TMU Final Test #1 Flashcards
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Questions and Answers

All residents have civil rights.

  • Civil rights (correct)
  • Hearing loss
  • Confused periods
  • Chronic diseases
  • If you make a mistake on the job, the first thing you must do is:

  • Report the mistake to your charge nurse (correct)
  • Tell your co-workers
  • Deny it ever happened
  • Try to keep it confidential
  • Nutrients are essential to our bodies for all the following reasons EXCEPT:

  • Limiting a person's life if taken externally (correct)
  • Performing bodily functions
  • Providing energy for the work the body does
  • Building and repairing tissues
  • Changing a resident's position at least every two hours:

    <p>Prevents skin breakdown</p> Signup and view all the answers

    The abbreviation ADL stands for:

    <p>Activities of daily living</p> Signup and view all the answers

    Which of the following is NOT a mechanical aid used to reduce pressure:

    <p>Autoclave</p> Signup and view all the answers

    The basic needs of the elderly include:

    <p>Physical and emotional needs</p> Signup and view all the answers

    A resident with Alzheimer's disease becomes upset and shouts at you. You should:

    <p>Answer them in a calm voice</p> Signup and view all the answers

    Dementia is best defined as:

    <p>Being deprived of reason</p> Signup and view all the answers

    The causes of dementia are not fully known, but some cases of dementia are related to:

    <p>Changes in the brain's blood vessels</p> Signup and view all the answers

    A resident refuses a prescribed treatment. A nursing assistant should:

    <p>Report and record the refusal</p> Signup and view all the answers

    The type of precautions to be followed when a resident suffers from Clostridium difficile (C. difficile) is:

    <p>Contact precautions</p> Signup and view all the answers

    A resident who has feet and ankle swelling (edema) may have a problem with their:

    <p>Heart</p> Signup and view all the answers

    Falls are common among older people due to:

    <p>Poor balance</p> Signup and view all the answers

    To avoid injury to children:

    <p>Do not use table cloths</p> Signup and view all the answers

    Choking, drowning, and strangulation are common causes of:

    <p>Suffocation</p> Signup and view all the answers

    An example of a collaborative care plan involving the staff of a nursing home and hospice care staff would include:

    <p>Both parties sitting down together and sharing what cares will be done by each party and how they are to work together</p> Signup and view all the answers

    Demonstrating good listening skills involves:

    <p>Repeating what you heard the resident say when she has finished speaking</p> Signup and view all the answers

    The goal of restorative nursing is to:

    <p>Prevent further disability</p> Signup and view all the answers

    Mindful caregiving:

    <p>Involves customer service skills</p> Signup and view all the answers

    When required to wear full personal protective equipment:

    <p>Remove the gloves first</p> Signup and view all the answers

    A resident may have difficulty breathing if they have:

    <p>COPD</p> Signup and view all the answers

    The top number of a blood pressure is known as the _____ blood pressure.

    <p>systolic</p> Signup and view all the answers

    A/an _____ is responsible for developing policies & procedures that pertain to infection control; abiding by local, state, and federal standards.

    <p>employer</p> Signup and view all the answers

    Mrs. Green is laying on her back with the head of her bed at a 30-degree angle. This position is known as a _______ position.

    <p>fowler's</p> Signup and view all the answers

    The main communication tool for care and services utilized by the interdisciplinary team is the:

    <p>Resident record</p> Signup and view all the answers

    Social needs being met include feelings of:

    <p>Belonging</p> Signup and view all the answers

    You notice that the resident has slurred speech and is drooling from the mouth. You recognize this is ______________.

    <p>dysarthria</p> Signup and view all the answers

    The function of the urinary system is:

    <p>Remove waste products from the blood</p> Signup and view all the answers

    One commonly causing reason residents develop C-difficile (C-Diff) is:

    <p>Overuse of antibiotics</p> Signup and view all the answers

    The NA enters a resident's room to find her IV tubing has become disconnected. The NA should:

    <p>Notify the licensed nurse immediately</p> Signup and view all the answers

    When a resident is NPO that means _____ .

