Chapter 3 the Nursing Assistant Questions and Answers

Chapter 3 the Nursing Assistant Questions and Answers To authorize another person to perform a nursing task in a certain situation. Delegate. Nursing care or a nursing procedure, activity, or work that can be delegated to nursing assistants when it does NOT require an RN's professional knowledge or judgement. Nursing task. Being responsible for one's actions & the actions of others who perform delegated tasks. Accountable. The duty or obligation to perform some act or function. Responsibility. A document that describes what the agency expects you to do. Job description. Until the 1980s, nursing assistants Received on-the-job training from nurses. Efforts to reduce health care costs include Hospital closings & mergers. When staff members are given training to perform basic skills that are provided by other health team members, it is called Cross-training. An example of cross-training would be A member of the nursing team draws blood when the order is given. Nurse Practice Acts Define RNs, LPNs/LVNs & sometimes also regulate nursing assistants. ________________ decides what nursing assistants can do. The nurse practice act. If you do something beyond the legal limits of your role, you could be Practicing nursing without a license. Nursing assistants can have their certification, license, or registration denied, revoked, or suspended for Violating the privacy of a patient or resident, failing to maintain the confidentiality of patient or resident information, & abusing a patient or resident. OBRA requires that the nursing assistant training & competency evaluation program have at least _____ hours of instruction. 75. Which of these areas of study is NOT included in a training program for nursing assistants? Phlebotomy (drawing blood). The competency evaluation for nursing assistants has two parts. They are a Written test & a skills test. If you fail the competency evaluation the first time it is taken, you Can retest two more times for a total of three times. All of the following information is contained in the nursing assistant registry EXCEPT Number of dependents. OBRA requires that retraining & a new competency evaluation test must be taken if you have NOT worked as a certified nursing assistant for 2 consecutive years. If you want to work in another state, the state agency will require all of these EXCEPT Proof of full-time employment within the last month. Your work as a nursing assistant is supervised by A licensed nurse. As a nursing assistant, you never give medications unless You have completed a state-approved medication assistant training program. You are alone in the nurses' station & you answer the phone. Dr. Smith begins to give verbal orders to you. You should Politely give her your name & title, & ask her to wait while you get the nurse. The nurse asks you to assist him as he changes sterile dressings. You should Assist him as needed. Who can tell the person or family a diagnosis or prescribe treatments? Doctor. The nurse asks you to carry out a task that you do NOT know how to do. You should Promptly explain to the nurse why you cannot carry out the task. The nurse knows you are an EMT in addition to being a CNA. She is very busy & asks you if you will start an IV on a patient. You should Politely tell her that you cannot start an IV as a CNA. If you are giving care in a home, you may be expected to Provide personal care & prepare meals. When you read a job description, you should NOT take a job if it requires you to Function beyond your training limits. Which of the following is NOT acceptable? A nursing assistant delegates a task to another nursing assistant. When a nurse decides how to delegate tasks, the decision depends on What is best for the person at the time. You have been caring for Mr. Watson for several weeks. The nurse tells you that she will give his care today. Her delegation decision is based on Changes in Mr. Watson's condition today. At which step of the delegation process would you tell the nurse you have NOT performed a task before or often? Communication. When the nurse supervises the nursing assistant, she Observes the care that the nursing assistant gives. Which of the following is NOT a right of delegation? The right time. You may refuse to carry out a task for all of these reasons EXCEPT You are too busy. CNA Certified Nursing Assistant. LNA Licensed Nursing Assistant. LPN Licensed Practical Nurse. LVN Licensed Vocational Nurse. OBRA Omnibus Budget Reconciliation Act of 1987. NATCEP Nursing Assistant Training & Competency Evaluation Program. NCSBN National Council of State Boards of Nursing. RN Registered Nurse. RNA Registered Nurse Aide. When hospitals make an effort to reduce costs with a staffing mix, nursing care is given by a mix of RN's, LPN's/LVN's, & Nursing assistants. A Nurse Practice Act Defines RN & LPN/LVN, describes the scope & practice for RNs & LPNs/LVNs, describes the education & licensing requirements for RNs & LPNs/LVNs, & protects the public from persons practicing nursing without a license. The Nursing Assistant Registry has the information about each nursing assistant: Full name, last known home address, registry number & date it expires, date of birth, last known employer, date competency evaluation was passed, & information about findings of abuse/neglect. Why does OBRA require 12 hours of educational programs & performance reviews each year for every nursing assistant? It helps to ensure you have current knowledge & skills to give safe, effective care.