Podcast
Questions and Answers
A female resident's husband has asked for some time alone with his wife in her room. What should the NA do?
A female resident's husband has asked for some time alone with his wife in her room. What should the NA do?
- Tell husband not to disturb his wife.
- Let husband visit and leave the door open.
- Let the husband visit but listen outside the door.
- Let the husband visit in private. (correct)
A resident needs range of motion (ROM) exercises every day. The resident says she will not do them, stating that they are too hard. What is the NA's best response?
A resident needs range of motion (ROM) exercises every day. The resident says she will not do them, stating that they are too hard. What is the NA's best response?
- "Think of something good during the exercises and maybe they won't be so hard."
- "Try harder and the exercises will be easier."
- "The doctor ordered the exercises because they are important."
- "I understand, but try working slowly and resting often." (correct)
A NA enters a room to check on a resident who is in restraints and finds that the resident has gotten out of the restraint and is partly out of the bed. What should the NA do?
A NA enters a room to check on a resident who is in restraints and finds that the resident has gotten out of the restraint and is partly out of the bed. What should the NA do?
- Call for help to get the resident back into bed and put the restraint back on. (correct)
- Put the restraint back on tightly so that the resident cannot move.
- Put a different type of restraint on the resident.
- Leave the restraint off and report the problem to the charge nurse.
A resident does not want to wear her dentures and says she has a sore in her mouth. The NA should:
A resident does not want to wear her dentures and says she has a sore in her mouth. The NA should:
After a resident has died, the NA is often assigned to do which of the following?
After a resident has died, the NA is often assigned to do which of the following?
A resident complains that he cannot fall asleep. What can the NA do first to help him relax?
A resident complains that he cannot fall asleep. What can the NA do first to help him relax?
A resident is to start range of motion (ROM) exercises. When performing ROM exercises on a resident, what does the NA do to each joint?
A resident is to start range of motion (ROM) exercises. When performing ROM exercises on a resident, what does the NA do to each joint?
A sign on the resident's door says NPO. What does this sign tell the NA about the resident?
A sign on the resident's door says NPO. What does this sign tell the NA about the resident?
A resident is smoking a cigarette in the smoking area on the outside porch of the nursing home and keeps dropping the cigarette in his lap. What should the NA do first?
A resident is smoking a cigarette in the smoking area on the outside porch of the nursing home and keeps dropping the cigarette in his lap. What should the NA do first?
A NA is assigned to care for a resident who asks her to stay with her because she thinks she is dying. What should the NA do?
A NA is assigned to care for a resident who asks her to stay with her because she thinks she is dying. What should the NA do?
A resident is able to dress himself, but he is very slow. What should the NA do to assist this resident to get to breakfast on time?
A resident is able to dress himself, but he is very slow. What should the NA do to assist this resident to get to breakfast on time?
A NA is caring for a resident on bedrest. The resident is not able to turn herself. What is the longest time that the NA is allowed to leave the resident in one position?
A NA is caring for a resident on bedrest. The resident is not able to turn herself. What is the longest time that the NA is allowed to leave the resident in one position?
A resident's care plan calls for the resident to ambulate 50 feet twice a day. The resident tells the NA that she is unable to do it now. What should the NA do?
A resident's care plan calls for the resident to ambulate 50 feet twice a day. The resident tells the NA that she is unable to do it now. What should the NA do?
A NA notices that a resident has very dry skin on the feet. How should the NA care for the resident's feet?
A NA notices that a resident has very dry skin on the feet. How should the NA care for the resident's feet?
An elderly resident is normally alert, but today she is slightly confused. What should the NA do?
An elderly resident is normally alert, but today she is slightly confused. What should the NA do?
A NA has found a fire in a resident's waste can. What should the NA do first?
A NA has found a fire in a resident's waste can. What should the NA do first?
What is the first thing a NA should do after receiving the resident assignments for the shift?
What is the first thing a NA should do after receiving the resident assignments for the shift?
A NA is walking with a resident. The resident says that she is going to faint. What should the NA do?
A NA is walking with a resident. The resident says that she is going to faint. What should the NA do?
A resident is upset after a family visit. The resident tells the NA not to allow the family to visit again. Which of the following is the NA's best response?
A resident is upset after a family visit. The resident tells the NA not to allow the family to visit again. Which of the following is the NA's best response?
