 1987)
- Federal law.
- Applies to all 50 states.
- Details requirements for nursing centers.
- Includes written and skill tests.
- Mandates instruction hours and supervised practical training.
Accepting and Refusing Tasks
- Being responsible for actions when agreeing to a task.
- Completing tasks safely.
- Right to refuse a task not in job description or with inadequate training.
- Never ignore orders or requests.
Abuse
- Willful infliction of harm, unreasonable confinement, intimidation or punishment resulting in physical harm, pain, or mental anguish.
Assault
- Intentionally attempting or threatening to touch a person's body without consent.
Battery
- Touching a person's body without consent.
Civil Law
- Laws addressing relationships between people.
Criminal Law
- Laws related to offenses against the public and society.
Defamation
- Damaging a person's reputation by making false statements to a third party.
Elder Abuse
- Intentional, knowing, or negligent act by a caregiver to an older adult causing harm or risk of harm.
Ethics
- Knowledge of right and wrong conduct.
False Imprisonment
- Unlawful restraint or restriction of a person's freedom of movement.
Informed Consent
- Provision of and understanding of information about a treatment.
Intimate Partner Violence
- Physical or sexual violence by a current or former partner.
Invasion of Privacy
- Violating a person's right not to have their name, picture, or private affairs exposed.
Law
- Rule of conduct established by a governmental body.
Libel
- Making false statements in print or writing.
Slander
- Making false statements through spoken words.
Malpractice
- Negligence by a professional.
Neglect
- Failure of a caregiver to protect a person from harm.
Negligence
- Unintentional wrong where a person did not act reasonably and carefully.
Boundary Crossing
- Brief act or behavior of being overly involved with a person to meet their needs (e.g., hug).
Boundary Violation
- Act or behavior that meets one's needs, not the person's (e.g., abuse).
Gossip
- Spreading rumors or talking about the private matters of others.
Personal Hygiene
- Daily hygiene practices for preventing body odors and maintaining cleanliness. Includes bathing, deodorant/antiperspirant, teeth brushing/mouthwash, hair care, nail care, and genital hygiene.
Attitude
- Positive attitude; enjoy work; listen to others; willingness to learn; stay busy; think before speaking.
Job Safety
- Protecting patients, residents, families, visitors, coworkers, and oneself from harm (OSHA compliance).
Meals and Breaks
- Usually 30-minute breaks, coverage by other staff members, punctuality.
- Notify nurse of absence from the unit.
Coma
- Inability to respond to stimuli, unconscious state.
Disability
- Loss, absence, or impairment of physical or mental function.
Holism
- Concept considering the whole person - physical, psychological, social, and spiritual aspects interwoven.
Nonverbal Communication
- Communication without words (body language).
Verbal Communication
- Communication using written or spoken words.
Paraphrasing
- Restating a person's message in one's own words.
Effective Communication
- Essential for effective nursing care; communicate with person giving care.
Assessment
- Collecting information about a person.
Electronic Health Record (EHR)
- Electronic version of a person's medical record.
Evaluation
- Measuring if goals in the planning step were met.
Implementation
- Performing or carrying out nursing interventions.
Medical Record
- Documentation of a person's condition and response to treatment and care.
Nursing Care Plan
- Written guide detailing a person's nursing care.
Nursing Diagnosis
- Health problem treatable by nursing measures.
Nursing Intervention
- Action or measure taken to help a person reach goals.
Nursing Process (ANDPIE)
- Method nurses use to plan and deliver nursing care. Steps: Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation.
Objective Data (Signs)
- Observable information, seen, heard, felt, smelled.
Planning
- Setting priorities and goals.
Subjective Data (Symptoms)
- Information a person tells you about that you cannot directly observe.
Medical Record Flowsheets/Graphic Sheets
- Used for frequent care measures, measurements, observations.
- Includes hygiene/grooming, activity/positioning, vital signs, weight, I&O, and bowel/urinary elimination.
Abbreviation, Prefix, Suffix, Root
- Shortened words/phrases, word parts at beginning/end, and basic meaning of a word.
Development and Growth
- Changes in mental, emotional, social function.
- Physical changes (weight, height, appearance).
- Steady, orderly changes in body functions.
Menopause
- Cessation of menstruation.
Sexuality
- Physical, emotional, social, cultural, and spiritual factors affecting feelings, attitudes, and behaviors about gender and sexual behavior.
