CNA - Chapters 4-6 Questions and Answers

CNA - Chapters 4-6 Questions and Answers You are providing care for 13- year old Kathy at her home while she is recovering from injuries caused by a car accident. She has stitches along her forehead and across one cheek. Her friends call, but she doesn't want to see them. She may be worrying that: a. Her friends will bring her schoolwork. b. Her mother won't let them come over. c. Her friends will think she is ugly. d. She will have to tell her friends that she cannot leave the house to go to the mall. c. Her friends will think she is ugly. What does Maslow's theory about needs say?: A) All needs have the same priority. B) Lower level needs must be met before more advanced needs can be met. C) Each person has individual needs .D) A person's self-fulfillment needs must be met before other needs can be met. B) Lower level needs must be met before more advanced needs can be met. According to Abraham Maslow, the five basic needs are: A) Physical, safety and security, social, self-esteem and self-fulfillment needs. B) Food, shelter, money, friendship and religion needs. C) Proper diet, exercise, sleep, self-awareness and social needs. D) Happiness, money, mental, social and physical needs. A) Physical, safety and security, social, self-esteem and self-fulfillment needs. What is Abraham Maslow, Five Level of Needs consist of: 1. Physical: Basic Requirements for Life - (Ex: Food, water, O2, Exercise, Sleep, Elimination, and human touch) 2. Safety and Security: Being and feeling safe - (Ex: Preventing the spread of infection, locking brakes on equipment, keeping a close eye on people who my be confused, checking on those in care frequently, building trust, answering request promptly.) 3. Social: Feelings of being liked, loved, and accepted - (Ex: Take time to vist and talk when family and friends are not around, encourage participation in social activities and groups, assisting in dinning room.) 4. Self-Esteem: Feeling good about self and worthy of other's respect - (Ex: Allow independence as much as possible, recognize accomplishments, treat with respect, help with grooming and bathing.) 5. Self-fulfillment: Satisfaction with Self and with life - (Ex: Reflected in the person believing that he or she is doing what she is best suited for, each person excels in different areas in life, each experience is different.) What is the Definition of Culture?: Shared set of beliefs, values, customs, and practices that characterizes a group of people or a society Culture can have an influence on behavior and preferences such as: - Food intake - Personal Care Rituals - Acceptable Caregivers - Acceptable Eye Contact - Social Customs - Mangement and Treatment illness - Ritual before and after birth or death A nurse assistant helps Mrs. Smith, a resident of a nursing home, to meet her social needs by: a. Making sure that Mrs. Smith feels safe and secure. b. Helping Mrs. Smith get ready to attend a group activity c. Ensuring Mrs. Smith has enough to eat. d. Encouraging Mrs. Smith to do as much for herself as possbile. b. Helping Mrs. Smith get ready to attend a group activity Which of the following actions is an example of a nurse assistant meeting a person's self-esteem needs?: A) The nurse assistant sees that the person is lonely and offers to play a card game with the person. B) A nurse assistant helps a person get ready to attend a group activity. C) A nurse assistant encourages a retired veteran to talk about the medals he received for his military service. D) A nurse assistant feeds a person who cannot feed himself. C) A nurse assistant encourages a retired veteran to talk about the medals he received for his military service. What is the Definition of Human Development: Social changes (the way a person relates to others), emotional changes (the way the person feels and expresses those feelings) and cognitive changes (the way the person thinks and understands the world). Mr. Jameson always talks about his days as a leader in his union but he hardly ever talks about the present. When he starts to talk about the past, you should: a. Tell him not to dwell on the past. b. Tell him how interesting it must have been in those days and ask him some questions about it. c. Change the subject by asking him what he would like to do today. d. Remind Mr. Jameson that he is retired now. b. Tell him how interesting it must have been in those days and ask him some questions about it. Which of the following statements about spirituality is true?: A) Spirituality is a belief in something greater than oneself that helps a person assign meaning and purpose to life. B) In order to support a person's spirituality, the nurse assistant must share the person's spiritual beliefs. C) How often a person attends religious services is a measure of a person's spirituality. D) Nurse assistants are not responsible for supporting the spiritual needs of the people in their care. A) Spirituality is a belief in something greater than oneself that helps a person assign meaning and purpose to life. What is the Definition of Sexuality: How people perceive themselves and express themselves sexually. A nurse assistant helps a person meet his self-esteem needs in all of the following ways EXCEPT: a. Addressing the person in the way he prefers to be addressed. b. Taking care to protect the person's privacy and modesty. c. Taking an interest in the person as an individual. d. Doing everything for the person so that he does not have to do anything. d. Doing everything for the person so that he does not have to do anything. You are providing care for a preschool-age girl. Which action takes into account the girl's developmental stage?: A) Allowing the child to handle your stethoscope before listening to her heart beat. B) Leaving the child alone in the bathroom