CNA Exam (Chapters 1-13) Questions and Answers

CNA Exam (Chapters 1-13) Questions and Answers Most people in Long-Term Care Facilities have chronic conditions. True or False? True. Rehabilitation Care given by specialists to help restore or improve function after illness or injury. A resident has purchased a special gift for her nursing assistant (NA). What would be the best response by the nursing assistant? The NA should not accept the gift, but thank the resident for thinking of them. What is an HMO? Health Maintenance Organization (HMO) What group typically has the longest average stay in a LTC (long-term care) facility? Developmentally Disabled residents Acute Care Care given in hospitals for people requiring immediate care. Procedure a method or way of doing something What does Medicare pay for? care determined to be medically necessary. What medical assistance program is provided for low-income people? Medicaid What are regular inspections performed in facilities to make sure they are following state and federal regulations? Surveys What is a core value associated with culture change? Promoting self-determination and personal choice Trauma-Informed Care Involves taking into account each person's trauma and experiences when planning care. What is a possible benefit of Adult Day Services? Caregivers like adult children or spouses can have a break, allowing them to provide better care overall. Providing nail care is an example of personal care. True or False? True. Outpatient Care Care given for less than 24 hours, often after a surgery or some form of medical treatment. More than half of residents that come to long-term care facilities are from where? A hospital or other healthcare facility. Mr. Collett is a new resident at the long-term care facility where Alicia works. His wife died recently and he does not have a strong relationship with his children, who live in another state. What should Alicia be aware of as she cares for Mr. Collett? He may have emotional needs that will not be met if facility staff do not work to meet them. Why would a facility choose to participate in the Joint Commission survey process? Joint Commission surveys can help facilities identify ways to improve the quality and safety of care given to patients, clients, and residents. What is a common policy at most Long-Term Care Facilities? Nursing Assistants must only perform tasks assigned in a resident's care plan. Studies estimate that as many as 48 percent of residents at long-term care facilities suffer from? Dementia Karina, a nursing assistant, is very nervous when a federal surveyor asks her a question she does not know the answer to. What should she do? Be honest about not knowing and say she will find the answer as soon as possible. Medicare and Medicaid pay a _____ amount for services based on a resident's _____? a (fixed) amount for services based on a resident's (needs). Person-Directed Care Recognizing the individuality of each resident Alanna works at a facility where person-directed care is a key value. During admission, Mrs. Ocampo, a new resident, tells her how much she loves gardening and how much she will miss the garden she had at home. What might Alanna do to reflect the values of person-directed care? Point out the window boxes and flower pots other residents have in their rooms and assure Mrs. Ocampo that she can get some, too. An example of personal trauma to be considered when planning care-- Negative experiences in the Medical setting. CHAPTER 2 - THE NURSING ASSISTANT AND THE CARE TEAM Which member of the care team diagnoses disease and prescribes treatment? The Physician (MD) Which of the following care team members are licensed professionals who delegate jobs to nursing assistants? Nurses, PTs (Physical Therapy), OTs (Occupational Therapist) Which of the following statements is true of residents as a part of the care team? The care team revolves around the resident and his or her condition, treatment, and progress. Which of the following statements is true of a nursing assistant's responsibilities if an activity is not listed in the care plan? The NA should not perform the activity if it is not listed on the care plan. What is one reason why reporting a resident's changes and problems to the supervisor is a very important role of the nursing assistant? The care plan must be updated as the resident's condition changes. What is a typical task an NA (Nursing Assistant) performs? Helping a resident with elimination needs. What is one task outside a NAs Scope of Practice? inserting tubes into a resident's body. (also changing or applying a STERILE dressing, or changing any tubing.) Maintaining a professional relationship between the NA and the resident includes--- Keeping the resident's information confidential. Proper personal grooming for an NA means-- keeping hair clean and neatly brushed. (NO long or artificial nails, tattoos, nose rings.) Empathy Being able to identify with the feelings of others. To maintain a professional relationship with an employer, the NA should make sure to--- document carefully Chain of Command line of authority that helps protect nursing assistants and their employers from liability. The correct order of the nursing process is? assessment, nursing diagnosis, planning, implementation, evaluation. What is the single best way for an NA to manage their time efficiently? Plan ahead by making a list of tasks to do When should a nursing assistant explain the care he is going to provide to a resident? Every time before providing care Jane is a nursing assistant. A resident's son angrily complains to her that his mother hasn't received her medications yet today. Jane's facility does not allow NAs to give medications. Which of the following would be the best response for Jane to tell the son? She will locate the nurse and explain the situation. Which care team member assigns tasks and supervises daily care of residents in a long-term care facility? A RN (registered nurse) A NA (Nursing Assistant) is also referred to as a-- A Patient Care Technician (PCT) When getting ready for work in the morning, a female nursing assistant should be sure to--- Wear her long hair in a bun or tied up away from her face. Which care team member might help residents learn to use assistive devices for eating or dressing? Occupational Therapist (OT) Professional behavior for a nursing assistant includes--- Making careful observations Dr. Ryvnine is new at The Oaks long-term care facility. She