CNA- main test 1 chapters 1-12 Questions and Answers

CNA- main test 1 chapters 1-12 Questions and Answers Another name for a long term care facility is Skilled nursing facility Assisted living facilities are initially for People who need some help with daily care Which of the following statements is true of adult day services? This type of care is for people who need some assistance and supervision during certain hours. Care given by specialists to restore or improve function after an illness or injury is called rehabilitation Care given to people who have approximately six months or less to live is called hospice care Home health aides May clean or shop for groceries People who live in a long term care facility are usually called ______ because it is where they live for the duration of their stay. Residents Most conditions seen in long-term care are chronic. What does this mean? The conditions last a long time. Define facilities Places where health care is delivered or administered Define HMOs (health maintenance organizations) A heath plan that states that customers must use a particular doctor or group of doctors. Define managed care Cost-control strategies for health care Define payers People or organizations paying for health-care services Define PPO's (preferred provider organizations) A network of providers that contract to provide health services to a group of people Define providers People or organizations that provide health care (T/F) Long-term care facilities may offer assisted living, subacute care, or specialized care True (T/F) Facilities that offer specialized care must have specially trained employees. T (T/F) nonprofit organizations cannot own long-term care facilities. False What is the most important thing for a NA to know about the residents in her care? Each resident is an individual with his own abilities and needs. More than half of residents in long-term care facilities are Female In general, residents who stay at a facility for more than six months Need 24 hour care Why is it important for NA's to care for each resident as a whole person instead of treating only his or her disorders and disabilities? It is important because the residents need to know and feel that the nursing assistant is providing them with his or her undivided attention during their care. The residents should always feel confident with the care that the NA gives them. (T/F) A policy is a course of action to be followed. For example, all healthcare information must remain confidential True (T/F) facilities will have procedures for reporting information about residents. True (T/F) it is all right to perform tasks not listed in the job description if they are very simple. False (T/F) changes in residents conditions should be reported to the nurse. True (T/F) each step in a procedure is important and must be strictly followed. True What is the purpose of surveys in long-term care facilities? To study how well residents are cared for If a surveyor asks a nursing assistant a question, and the NA does not know the answer, what would be her best response? The NA should admit that she does not know and should find out the answer. Which of the following statements is true of the Joint Commission? the goal of the joint commission's survey process is to improve safety and quality of care. List 2 groups of people who qualify for Medicare People qualify for Medicare if they are 65 or older, or if they have permanent kidney failure or certain disabilities. List the four parts of Medicare and what each helps pay for. Part A - Hospital Insurance - helps you pay for care in a hospital, skilled nursing facility, home health agency or hospice. Part B - Medical Insurance - helps you pay for Doctor services, equipment, and/ or other medical services. Part C - Medicare Advantage Plans - allows private health insurance companies to provide Medicare benefits. Part D - Prescription Drug Coverage - helps pay for medications prescribed for treatment. How is eligibility for Medicaid determined? By income and special circumstances (disabilities) List 4 examples of how you think elderly people living in care facilities can benefit from person-centered care. 1. By giving residents an environment of trust and respect. 2. By allowing residents to continue to live their lives in a way that matters to them. 3. Residents may develop professional relationships with their care team that make them feel comfortable. 4. Person-centered care keeps the resident involved in any decision making or care planning that may occur. Define activities director K- Plans activities to help residents socialize and stay mentally and physically active. Define LVN or LPN C- Licensed professional who has completed one to two years of education and is able to administer medications and give treatments. Define medical social worker (MSW) I- Helps residents get support services, such as counseling. Define Nursing Assistant (NA or CNA) A- Performs assigned tasks, such as measuring vital signs, providing personal care, and reporting observations to other care team members. Define occupational therapist (OT) G- Helps residents learn to adapt to disabilities by training them to perform activities of daily living and other activities. Define physical therapist (PT or DPT) E- Develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain mobility. Define physician or doctor (MD or DO) B- diagnoses disease or disability and prescribes treatment Define registered dietitian (RDT) H- assesses a resident's nutritional status and develops a treatment plan that may include creating special diets. Define registered nurse (RN) J- coordinates, manages, and provides skilled nursing care, as well as supervises nursing assistant's daily care of residents. Define resident D- person whose condition, goals, priorities, treatment, and progress are the focus of the care team. Define Speech-Language Pathologist (SLP) F- identifies communication disorders and creates a care plan, as well as teaches exercises to help the resident improve or overcome speech problems. What are 3 tasks that NA's are not allowed to perform? Nursing assistants cannot insert or remove tubes, give tube feedings, or change sterile dressings. What is one reason that observing and reporting changes in a resident's condition is important? Residents care can be revised or updated as his conditions change. If a NA sees a resident who is not on his assignment sheet but who needs help, what should the NA do? The NA should provide the resident with the needed care anyway. Define compassionate A - being caring, concerned, considerate, empathetic, and understanding Define conscientious C- being guided by a sense of right or wrong Define dependable G- getting to work on time and doing assigned tasks skillfully Define empathetic I - identifying with the feelings of others Define honest F- being truthful Define patient K- not losing ones temper easily, not acting irritated or annoyed, not rushing residents. Define respectful D- valuing other people's individuality and treating others politely and kindly Define sympathetic J- sharing in the feelings and difficulties of others. Define tactful E - showing sensitivity and having a sense of what is appropriate when dealing with others. Define tolerant H- respecting other's beliefs and practices and not judging others. Define unprejudiced B- giving the same quality of care regardless of age, gender, sexual orientation, religion, race, ethnicity, or condition. Why is proper grooming important for nursing assistants? Proper grooming affects how confident residents feel about the care NAs give How often should a NA bathe? Every day Which of the following items should NAs not use before going to work? Perfume Hair should always be Brushed or combed Which of the following would be a good type of clothing for a NA to wear to work? Clean, ironed uniform Which of the following would be the best choice for a NA to wear to work? Watch Why should artificial nails not be worn to work? They harbor bacteria. Which of the following statements is true of the chain of command? It describes the line of authority in a facility Liability is a legal term that means someone can be held responsible for harming someone else Why should a nursing assistant not preform tasks that are not assigned to him? The NA may put himself or resident in danger. Define scope of practice The tasks that healthcare providers are legally allowed to do as permitted by state or federal law. List 3 tasks that are said to be outside the scope of practice of a NA. NAs do not: 1. Perform procedures that require sterile technique 2. Diagnose illnesses or prescribe treatments and medicines 3. Tell the resident and family the diagnosis or the medical treatment plan. (T/F) the purpose of the care plan is to give suggestions for care, which the nursing assistant can customize for each resident. False (T/F) nursing assistants should not perform activities that are not listed on the care plan. True (T/F) care planning only involves the doctors diagnosis; it does not involve the residents input or expectations. False (T/F) Sometimes even simple observations that nursing assistants make about residents are very important True The assessment step of the nursing process involves Getting information about the resident and reviewing this information the diagnosis step of the nursing process involves identifying health problems and resident needs The planning step of the nursing process involves setting goals and creating a care plan The implementation step of the nursing process involves Putting the care plan into action The evaluation step of the nursing process involves Deciding if goals were met The goal of the nursing process is to Plan and evaluate the residents care needs Is there a match between the residents ____ and the NA's skills, _____, and experience? needs, abilities