Workbook - Chapter 2: Foundations of Resident Care
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Questions and Answers

Which of the following is an example of non-verbal communication?

  • Waving hello
  • Speaking
  • Writing a note
  • Pointing to a cup of water (correct)

What does verbal communication include?

Speaking

What is nonverbal communication?

Facial expressions

What is a root?

<p>The part of a word that contains its basic meaning</p> Signup and view all the answers

What is a prefix?

<p>The part of the word that comes before the root</p> Signup and view all the answers

What is a suffix?

<p>The part of the word added to the end of the root</p> Signup and view all the answers

Why should nursing assistants use simple, non-medical terms when speaking with residents and their family?

<p>The patient may not understand the medical terms</p> Signup and view all the answers

Where should call lights be placed in residents' rooms?

<p>Within reach of the resident's stronger hand</p> Signup and view all the answers

What would have been a better way for Mark to communicate with the resident who is hearing impaired?

<p>Mark should have approached her from the front and lightly touched her arm, using a lower pitch when speaking.</p> Signup and view all the answers

What would have been a better way for Virginia to communicate with Ms. Crawford?

<p>Virginia should have accompanied Ms. Crawford into the room and oriented her to her surroundings.</p> Signup and view all the answers

What is wrong with how Sabrina is communicating with Mrs. Rogers?

<p>Sabrina should have used a normal tone of voice and maintained eye contact.</p> Signup and view all the answers

What would have been a better way for Serena to communicate with Mr. Morteno?

<p>Serena should have remained calm and tried to be reassuring.</p> Signup and view all the answers

What would have been a better way for Joan to respond to Mrs. Singer's behavior?

<p>Joan should have remained calm and tried to distract Mrs. Singer.</p> Signup and view all the answers

Which drawing shows the correct way to lift objects?

<p>Option B would be correct because they use their legs.</p> Signup and view all the answers

Why should an NA arrange a signal when moving a resident?

<p>So that everyone involved can move together.</p> Signup and view all the answers

Using proper body mechanics can help save energy and prevent injury.

<p>True (A)</p> Signup and view all the answers

To avoid choking, residents should eat in a reclined position.

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

When lifting an object, it is safer to hold it far away from the body.

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

Knees should be bent when lifting an object.

<p>True (A)</p> Signup and view all the answers

Liquids thickened to the consistency of honey are easier to swallow.

<p>True (A)</p> Signup and view all the answers

To help guard against falls, all walkways should be cleared of clutter.

<p>True (A)</p> Signup and view all the answers

Feet should be pointed toward the object a person is lifting.

<p>True (A)</p> Signup and view all the answers

A high center of gravity gives a more stable base of support.

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

Keeping the feet close together gives the body the best base support.

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

If a resident starts to fall, the nursing assistant should try to catch the resident and stop the fall.

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

Residents in wheelchairs should be facing the back of the elevator when riding.

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

A nursing assistant should check the temperature of hot water with a bath thermometer before using it.

<p>True (A)</p> Signup and view all the answers

Keeping call lights within a resident's reach can help prevent falls.

<p>True (A)</p> Signup and view all the answers

Cuts most often occur in a person's bedroom.

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

Hot drinks should be placed on the edge of tables.

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

Residents must be identified before helping with feeding or placing meal trays.

<p>True (A)</p> Signup and view all the answers

The Safety Data Sheet (SDS) details chemical ingredients and dangers of products.

<p>True (A)</p> Signup and view all the answers

A nursing assistant should call a resident by name as a way to identify the patient.

<p>True (A)</p> Signup and view all the answers

The correct way to move a wheelchair is for a nursing assistant to push it forward.

<p>True (A)</p> Signup and view all the answers

If a fire occurs, a nursing assistant should:

<p>Plug doorways to prevent smoke from entering.</p> Signup and view all the answers

What is an NA's first concern if a fire occurs?

<p>Getting residents to safety.</p> Signup and view all the answers

PASS is an acronym that stands for:

<p>Pull, Aim, Squeeze, Sweep.</p> Signup and view all the answers

RACE is an acronym that stands for:

<p>R: remove residents from danger, A: activate alarm or call 911, C: contain fire if possible, E: extinguish fire.</p> Signup and view all the answers

Explain the fire safety technique, stop, drop, and roll.

<p>Stop running or stand still, drop to the ground, and roll to try and extinguish the flames.</p> Signup and view all the answers

What guidelines apply in any disaster situation?

<p>Remain calm, know locations of exits/stairways, know fire alarm locations, and know appropriate actions.</p> Signup and view all the answers

What two important steps should the NA take first in an emergency situation?

<p>Assess the situation and assess the victim.</p> Signup and view all the answers

First aid refers to:

<p>Care given by the first people to respond to an emergency.</p> Signup and view all the answers

If an emergency occurs, the NA should immediately notify the:

<p>Nurse.</p> Signup and view all the answers

How long can someone usually tell if a person is choking?

<p>The choking victim will put his hands to his throat.</p> Signup and view all the answers

Where should the hands be placed to give abdominal thrusts?

