Understanding Residents Chapter 3
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Questions and Answers

List 5 basic physical needs that all humans have.

Food and water, Protection and shelter, Activity, Sleep and rest, Comfort: especially freedom from pain.

List 6 psychological needs that humans have.

Love and affection, Acceptance by others, Safety and security, Self-reliance and independence in daily living, Contact with others, Success and self-esteem.

Name which Maslow need: I need the chance to learn new things.

Need for self-actualization.

Name which Maslow need: I need to know that I am doing a good job.

<p>Need for self-esteem.</p> Signup and view all the answers

Name which Maslow need: I need to feel loved by others around me.

<p>Need for love.</p> Signup and view all the answers

Name which Maslow need: I need to have shelter and stability.

<p>Safety and security needs.</p> Signup and view all the answers

Name which Maslow need: I need oxygen, water, food, elimination, and rest.

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

True or False: Elderly people do not have sexual urges.

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

True or False: The ability to engage in sexual activity continues unless disease or injury occurs.

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

True or False: Residents have the legal right to choose how to express their sexuality.

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

True or False: All elderly people have the same sexual behavior and desires.

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

True or False: A nursing assistant must respect each resident's sexual orientation and gender identity.

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

True or False: The NA should always knock and wait for a response before entering resident's rooms.

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

True or False: If an NA sees a sexual encounter between consenting adult residents, she should ask them to stop.

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

True or False: If an NA encounters a resident being sexually abused, he should take the resident to a safe place and then notify the nurse.

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

What is holistic care?

<p>Caring for all parts of a person - physical (body) and mental (mind).</p> Signup and view all the answers

True or False: A resident tells his nursing assistant that he cannot drink milk with his hamburger due to his religious beliefs. He asks for some water instead. The NA takes the milk away and brings him water.

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

True or False: A resident tells her NA that she is a Baptist and wants to know when the next Baptist service will be. The NA asks, 'Why don't you just attend a Catholic service instead? I'm Catholic, and my church is close by.'

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

True or False: A resident asks an NA to read a passage from his Bible. The NA opens the Bible and begins to read.

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

True or False: A resident wants to see a rabbi. The NA reports this request to the nurse.

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

True or False: A nursing assistant sees a Buddha statue in a resident's room. The NA chuckles and tells the resident, 'This little guy is so cute.'

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

True or False: A spiritual leader is visiting with a resident. The NA quietly leaves the room and shuts the door.

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

True or False: A resident tells his NA that he is Muslim. The NA begins to explain Christianity to him and asks him to attend a Christian service just to see what it is like.

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

True or False: A resident tells a NA that she does not believe in God. The NA does believe in God but does not argue with the resident. The NA listens quietly as the resident explains her reasons.

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

A loss of __________ is very difficult for a person to deal with.

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

A nursing assistant should allow a resident to do a __________ independently even if it is easier for the NA to do it.

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

__________ of daily living (ADLs) are personal care tasks a person does every day to care for himself.

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

NAs should encourage __________ regardless of how long it takes or how well residents are able to do it.

<p>Self-care</p> Signup and view all the answers

A loss of independence can cause increased __________.

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

List all the ways in which Sarah did NOT promote privacy, dignity, and independence.

<p>Did not knock on any doors or provide privacy when Mrs. Sanchez was dressing: no privacy, barged in while Mrs. Sanchez was partly nude, watched as she dressed: no dignity, didn't allow Mrs. Sanchez to undress herself or choose her clothing: no independence.</p> Signup and view all the answers

Describe 2 examples of how you can respect and value each person as an individual.

<p>Respond to differences and new experiences with acceptance. Learn phrases if the resident speaks another language. Do not question the resident's religious beliefs.</p> Signup and view all the answers

What are some things that you can do to improve your awareness of your resident's culture and needs?

<p>Ask questions and always respect resident's choices, beliefs, and behaviors.</p> Signup and view all the answers

A type of cancer that regular physical activity lessens the risk of?

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

Type of infection that inactivity can result in?

<p>Urinary Tract</p> Signup and view all the answers

The ability to cope with this is one benefit of regular activity?

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

Before activities begin, something that NAs can help with?

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

Something increased by regular activity; also promotes better eating habits?

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

Abbreviation for federal law requiring that facilities provide an activities program that meets the interests of residents?

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

Type of family: Mr. Dane's wife died giving birth to their twin girls. Mr. Dane remarried and raised the girls himself?

