Chapters 3 & 5 (CNA Test #2) Questions and Answers

Chapters 3 & 5 (CNA Test #2) Questions and Answers Ethical or Legal issue? Dorothy, a nursing assistant, makes fun of the way one of her residence speaks English when she is at home with her husband Ethical Ethical or Legal issue? Dennis, a nursing assistant, takes a necklace from a resident with dementia, whom he thinks will not notice, to give to his girlfriend Legal Ethical or Legal issue? Lisa is ten minutes late coming in for work on Monday. Her supervisor does not notice, and Lisa does not tell her Ethical Ethical or Legal issue? Paula is having trouble completing her procedures on time. She's afraid of losing her job, so she makes up a blood pressure reading on a resident's chart Legal Sarah, a nursing assistant, is out shopping with her friends. One of them asked her if she likes her job, and she responds enthusiastically. She proceeds to relate to them that her resident, Ms. Dolly has Alzheimer's disease and has to be reminded of her name several times a day as she is apt to forgetting it Did Sarah behave in a legal and ethical manner? Why or why not? No keeping resident info confidential is one of the residents rights. All team members must keep resident info confidential. Caroyl, a nursing assistant, finishes her duties for the day and is about to leave. One of her residents, Mr. Leach, tells her how pleased he is with her work. He says that she is the first NA that has made him feel so comfortable and well taken care of. He gives her a little box of candy and says it is for all the hard work she has done. Caroyl initially refuses, but after he insists, she takes it from him thanking him. Did Caroyl behave in a legal and ethical manner? Why or why not? Yes Caroyl tries to do what is right and has a sense of duty and responsibility Mark, a nursing assistant, has been working ar a facility for almost a year. One of his residents, Mr. Headman, has family visiting her from out-of-state. Mark meets her daughter, Susan, for the first time. During the course of conversation, Susan asks Mark to come have a drink with her so that they can talk about her mother's case in a more relaxed environment. Mark tells her that he can go out for a short while. They arrange to meet. Did Mark behave in a legal and ethical manner? Why or why not? No; the knowledge of right or wrong; Mark has to have a sense of duty and responsibility The Omnibus Budget Reconciliation Act (OBRA) sets minimum standards for Nursing Assisstant Training According to OBRA, nursing assistants must complete at least ___ hours of training and must pass competency evaluations before they can be employed 75 hours The Minimum Data Set (MDS) is a form for assessing residents and solving problems An MDS must be completed for each resident Within 14 days of admission and again each year and any time there is a change Mrs. Perkins is a visually impaired resident. She is very nearsighted and has misplaced her glasses many times. She gets upset during eye examinations, so the staff at her facility often allow her to go without glasses for a few weeks before having them replaced. Which of the residents rights are violated in this case? Services and activities to maintain high level of wellness Mr. Gallerano has a stomach ulcer that gives him minor pain. He has medication for it, but he says it makes him nauseous and he does not want to take it. Lila, a nursing assistant, tells him that he may not have his dinner until he takes his medication. Which residents rights is Lila violating? The right to participate in this own care Ms. Mayes, a resident with severe arthritis, has a blue sweater that she loves to wear. The buttons are very tiny, and she cannot button them herself. Jim, a nursing assistant, tells her that she cannot wear the sweater today, because it takes him too long to help her into it. Which residents assistant right has Jim violated? The right to make independent choices Amy is a nursing assistant at Sweetwater Retirement Home. Every night when she goes home, she tells her family funny stories about the residents she is working with. Which residents right is Amy violating? The right to privacy and confidentiality Laura, a nursing assistant at Great Oak Nursing Home, is running behind with her work for the evening. She's helping Mr. Young, a resident with Altzheimer's, with his dinner. She's getting frustrated with him, because he keeps taking the fork out of her hand, and dropping on the floor. Finally, she slapped his hand to get him to stop. Which residents right has she violated? The right to dignity, respect, and freedom Mrs. Hart is a resident with dementia at Longmeadow Retirement Home. She is usually unresponsive to her surrounding. James, a nursing assistant, notices a pretty bracelet on her dresser. He borrows it for his wife to wear to a formal dinner party, knowing that Mrs. Hart will not notice. Which residents rights has he violated? The right to security of possessions Ms. Land, an elderly resident, gets into a loud argument with another resident during a card game. When her daughter comes to see her later that day, Anne, an NA, tells her that Ms. Land is in a bad mood and cannot see anyone. Which residents rights is she violating? The right to visits During dinner, Pete, a nursing assistant, spills hot soup on a resident's arm. He tells her that she had better not tell anyone about it or he will be very angry at her. Which residents right is he violating? The right to complain Purposely causing physical, mental, or emotional pain or injury to someone Abuse Actions or failure to act or provide proper care resulting in injury to a person Active Neglect Any behavior that causes the resident to feel threatened, fearful, intimidated, or humiliated Assault Touching a person without his or her persmission Battery Abuse by spouses, intimate partners, or family members Domestic Violence Stealing, taking advantage of, or improperly using the money or other assets of another Financial Abuse Confinement or seperate in from others without consent Involuntary Seclusion Purposely harming a person physically, mentally, or emotionally by failing to give needed or correct care Negligence Unintentionally harming a person physically, mentally, or emotionally by failing to give needed or correct care Passive Neglect Intentional or unintentional treatment that causes harm to a person's body Physical Abuse Threatening to touch a person without his or her permission Psychological Abuse Forcing a person to perform or participate in sexual acts Sexual Abuse Any unwelcome sexual advance or behavior that creates an intimidating or hostile work environment Sexual Harassment The use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself or others Substance Abuse Oral or written words, pictures, or gestures that threaten, embarrass, or insult another person Verbal Abuse Abuse of caregivers or team members by resident or other team members Workplace Violence Name five "suspicious" injuries that should be reported 1.) Poisoning or traumatic injury 2.) Teeth marks 3.) Bruises, contusions, and welts 4.) Scars 5.) Fractures, dislocation What are seven signs that could indicate ABUSE? 