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Questions and Answers

Who is primarily involved in creating a resident's plan of care?

  • The housekeeping staff
  • The resident's roommate
  • Other nurse aides on the unit
  • The resident's plan of care (correct)

A resident's hearing aid isn't working. What initial action should the NA take?

  • Check to see that the hearing aid is turned on (correct)
  • Turn up the volume
  • Tell the charge nurse
  • Change the battery

During rounds, a NA hears a resident crying. What is the most appropriate response?

  • Tell the resident that everything will be better in the morning.
  • Pretend not to notice that the resident is crying.
  • Ask the resident what is wrong. (correct)
  • Tell the resident that everything is fine and to cheer up.

A resident expresses worry about being discharged. What is the MOST helpful response from the NA?

<p>Encourage the resident to talk about his feelings. (D)</p> Signup and view all the answers

After a brief absence, a NA returns to find a resident upset about being left alone. What is the most appropriate response?

<p>&quot;I'm sorry I had to leave. Can I help you now?&quot; (B)</p> Signup and view all the answers

A NA finds moldy food in a resident's closet while cleaning. What is the BEST initial response after the resident objects to its removal?

<p>&quot;Why are you saving this food? Do you get hungry between meals?&quot; (C)</p> Signup and view all the answers

A new resident is afraid of the dark. What action should the NA take?

<p>&quot;I will leave the door open so the light can come in.&quot; (B)</p> Signup and view all the answers

What action should a nursing assistant (NA) take when a resident who was friends with a deceased resident begins talking about the death at breakfast?

<p>Allow the resident to talk about the death. (D)</p> Signup and view all the answers

What is the first action a nursing assistant (NA) should take when they find a resident having a seizure on the floor?

<p>Move any objects which could injure the resident and support her head. (B)</p> Signup and view all the answers

A resident has a stuffed animal and wants to keep it with her. What should the nursing assistant (NA) do?

<p>Let her hold the stuffed animal whenever she wants to. (D)</p> Signup and view all the answers

A resident is dehydrated, and the nursing assistant's assignment says "Force fluids." What should the NA do?

<p>Increase the resident's fluid intake. (C)</p> Signup and view all the answers

A nursing assistant (NA) wants to involve a resident in their own care. Which statement best encourages the resident's involvement?

<p>&quot;Do you want to take your bath now or after breakfast?&quot; (B)</p> Signup and view all the answers

A resident with an indwelling catheter complains of pain and burning. What action should the nursing assistant (NA) take?

<p>Report the resident's complaint to the charge nurse immediately. (D)</p> Signup and view all the answers

What type of information is most important for a nursing assistant (NA) to know when caring for a resident?

<p>The care plan (A)</p> Signup and view all the answers

What is the MOST appropriate action for a nursing assistant (NA) to take when a resident falls?

<p>Stay with the resident and call for help. (A)</p> Signup and view all the answers

If a nursing assistant (NA) observes a charge nurse taking a resident's medication, what should the NA do?

<p>Report the incident to the administrator or nursing supervisor. (A)</p> Signup and view all the answers

Before weighing a resident, what should the nursing assistant (NA) check?

<p>What scale is usually used for this resident. (B)</p> Signup and view all the answers

While assisting residents during mealtime, a nursing assistant (NA) notices that a resident is eating very little. What is the MOST important action for the NA to take?

<p>Ask if the resident would like something else to eat. (C)</p> Signup and view all the answers

A resident tells a nursing assistant (NA) that they had a very large bowel movement two days ago. What should the NA do FIRST?

<p>Ask if this is a normal pattern for the resident. (D)</p> Signup and view all the answers

During personal care, a resident starts to have a seizure. What should the nursing assistant (NA) do?

<p>Call the charge nurse and remain with the resident. (B)</p> Signup and view all the answers

A normally alert resident is having trouble remembering where they are. What should the NA do FIRST?

<p>Ask where the resident believes they are. (A)</p> Signup and view all the answers

When transferring a resident, the nursing assistant (NA) should use proper body mechanics to:

<p>Keep their back straight and bend at the knees. (A)</p> Signup and view all the answers

During feeding, a nursing assistant (NA) observes a resident coughing after each drink. What action should the NA take first?

<p>Stop feeding and report the coughing to the charge nurse immediately. (D)</p> Signup and view all the answers

How is the height of a resident who cannot stand generally measured?

<p>By measuring from head to heels while the resident is lying flat in bed. (D)</p> Signup and view all the answers

A nursing assistant (NA) discovers a trash can fire in a resident's room. What is the NA's priority?

<p>Remove the resident from the room. (A)</p> Signup and view all the answers

The heart belongs to which body system?

<p>Circulatory (C)</p> Signup and view all the answers

A resident reports a missing wristwatch. What initial action should a nursing assistant (NA) take?