<p>Single-parent family</p> Signup and view all the answers

Type of family: Ms. Cone has lived with her best friend, Ms. Lawrence, since they graduated from college together. They both dated men throughout their lives but were never married. Ms. Cone has a teenage daughter who was raised in their household?

<p>Extended family</p> Signup and view all the answers

Type of family: Mrs. Rose has three children with her first husband. She divorced him when their youngest child was 2 years old. 2 years later she remarried, and she and her second husband raised her three children as well as one child from his first marriage?

<p>Blended family</p> Signup and view all the answers

Type of family: Mrs. Parker was married to her husband for 30 years. They lived together with their 2 children?

<p>Nuclear family</p> Signup and view all the answers

Type of family: Mr. Potter was married in his 20s. He and his wife moved in with her parents and had 3 children. After his younger sister got divorced, she also moved in with them?

<p>Extended family</p> Signup and view all the answers

Type of family: Mr. Barter and Mr. Singer have been in a committed relationship for 15 years. They live with their 10-year-old daughter?

<p>Nuclear family</p> Signup and view all the answers

How is family now defined?

<p>By support of one another</p> Signup and view all the answers

True or False: A child takes 3 years from birth to be able to move around, communicate basic needs, and feed himself.

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

True or False: Physical development in infancy moves from the hands up to the head.

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

True or False: Tantrums are common among toddlers.

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

True or False: Preschool children are too young to know right from wrong.

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

True or False: Children learn to speak between the ages of 3 and 6.

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

True or False: From the ages of 6 to 10, children learn to get along with each other.

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

True or False: School-age children (6-10 years) develop cognitively and socially.

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

True or False: Preadolescents are often easy to get along with and are able to handle more responsibility than they were before.

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

True or False: Puberty is the stage of growth when secondary sex characteristics, such as body hair, appear.

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

True or False: Most adolescents do not feel that peer acceptance is important.

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

True or False: Adolescents may be moody due to changing hormones and body image concerns.

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

True or False: By 19 years of age, most young adults have stopped developing physically, psychologically, and socially.

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

True or False: One developmental task that most young adults undertake is to choose an occupation or career.

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

True or False: Middle-aged adults usually do not experience any physical changes due to aging.

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

True or False: By the time a person reaches late adulthood, he must adjust to the effects of aging.

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

True or False: Older adults have different capabilities depending on their health.

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

True or False: As people age, they often become lonely, forgetful, and slow.

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

True or False: Diseases and illnesses are not a normal part of aging.

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

True or False: Many older adults can lead active and healthy lives.

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

True or False: Prejudice against older people is as unfair as prejudice against racial, ethnic, or religious groups.

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

True or False: Television and movies often present an accurate image of what it is like to grow old.

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

True or False: Skin becomes drier and less elastic.

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

True or False: Responses and reflexes quicken as a person ages.

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

True or False: Appetite increases with age.

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

True or False: Urinary elimination becomes less frequent in older adults.

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

True or False: Weakened immunity is a normal part of aging.

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

True or False: Depression is normal in the elderly.

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

True or False: The loss of ability to think logically is not a normal change of aging.

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

List 3 abilities that may be affected by developmental disabilities.

<p>Language, Mobility, Learning.</p> Signup and view all the answers

List 4 guidelines for caring for a resident who has an intellectual disability.

<p>Be patient, Treat adult residents as adults, Encourage social interaction, Praise &amp; encourage often, especially positive behavior.</p> Signup and view all the answers

Uneasiness, worry, or fear, often about a situation or condition, is called?

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

An intense, irrational fear of an object, place, or situation is called?

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

Which of the following means lack of interest in activities?

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

A false sensory perception, such as a person seeing her mother who has been dead for many years in front of her, is a?

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

A persistent false belief, such as a person believing that someone is controlling his thoughts, is a?

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

Which of the following mental health disorders is characterized by changing moods, high energy, and big speeches?

<p>Bipolar Disorder</p> Signup and view all the answers

A method of treating mental health disorders that involves talking about one's problems with mental health professionals is called?

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

Which stage of grief: Mr. Cane was told 2 years ago that a tumor in his brain was inoperable and would eventually be fatal. Since that time, he has visited many specialists. Despite receiving the same diagnosis from every doctor, he continues to seek further opinions, insisting that each doctor try to remove the tumor.

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

Which stage of grief: Mrs. Tyler is dying of heart disease. One day as her NA, Annie, is assisting her with personal care, Mrs. Tyler lashes out at her. She tells Annie that she is a dumb girl who is wasting her life and does not deserve the many years she has left to live.

