PD
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, iii
Table of Contents
Preface v
Lesson Plans
1 The Nursing Assistant in Long-Term Care 1
2 Foundations of Resident Care 10
3 Understanding Residents 27
4 Body Systems and Related Conditions 38
5 Confusion, Dementia, and Alzheimer’s Disease 57
6 Personal Care Skills 64
7 Basic Nursing Skills 73
8 Nutrition and Hydration 85
9 Rehabilitation and Restorative Care 93
10 Caring for Yourself 98
Appendices
Appendix A Key Material 103
Appendix B Handouts 176
Appendix C Chapter Exams 238
Appendix D Answer Key for Chapter Exams 271
Appendix E 2nd Set of Chapter Exams 278
Appendix F Answer Key for 2nd Set of Chapter Exams 295
Appendix G Final Exam 298
Appendix H Answer Key for Final Exam 308
Appendix I Final Exam 2 311
Appendix J Answer Key for Final Exam 2 316
Appendix K Workbook Answer Key and
Practice Exam Answer Key 318
, 1
1
The Nursing Assistant in Long-Term Care
1. Compare long-term care to other healthcare settings
2. Describe a typical long-term care facility
3. Explain Medicare and Medicaid
4. Describe the nursing assistant’s role
5. Describe the care team and the chain of command
6. Define policies, procedures, and professionalism
7. List examples of legal and ethical behavior and explain Residents’ Rights
8. Explain legal aspects of the resident’s medical record
9. Explain the Minimum Data Set (MDS)
10. Discuss incident reports
Supplemental Tools chapter. The students should be made aware of
key material 1-1 facts about medicare and their responsibilities regarding legal and ethical is-
medicaid sues. Information about HIPAA is included in this
chapter and should be emphasized. It is important
key material 1-2 chain of command
that students know that there are serious repercus-
key material 1-3 qualities of great nursing sions for breaches of confidentiality. It is also im-
assistants portant to emphasize that NAs are legally required
key material 1-4 residents’ rights to report suspected or observed abuse or neglect.
key material 1-5 suspicious injuries In addition, students will learn that the residents
for whom they care have legal rights, and they
key material 1-6 signs of abuse must respect those rights every day from resident
key material 1-7 signs of neglect to resident.
key material 1-8 24-hour clock
handout 1-1 decision quiz 1. Compare long-term care to other
handout 1-2 who is vulnerable to abuse or healthcare settings
neglect? Meeting the Learning Objective
chapter 1: exam textbook pp. 1–2
Assignments workbook p. 1
textbook reading: pp. 1–20 Lecture
workbook exercises: pp. 1–9 Define the following terms:
• Long-term care (LTC)
Overview of Teaching Strategies
The purpose of this chapter is to offer insight into • Skilled care
healthcare settings and the healthcare team. This • Length of stay
chapter emphasizes the specific roles of different • Terminal illness
care team members and functions the nursing • Chronic
assistant will be expected to perform. Nursing
assistants are expected to behave in ethical and • Diagnoses
legal ways, which are specifically explained in this • Home health care
, 2
• Assisted living Describe trauma-informed care:
• Adult day services • Recognizes many people have experienced
• Acute care trauma in their lives
• Subacute care • Examples are witnessing or experiencing abuse
or neglect, violence, prison, or military combat;
• Outpatient care
having unstable home environments; experienc-
• Rehabilitation ing poverty, discrimination, or a life-threatening
• Hospice care illness; and having had negative experiences in a
medical setting.
Discuss the different healthcare settings. Briefly
• Considers each person’s trauma, experiences,
emphasize aspects of long-term care, including
and preferences and provides a person-centered
• Reasons why people live in LTC facilities approach to care
• Common conditions in LTC
• The fact that LTC facilities are residents’ homes Activity
As a class project, using the examples of trauma
above, discuss how they may influence a resident’s
2. Describe a typical long-term care facility behavior and how involving the resident in treat-
ment plans can help with the person’s sense of
Meeting the Learning Objective
safety and control.
textbook pp. 2–3
workbook pp. 1–2
3. Explain Medicare and Medicaid
Lecture Meeting the Learning Objective
Define the following term: textbook p. 3
• Activities of daily living (ADLs) workbook p. 2
Discuss common services provided at facilities:
Lecture
• Assistance with personal care
Define the following terms:
• Physical, occupational, and speech therapy
• Medicare
• Wound care
• Medicaid
• Care of different types of tubes
• Nutrition therapy Display Key Material
• Management of chronic diseases 1-1 facts about medicare and medicaid
Discuss different models of LTC facilities, includ- Describe Medicare coverage:
ing those with dementia and assisted living wings. • For people 65 or older or who have disabilities or
Review services facilities offer. certain illnesses
Define the following terms: • Part A helps pay for care in a hospital or skilled
nursing facility or for care from a home health
• Person-centered care
agency or hospice.
• Trauma-informed care
• Part B helps pay for doctor services and other
Describe person-centered care: medical services and equipment.
• Emphasizes individuality of person who needs • Part C allows private health insurance companies
care to provide Medicare benefits.
• Each person’s background, culture, language, • Part D helps pay for medications prescribed for
beliefs, and traditions are respected treatment.