to protect her privacy C) Giving the child a pacifier to calm and soothe her. D) Telling the child "she won't feel a thing" while receiving an injection, to avoid upsetting her. A) Allowing the child to handle your stethoscope before listening to her heart beat. What is the Definition of Heterosexual: A person who is attracted the opposite sex A nurse assistant must care for people from many different cultures. How should the nurse assistant handle this?: a. The nurse assistant should advise people that when they are in the health care facility, they must follow the health care facility's policies and procedures. b. The nurse assistant should seek to understand each person an an individual, and accommodate the person's preferences whenever possible. c. The nurse assistant should use his or her own cultural beliefs to guide care. d. The nurse assistant should avoid caring for people who are from a different culture. b. The nurse assistant should seek to understand each person an an individual, and accommodate the person's preferences whenever possible. What is the Definition of Homosexual: A person who is attracted to people of the same sex Which of the following statements about older adults is true?: a. Older adults usually become depressed because they no longer have anything to contribute to their families, communities or society in general. b. Most people start to become confused as they age and become incapable of taking care of themselves. c. Older adults may be sexually active and continue to need to have close, intimate relationships with others. d. Older adults are not capable of learning new skills or concepts. c. Older adults may be sexually active and continue to need to have close, intimate relationships with others. A resident of a nursing home speaks with pride about the large family she has raised and the accomplishments of her various children. Which need of this resident has been met?: A) Her safety and security needs B) Her self-fulfillment needs C) Her social needs D) Her physical needs B) Her self-fulfillment needs What is the Definition of Human Growth: Physical Changes, such as growing bigger and cutting teeth in infancy, or developing breasts or beard in adolescence Which of the following actions helps to meet a person's safety and security needs?: a. Answering the person's requests for help promptly b. Locking the person in his or her room c. Providing the person with privacy when he or she has visitors. d. Encouraging the person to do as much for himself as he is able. a. Answering the person's requests for help promptly A nurse assistant observes that two residents at the nursing home have become romantically involved. The nurse assistant should: A) Tell the residents' family members so that they can intervene. B) Arrange to have one of the residents transferred to a different unit. C) Ensure privacy for the couple. D) Report the relationship to the nurse because it is inappropriate. C) Ensure privacy for the couple. What is the Definition of Sexual Behaviors: Physical Activities, such as sexual intercourse and masteurbation, related to sexual pleasure and reproducing. Mrs. Goldstein's religion prevents her from eating certain foods on certain days. Today, Mrs. Goldstein's lunch tray contained foods that she is not allowed to eat. What should the nurse assistant do?: A) Offer to obtain a replacement meal for Mrs. Goldstein right away. B) Tell Mrs. Goldstein that she does not have to eat the foods she is not allowed to have and encourage her to eat the other items on the tray. C) Avoid talking about religion and serve Mrs. Goldstein her meal without saying anything. D) Encourage Mrs. Goldstein to eat what she has been served because good nutrition is important to help her maintain her health. A) Offer to obtain a replacement meal for Mrs. Goldstein right away. What is the Definition of Gender Identity: Person's inner sense of being male of female Mr. Truman is a 97 year old male that has entered the "old-old" stage of growth & development. Which statement about Mr. Truman is true?: A) Mr. Truman's intellectual abilities will probably start to decline. B) One of Mr. Truman's developmental tasks will be to look back on his life and begin thinking about and planning for his own death. C) Mr. Truman no longer can make meaningful contributions to society. D) Mr. Truman should give up his desire to be independent and accept that he is old. B) One of Mr. Truman's developmental tasks will be to look back on his life and begin thinking about and planning for his own death. What is the Definition of Sexual Identity: A person's sexual orientation and preferences with regard to sexual partners Which of the following is a way that a nurse assistant can help a resident of a nursing home meet her self-esteem needs?: A) Prepare a daily schedule for the resident. B) Allow the resident to break the facility rules from time to time. C) Bring the resident a special gift once a week. D) Talk with the resident about his life before he came to live at the nursing home. D) Talk with the resident about his life before he came to live at the nursing home. What is the Definition of Spirituality: Belief is something greater than oneself that helps a person assign meaning and purpose to life What is the Definition of Bisexual: A person who is attracted to people of both sexes Mrs. Golstein has recently been diagnosed with diabetes and must eat meals at regular times. Today is a fasting day in her religion. She knows that she needs to eat because of her disease, and she knows that her religion says that sick people don't have to fast. Yet when you serve her food, she tells you that she feels funny about eating. You could: a. Tell her that she shouldn't feel bad. b. Avoid talking about religion and serve the food without saying