asks Cecilia, a nursing assistant, to change a sterile dressing. How should Cecilia respond? She should politely tell Dr. Ryvnine that she is not trained or allowed to change sterile dressings. How does the Chain of Command affect the tasks that NAs perform? A licensed healthcare provider must assign everything the NA does in her job, and that person will show great interest in what the NA does and how she does it. Who is involved in the development of a resident's care plan? doctor or nurse, input from the resident, the resident's family, other healthcare workers. Mr. Thornton usually eats all or most of his food at mealtimes. Today he tells Ricardo, a nursing assistant, that he feels fine, but he has only eaten a few bites at each meal. What should Ricardo do? Report his observation to the nurse. Why is the evaluation step important to the nursing process? it helps the healthcare team know if goals are being met and the care plan is working. A NA should get help if--- She does not have time to complete all of her assigned tasks. Charge nurse Amelia is overwhelmed with work and delegates a task to Ruthie, an NA. Ruthie is an experienced NA and has performed this task many times for other residents, but this resident is especially agitated lately, has never liked Ruthie, and does not like changes in his routine. Which of the Five Rights of Delegation should Amelia have considered more carefully before assigning this task? Right circumstance and right person. In the example above, what would be the best response from Ruthie? She should tell Amelia that she does not feel confident performing the task under these circumstances. What is true about planning ahead? Planning ahead can take time but makes work more efficient in the end. CHAPTER 3 - LEGAL AND ETHICAL ISSUES A nursing assistant regularly offers to buy special items for a resident with the resident's money, but then keeps the change. This is a case of--- Financial Abuse OBRA was passed in response to what? Reports of poor care and abuse in LTCs (Long-Term Care Facilities) Code of Ethics A guide to promote proper conduct and high standards of practice in a facility Ethics have to do with the knowledge of right and wrong How many hours of training is required for NAs according to OBRA? at least 75 hours What is the difference between ETHICS and LAWS Ethics - tells people what they SHOULD do. Laws - tells people what the MUST do. The Omnibus Budget Reconciliation Act (OBRA) requires That nursing assistants meet certain minimum standards of training How many hours of in-service education does OBRA require for NAs every YEAR (12 months)? at least 12 hours what is Neglect? harming a person physically, mentally, or emotionally by failing to provide needed care. Ethical behavior by an NA is-- Protecting a resident's privacy Which of the following is an example of an advance directive? Durable Power of Attorney for Health Care With whom may a nursing assistant share contact information and personal details about a coworker? no one Advance Directives May include living wills, durable power of attorney for health care, and do not resuscitate (DNR) orders Kendra is a nursing assistant. She has found it very difficult to care for Mrs. Jackson today and she is feeling angry. Mrs. Jackson complains that Kendra is brushing her hair too roughly and Kendra responds by brushing harder and faster. Which of the following is true? Kendra's behavior is abuse what is a Mandated Reporter? A person who is legally required to report suspected or observed abuse Mrs. Klinger is often disoriented and sometimes thinks she is in a different time and place. Anna, a nursing assistant, finds this behavior entertaining and enjoys telling her husband stories about Mrs. Klinger's moments of confusion. Which of the Residents' Rights is Anna violating? The right to privacy and confidentiality. Financial Abuse the improper or illegal use of a person's money, possessions, property, or other assets. Psychological Abuse Threatening to harm a resident if he tells another caregiver about a problem. An example of Sexual Abuse--- rubbing up against a resident innapropriately A nursing assistant tells a resident that her grandchildren are noisy and disrupt the facility and suggests that next time her daughter visits, she should leave the kids at home. Which Residents' Right might this behavior violate? the Right to have Visitors an example of physical abuse--- shoving a resident what does an Ombudsman do? An ombudsman advocates for residents and helps settle disputes. Which of the following is the best way for a nursing assistant to keep residents' health information confidential? Store, file, or shred documents according to facility policy What is required of an NA if he suspects that a resident is being abused? The NA should report it to the charge nurse immediately. Which of the following behaviors promotes Residents' Rights? Encouraging a resident to participate in care planning CHAPTER 4 - COMMUNICATION AND CULTURAL DIVERSITY When communicating with a resident, it is important for a nursing assistant to--- Never question a resident's religious belief Verbal communication can be misunderstood if each person interprets the same words differently. True or False? True. Melody, a nursing assistant, considers herself a warm and friendly person. She looks residents in the eye and often gently touches a shoulder or strokes an arm as she talks to them. A new resident, Mr. Peltola, looks away and moves toward the other side of the bed when Melody enters his room. What might Melody do to address Mr. Peltola's discomfort? She should care for him kindly, but without touching him unnecessarily and avoiding direct eye contact. Which of the following is true of the three-step communication model? People take turns in the role of sender and receiver. Which of the following locations would be the best place for an NA to share an important observation about a resident with the charge nurse? In a private area where others cannot overhear. Angelo, a nursing assistant, notices that Mrs. Sugimoto is pale and that the skin on her forehead is unusually cool and clammy. He can tell her breathing is faster and more shallow than usual. Which senses has he used in observing Mrs. Sugimoto? sight, touch, and hearing What is the most important reason for documenting immediately after providing care? Not documenting immediately could lead to mistakes in the resident's care, and cause harm to the resident.