1.) Constant pain 2.) Poor self-control 3.) Alcohol or drug abuse 4.) Low self-esteem 5.) Agitation, anxiety, or stress 6.) Mood changes, confusion, disorientation 7.) Fear, apprehension, or fear of being alone What are seven signs that could indicate NEGLECT? 1.) Pressure ulcers 2.) Body not clean 3.) Body lice 4.) Unanswered call lights 5.) Weight-loss; poor appetite 6.) Uneatened food 7.) Dehydration What are Mandated Reporters? People who are legally required to report suspected or observed abuse/neglect because they have regular contact with vulnerable populations (elderlies in care facilities) If a resident wants to make a complaint of abuse, what must you (as an NA) do? Assist them in every way, including, telling them if the process of their rights Never retaliate (punish) residents that are complaining of abuse When performing procedures on residents, you should Explain the procedure fully before performing it If a resident refuses to take a bath, you should Respect his/her wishes, but report it to the nurse If your husband asks you to tell a story about a resident in your care, you should Explain that you cannot talk or gossip about your resident If you suspect your resident is being abused, you should Report it to the nurse immediately What happens when a facility has determined that a nursing assistant abused a resident? A report must be made to the Nurse Aide Training Competency Evaluation Form One task of an ombudsman is to Investigate and resolve resident complaints An ombudsman is assigned by law as the ____________ advocate for residents Legal A Residents' Council meets to discuss issues related to the care facility m. It is mostly made up of Residents What is the purpose of HIPPA? To keep protected health information private and secure What is included under protected health information (PHI)? Patient's social security number and medical record number What is the correct response if someone shout a legal need to know asks for a resident's PHI? Tell them that the information is confidential and cannot be given out To protect residents' privacy, a nursing assistant should Use confidential rooms for reporting on residents Legal documents that allow people to choose what medical care they wish to have if they cannot make those decisions themselves Advance Directives States the medical care a person wants, or does not want, in case he or she becomes unable to make those decisions him- or herself Living Will A signed, dated, and witnessed paper that appoints someone else to make the medial decisions for a person in the event her or she become unable to do so Durable Power of Attorney for Health Care A legal document that tells medical professionals not to perform CPR (Cardiopulmonary Resuscitation) Do-Not-Resuscitate (DNR) Order Measures practiced in healthcare facilities to prevent and control the spread of disease Medical Asepsis A harmful microorganism Pathogen Infections that patients acquire within healthcare settings that result from treatment for other conditions Healthcare-Associated Infection Tiny living thing that cannot be seen without a microscope Microorganism/Microbe The state of being free of all microorganisms, not just pathogens Surgical Aspepsis The process of removing pathogens, or the state of being free of pathogens Infection Control An infection that is in the bloodstream and is spread throughout the body Systemic Infection In healthcare, objects that have not been contaminated with pathogens Clean Occurs when pathogens invade the body and multiply Infection An infection that is confined to a specific location in the body Localized Infection In healthcare, objects that have been contaminate with pathogens Dirty A(n) ____________ is a pathogen or microorganism that causes disease Causative Agent A(n) _____________ is a place where a pathogen lives and grows Reservoir An opening on an infected person that lets pathogens leave is a(n) ____________ Portal of Exit Parhogens travel from one person to another through a mode of ___________ Transmission The ______________ is an opening on an infected person that lets parhogens enter Portal of Entry A(n) ____________ host is an uninflected person who could get sick Susceptible Host T/F The elderly have a higher risk for infection that younger people True T/F It is normal for a person's immune system to grow weaker as he or she ages True T/F Blood circulation is increased as a person ages False (it is decreased) T/F Limited mobility increases the risk of pressure sores among the elderly True T/F Nutrition and fluid intake play no part in helping prevent infection False (Nutrition and fluid intake DO take part in helping prevent infection) T/F The elderly are less likely than younger people to have healthcare-associated infections False (they more likely to have healthcare-associated infections) T/F NAs play an important told in protecting elderly residents from infections Teue T/F Redness and swelling are common symptoms of a systemic infection False (that pertains to Localized Infections) T/F Fever, chills, and mental confusion are symptoms of systemic infection True T/F Standard Precautions means testing all blood, bodily fluid, non-intact skin, and mucous membranes as if they were infected with an infectious disease True T/F Standard Precautions relate to all body fluids except saliva False (Saliva is a body fluid that should be precautioned) T/F You can usually tell if someone is infectious by looking at them False (that is not always the case) T/F The Centers for Disease Control and Lrevention is a government agency that issues information to protect the the health of individuals and communities True T/F You should wash you hands before putting on gloves True