anything. c. Tell her that she doesn't really have to eat if she doesn't want to. d. Tell her that you can understand that it must feel strange to eat on a fasting day and encourage her to talk about it d. Tell her that you can understand that it must feel strange to eat on a fasting day and encourage her to talk about it What is the Definition of Intimacy: All the good feelings that people have for one another, such as liking, loving, sharing, and caring What is the Definition of Transsexual: People who alter their physical appearance to more closely match the gender they most strongly identify with. What is the Definition of Transgender: Males who feel themselves to be female, females who feel themselves to be male, or people who do not strongly identify themselves as either male of female What is the Definition of Masterbation: Touching or rubbing one's own genitals for sexual release or pleasure Lesson 5: Communicating With People When you are the sender, what should you do after you deliver your message?: a. Communicate the next message. b. Expect the person to do what you told him. c. Ask for confirmation that the message was understood. d. Look for written communication. c. Ask for confirmation that the message was understood. When entering the room of a person who is blind, you should: a. Talk in a low voice. b. Knock on the door and go in. c. Walk up quietly and touch the person on the back. d. Knock on the door, wait for a response and introduce herself. d. Knock on the door, wait for a response and introduce herself. Mrs. James is deaf. What can you do to make sure she understands the information you have just given her?: a. Speak in the loudest voice possible. b. All of the above. c. Get help from a translator d. Write the information down for her. d. Write the information down for her. Mrs. Morgan's daughter always watches closely how you provide care to her mother, and seems critical of some of the things you do. What would be the best way for you to handle the situation? a. Ask Mrs. Morgan to tell her daughter that she likes the care you provide. b. Explain to Mrs. Morgan's daughter what you are doing and why you are doing it, and ask her what care measures she found to be effective when she was caring for Mrs. Morgan at home. c. Tell Mrs. Morgan's daughter that her mother likes the care she is receiving. d. Tell Mrs. Morgan's daughter that what you are doing is the right and only way to provide care. b. Explain to Mrs. Morgan's daughter what you are doing and why you are doing it, and ask her what care measures she found to be effective when she was caring for Mrs. Morgan at home. The resident asks to have her minister visit. The nurse assistant should: A) Explain the visiting hours. B) Tell the resident's family. C) Report the request to the nurse. D) Check for a doctor's order. C) Report the request to the nurse 12) What are the four elements that must be present for effective communication?: A) Sender, message, receiver and confirmation B) Message, encoder, receive, and decoder C) Sender, transmitter, message and receiver D) Sender, transmitter, receiver and decoder A) Sender, message, receiver and confirmation What does the four elements of Communication consist of: 1. Sender: Providing Information 2. Receiver: Person to whom information is sent 3. Message: Information 4. Confirmation: Receives acknowledgement of receipt of message What are two communication methods: Verbal: Spoken Written language, American Sign Language Non-Verbal: Body Languages and gestures, body postions, and movement What are three ways when communicating with other healthcare members: 1. Reporting: Verbal Exchange - Objective: Directly obtained using one of five senses - Subjective: Not detected by one of five senses of measured with equipment, such as person stating he did not sleep well. 2. Decision: As to what to report: any time there is a change - Mood, Mental Awareness, Level of Independence, Behavior, Vital signs, Urine and bowel movement..etc 3. Recording: Written Exchange of information between team members Which of the following is a subjective observation?: a. Mrs. Lyons tells you she feels sick to her stomach. b. Mr. Upton has a red sore forming on his big toe. c. Mr. Halladay's blood pressure measurement is 130/90 mm Hg. d. Mrs. Harper ate only 50% of her meal. a. Mrs. Lyons tells you she feels sick to her stomach You report to the nurse that Mrs. Jones has expressed an interest in writing a living will. To ensure good communication, what should you do after giving the nurse this information?: A) Ensure that the nurse received your message by seeking confirmation. B) Document the information in Mrs. Jones' medical record. C) Watch the nurse to make sure that she goes into Mrs. Jones' room right away to follow up on this request. D) Tell Mrs. Jones that if she does not hear from the nurse within the next few hours, she should let you know so you can follow up. A) Ensure that the nurse received your message by seeking confirmation. Which of the following observations should you report to the nurse?: a. Mrs. Zimmer is having difficulty having a bowel movement. b. Mr. Thomas does not seem like himself today. c. Mrs. Nolan told you that she does not want to attend the group activity today. d. All of the above. d. All of the above. Which of the following is an example of a subjective observation?: A) Mr. Wohl is nauseous. B) Mr. O'Neill's toenails need to be trimmed. C) Mrs. Yardley's urine is dark yellow. D) Mrs. Portnoy was able to walk 3 feet further today than she was yesterday. A) Mr. Wohl is nauseous. Which document details the care the person requires, and the methods, equipment and frequency for providing that care?: a. The electronic medical record b. The nursing notes c. The flow sheet d. The care plan d. The care plan The occupational