A NA is feeding a resident a pureed diet. How should the NA feed the resident?
A NA is feeding a resident a pureed diet. How should the NA feed the resident?
A resident is on oxygen and tells the NA that he is not getting enough oxygen through the tubing. What should the NA do first?
A resident is on oxygen and tells the NA that he is not getting enough oxygen through the tubing. What should the NA do first?
Which of the following is a true statement about the elderly?
Which of the following is a true statement about the elderly?
A resident to have a bath and to shave every day, but he has not bathed for a week. What should the NA do?
A resident to have a bath and to shave every day, but he has not bathed for a week. What should the NA do?
A resident usually dresses himself for breakfast. Today the NA finds him in pajamas at 10:00 a.m. What should the NA do?
A resident usually dresses himself for breakfast. Today the NA finds him in pajamas at 10:00 a.m. What should the NA do?
A NA finds a male resident in bed with a female resident who is confused. What should the NA do?
A NA finds a male resident in bed with a female resident who is confused. What should the NA do?
A resident with poor vision was admitted to the unit. What should the NA do to ensure the resident's safety?
A resident with poor vision was admitted to the unit. What should the NA do to ensure the resident's safety?
A NA finds clean linen lying on the floor near the linen cart. What should the NA do?
A NA finds clean linen lying on the floor near the linen cart. What should the NA do?
A resident cannot walk by herself. What must the NA do before leaving her room?
A resident cannot walk by herself. What must the NA do before leaving her room?
A resident has trouble finding her room. What could the NA do to help this resident?
A resident has trouble finding her room. What could the NA do to help this resident?
A resident dies during the night. At breakfast, another resident who was his friend, begins to talk to the NA about the death. What should the NA do?
A resident dies during the night. At breakfast, another resident who was his friend, begins to talk to the NA about the death. What should the NA do?
A resident is lying on the floor having a seizure when the NA walks into the room. What should NA do first?
A resident is lying on the floor having a seizure when the NA walks into the room. What should NA do first?
A resident was given a stuffed animal as a gift. The resident wants to keep the stuffed animal with her much of the time. What should the NA do?
A resident was given a stuffed animal as a gift. The resident wants to keep the stuffed animal with her much of the time. What should the NA do?
A resident is dehydrated. The NA's assignment says "Force fluids." What should the NA do?
A resident is dehydrated. The NA's assignment says "Force fluids." What should the NA do?
A NA wants to get a resident involved in her own care. Which of these statements would best encourage the resident's involvement?
A NA wants to get a resident involved in her own care. Which of these statements would best encourage the resident's involvement?
A resident has an indwelling catheter. As the NA cares for him, which of these should the NA report to the charge nurse immediately?
A resident has an indwelling catheter. As the NA cares for him, which of these should the NA report to the charge nurse immediately?
What is the best source of information about the care a NA needs to give a resident.
What is the best source of information about the care a NA needs to give a resident.
A resident tells the NA that her hearing aid is not working. What should the NA do first?
A resident tells the NA that her hearing aid is not working. What should the NA do first?
While making rounds at 3:00 a.m. a NA hears a resident crying softly. How should the NA respond?
While making rounds at 3:00 a.m. a NA hears a resident crying softly. How should the NA respond?
A resident is being discharged from the nursing home. He tells the NA that he feels worried about the change. What is the NA's most helpful response?
A resident is being discharged from the nursing home. He tells the NA that he feels worried about the change. What is the NA's most helpful response?
A NA is called away from a resident's bedside. When the NA returns, the resident screams, "I'm too old and too sick to be left alone." How should the NA respond?
A NA is called away from a resident's bedside. When the NA returns, the resident screams, "I'm too old and too sick to be left alone." How should the NA respond?
A NA is cleaning a resident's closet. He finds moldy food and throws it away. The resident shouts, "Leave my food alone." What is the best response by the NA?
A NA is cleaning a resident's closet. He finds moldy food and throws it away. The resident shouts, "Leave my food alone." What is the best response by the NA?
A NA observes that a new resident is upset and frightened while getting ready for bed. The resident tells the NA that a dark room frightens her. What is the NA's best response?
A NA observes that a new resident is upset and frightened while getting ready for bed. The resident tells the NA that a dark room frightens her. What is the NA's best response?