Recording Rules
- Adhere to agency policy and procedure for recording information.
- Use only approved abbreviations.
- Do not chart for another person.
- Do not chart procedures, treatments, or judgments.
- Chart actions performed, statements made, and time.
- Use ink or approved alternative.
- Do not erase or use correcting fluid.
Identifying a Person
- Use two identifiers (name and date of birth, or ID bracelet).
Fire Safety (RACE+PASS)
- Rescue, Alarm, Confine, Extinguish
- Pull, Aim, Squeeze, Sweep
Bed Rails
- Use for personnel safety, raise/lower bed rails as needed, do not leave unattended.
Handrails and Grab Bars
- Support for persons with weakness or unsteadiness.
Falling Prevention
- Avoid forcing a person not to move.
- Stay calm and protect from injury by talking.
Asepsis
- Absence of disease-producing microbes. (a=no, sepsis=infection).
Bloodborne Pathogens
- Microbes in blood causing infection.
Communicable/Contagious Disease
- Disease spread to others by pathogens.
Contamination
- Process of becoming unclean.
Cross-Contamination
- Spreading microbes from one person to another.
Disinfection
- Process of killing pathogens.
Medical Asepsis
- Practices reducing microbes & preventing their spread. (clean technique).
Non-Pathogen
- Microbe not usually causing infection.
Pathogen
- Harmful microbe causing infection.
Sterile
- Absence of all microbes.
Surgical Asepsis
- Practices removing all microbes (sterile technique).
Sterilization
- Process destroying all microbes.
Hand Hygiene Rules
- At least 20 seconds, create friction/rubbing, and avoid touching sinks, dry from fingertips to forearms.
Healthcare-Associated Infections (HAIs)
- Infections related to health care.
Infection Control
- Practices preventing infection spread.
Glove Use Rules
- Grasp at wrist, pull on glove, avoid touching wrist/forearm with gloved hand, avoid tearing gloves.
Masks and Respirators
- Front of mask is contaminated.
Basic Needs
- Do not avoid patients.
- Show kindness, respect, and talk to the patient.
Used Laundry
- Standard precautions to prevent microbe transmission; wear gloves, do not shake, put directly in leakproof bags.
Body Alignment
- Position of head, trunk, arms, and legs relative to each other.
Supine
- Lying on back.
Ergonomics
- Science of designing jobs for workers.
Fowler's Position
- Semi-sitting position (45-60 degrees).
High Fowler's Position
- Head is 60-90 degrees.
Semi-Fowler's Position
- Head is 30 degrees.
Lateral Position
- Lying on one side.
Prone Position
- Lying on abdomen.
Positioning
- Reposition at least every 2 hours.
- Use friction-reducing devices.
- Logrolling, pivoting techniques.
- Use mechanical lifts when needed.
Preventing Pressure Injuries
- Positioning (promotes breathing, circulation).
Bed Making
- Closed bed: not in use, linens fan folded for residents mostly up during the day.
- Open bed: ready for use.
- Occupied bed: made with person in it.
Entrapment
- Getting caught in spaces created by bed rails, mattress, or frame.
Person's Unit
- Area with furniture and equipment for person's comfort, safety, and privacy.
Trendelenburg/Reverse Trendelenburg
- Require doctor's order.
Bed- Promoting Safety and Comfort
- Raise the bed to a comfortable level.
- Arrange over-bed tables and bedside stands conveniently, keeping clean and sterile items for bedside table.
- Call system safety – call light on strong side.
- Using drawsheets and waterproof underpads.
Aspirations
- Breathing fluid, food, vomit or object into the lungs.
Denture Care
- Use denture cleaner, cup and brush, following manufacturer’s instruction.
Unconscious Pt Mouth Care
- Use sponge swabs, bite blocks, and speak to reassure the patient.
Circumcision
- Surgical removal of foreskin.
Perineal Care
- Cleaning genital and anal areas.
Bathing Delegation
- Report skin color changes, rashes, swelling, drainage, bruises.
Water Temperature
- Provide specific temperature ranges for different bathing types.
Hair Care (Alopecia, Dandruff, Hirsutism, Pediculosis, Scabies)
- Assess and address hair-related issues (hair loss, scalp conditions).
- Use appropriate shampoos and creams.
- Avoid eye contact when shampooing.
Shampoo Procedure
- Remove hearing aids.
- Wear gloves.
- Follow standard and bloodborne pathogen precautions.