<p>Under the person's arms and around his waist.</p> Signup and view all the answers

How does a rescuer obtain consent to give a choking victim abdominal thrusts?

<p>The rescuer asks the victim, 'Are you choking?'</p> Signup and view all the answers

Signs of shock include:

<p>Pale or bluish skin.</p> Signup and view all the answers

If an NA suspects that a resident is having a heart attack, she should:

<p>Loosen the clothing around the resident's neck.</p> Signup and view all the answers

To control bleeding, an NA should:

<p>Hold a thick sterile pad against the wound and press down hard.</p> Signup and view all the answers

To treat a minor burn, the NA should use:

<p>Cool, clean water.</p> Signup and view all the answers

If a resident faints, the NA should:

<p>Lower the resident to the floor.</p> Signup and view all the answers

When a resident is first experiencing signs of insulin reaction, what needs to happen?

<p>Food that can be rapidly absorbed or a glucose tablet should be consumed.</p> Signup and view all the answers

Which of the following is true about assisting a resident who is having a seizure?

<p>The NA should move furniture away to prevent injury to the resident.</p> Signup and view all the answers

Why is a quick response to a suspected stroke/CVA critical?

<p>Early treatment may reduce the severity of the stroke.</p> Signup and view all the answers

An NA will come into contact with microorganisms:

<p>Every time the NA touches something.</p> Signup and view all the answers

The Centers for Disease Control and Prevention (CDC) defines hand hygiene as:

<p>Handwashing with soap and water or using alcohol-based hand rubs.</p> Signup and view all the answers

Standard Precautions include the following measures:

<p>Wearing gloves if there is a possibility of coming into contact with blood or body fluids.</p> Signup and view all the answers

Why should an NA not wear artificial nails to work?

<p>They harbor bacteria and increase the risk of contamination.</p> Signup and view all the answers

Standard precautions should be practiced:

<p>On every single person under a nursing assistant's care.</p> Signup and view all the answers

Infections acquired in healthcare settings are called:

<p>Healthcare-associated infections (HAIs).</p> Signup and view all the answers

The following are links in the chain of infection. Which link is broken by wearing gloves?

<p>Mode of transmission.</p> Signup and view all the answers

How many times can disposable equipment be used before it needs to be discarded?

<p>One time.</p> Signup and view all the answers

How should sharps, such as needles, be discarded?

<p>Sharps should be placed in biohazard containers.</p> Signup and view all the answers

How long should an NA use friction when lathering and washing his hands?

<p>20 seconds.</p> Signup and view all the answers

How should dirty linen be rolled or folded?

<p>The dirty area should be inside.</p> Signup and view all the answers

Dirty linen should be:

<p>Carried away from the NA's uniform.</p> Signup and view all the answers

Transmission-based precautions are used:

<p>In addition to standard precautions.</p> Signup and view all the answers

Dedicated equipment refers to:

<p>Equipment that is used by only one resident.</p> Signup and view all the answers

Which of the following is true of wearing personal protective equipment (PPE) while caring for a resident in isolation?

<p>Nursing assistants should remove PPE before exiting a resident's room.</p> Signup and view all the answers

Bloodborne disease can be transmitted by:

<p>Infected blood entering the bloodstream.</p> Signup and view all the answers

In health care, the most common way to get a bloodborne disease is by:

<p>Contact with infected blood or certain body fluids.</p> Signup and view all the answers

Employers must offer a free vaccine to protect NAs from:

<p>Hepatitis B.</p> Signup and view all the answers

Which of the following is true of hepatitis B (HBV)?

<p>HBV can be transmitted through blood or needles that are contaminated with the virus.</p> Signup and view all the answers

Tuberculosis is:

<p>An airborne disease.</p> Signup and view all the answers

What is the correct order for donning PPE?

<ol> <li>Wash hands, 2. Put gown on, 3. Put mask on, 4. Put goggles/face shield on, 5. Put gloves on.</li> </ol> Signup and view all the answers

What is the correct order for doffing PPE?

<ol> <li>Remove/discard gloves, 2. Remove/discard goggles/face shield, 3. Remove/discard gown, 4. Remove/discard mask, 5. Wash hands.</li> </ol> Signup and view all the answers

Sterilization is a cleaning measure that destroys only pathogens, but not all microorganisms.

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

Methicillin-resistant Staphylococcus aureus (MRSA) can be spread through indirect contact by touching objects contaminated by a person who has MRSA.

<p>True (A)</p> Signup and view all the answers

A nursing assistant does not need to wear gloves to clean up a small spill.

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

Increasing the use of antibiotics helps lower the risk of developing Clostridium difficile (C. difficile) diarrhea.

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

A nursing assistant should use her hands to pick up large pieces of broken glass and use a broom and dustpan for smaller pieces.

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

MRSA is almost always spread by direct physical contact.

<p>True (A)</p> Signup and view all the answers

Handwashing will not help control the spread of MRSA.

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

Vancomycin Resistant Enterococcus (VRE) causes life-threatening infections in people with weak immune systems.

<p>True (A)</p> Signup and view all the answers

Frequent handwashing can help prevent the spread of VRE.