    <p>nothing to eat or drink</p> Signup and view all the answers

    The Occupational Safety and Health Administration (OSHA) requires that all hazardous chemicals have:

    <p>A Safety Data Sheet</p> Signup and view all the answers

    Mrs. Jones consumed 3/4 of her 240 cc cup of orange juice and 1/3 of her milk out of a 120 cc cup. How much did Mrs. Jones consume?

    <p>220 cc/ml</p> Signup and view all the answers

    After contact with a resident that requires PPE, the nursing assistant should remove PPE in the following manner:

    <p>Remove gloves turning inside out and dispose of in biohazard container, unfasten gown at neck, unfasten gown at waist and roll gown by folding soiled area to soiled area, dispose in biohazard container</p> Signup and view all the answers

    For a dependent resident, you should brush their teeth:

    <p>Twice a day</p> Signup and view all the answers

    The purpose of a sequential compression device is to:

    <p>Promote venous blood flow</p> Signup and view all the answers

    A nursing assistant is taking care of a resident who is dying. The daughter has been at the bedside and insists on helping with the resident's care. The nursing assistant should:

    <p>Include the daughter in the tasks she can help with</p> Signup and view all the answers

    Massage is used to:

    <p>Promote relaxation</p> Signup and view all the answers

    Common misconceptions concerning the elderly include that the elderly:

    <p>Are totally dependent on others</p> Signup and view all the answers

    Special diets (therapeutic diets) are used to assist with a disease process and are ordered by:

    <p>The physician</p> Signup and view all the answers

    The case management for a client requiring skilled care and assistance in the home is usually done by:

    <p>A registered nurse</p> Signup and view all the answers

    When logrolling:

    <p>Turn the person in alignment with one motion</p> Signup and view all the answers

    ROM exercises will help prevent:

    <p>Contractures</p> Signup and view all the answers

    The one factor common to all communication is:

    <p>There is a transfer of a message</p> Signup and view all the answers

    You observed a coworker being physically abusive to a resident. You did not report the incident to the Nurse Supervisor. You can be charged with:

    <p>Aiding and abetting</p> Signup and view all the answers

    A resident is in cardiac arrest. Cardiac arrest is:

    <p>The sudden stopping of heart action</p> Signup and view all the answers

    Respirations are usually counted:

    <p>After taking the pulse</p> Signup and view all the answers

    Mrs. Shumway has an order for I&O. You have picked up her breakfast and note she drank a 6 oz. glass of juice, 4 oz of milk, and 8 oz of coffee. You document:

    <p>540 cc</p> Signup and view all the answers

    When caring for a client, all home health team members need to:

    <p>Communicate with each other</p> Signup and view all the answers

    Which of the following is true about people and their sleep needs?

    <p>Let each person choose their own bedtime</p> Signup and view all the answers

    When assisting a blind resident to walk, it is important to:

    <p>Allow the resident to hold your arm</p> Signup and view all the answers

    The safest way to confirm a resident's identity is:

    <p>Check an ID bracelet or tag attached to the resident</p> Signup and view all the answers

    A nosocomial infection, or hospital-acquired infection is:

    <p>An infection acquired in a healthcare facility</p> Signup and view all the answers

    When cleaning equipment, the nursing assistant should first:

    <p>Rinse the equipment with cold water</p> Signup and view all the answers

    A nursing assistant who enters a resident's room should:

    <p>Knock on the door and address the resident by name</p> Signup and view all the answers

    You have become very close with a resident, and she offers you $50 to help pay your rent for the month. Your response should be:

    <p>'I care about you and have enjoyed spending time with you, but cannot accept money. I hope you understand.'</p> Signup and view all the answers

    Which one of the following would most likely be an assigned duty for a nursing assistant?