A NA is assisting a resident with lunch. The resident grabs his throat and cannot speak. What should the NA do first?
A NA is assisting a resident with lunch. The resident grabs his throat and cannot speak. What should the NA do first?
A NA realizes from the assignment sheet, that a resident has not had a bowel movement for more than 3 days. What should the NA do?
A NA realizes from the assignment sheet, that a resident has not had a bowel movement for more than 3 days. What should the NA do?
A resident has had a stroke and has weakness on her right side. Where should the NA stand when helping the resident walk?
A resident has had a stroke and has weakness on her right side. Where should the NA stand when helping the resident walk?
A resident is grieving over the recent death of her husband. How can the NA best offer support to the resident?
A resident is grieving over the recent death of her husband. How can the NA best offer support to the resident?
A NA is assigned to care for a resident who has wandered over another unit. What is the NA'S most helpful response, when the NA brings the resident back?
A NA is assigned to care for a resident who has wandered over another unit. What is the NA'S most helpful response, when the NA brings the resident back?
A resident has cold and is using tissues for his nose. There are used tissues on the resident's bed, floor, and bedside stand. What should the NA do to control the spread of infection?
A resident has cold and is using tissues for his nose. There are used tissues on the resident's bed, floor, and bedside stand. What should the NA do to control the spread of infection?
A resident tells a NA he is going to kill himself. What should the NA do?
A resident tells a NA he is going to kill himself. What should the NA do?
A NA sees the charge nurse swallow medication that belongs to a resident. What should the NA do?
A NA sees the charge nurse swallow medication that belongs to a resident. What should the NA do?
The NA is to obtain a resident's weight. The NA should
The NA is to obtain a resident's weight. The NA should
While watching the residents in the dining room, a NA notices that a resident is eating very little lunch. It is most important that the NA
While watching the residents in the dining room, a NA notices that a resident is eating very little lunch. It is most important that the NA
A resident needs range of motion (ROM) exercises every day. When the NA tries to help her do the exercises, the resident says she will not do them. She says that they are too hard. What is the NA's best response?
A resident needs range of motion (ROM) exercises every day. When the NA tries to help her do the exercises, the resident says she will not do them. She says that they are too hard. What is the NA's best response?
A NA enters a room to check on a resident who is in restraints. The NA finds that the resident has gotten out of the restraint and is partly out of the bed. What should the NA do?
A NA enters a room to check on a resident who is in restraints. The NA finds that the resident has gotten out of the restraint and is partly out of the bed. What should the NA do?
A resident is smoking cigarette in the smoking area on the outside porch of the nursing home. The resident keeps dropping the cigarette in his lap. What should the NA do first?
A resident is smoking cigarette in the smoking area on the outside porch of the nursing home. The resident keeps dropping the cigarette in his lap. What should the NA do first?
What should the NA do if a female resident's husband asks for some time alone with his wife in her room?
What should the NA do if a female resident's husband asks for some time alone with his wife in her room?
A resident says they will not do their range of motion exercises because they are too hard. What is the NA's best response?
A resident says they will not do their range of motion exercises because they are too hard. What is the NA's best response?
A NA finds a resident in restraints partly out of bed. What should the NA do?
A NA finds a resident in restraints partly out of bed. What should the NA do?
A resident with a sore in her mouth does not want to wear her dentures. What should the NA do?
A resident with a sore in her mouth does not want to wear her dentures. What should the NA do?
After a resident dies, the NA is often assigned to do what?
After a resident dies, the NA is often assigned to do what?
A resident has trouble falling asleep. What can the NA do first to help him relax?
A resident has trouble falling asleep. What can the NA do first to help him relax?
When performing ROM exercises on a resident, what should the NA do?
When performing ROM exercises on a resident, what should the NA do?
A sign on the resident's door says NPO. What does this mean?
A sign on the resident's door says NPO. What does this mean?
A resident keeps dropping his cigarette in his lap while smoking. What should the NA do first?
A resident keeps dropping his cigarette in his lap while smoking. What should the NA do first?
A resident says she thinks she is dying and asks the NA to stay with her. What should the NA do?
A resident says she thinks she is dying and asks the NA to stay with her. What should the NA do?
A resident is able to dress himself, but he is very slow. How can the NA assist the resident to get to breakfast on time?
A resident is able to dress himself, but he is very slow. How can the NA assist the resident to get to breakfast on time?