therapist is teaching Mrs. Ryan how to use assistive devices to feed herself. How can the nurse assistant support this teaching?: A) By offering Mrs. Ryan a clothing protector to prevent her from getting food on her clothes as she learns to use the assistive device B) By encouraging Mrs. Ryan to switch to regular utensils halfway through the meal C) By using the assistive devices to feed Mrs. Ryan D) By watching Mrs. Ryan use the assistive devices and correcting her technique as needed D) By watching Mrs. Ryan use the assistive devices and correcting her technique as needed It is 2:00 in the afternoon. How would you express this using the 24-hour clock?: a. 2 p.m. b. 0200 c. 1400 d. 2 a.m. c. 1400 Three documents that health care workers use to communicate about the people in their care are the: A) Observation sheet, flow sheet and nurse assistant's notes. B) Care plan, flow sheet and nursing notes. C) Admissions sheet, medication form and release sheet. D) Inventory form, doctor's recommendations and observation sheet. B) Care plan, flow sheet and nursing notes. What is Definition of Nonverbal communication: Sharing of information and feelings through body language, including gestures, body position and movement, facial expressions and tone of voice. Why is it important to record care and observations accurately and correctly?: a. The medical record is a legal record of the care provided. b. Other members of the health care team rely on the medical record to evaluate the person's condition and make decisions about future care. c. Federal reimbursement (payment) depends on accurate documentation of the services that were provided. d. All of the above. d. All of the above. Which of the following is an example of an objective observation?: A) The person feels dizzy. B) The person has a tingling sensation in his leg. C) The person has a cough. D) The person has a headache. C) The person has a cough. What is Definition of Reporting: The verbal exchange of information between members of the health care team Which one of the following is an example of an open-ended question?: A) Was breakfast good this morning, Mr. Williams? B) Don't you like scrambled eggs, Mr. Williams? C) Aren't you hungry for breakfast this morning, Mr. Williams? D) How do you like your eggs prepared, Mr. Williams? D) How do you like your eggs prepared, Mr. Williams? What is does a Care Plan consist of: A document that details the care the person requires, and the methods, equipment and frequency for providing that care. Which one of the following is an example of negative body language?: A) Pulling up a chair and sitting down while a person talks to you B) Leaning toward the person as she talks to you C) Gently squeezing a person's hand as she talks to you D) Glancing frequently at your watch while a person talks to you D) Glancing frequently at your watch while a person talks to you What is Definition of Recording (documenting): Written exchange of information between members of the health care team. Which of the following is a good coping method you can use if you feel upset or frustrated when a person in your care does something undesirable?: A) Tell the person that you are going to report his behavior to the nurse. B) Tell the person that you will no longer care for him. C) Talk to someone about what happened. D) Resign from your job. C) Talk to someone about what happened. What does a Medical Record Consist of: A legal document that details the person's condition, the measures taken by the health care team to diagnose and manage the condition, and the person's response to the care provided A resident throws his lunch on the floor and says, "This is garbage." How should the nurse assistant respond?: A) The nurse assistant should say nothing and bring the person a replacement meal. B) The nurse assistant should report the person's behavior to his family so that they can manage the situation. C) The nurse assistant should try to find out why the person is angry. D) The nurse assistant should say "We don't throw food on the floor here" and call housekeeping to clean up the spilled food C) The nurse assistant should try to find out why the person is angry. What is Definition of Communication: The process of giving and receiving information What are two regular times when you must report the care you give?: A) When you give the person a bath and when you help the person to the activity room B) When you begin to provide care for a person and when you complete it C) When you report for your shift and before you leave your shift D) After lunch and before dinner C) When you report for your shift and before you leave your shift What is Definition of Verbal Communication: Involves the use of spoken language and written language, as well as American Sign Language, the system of hand movements used by many people with hearing impairments. Which of the following is an example of verbal communication?: A) Patting a chair to encourage a resident to sit beside you B) Frowning while receiving an assignment from the nurse C) Stepping back from an angry person and raising your hand to tell the person to "stop" D) Writing down a telephone message D) Writing down a telephone message Lesson 6: Controlling The Spread Of Infection When you take dirty linens to the laundry hamper you should: a. Shake them first. b. Hold them away from your uniform. c. Take only one sheet at a time to prevent contamination d. Save steps by tossing them into the laundry hamper from a short distance b. Hold them away from your uniform. What is the most important thing you can do to control the spread of microbes?: a. Bag all contaminated linens. b. Wash your hands. c. Always cover bedpans and urinals when carrying them from place to place. d. Eat a well-balanced diet and stay healthy. b. Wash your hands.