Hartman's Nursing Assistant Care Unit 1 - Chapters 1,2,3,4,5 Questions and Answers

Hartman's Nursing Assistant Care Unit 1 - Chapters 1,2,3,4,5 Questions and Answers a course of action that should be taken every time a certain situation occurs policy a method, or way, of doing something procedure Example of policy Healthcare information must remain confidential Example of procedure facility's way of reporting information or providing care LTC provide care _______ hours a day 24 personal care tasks are also called activities of daily living when specialized care is offered at LTC facilities, the employees must have ________ training special 84.9 percent of LTC residents are over the age of _________ 65 Length of stay for LTC residents is typically ________ months or longer 6 inspections are also called ___________ surveys Purpose of inspections: to ensure that facilities follow state and federal regulations an independent not-for-profit organization that evaluates and credits healthcare organizations Joint Commission means to find a problem through a survey cite health insurance program for people 65 years old or who have permanent kidney failure or certain disabilities Medicare Part A of Medicare helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice (hospital insurance) Part B of Medicare helps pay for doctor services and other medical services and equipment (health insurance) Part C of Medicare allows private health insurance companies to provide Medicare benefits (Medicare Advantage Plans) Part D of Medicare Prescription drug coverage a medical assistance program for people who have a low income, as well as for people with disabilities Medicaid a term given to the process of transforming services for elders so that they are based on the values and practices of the person receiving care Culture Change emphasizes the individuality of the person who needs care, and recognizes and develops his or her capabilities person-centered care Performs assigned tasks, such as measuring vital signs, providing personal care, and reporting observations to other care team members Nursing Assistant or CNA Coordinates, manages, and provides skilled nursing care, as well as supervises nursing assistants' daily care of residents Registered Nurse administers medications and gives treatments; completed one to two years of education Licensed PracticalVocational Nurse Diagnoses disease or disability and prescribes treatment Physician or Doctor evaluates person and develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain or maintain mobility physical therapist Helps residents learn to adapt to disabilities by training residents to perform ADLs and other activities Occupational Therapist assesses a resident's nutritional status and develops a treatment plan to improve health and manage illness Registered Dietitian determines residents' needs and helps get them support services Medical Social Worker plans activities for residents to help them socialize and stay physically and mentally active Activities Director What jobs are NA's NOT allowed to do? insert or remove tubes, give tube feedings, or change sterile dressings T or F: Some states allow GAs to give medications if they have completed an additional, specialized course True noting important information about the resident charting T or F: Professional means having to do with work/job while personal refers to life outside a job True sharing in the feelings and difficulties of others sympathy identifying with the feelings of others empathy describes the line of authority and helps to make sure that residents get proper health care chain of command legal term that means someone can be held responsible for having someone else Liability defines the tasks that healthcare providers are legally permitted to perform as allowed by state or federal law scope of practice is individualized for each resident and is developed to help achieve the goals of care Care Plan T or F: Activities NOT listed on the care plan CAN be performed False 5 steps of the nursing process Assessment Diagnosis Planning Implementation Evaluation transferring responsibility to a person for a specific task delegation 5 rights of delegation right task right circumstance right person right direction/communication right supervision/evaluation the knowledge of right and wrong ethics are established to help people live peacefully together and to ensure order and safety; tell them what they MUST do laws passed in response to reports of poor care and abuse in LTC facilities Omnibus Budget Reconciliation Act (OBRA) T or F: Nurse Aide Training and Competency Evaluation Program (NATCEP) investigates charges of abuse True Specify how residents must be treated while living in a facility Residents' Rights the process by which a person, with the help of a doctor, makes informed decisions about his or her health care Informed Consent the failure to provide needed care that results in physical, mental, or emotional harm to a person Neglect the purposeful failure to provide needed care, resulting in harm to a person Active Neglect the unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person Passive Neglect means actions, or the failure to act or provide the proper care for a resident, resulting in unintended injury Negligence occurs when a person is injured due to professional misconduct through negligence. carelessness, or lack of skill Malpractice purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone Abuse a threat to harm a person, resulting in the person feeling fearful that he or she will be harmed Assault The intentional touching of a person without his or her consent Battery assigned by law as the legal advocate for residents Ombudsman T or F: an ombudsman visits facilities and listens to residents True law passed to help keep health information private and secure HIPAA legal documents that allow people to decide what kind of medical care they wish to have in the event they are unable to make those decisions themselves Advance Directives involves the use of words, spoken, or written verbal communication communicating without using words nonverbal communication T or F: Soft shoulder pats are not allowed in health care False referring to different groups of people with varied backgrounds and experiences living together in the world cultural diversity system of learned beliefs and behaviors that is practiced by a group of people culture prejudice bias Examples of barriers to communication language, hearing, medical jargon etc information based on what a person sees, hears, touches, or smells Objective information that a person cannot or did not observe, but is based on something that the resident reported, may or may not be true subjective information inability to control the bladder or bowels incontinence skin that is blue or gray Cyanotic T or F: a medical chart is considered a legal document True an accident, problem, or unexpected event during the course of care incident the loss of function or ability impairment Ways to communicate with someone hard of hearing keep voice pitch low, directly face the person and be in good lighting Ways to help someone with vision impairment get around proper lighting, use the face of an imaginary clock to guide, don't move furniture or other objects from normal place medical term for a stroke Cerebrovascular Accident (CVA) paralysis on one side of the body hemiplegia weakness on one side of the body hemiparesis trouble communicating thoughts through speech or writing expressive aphasia difficulty swallowing dysphagia What do you do when a resident becomes combative? Block blows, remain calm, and lower the tone of your voice Are NAs allowed to receive give gifts or tups from patients? No the set of methods practiced in healthcare facilities to precent and control the spread of disease infection prevention a microscopic living thing microorganism ____________ occur when harmful __________ invade the body and multiply infections, pathogens infection affecting the entire body systemic infection