<p>Ask for permission to help look around the resident's room. (D)</p> Signup and view all the answers

Which of the following observations requires immediate reporting to the charge nurse?

<p>A resident's complaint of chest pain. (A)</p> Signup and view all the answers

While serving lunch, hot tea spills on a resident's hand. What is the nursing assistant's (NA) FIRST action?

<p>Wet a towel with cool water and place it against the injured area. (C)</p> Signup and view all the answers

What does NA stand for concerning medical staff in a hospital?

<p>Nursing Assistant (B)</p> Signup and view all the answers

What should a nursing assistant (NA) do when a resident whispers that they had an accident and wet themselves?

<p>Provide incontinent care to the resident. (D)</p> Signup and view all the answers

A nursing assistant finds a resident lying on the floor who states, "I fell again." What action should the NA take first?

<p>Call for help while keeping the resident calm. (C)</p> Signup and view all the answers

Why is the Health Insurance Portability and Accountability Act (HIPAA) important for a nurse aide?

<p>It identifies protected health information that must remain confidential. (C)</p> Signup and view all the answers

How can a nursing assistant help a resident have regular bowel movements?

<p>Providing a routine time for the resident to use the toilet. (D)</p> Signup and view all the answers

When a resident has an indwelling catheter, what should a nursing assistant expect to be included in the resident's care plan?

<p>Keeping the area where the catheter enters the body clean. (D)</p> Signup and view all the answers

What is the first step a nursing assistant should take upon discovering a fire?

<p>Remove any residents near the fire. (D)</p> Signup and view all the answers

What is the best immediate action for a nursing assistant (NA) to take when a resident has a nosebleed?

<p>Apply a cool, wet towel to the resident's nose. (B)</p> Signup and view all the answers

A resident is feeling faint. What should the NA do?

<p>Have the resident sit or lie down. (C)</p> Signup and view all the answers

To prevent skin damage when moving a resident, what should an NA avoid?

<p>Pulling or sliding the resident (D)</p> Signup and view all the answers

For a resident who stays in bed for long periods, what is the MOST effective way to prevent pressure ulcers?

<p>Turning and positioning the resident according to schedule (B)</p> Signup and view all the answers

Where should a urinary drainage bag be placed when a resident with an indwelling catheter is in a wheelchair?

<p>Attached to the seat of the wheelchair, below the level of the resident's bladder (C)</p> Signup and view all the answers

When admitting a resident with right-sided weakness, what should the NA do before assisting the resident to the bathroom?

<p>Get instructions from the nurse about how to toilet the resident (B)</p> Signup and view all the answers

What demonstrates the BEST support for a resident in a rehabilitation program after a stroke, who is planning to return home?

<p>Help the resident focus on even small accomplishments (B)</p> Signup and view all the answers

While helping a resident dress, the NA observes faster breathing and the resident reports feeling tired. What should the NA do FIRST?

<p>Report the observations to the nurse (D)</p> Signup and view all the answers

Before assisting a resident into a wheelchair, what should the NA ensure?

<p>The wheelchair wheels are locked (A)</p> Signup and view all the answers

Which of the following is most important for the NA to do when providing personal care?

<p>Follow the care plan. (A)</p> Signup and view all the answers

Flashcards

Resident keeps wandering

Create a sign for her door.

Resident grieving

Allow the resident to talk about their friend's death.

Resident having a seizure

Move objects and support her head.

Resident with comfort item

Let her hold the stuffed animal.

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"Force fluids"

Increase the resident's fluid intake.

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Involving resident in care

"Do you want to take your bath now or after breakfast?"

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Catheter problem to report

The resident complains of pain and burning.

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Resident's Plan of Care

A guide detailing the care and support a resident needs, created based on their individual needs and preferences.

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Hearing Aid Not Working: First Step

First, check if the hearing aid is switched on before attempting other solutions.

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Responding to a Crying Resident

Respond by asking the resident what is wrong to understand their distress.

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Resident Expressing Worry About Discharge

Encourage the resident to express their feelings to help address their worries.

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Resident Feeling Abandoned

Acknowledge their feelings and offer help to reassure the resident.

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Finding Moldy Food in Resident's Room

Inquire about the reasons for saving food to understand the resident's behavior.

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Resident Afraid of the Dark

Offer a solution, like leaving the door open, to alleviate the resident's fear of darkness.

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Resident Falling: NA Response

Stay with the resident and call for help.

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NA Witnessing Nurse Stealing Medication

Report the incident to the administrator or nursing supervisor.

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Obtaining Resident's Weight

Check what scale is usually used for this resident.

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Resident Eating Very Little

Ask if the resident would like something else to eat.

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Resident Reports Large Bowel Movement

Ask if this is a normal pattern for the resident's body.

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Resident with Memory Issues

Check vital signs and report to the nurse.