A resident on bedrest cannot turn herself. What is the longest time the NA can leave the resident in one position?
A resident on bedrest cannot turn herself. What is the longest time the NA can leave the resident in one position?
A resident's care plan calls for ambulation twice a day, but the resident says she is unable to do it now. What should the NA do?
A resident's care plan calls for ambulation twice a day, but the resident says she is unable to do it now. What should the NA do?
A resident has very dry skin on her feet. How should the NA care for the resident's feet?
A resident has very dry skin on her feet. How should the NA care for the resident's feet?
Flashcards
Husband wants private time with wife
Husband wants private time with wife
Respect resident privacy; allow private visits.
Resident refuses ROM exercises
Resident refuses ROM exercises
Acknowledge difficulty, suggest pacing and breaks.
Resident escapes restraint
Resident escapes restraint
Call for assistance to safely return the resident to bed, then reapply the restraint.
Resident has denture sore
Resident has denture sore
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After resident's death, the NA...
After resident's death, the NA...
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Resident can't fall asleep
Resident can't fall asleep
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How to perform ROM exercises?
How to perform ROM exercises?
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What does 'NPO' mean?
What does 'NPO' mean?
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Resident dropping cigarette
Resident dropping cigarette
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Resident says they are dying
Resident says they are dying
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Slow dressing resident
Slow dressing resident
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Bedrest resident repositioning time
Bedrest resident repositioning time
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Refuses to ambulate now
Refuses to ambulate now
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Resident with dry feet
Resident with dry feet
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Resident is confused today
Resident is confused today
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Fire found in waste can
Fire found in waste can
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First thing after shift assignments?
First thing after shift assignments?
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Resident says she's going to faint.
Resident says she's going to faint.
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Resident upset after family visit
Resident upset after family visit
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Feeding a pureed diet
Feeding a pureed diet
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Resident says not enough oxygen
Resident says not enough oxygen
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A true statement about the elderly?
A true statement about the elderly?
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Refusing bath and shave daily
Refusing bath and shave daily
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Finding resident in pajamas
Finding resident in pajamas
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Male in bed with confused female
Male in bed with confused female
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Resident has poor vision
Resident has poor vision
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Found clean linen on floor
Found clean linen on floor
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Resident cannot walk alone
Resident cannot walk alone
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Resident is having trouble finding her room
Resident is having trouble finding her room
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Friend of resident dies
Friend of resident dies
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Resident having a seizure
Resident having a seizure
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Resident wants to hold stuffed animal.
Resident wants to hold stuffed animal.
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Resident dehydrated, and force fluids
Resident dehydrated, and force fluids
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Best involvement encouragement?
Best involvement encouragement?
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Resident with catheter complains
Resident with catheter complains
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Where to get resident care information?
Where to get resident care information?
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Resident hearing aid not working
Resident hearing aid not working
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Resident crying softly at 3 AM
Resident crying softly at 3 AM
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Resident worried about discharge
Resident worried about discharge
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NA left resident's bedside
NA left resident's bedside
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Finds moldy food
Finds moldy food
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Afraid of the dark
Afraid of the dark
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Person gripping throat
Person gripping throat
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Bowel movement problem
Bowel movement problem
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A resident experiencing right sided weakness.
A resident experiencing right sided weakness.
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Best way to support resident.
Best way to support resident.
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Resident is wandering
Resident is wandering
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The spread of the virus
The spread of the virus
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Suicidal ideations
Suicidal ideations
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Charge nurse swallows medications
Charge nurse swallows medications
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Study Notes
Resident Rights and Respect
- A husband is allowed private visits with his wife, who is a resident.
- Allow residents to express their feelings.
- Residents are allowed to keep personal items with them.
- Residents have a right to privacy and confidentiality (HIPAA).
- With the resident's permission, help look around the resident's room if they report a missing item.
Communication and Emotional Support
- Ask residents why they feel a certain way to understand their concerns.
- Encourage residents to talk about their feelings.
- When a resident is crying, ask what is wrong.
- Acknowledge and address a resident's worries about changes in their life.
- Encourage a resident's involvement in their own care by offering choices.
Range of Motion
- Assist residents with ROM exercises, encouraging them to work slowly and rest often if they find the exercises difficult.