<p>True (A)</p> Signup and view all the answers

Both hand sanitizers and washing hands with soap and water are considered equally effective when dealing with C. difficile.

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

Disinfectant should be placed on spilled fluid before absorbing and removing the fluid.

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

Flashcards

Nonverbal communication examples

Gestures, facial expressions, and body language used to convey messages.

Verbal communication

Communication through speaking.

Resident call light accessibility

Place call light within resident's reach, ideally their stronger hand.

Hearing-impaired resident approach

Approach from the front and use a softer, lower voice.

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Visually impaired orientation

Orient residents to new surroundings upon entering.

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Respectful communication tone

Speak with kindness, consideration, and attentiveness.

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Calm approach for distressed residents

Maintain a calm and supportive demeanor to help reduce distress.

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Inappropriate responses to behavior

Replace inappropriate responses with distraction or private discussion.

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Lifting technique for residents

Use legs and thighs for lifting to prevent back strain.

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Safety signals for resident movement

Coordinate movements with a resident using signals for safe transfer.

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Proper body mechanics

Use good posture and movement to reduce the risk of injury.

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Preventing tripping hazards

Keep walkways clear and free of obstacles to prevent falls.

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Secure hot drinks

Place hot drinks on stable surfaces, not on table edges.

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Resident identification before feeding

Verify resident identity before assisting with feeding.

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RACE technique

Remove hazards, activate alarm, contain fire, extinguish fire.

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PASS technique

Pull, Aim, Squeeze, Sweep – using a fire extinguisher.

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Emergency nurse notification

Notify a nurse immediately in case of emergencies or suspicious behaviors.

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Hand hygiene

Washing hands or using alcohol-based hand sanitizer.

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Standard precautions

Precautions used to prevent transmission of infections.

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Healthcare-associated infections (HAIs)

Infections acquired during healthcare.

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Donning PPE

Putting on PPE in the correct sequence.

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Removing PPE

Taking off PPE in a specific order.

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Bloodborne disease risk management

Wearing gloves to prevent transmission.

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Shock signs

Pale or bluish skin is a sign of shock.

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Choking victim response

Perform abdominal thrusts for choking victims.

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Study Notes

Communication in Resident Care

  • Non-verbal communication examples include gestures like pointing.
  • Verbal communication is primarily speaking.
  • Non-verbal cues also encompass facial expressions.
  • Simple, non-medical terms should be used to enhance understanding with residents and families.

Resident Care Techniques

  • Call lights should be accessible to a resident's stronger hand.
  • For hearing-impaired residents, approach from the front and use a lower voice pitch.
  • Visually impaired residents benefit from orientation to surroundings when entering new spaces.

Interaction with Residents

  • Use respectful tones and maintain eye contact, especially with withdrawn individuals.
  • Stay calm and supportive when dealing with combative or distressed residents.
  • Inappropriate responses to behavior should be replaced with distraction or private discussion for dignity.

Lifting and Moving Techniques

  • Use legs and thighs for lifting to prevent strain and ensure stability.
  • Coordinate movements with a resident using signals for safety.
  • Proper body mechanics save energy and reduce injury risk.

Safety Practices

  • Clear walkways to prevent tripping hazards, ensuring safety in the environment.
  • Hot drinks should be placed securely, not on the table edge to avoid spills.
  • Residents should be identified before assisting with feeding to prevent confusion.

Fire Safety and Emergency Procedures

  • Employ RACE (Remove, Alarm, Contain, Extinguish) and PASS (Pull, Aim, Squeeze, Sweep) techniques for fire safety.
  • Stay calm and know exit strategies during any emergency.
  • Notify a nurse immediately in case of an emergency or suspicious behavior.

Infection Control

  • Hand hygiene includes washing or using alcohol-based rubs.
  • Standard precautions apply to every resident, incorporating gloves when working with bodily fluids.
  • Healthcare-associated infections (HAIs) are infections acquired during care.

Personal Protective Equipment (PPE)

  • PPE should be donned in a specific order for effectiveness and removed properly after use.
  • The first step in managing a bloodborne disease risk is ensuring gloves are worn to prevent transmission.

Recognition and Response to Medical Emergencies

  • Key signs of shock include pale or bluish skin.
  • Immediate action is essential for choking victims, using abdominal thrusts when necessary.

Disease Transmission Awareness

  • MRSA and VRE can spread through direct contact or contaminated surfaces.
  • Frequent handwashing is crucial in preventing the spread of infections like C. difficile.
  • Artificial nails are prohibited as they can harbor harmful bacteria.

Cleaning and Waste Management

  • Sharps must be disposed of in biohazard containers to ensure safety.
  • Dirty linen should be handled properly to maintain hygiene standards.

True or False Statements

  • Utilize true/false statements to assess understanding of safety, infection control, and proper handling techniques in resident care.
  • Clarify misconceptions about practices such as glove use, handwashing efficacy, and lifting techniques.

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Test your understanding of the key concepts in Chapter 2 of the Foundations of Resident Care workbook. This quiz covers essential aspects of both verbal and non-verbal communication, including definitions and examples. Perfect for reinforcing your knowledge of effective communication in a caregiving setting.

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