CNA Test Study Guide Ch. 1-8 Questions and Answers

CNA Test Study Guide Ch. 1-8 Questions and Answers What is long-term care? care given in long-term care facilities for people who need 24 hour skilled care Assisted living facilities residences for people who need some help with daily care Adult day services for people who need some help but are not seriously ill or disables acute care 24-hour skilled care for short-term illnesses or injuries; generally given in hospitals and ambulatory surgical centers subacute care care given for people who need less care than for an acute illness, but more care than for chronic illness outpatient care care given to people who have had treatments, procedures, or surgery and do not require an overnight stay in a hospital or other care facility rehabilitation care given by specialists hospice care care given in facilities or homes foe people who have 6 months to live List five services commonly offered at long term care facilities 1. care of different types of tubes 2. wound care 3. nutrition therapy 4. chronic diseases management 5. physical, occupational, & speech thearpy Who makes up the majority of residents in long-term care men or women? female What are two general categories of residents who stay in a care facility for less than six months? terminal care and rehabilitation/temporary illness List five common policies at long-term care facilities 1. All resident's info must remain confidential 2. The care plan must always be followed 3. NA's should not perform tasks that are not included in the job description 4. NA's should not take money or gifts from residents 5. NA's must report important events or changes in a resident to a nurse When surveyors visit a facility, what do they study and observe? Surveyors study how well staff care for residents and observe the staff's interactions with residents Whom does Medicare insurance cover? covers people aged 65 or older person-centered care emphasizes the individuality of the person who needs care, and recognizes and develops his or her capabilities What does a Nursing assistant do? performs assigned tasks What does a RN do? coordinates, maanages, and provides skilled nursing care What does a physician do? diagnoses disease or disability and prescribes treatment What does a physical therapist do? evaluates a person and develops a physical treatment plan What does a occupational therapist do? helps residents learn to adapt to disabilities What does a speech-langue pathologist do? identifies communication disorders, addresses factors involved in recovery, and develops a care plan care to meet recovery goals What does a registered dietitian do? assesses a resident's nutritional status and develops a treatment plan to improve health and manage illness What does a medical social worker do? determines resident's needs and helps get them support services What does a activities director do? plans activities for residents to help them socialize and stay physically and mentally active What does a resident do? helps plan care List six examples of duties that NA's perform? bathing residents assisting with grooming tasks helping residents with elimination needs giving backrubs helping with mouth care making and changing beds List two duties that nursing assistants do not usually perform insert or remove tubes give medication unless they have complete an additional specialized course By what name should a NA call a resident? calling a resident Mr, Mrs, Ms, and last name List seven examples of professional behavior with an employer completing tasks efficiently always following policies and procedures document and reporting carefully and correctly reporting problems with residents or tasks being clean and neatly dressed and groomed always being on time being a positive role model for the facility List eight personal qualities that are important for nursing assistants to have 1. compassionate 2. tactful 3. conscientious 4. dependable 5. patient 6. respectful 7. unprejudiced 8. tolerant What should NA avoid wearing artificial nails? artificial nails harbor bacteria Why would wearing comfortable shoes be important to NA's? Why is the chain of command important? For orderly operations and to establish decision-making responsibilities. What are 3 tasks that are said to be outside the scope of practice of a NA? NA's can't diagnose illnesses or prescribe treatments NA's do not perform sterile technique procedures NA's can't reveal medical treatment/diagnosis to resident or family Why are observing and reporting even simple observations about a resident important? resident's care can be updated as conditions change What are three factors considered when forming a care plan? The resident's goals, priorities, or expectations The resident's health and physical condition The resident's diagnosis and treatment List the 5 steps in the nursing process. 1. Assessment 2. Diagnosis 3. Planning 4. Implementation 5. Evaluation What are The Five Rights of Delegation? 1. Right Task 2.Right Circumstance 3. Right Person 4.Right Direction/Communication 5. Right Supervision/Evaluation What should a nursing assistant do if he/she feels he/she does not have the skills necessary to perform a task? she should take to the nurse List five steps in managing time and assignments. 1. Plan ahead 2. Prioritize 3. Make a schedule 4. Combine activities 5. Get help What is the difference between ethics and laws? Ethics: the knowledge of right and wrong. Laws: are usually based on ethics that tells them what they must do List eight examples of legal and ethical behavior for a nursing assistant 1. do not accept gifts 2. report all resident observations and incidents to the nurse ent accurately and promptly staff info confidential w safety and infection prevention rules not get personally involved with resident w care plans and assignments ct residents' privacy How many hours of training must NA's complete at a minimum? 75 hours of training and 16 clinical hours How soon must a Minimum Data Set (MDS) be completed on new residents after admission? 14 days What is the purpose of Residents' Rights? how residents must be treated...it provides an ethical code of conduct for healthcare workers If an NA's sees abuse or suspects that a resident is being abused, what is her responsibility? NA should give the nurse as much info as possible What are mandated reporters? people who are legally required to report suspected or observed abuse or neglect because they have regular contact with vulnerable populations, such as the elderly in care facilities List five possible signs of abuse that should be reported. 1. yelling obscenities ant pain rawal changes List five possible signs of neglect that should be reported. ration wered call lights an body t loss ure injuries If a resident wants to make a complaint of abuse, what is the NA's responsibility? the NA must assist her in every way What happens if a NA is accused of abusing a resident? the NA is suspended immediately, pending investigationw What is the role of an ombudsmans? advocates for residents' rights and quality care What is one important reason that HIPAA was passed? to help keep health info private and secure List five examples of a person's PHI. person's name, address, telephone number, social security number, and medical record number With whom is a NA allowed to share info about a resident? care staff advance directives A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process Examples of advance directives living will and durable power of attorney List 3 rights relating to advance directives that the PSDA requires be given to a resident at the time of admission? the right to accept or refuse treatment the right to prepare an advance directive the right to participate in and direct healthcare decisions What is the 3 steps of communication process? 1. the sender sends a message ver & sender constantly switch roles as they communicate ding feedback nonverbal communication communication without the use of words. Examples of nonverbal communication facial expressions, eye contact, and gestures Culture learned beliefs and behaviors that is practiced by a group of people what is one positive response to cultural diversity? acceptance and knowledge