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The nurse's son called and asked her to bring home a package of bandages, so the nurse grabbed a package from the facility's stockroom to take home. Which of the following options BEST identifies this action? - Negligence - Theft - False imprisonment - Aiding and abetting - ANSWER Theft Theft = a legal and ethical issue that involves taking an item that belongs to someone else. In this question, the nurse took a package of bandages that belong to the facility; therefore, she was taking something that did not belong to her. Negligence = an act that results in patient harm due to the nurse omitting care to the patient or incorrectly providing care to the patient False imprisonment =when a patient is restrained from moving freely about against his or her wishes. Aiding and abetting = when a nurse sees an unlawful act and does nothing about it Which of the following personal qualities is a nursing assistant demonstrating when he or she accepts his or her own limitations? - Caring - Dependability - Accountability - Honesty - ANSWER Honesty Honesty is the personal quality in which the nursing assistant demonstrates his or her acceptance of his or her own limitations, along with understanding the job's duties and holding oneself accountable for what he or she does. When a facility decides to transfer or to discharge a patient, how much time MUST the facility provide to the resident or resident's representative before they may do so? - Within 7 days - Within 14 days - Within 30 days - Within 60 days - ANSWER Within 30 days This rule is enforced by the "Resident's Bill of Rights" that was issued after the American Hospital Association issued "A Patient's Bill of Rights" in 1973. The act states that a facility may only transfer or discharge a patient for medical reasons, for their wellbeing or the wellbeing of other patients, or for insufficient payment (excluding Medicaid patients) An elderly patient who has been diagnosed with Parkinson's disease may be affected by all of the following EXCEPT: - The ability to stand - The ability to stoop - The ability to walk - The ability to learn new skills - ANSWER The ability to learn new skills Parkinson's disease may cause patients to have chronic conditions, which include muscle tremors or arthritis that may affect their ability to walk, stand, or stoop. Patients who have difficulty walking or standing are more apt to fall, which could lead to injuries that will require hospitalization. However, Parkinson's disease will not affect an elderly patient's ability to learn, nor does the aging process. Which of the following options is the primary cause of death for individuals who are 85 years or older? - Injuries related to falling - Cancer - Strokes - Hypertension - ANSWER Injuries related to falling Which of the following options BEST describes MRSA? - ANSWER Life threatening skin disease that spreads through the blood stream MRSA is best described as a life threatening skin disease that spreads through the blood stream. MRSA is a communicable disease that if left untreated it could affect the nursing facility's entire population. Scabies is a skin rash that is caused by an infestation of tiny mites. Shingles is a viral skin condition that infects the patient's nerve path. You are asked to take the patient's radial pulse, where on the patient's body would you perform this task? - Neck - Behind the ear - Apex - Wrist - ANSWER Wrist The radial pulse is felt on an individual's wrist. The apical pulse is listened to at the apex. If a patient has a heart disease, you should measure his or her radial pulse for a minimum of one minute. If you are measuring a patient's apical pulse, you should listen to the heartbeat for a minimum of one minute before recording the patient's pulse rate. When taking the patient's radial pulse the first time, you find that his pulse rate is 45 BPM. Which of the following actions should you take next? - You should recount the patient's pulse for 60 seconds - You should immediately notify the patient's nurse - You should record his pulse rate on his chart -You should take the patient's blood pressure - ANSWER You should recount the patient's pulse for 60 seconds If a patient has an irregular pulse rate of 50 BPM or less, you should recount the patient's pulse for 60 seconds. If the patient's pulse rate is still under 50 BPM after counting it the second time, you should notify his or her nurse immediately, as it could indicate a serious condition. When taking a patient's pulse rate, you should always place him or her in a sitting or supine position. Which of the following options BEST defines hazardous waste? - Waste matter that has been contaminated with blood - Waste matter that has been contaminated with chemical agents - All waste matter that has the potential to cause infection - Only waste matter that is identified as hazardous material - ANSWER All waste matter that has the potential to cause infection Hazardous waste is best defined as all waste matter that has the potential to cause infection. Blood, along with any other body fluids, is considered a hazardous waste. It is imperative that all contaminated materials are placed in a marked biohazard container When providing oral care to a resident, how should you position the patient? - In the supine position - In the Sim's position - In the orthopneic position - In the Fowler's position - ANSWER In the Fowler's position When providing oral care to a resident, you should position the resident in the Fowler's position, which you would do by raising the head of the bed. By raising the head of the patient's bed, you are positioning them in an upright position, which will help prevent them from choking during the oral care. You would not want the patient on their back,
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