- Move each joint to its fullest range or until the resident feels discomfort.
Observation and Reporting
- Report any new confusion in a normally alert resident to the charge nurse.
- Report a resident not having a bowel movement for more than 3 days to the charge nurse.
- Immediately report a resident's complaint of chest pain to the charge nurse.
- Immediately report fingers turning cold and blue while the resident is wearing a hand splint.
Hygiene and Personal Care
- If a resident says they have a sore in their mouth, leave the dentures out and ask the nurse to check the resident's mouth.
- Give the resident a back rub to help them relax to fall asleep.
- Apply lotion after washing and drying the feet of a resident with dry skin.
- If a resident has not bathed for a week ask the charge nurse for assistance with the problem.
- Follow Standard Precautions: Wear gloves for colostomy care.
- If hot tea splashes on a resident's hand: Wet a towel or napkin with cool water and place against the injured area.
Safety
- After a resident has died, prepare the resident's body.
- Ensure the call light is within reach before leaving a resident's room.
- Make a special sign for the door of a resident who is having trouble finding her room.
- Move any objects which could injure a resident having a seizure with supportive head placement.
- Stay with a suicidal resident and call for help.
- Attach a paper bag to the bed of a resident with a cold for used tissues.
- Stay with a resident who keeps dropping a cigarette in their lap while smoking.
- Assist a fainting resident to sit slowly on the floor.
- Move residents out of immediate danger first if there is a fire and yell "FIRE!" along with the room number.
Nutrition
- If a resident complains of not getting enough oxygen check the tubing.
- Offer food with each portion on a pureed diet.
- Increase the resident's fluid intake when the assignment says "Force fluids".
- When feeding a resident, and they keep coughing stop the feeding and report to the change nurse.
- For a high-protein diet feed the resident meat and eggs.
- Ask the resident who is eating very little if they would like something else to eat
Mobility and Positioning
- When caring for a resident on bedrest, do not leave them in on position for longer than 2 hours.
- Allow the resident to choose a better time to ambulate if they are unable to walk.
- Call for help to get the resident back into bed and put the restraint back on.
- Check if the tubing is kinked for a resident with an indwelling catheter that says, "I need to urinate."
- If resident coughs after fluids: Stop the feeding and report the coughing to the charge nurse.
- When helping a resident walk do so on their left side if the right side is weak.
- Avoid pulling or sliding the resident when moved to prevent skin tears or shearing.
- Turn and position the resident often according to schedule will best prevent the resident from developing pressure ulcers.
- The resident should ambulate 50 feet twice a day -Allow the resident to choose a better time to ambulate if they are unable to do it now.
Restraints
- When a resident gets out of a restraint and is partly out of the bed, call for help to get the resident back into bed and put the restraint back on.
- Use physical restraint (protect the resident from injury).
Infection Control
- Discard clean linen found lying on the floor in the soiled linen hamper.
- After receiving resident assignments for the shift, make rounds and see each resident briefly.
- Wear gloves for Standard Precautions
- Place a use disposable razor in a sharps container immediately.
Dementia Care
- Residents with dementia have a need for daily routines, and providing opportunities for activity and periods for rest is important.
- "Sundowning" is when residents become restless and agitated late in the day.
- Provide reality orientation with residents who have dementia. For example: "Look at the time. Lunch is in 30 minutes. Are you feeling hungry?"
End of Shift Responsibilities
- At the end of shift always provide incontinent care to the resident if need be.
- Incontinent care to the resident
Scopes of Practice
- Refuse to perform tasks not within the NA's role and explain this to the charge nurse if asked to perform a task outside the nurse aide's scope of practice.
- Check what scale is usually used for this resident before weighing a resident
Indewelling Catheter
- If a resident complains of pain and burning that they have an indewelling catheter, report it to the charge nurse immediately.
- Always Keep the area where the catheter enters the body clean.
- For a resident with an indwelling urinary catheter place the drainage bag attached to the seat of the wheelchair, positioned below the level of the resident's bladder.
Acute Situations
- A trash can in the room is on fire remove the resident from the room.
- Provide routine with residents.
- For a resident who is chocking ask if the resident can talk and perform abdominal thrust.
- When a NA realizes that a new resident is upset and frightened while getting ready for bed and the resident tells the NA that a dark room frightens her, the NA can leave the door open so the light can come in.
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