Chapter’s 1 - 3 CNA test Questions and Answers

Chapter’s 1 - 3 CNA test Questions and Answers Long term care 24 hour skilled care who cant manage ADLS's Skilled care medically necessary care given by a skilled nurse or therapist Terminal illness illness that will eventually cause death People who live in long term facilities have Chronic conditions Chronic conditions include physical disabilities, heart disease, and dementia, high blood pressure Diagnoses medical conditions determined by a doctor Home health care care that takes place in a person's home Assisted living residences for people who do not need skilled, 24-hour care, but do require some help with daily care Adult day services care for people who need some help during certain hours, but who do not live in the facility where care is given (9-5) Acute care 24-hour skilled care for short-term illnesses or injuries; generally given in hospitals and ambulatory surgical centers Subacute care care for an illness or condition given to people who need less care than for an acute (sudden onset, short-term) illness or injury but more than for a chronic (long-term) 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 Help restore or improve function after an illness or injury Hospice care People have six months or less to live person-centered care a type of care that places the emphasis on the person needing care and his or her individuality and capabilities Trauma informed care an approach to treatment that acknowledges the role that trauma can have on the mental health of individuals Medicaid Federal program that provides medical benefits for low-income persons. Medicare A federal program of health insurance for persons 65 years of age and older, permanent kidney failure, certain disabilities Part A - pays for care in hospital, skilled nursing facilities, or home health agency or hospice Part B - pays for doctor services and other medical services Part C- allows private health insurance companies to provide Medicare benefits Part D - treatments Procedure a method or way of doing something Charting means Documenting Nursing assistants are not allowed to Insert or remove tubes Give tube feedings Change sterile dressings Chain of command the order of authority within a facility Liability Someone is held responsible for harming someone Scope of practice What you are legally allowed to do Care plan a written plan for each resident created by a nurse; outlines the steps taken by the staff to help the resident reach his or her goals Policy Is a course of action that should be taken every time a certain situation occurs Tactful (adj.) skilled in handling difficult situations or people, polite conscientious characterized by extreme care and great effort; guided by or in accordance with conscience or sense of right and wrong Ethics Knowledge of right and wrong Omnibus Budget Reconciliation Act (OBRA) Federal law that regulates the education and testing of nursing assistants, reports of poor care anf abuse in long term care facilities Cite Document a problem thorugh a survey Residents rights Quality of life - best care available Services and activies to maintain a high level of wellness - develop a care plan for residents The right to be fully informed about rights and services Right to participate in their own care Right to make independent choices Right to privacy and confidentiality Right to dignity, respect, and freedom Right to security of possesions Right during transfers and discharges Right to complain Right to visits Right with regard to social services Abuse physical or emotional harm to someone Physical abuse intentionally causing physical harm to another person Psychological abuse any behavior that causes a person to feel threatened, fearful, intimidated, or humiliated in any way Verbal abuse the use of words to mistreat or injure another person Sexual abuse any sexual act without consent Financial abuse the improper or illegal use of a person's money, possessions, property, or other assets Assault threat or attempt to injure Battery the intentional touching of a person without his or her consent Domestic violence abuse by spouses, intimate partners, or family members False Imprisonment unlawful restraint or restriction of a person's freedom of movement involuntary seclusion the separation of a person from others against the person's will workplace violence verbal, physical, or sexual abuse of staff by other staff members, residents, or visitors sexual harrasment unwelcome sexual speech or behavior that creates a hostile work environment Substance abuse Any unnecessary or improper use of chemical substances for nonmedical purposes Neglect the failure to provide needed care that results in physical, mental, or emotional harm to a person Negligence failure to take proper care in doing something, resulting in unintended injury Malpractice professional negligence Ombudman Legal advocate for residents, resolve conflicts, dispute concerns for resident's health Confedentiality Keep private Health Insurance Portability and Accountability Act (HIPAA) Keep health information private Protected Health Information (PHI) Used to identify a person (name, phone, address, social security, etc) Minimum Data Set (MDS) a detailed form with guidelines for assessing residents in long-term care facilities; also details what to do if resident problems are identified Incident Accident, or problem or unexpected event during the course of care Communication the process of exchanging information with others Verbal communication expressing ideas to others by using spoken words Nonverbal communication communication using body movements, gestures, and facial expressions rather than speech Objective information factual information collected using the senses of sight, hearing, smell, and touch; also called signs Subjective information Information from the patient's point of view. "I feel dizzy." (Symptoms) incontinence inability to control bladder and/or bowels Brady Slow Tachy Fast Pathy Disease Derma Skin PRN as necessary Communication barriers Resident does not hear NA or does not understand Resident is difficult to understand - take time to listen NA uses slang or profanity - NA should never use it NA uses cliches "everything is fine" - NA should never use it NA responds with "why" - NA should never do this NA gives advice - dont do it NA asks questions that only reuqire a yes/no answer - dont do it Resident speaks a different language NA or resident uses nonverbal communciation Defense mechanisms Are unconscious behaviors used to release tension or cope with stress Denial - rejecting the thought or feeling Projection - feelings in others that are really ones own "my teachers hates me" Displacement - transferring a strong negative feeling to a safer situation Rationalization - making excuses to justify a situation Repression - blocking painful thoughts or feelings from the mind Regression - going back to an old usually immature behavior