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Treating Injuries

Apply cool water to the injured area using a towel or napkin.

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Accident Protocol

The NA should provide incontinent care to the resident to ensure comfort and hygiene.

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Responding to Falls

Call for help while keeping the resident calm. Avoid moving the resident until help arrives to prevent further injury.

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HIPAA Importance

HIPAA ensures that a resident's health information remains confidential.

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Regular Bowel Movements

Providing a routine time for the resident to use the toilet

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Indwelling Catheter

C.Keeping the area where the catheter enters the body clean

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Discovering a fire

Remove any residents near the fire

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Footdrop

Dropping of the foot due to muscle weakness or nerve damage.

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Resident Coughing While Eating

Stop feeding immediately and report the coughing to the charge nurse.

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Measuring Height When Resident Can’t Stand

Measure the resident from head to heels while they are lying flat in bed.

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Fire Safety: First Action

Remove the resident from the room.

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Heart's Body System

The circulatory system.

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Missing Item: NA's Action

Ask for permission to help look around the resident’s room.

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Urgent Report to Nurse

Report the resident’s complaint of chest pain immediately.

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First Response to Burns

Wet a towel with cool water and place against the injured area.

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Safe Resident Transfer

Avoid pulling or sliding the resident during movement to prevent skin damage.

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Preventing Pressure Ulcers

Regularly turning and repositioning a bedridden resident helps prevent pressure ulcers.

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Catheter Bag Placement

When a resident is in a wheelchair, keep the urinary drainage bag below the bladder to prevent backflow.

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Toileting Post-Stroke

Before assisting a resident with toileting after a stroke, get instructions from the nurse.

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Rehab Support

Focus on and celebrate the resident's small achievements to support rehabilitation after a stroke.

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Fall Prevention

Stop resident from falling. Gently assist the resident to the floor.

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Resident Breathing Changes

If a resident states feeling tired, first action should be to check the respertations.

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Preventing Dizziness

Assist the resident to sit on the side of the bed and dangle legs for a few minutes before standing.