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

Which stage of grief: Mr. Lopez is dying of AIDS. He has called all of his friends to say goodbye and has discussed at length with his family the kind of memorial service he would like them to arrange.

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

Which stage of grief: Mrs. Corker has always been lively and happy. Since learning that she has Lou Gehrig's disease, however, her mood has changed drastically. Although she is still healthy enough to do activities, she rarely leaves her room or even changes out of her night clothes.

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

Which stage of grief: Mr. Celasco has had lung cancer for several years. During that time, he has tried to quit smoking but has been unsuccessful. When he finds out that there are no further treatments for him to try, he pledges that he will give up smoking in exchange for a few more years of life.

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

Which of the following is a type of advance directive that appoints someone to make medical decisions for a person in the event he or she becomes unable to do so?

<p>Durable Power of Attorney for health care</p> Signup and view all the answers

A type of advance directive that outlines the medical care a person wants, or does not want, in case she becomes unable to make those decisions is called a?

<p>Living will</p> Signup and view all the answers

When medical personnel are instructed not to perform CPR if a person's breathing or heartbeat stops, it is referred to as a?

<p>Do-not resuscitate (DNR) order</p> Signup and view all the answers

Nursing assistants should __________ perspiring residents often; skin should be clean and dry.

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

Residents may not be able to communicate that they are in __________. NAs should observe for signs and report them.

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

Changes of position, back massage, skin care, mouth care, and proper body __________ may help relieve pain.

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

__________ may be one of the most important things an NA can do for a resident who is dying. He should pay attention to these conversations.

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

__________ can be very important. Holding a dying resident's hand can be comforting.

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

The NA should not __________ the dying person or his family and should not deny that death is approaching.

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

__________ is usually the last sense to leave the body.

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

The NA should give __________ for visits from clergy, family, and friends.

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

NAs should not discuss their personal __________ or spiritual beliefs with residents or their families or make recommendations.

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

Study Notes

Basic Human Needs

  • Physical needs include food, water, shelter, activity, sleep, rest, and comfort from pain.
  • Psychological needs encompass love, affection, acceptance, safety, self-reliance, interaction, success, and self-esteem.

Maslow's Hierarchy of Needs

  • Self-actualization: Learning new things.
  • Self-esteem: Validation of performance and capabilities.
  • Love: Need for affectionate relationships.
  • Safety and security: Requirement for shelter and stability.
  • Physical needs: Essential for survival, including oxygen, water, food, and rest.

Sexuality in Aging

  • Sexual urges persist regardless of age.
  • Ability to engage in sexual activity remains unless hindered by disease or injury.
  • Residents possess the legal right to express their sexuality.
  • Sexual behaviors and desires vary among elderly individuals.
  • Nursing assistants (NAs) must respect residents' sexual orientations and identities.

Holistic & Cultural Care

  • Holistic care addresses both physical and mental aspects of an individual.
  • Respecting individual beliefs and preferences is crucial for effective care.
  • Engaging with residents’ cultural backgrounds enhances care approaches.

Family Dynamics

  • Family can take various forms: nuclear, single-parent, blended, and extended.
  • Current family definitions focus on mutual support rather than structure.

Developmental Stages

  • Infants typically achieve mobility and basic communication within the first year.
  • Cognitive and social developments continue throughout childhood, with rapid changes during adolescence.
  • Adults navigate physical changes and responsibilities differently through various life stages.

Mental Health Awareness

  • Common mental health issues include anxiety, phobia, apathy, hallucinations, and delusions.
  • Bipolar disorder is characterized by significant mood swings.

Grief Stages and End-of-Life Care

  • Stages of grief include denial, anger, bargaining, depression, and acceptance.
  • Advance directives like Durable Power of Attorney and living wills are essential for medical decision-making.
  • Do-not-resuscitate (DNR) orders prevent CPR in critical situations.

Caring for Dying Residents

  • Essential care practices include bathing, observing pain signs, promoting comfort, and providing emotional support.
  • Listening and touch are vital in giving comfort to dying residents.
  • Privacy should be granted for visits, and personal beliefs should not influence care decisions.
  • Legal rights for dying residents include the right to refuse treatment, have visitors, and maintain privacy.

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Description

Dive into Chapter 3 with flashcards that highlight the fundamental physical and psychological needs of humans. This quiz focuses on identifying essential needs, ranging from basic survival to emotional well-being. Test your knowledge and understanding of these critical aspects of human life.

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