CNA study guide study quiz well answered 2024.

Long Term Care Centers - answersDesigned for persons who cannot care for themselves: Medical, nursing, dietary, recreational, rehabilitative, and social services are provided Residents - answersPersons in long-term care centers; Center is their permanent or temporary home; Most residents are older and have chronic diseases, poor nurtrition, or poor health; Some residents are disabled from birth defects, accidents, or diseases; Alert, oriented residents - answersResident knows who & where they are, the year, and time of day. They have physical problems. Disability level affects the amount of care required. Some require complete care, others need help with daily activities Confused & disoriented residents - answersResident is mildly to severely confused & disoriented. Some simply have trouble remembering where the dining room is, the month, or year. Others are more confused & disoriented--they do not know who or where they are. Sometimes the problem is short term. For others it is permanent and becomes worse Complete care residents - answersResidents who are disabled, confused, and disoriented. They cannot meet their own needs or tell you what they need. They need to be kept clean, safe, and comfortable Short-term residents/Respite Care - answersResidents who need to recover from surgery, fractures, or illnesses and regain strength & mobility to return to their former living situations. Home care-giver is given a rest. Life-long Residents - answersResidents with birth defects & childhood injuries & diseases can cause disabilities such as mental retardation & Down syndrome. Person has limited function in at least 3 ares: self-care, understanding, or expressing language, learning, mobility, self-direction, independent living, & financial support. Person needs lifelong assistance, support and special services. Developmental Disability - answersA disability occurring before 22 years of age; May be a physical impairment, intellectual impairment, or both Mentally ill residents - answersResidents with problems coping or adjusting to stress affecting behavioral and function. Terminally ill residents - answersResidents who are going to die from terminal illness (cancer, AIDS, liver/heart/kidney/respiratory disease. Nursing Team - answersRN's, LPN's (LVN's), & Nursing Assistant's Nursing Process - answers1) Assessment - Collects information. 2) Nursing Diagnosis - Describes health problems. 3) Planning - Setting priorities and goals. 4) Implementation - Carries out the plan (goals). 5) Evaluation - Measures if the goals of the planning step were met. Medicare - answersA federal health insurance program for persons 65 yrs of age or older Medicaid - answersA health care payment program sponsored by federal & state governments OBRA-Residents Rights - answersRight to all his or her information records; Right to refuse treatment; Right to privacy & confidentiality; Right to personal choice; Right to voice concerns, questions, & complaints about care; Right to not have to work for care, care items, or other things or privileges; Right to form & take part in resident & family groups; Right to keep and use personal items; Right to be free from all abuse, mistreatment, & neglect; Right to be free of restraint; Right to a quality of life that promotes dignity & self esteem; Promotes physical, psychological, and mental well-being for quality of life Quality of Life Activities - answersNursing center provides activity programs that allow personal choice. They must promote physical, intellectual, social, spiritual, & emotional well being. Religious services promote spirtual health Quality of Life Environment - answersNursing centers environment must promote quality of life by being clean, safe & as home-like as possible. OBRA Requirements for Dignity & Privacy - answers1. Courteous & Dignified Interactions (right tone of voice, good eye contact, stand or sit close, use proper name & title, gain attention before interacting with resident, use touch IF person approves, respect social status, listen with interest, DO NOT yell, scold, or embarrass resident) 2. Courteous & Dignified Care (grooming, dressing, clothing is personal choice, promote independence & dignity in dining, respect private space & property, assist with walking, transfers, bathing & hygiene preferences) 3. Privacy & Self-Determination (avoid exposure & embarrassment, keep person properly draped at all times, use curtains & screens during all care & procedures, knock before entering, close bathroom door when person uses it) 4. Maintain Personal Choice & Independence (Person smokes in allowed areas, takes part in activities according to interests, involved in scheduling activities & care, gives input to care plan about preferences & independence, involved in room or roommate change) OBRA Requirements (all 50 states) - answersNursing Assistant training and competency evaluation program must be completed to work in nursing centers and hospital long-term care units. OBRA Training Program - answersRequires at least 75 hours of instruction (16 hrs are supervised practical training); includes knowledge & skills needed to give basic nursing care; takes place in a laboratory or clinical setting OBRA Competency Evaluation - answersAfter training program you take a written test that has multiple-choice questions and a skills test that is performing certain skills learned in training program. OBRA allows at least 3 attempts to successfully complete the evaluation OBRA Nursing Assistant Registry - answersAn official record or listing of persons who have successfully completed a competency evaluation; Each state must have a nursing assistant registry; all information stays in registry for at least 5 years OBRA other requirements & provisions - answersRetraining & new competency evaluation program are required for NA who have not worked for 2 consecutive years. It does not matter how long you worked, it is how long you did NOT work: Requires new competency evaluation OR Both retraining & new competency evaluation; Nursing agencies must provide 12 hrs of educational programs to NA's every year Delegation - answersRN's can delegate tasks to LPNs/LVNs, & NA's (Right Task, Right Circumstances, Right Person, Right Directions & Communication, Right Supervision) Refusing a Task - answersHave the right to refuse when: Task is beyond legal limits of your role, Is not in your job description, You were not prepared to perform the task, Task could harm the person, Person's condition has changed, You do not know how to use the supplies or equipment, directions are unethical,