    <p>Gives bed baths</p> Signup and view all the answers

    Removing a call light from a resident who believes it controls the television violates the resident's right to:

    <p>Freedom from abuse</p> Signup and view all the answers

    Proper care for an elderly resident with dry skin includes:

    <p>Applying lotions or creams after bathing</p> Signup and view all the answers

    Study Notes

    Civil Rights and Responsibilities

    • Civil rights are essential for all residents in healthcare settings.
    • Mistakes on the job should be reported immediately to the charge nurse.
    • Residents have the right to refuse prescribed treatments, which should be documented.

    Nutritional Needs and Health

    • Nutrients are vital for building tissues, bodily functions, and energy; they do not limit life when taken externally.
    • Essential nutrients help maintain the health of elderly residents and reduce risks of chronic diseases.

    Elderly Care Best Practices

    • Changing a resident's position every two hours prevents skin breakdown.
    • The acronym ADL refers to activities of daily living, which provide a framework for elderly care.

    Understanding Medical Conditions

    • Dementia includes a state of being deprived of reason and can be related to changes in brain blood vessels.
    • The elderly may exhibit symptoms like slurred speech and drooling due to conditions like dysarthria.

    Safety and Emergency Protocols

    • Contact precautions are necessary for residents with infections like C. difficile.
    • Oxygen is flammable; safety protocols must be followed during its use.
    • Nursing assistants should act immediately if an IV tubing disconnects but must notify a licensed nurse.

    Communication and Interaction

    • Good listening involves repeating what residents say after they finish talking to ensure understanding.
    • Positive social interactions like maintaining a feeling of belonging are critical for elderly psychological well-being.

    Personal Protective Equipment (PPE) Usage

    • PPE should be removed in a specific order to maintain safety and hygiene, with gloves taken off first.
    • A nursing assistant's responsibility includes proper disposal of PPE to avoid contamination.

    Common Misconceptions in Elderly Care

    • Elderly individuals are often inaccurately perceived as entirely dependent on others; they can actively participate in social engagements.
    • Special diets for residents are ordered by a physician to manage specific health conditions.

    Responsibilities of Nursing Assistants

    • Tasks commonly assigned to nursing assistants include helping residents with activities like bathing and oral hygiene.
    • Nursing assistants should communicate clearly with family members regarding residents' care requirements.

    Importance of Accurate Reporting

    • Reporting observed incidents, such as abusive behavior towards residents, is crucial to maintaining a safe environment.
    • Accumulating I&O (intake and output) data is vital for monitoring a resident's hydration and health.

    Understanding Health Measurements

    • Blood pressure is recorded as systolic (top number) and diastolic (bottom number), critical for assessing cardiovascular health.
    • ROM (range of motion) exercises prevent contractures and promote mobility in residents.

    Ethical Standards in Care

    • Accepting money from residents for personal favors is unethical; maintain boundaries while fostering relationships.
    • Acknowledging residents' rights to control their environment is essential for providing quality care.

    Resident Interaction Guidelines

    • When approaching a resident, knocking and addressing them by name is respectful and promotes a comfortable atmosphere.
    • Assisting visually impaired residents involves allowing them to hold the caregiver's arm for better guidance.

    Infection Control and Health Guidelines

    • A nosocomial infection is acquired within a healthcare facility; infection control measures are essential to prevent exposure.
    • Regular evaluations of equipment cleanliness are necessary to maintain standards in caregiving environments.

    Summary of Vital Practices

    • Establish routines, particularly for residents experiencing sundowning, to aid in their comfort and stability.
    • Engage in teamwork with other staff members for effective care coordination and meet resident health needs holistically.

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    Description

    Prepare for the TMU final test with these flashcards covering key concepts. Each card features a question with multiple-choice answers to reinforce understanding of civil rights and professional conduct in the healthcare field. Ideal for students aiming for success in their assessments.

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