Shaving Person's Face
- Shave in direction of hair growth.
Removing and Putting on Patient Gown
- Remove and put on gowns, starting with the unaffected side relating to IV access.
Intake
- Fluid volume.
- Use graduated containers.
Output
- Fluid lost.
IV Therapy
- Be aware of IV pump alarms.
Intake and Output Recording
- Record throughout the shift, multiple times.
Vital Signs
- Temperature, Pulse, Respirations, Blood Pressure (BP), Oxygen Saturation, & Pain (in some agencies).
Temperature Measurement Sites
- Oral (not for unconscious), Rectal (infants/young children, need caution), Axillary, tympanic, temporal artery.
Normal Body Temperature Ranges
- Oral, rectal, axillary, tympanic membrane, & temporal artery.
Glass Thermometer Usage
- Shake, hold at stem, read at eye level.
Blood Pressure (BP)
- Pressure against artery walls.
- Systole (contraction), Diastole (relaxation).
Pulse and Pulse Rate
- Heartbeat felt at an artery; regular/irregular.
- Apical pulse (using stethoscope).
- Radial pulse count/recording.
Respiration and Respiratory Rates
- Breathing.
- Counting breaths.
Pulse Rhythm and Force
- Regular pattern, pause between beats the same, forceful/weak pulse strength.
Weight and Height Measurement
- Use standing scale.
- Assist patient to void before measurement.
Pain
- Severe/acute or lasting (chronic/persistent pain).
- A sign of tissue damage.
Promoting Sleep for Patients (Insomnia, Sleep Apnea, Sleepwalking)
- Address any sleep-related issues.
Fainting (Syncope)
- Sudden loss of consciousness.
- Have person sit or lie down, loosen clothing and contact EMS.
Stroke/Cerebrovascular Accident
- Deprivation of blood supply to the brain (thrombus, embolus, hemorrhage).
Seizure/Convulsion
- Sudden, violent, uncontrolled muscle contractions/tremors - generalized & focal.
Concussion - Prevention/Treatment
- Head injury, emergency care needed with specific symptoms reported to healthcare providers.
Burns - Prevention/Treatment
- Home prevention, and at-risk populations monitored.
Comfort
- State of well-being, absence of pain, calm and ease.
Measuring Intake, Output, Weight
- Accurate measurement techniques.
Food and Fluid Administration Issues
- Food allergies, adaptive equipment use, intake measurement, and communicating observations.
NG tube
- Feeding tube inserted through the nose into the stomach.
Meals and Fluids
- Note food allergies and needed assistive equipment.
- Monitor intake and output.
- Report concerns promptly.
Dehydration and Edema
- Maintaining proper fluid balance in the body.
Dysphagia, Aspiration Precautions
- Positioning for preventing aspiration during feeding.
Promoting Nutrition
- Ingestion, digestion, absorption, and use of nutrients.
Nutrients
- Types: protein, carbohydrates (fiber, sugar), fats, vitamins, minerals, water.
Special Diets
- Clear liquid, sodium controlled, and details of each.
Dysuria, Hematuria, Nocturia, Oliguria, Polyuria
- Urinary frequency/incontinence symptoms.
Urinary Incontinence Types
- Functional: Difficulty reaching bathroom, Immoblity, restraints, unanswered call lights, no call light in reach, difficulty removing clothes.
- Mixed: Stress & Urge Incontinence combined
- Over-flow: Small amounts of urine leaking from full bladder.
- Reflex: Urination at predictable intervals
- Stress: Leakage during activities stressing the bladder (e.g., laughing, coughing).
- Transient: Temporary incontinence caused by a treatable condition
- Urge: Sudden need to urinate, cannot reach bathroom in time.
Catheterization
- Insertion of catheter.
Condom Catheters and Indwelling Catheters
- Types of catheters & their use/care.
Urinary Drainage Systems
- Standard/Leg bags and catheter care.
Dysphagia (Difficulty Swallowing), Aspiration Prevention Measures
- Positioning and support for patients to minimize aspiration risk.
- Observing patient closely for any eating issues that occur
Recording Guidelines
- Adherence to documentation policies and procedures is essential.
Basic Needs
- Meeting needs for patients who are more isolated due to illness. Maintain respect, kindness, and empathy.
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Test your knowledge of nursing assistant responsibilities, patient rights, and ethical conduct in healthcare settings. Review key concepts related to patient care, privacy, OBRA regulations and professional boundaries.