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Study Notes

  • A female resident's husband asks for private time with his wife; the NA allows the private visit.
  • If a resident refuses range of motion (ROM) exercises because they are too hard, respond, "I understand, but try working slowly and resting often."
  • If a resident in restraints is partly out of bed, call for help to get the resident back into bed and put the restraint back on.
  • If a resident says she has a sore mouth and doesn't want to wear dentures, leave the dentures out and ask the nurse to check the resident's mouth.
  • After a resident dies, the NA may be assigned to prepare the resident's body.
  • If a resident can't fall asleep, the NA can give the resident a back rub to help them relax.
  • When performing ROM exercises, move each joint to its fullest range or until the resident feels discomfort.
  • An NPO sign on the resident’s door means the resident is not to be given anything by mouth.
  • If a resident smoking keeps dropping the cigarette, stay with the resident until they finish smoking.
  • If a resident says she is dying, ask the resident why she feels this way.
  • If a resident is slow dressing for breakfast, start the resident dressing earlier.
  • The longest time an NA can leave a bedrest resident who cannot turn themself in one position is 2 hours.
  • A resident who can ambulate 50 feet twice a day says she's unable to now, allow the resident to choose a better time to ambulate.
  • For a resident with dry skin on the feet, apply lotion after washing and drying the feet.
  • If an alert elderly resident is slightly confused, report the confusion to the charge nurse.
  • Upon finding a fire in a resident's waste can, move residents out of immediate danger first.
  • After receiving resident assignments, make rounds and see each resident briefly.
  • If a resident is walking and says that she is going to faint, assist the resident to sit slowly on the floor.
  • When a resident is upset after a family visit and asks that the family not be allowed to visit again, ask "Can you tell me why you are so upset?"
  • Feed a resident on a pureed diet by giving portions from each food on the tray.
  • If a resident on oxygen says they aren't getting enough oxygen through the tubing, check the tubing.
  • The elderly often have problems with vision.
  • A resident who hasn't bathed in a week should prompt you to ask the charge nurse for assistance with the problem.
  • If a resident who usually dresses himself for breakfast is still in pajamas at 10:00 a.m., dress the resident.
  • If you find a confused male resident in bed with a female resident, report this to the charge nurse.
  • For a resident with poor vision, help the resident become familiar with the location of furniture in the room to ensure safety.
  • Clean linen found on the floor near the linen cart should be discarded in the soiled linen hamper.
  • Before leaving a resident who cannot walk alone in their room, put the call light where she can reach it.
  • If a resident has trouble finding their room, make a special sign for their door.
  • When a resident dies during the night and another resident talks about the death, allow the resident to talk about the death.
  • If a resident is having a seizure on the floor, move any objects which could injure the resident and support their head.
  • Allow a resident to hold a stuffed animal whenever she wants to if they were given the stuffed animal as a gift.
  • If a resident is dehydrated, increase the resident's fluid intake with assignment saying "force fluids."
  • "Do you want to take your bath now or after breakfast?" encourages a resident's involvement in their own care.
  • Report a resident’s complaints of pain and burning immediately if they have an indwelling catheter.
  • A resident's plan of care is the best source of information about the care an NA needs to give.
  • Check to see that the hearing aid is turned on if a resident says that their hearing aid is not working.
  • When a NA hears a resident softly crying at 3:00 a.m., ask the resident what is wrong.
  • If a resident being discharged from the nursing home says he is worried about the change, encourage the resident to talk about his feelings.
  • If a resident screams, "I'm too old and too sick to be left alone" when an NA returns to the bedside, respond, "I'm sorry I had to leave. Can I help you now?"
  • If finding moldy food in a residents closet who shouts "Leave my food alone," ask "Why are you saving this food? Do you get hungry between meals?"
  • If a new resident is upset and frightened of a dark room, respond, "I will leave the door open so the light can come in."
  • If a residnet grabs his throat and cannot speak, perform the Heimlich maneuver.
  • Report it to the charge nurse if a resident has not had a bowel movement for more than 3 days.
  • Stand on the resident's left side when helping a resident with right-side weakness from a stroke walk.
  • If a resident is grieving over the recent death of her husband, encourage the resident to express her feelings.
  • "Let me walk with you" is the most helpful response when bringing a wandering resident back.
  • Control the spread of infection with a resident who has a cold and using tissues by attaching a paper bag to the resident's bed and ask him to put the used tissues in it.
  • If a resident says he is going to commit suicide, stay with the resident and call for help.
  • Report a charge nurse swallowing medication that belongs to a resident to the administrator or nursing supervisor.
  • Check what scale is usually used for a resident when obtaining the resident's weight.
  • If a resident is eating very little lunch, ask if the resident would like something else to eat.
  • Ask if it is a normal pattern for the resident's body if a resident reports having a very large bowel movement two days ago.
  • The NA should call the charge nurse and remain with a resident that is having a seizure.
  • Report the change to the charge nurse if a resident is having difficulty remembering where he is today.
  • Report to the nurse immediately the resident's fingers are cold and blue in color if a resident wears a hand splint.
  • Make sure the hearing air is turned on if a resident who is wearing a hearing aid keeps asking the NA to repeat information.
  • The use of physical restraint helps protect the resident from injury.
  • When leaving a resident who needs assistance to walk in their rooms, place the call light where the resident can reach it.
  • Refuse to perform the task and explain it is not within the NA's role if a charge nurse asks a NA to perform a task that is not part of the NA's scope of practice.
  • The purpose of a gait or transfer belt is to help steady and support a resident when transferring or walking.
  • A resident who must stay in bed is at risk for developing Footdrop.
  • Stop the feeding and report the coughing to the charge nurse right away when feeding a resident, the NA notices that the resident keeps coughing after each drink of fluids.
  • When a resident is unable to stand, resident gets height by taking the measurement from head to heels while the resident is flat in bed.
  • Remove the resident from the room first if trash can is on fire.
  • The heart is an important muscle for the Circulatory system.
  • For permission to help look around the resident's room if their watch is missing.
  • A resident's complaint of chest pain should reported immediately.
  • A resident's complaint of chest pain
  • A resident who wanders is found napping in another resident’s bed.
  • Wet a towel or napkin with cool water and place against the injured area if hot tea splashes on a resident's hand.
  • Provide incontinent care to the resident if he has had an accident.
  • Call for help while keeping the resident calm when they fell again.
  • HIPPA identifies protected health information that must remain confidential
  • Provide a routine time for the toilet to resident so they have regular bowel movements.
  • Keep area where the catheter enter the body is clean for indwelling catheter.
  • Remove any residents near the fire if it spreads and pull the alarm.
  • Place stop signs on doors to avoid confused residents to roam.
  • Keep the resident safe and comfortable.
  • Wait to take the vital signs after the minister has left if the resident is praying.
  • Place the razor in container immediately
  • Ask charge nurse for assistance with the feeding pump when tubing is connected.
  • Check to see if the tubing is kinked and draining if they need to urinate.
  • Avoid pulling or sliding and wear gloves when move people.
  • Turn and position is schedule because has to stay for long.
  • Attached to the seat of the wheelchair, below the level of the bladder
  • Before the toilet resident they just assist a new stroke resident, get more instructions.
  • Help the resident’s side.
  • Stop and get for distress.
  • Get dressing and help for faster breathing.
  • Meat and eggs

Become restless.

Stay calm and give pillow under call

  • Stay with the
  • Stay with the injured arm with a pillows
  • This is time. Time time time time time
  • Need rest time
  • Time time time time time again

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