• Improving each resident’s quality of life is an
important goal Describe facts about Medicaid:
• Funded by both the federal government and each
state
f
F
ile
, iii
Table of Contents
Preface v
Lesson Plans
1 The Nursing Assistant in Long-Term Care 1
2 Foundations of Resident Care 10
3 Understanding Residents 27
4 Body Systems and Related Conditions 38
5 Confusion, Dementia, and Alzheimer’s Disease 57
6 Personal Care Skills 64
7 Basic Nursing Skills 73
8 Nutrition and Hydration 85
9 Rehabilitation and Restorative Care 93
10 Caring for Yourself 98
Appendices
Appendix A Key Material 103
Appendix B Handouts 176
Appendix C Chapter Exams 238
Appendix D Answer Key for Chapter Exams 271
Appendix E 2nd Set of Chapter Exams 278
Appendix F Answer Key for 2nd Set of Chapter Exams 295
Appendix G Final Exam 298
Appendix H Answer Key for Final Exam 308
Appendix I Final Exam 2 311
Appendix J Answer Key for Final Exam 2 316
Appendix K Workbook Answer Key and
Practice Exam Answer Key 318
, 1
1
The Nursing Assistant in Long-Term Care
1. Compare long-term care to other healthcare settings
2. Describe a typical long-term care facility
3. Explain Medicare and Medicaid
4. Describe the nursing assistant’s role
5. Describe the care team and the chain of command
6. Define policies, procedures, and professionalism
7. List examples of legal and ethical behavior and explain Residents’ Rights
8. Explain legal aspects of the resident’s medical record
9. Explain the Minimum Data Set (MDS)
10. Discuss incident reports
Supplemental Tools chapter. The students should be made aware of
key material 1-1 facts about medicare and their responsibilities regarding legal and ethical is-
medicaid sues. Information about HIPAA is included in this
chapter and should be emphasized. It is important
key material 1-2 chain of command
that students know that there are serious repercus-
key material 1-3 qualities of great nursing sions for breaches of confidentiality. It is also im-
assistants portant to emphasize that NAs are legally required
key material 1-4 residents’ rights to report suspected or observed abuse or neglect.
key material 1-5 suspicious injuries In addition, students will learn that the residents
for whom they care have legal rights, and they
key material 1-6 signs of abuse must respect those rights every day from resident
key material 1-7 signs of neglect to resident.
key material 1-8 24-hour clock
handout 1-1 decision quiz 1. Compare long-term care to other
handout 1-2 who is vulnerable to abuse or healthcare settings
neglect? Meeting the Learning Objective
chapter 1: exam textbook pp. 1–2
Assignments workbook p. 1
textbook reading: pp. 1–20 Lecture
workbook exercises: pp. 1–9 Define the following terms:
• Long-term care (LTC)
Overview of Teaching Strategies
The purpose of this chapter is to offer insight into • Skilled care
healthcare settings and the healthcare team. This • Length of stay
chapter emphasizes the specific roles of different • Terminal illness
care team members and functions the nursing • Chronic
assistant will be expected to perform. Nursing
assistants are expected to behave in ethical and • Diagnoses
legal ways, which are specifically explained in this • Home health care
, 2
• Assisted living Describe trauma-informed care:
• Adult day services • Recognizes many people have experienced
• Acute care trauma in their lives
• Subacute care • Examples are witnessing or experiencing abuse
or neglect, violence, prison, or military combat;
• Outpatient care
having unstable home environments; experienc-
• Rehabilitation ing poverty, discrimination, or a life-threatening
• Hospice care illness; and having had negative experiences in a
medical setting.
Discuss the different healthcare settings. Briefly
• Considers each person’s trauma, experiences,
emphasize aspects of long-term care, including
and preferences and provides a person-centered
• Reasons why people live in LTC facilities approach to care
• Common conditions in LTC
• The fact that LTC facilities are residents’ homes Activity
As a class project, using the examples of trauma
above, discuss how they may influence a resident’s
2. Describe a typical long-term care facility behavior and how involving the resident in treat-
ment plans can help with the person’s sense of
Meeting the Learning Objective
safety and control.
textbook pp. 2–3
workbook pp. 1–2
3. Explain Medicare and Medicaid
Lecture Meeting the Learning Objective
Define the following term: textbook p. 3
• Activities of daily living (ADLs) workbook p. 2
Discuss common services provided at facilities:
Lecture
• Assistance with personal care
Define the following terms:
• Physical, occupational, and speech therapy
• Medicare
• Wound care
• Medicaid
• Care of different types of tubes
• Nutrition therapy Display Key Material
• Management of chronic diseases 1-1 facts about medicare and medicaid
Discuss different models of LTC facilities, includ- Describe Medicare coverage:
ing those with dementia and assisted living wings. • For people 65 or older or who have disabilities or
Review services facilities offer. certain illnesses
Define the following terms: • Part A helps pay for care in a hospital or skilled
nursing facility or for care from a home health
• Person-centered care
agency or hospice.
• Trauma-informed care
• Part B helps pay for doctor services and other
Describe person-centered care: medical services and equipment.
• Emphasizes individuality of person who needs • Part C allows private health insurance companies
care to provide Medicare benefits.
• Each person’s background, culture, language, • Part D helps pay for medications prescribed for
beliefs, and traditions are respected treatment.
• Improving each resident’s quality of life is an
important goal Describe facts about Medicaid:
• Funded by both the federal government and each
state
