OBRA (Omnibus Budget Reconciliation Act of 1987) - CORRECT ANSWER✅✅Requires that nursing
centers provide care in a manner and in a setting that maintains or improves each person's quality of
life, health, and safety. It also requires nursing assistant training and competency evaluation. Resident
Rights.
Job Safety - CORRECT ANSWER✅✅* Understanding the roles, functions, and responsibilities of your job
description.
* Know the content and policies in the employee handbook and policies and procedures manual.
* Know what is right and wrong.
* Know what you can and cannot do.
* Develop the desired quality and traits of nursing assistants.
* Follow the nurse's directions and instructions.
* Question unclear directions and things you don't understand.
* Help others willingly when asked.
* Follow center rules.
* Ask for any training you might need.
* Report measurements, observations, the care given, the person's complaints, any any errors
accurately.
* Accept responsibility for your actions. Admit when you are wrong and make a mistake. Do not blame
others. Do not make excuses for your actions. Learn what you did wrong and why. Always try to learn
from your mistakes.
* Handle the person's property carefully, and prevent damage.
ADL Flow Sheet - CORRECT ANSWER✅✅The ADL Flow Sheet is used to record a person's ability to
perform ADL. This flow sheet addresses hygiene, food and fluids, eliminations, rest and sleep, activities,
and social interactions.
Comprehensive Care Plan - CORRECT ANSWER✅✅A written guide about the care a person should
receive. The health team develops it. The resident and family give input. The care plan includes: nursing
diagnoses and goals. It has the person's problems, goals for care, and actions to take to help the person
solve health problems.
, Avoiding Aggressive Behavior - CORRECT ANSWER✅✅Have good communication. Protect yourself and
others. Report any abuse or mistreatment to nursing staff.
Care for Older People with Dry Skin - CORRECT ANSWER✅✅* Bath or showers 2x a week. Partial baths
taken at other times.
* Mild soaps or soap substitutes to clean underarms, genitals, and under the breasts.
* Often soap not used on the arms, legs, back, chest, and abs.
* Lotions and creams to prevent drying and itching.
* Deodorants not needed.
Sexuality in Older Persons - CORRECT ANSWER✅✅Love, affection, and intimacy are needed throughout
life. Older persons love, fall in love, hold hands, and embrace. MAY have intercourse. Social situations
and personal health issues may affect intimacy issues.
Promoting Wheelchair Safety - CORRECT ANSWER✅✅Make sure wheelchair is mechanically sound and
clean according to center policy. Promote wheelchair safety by making sure wheels are locked during
transfer, and that patient's feet are on the footplates.
Bed Rail Use for Patients - CORRECT ANSWER✅✅Bed rails are recorded/used according to the Care
Plan.
Jacket Restraints - CORRECT ANSWER✅✅Applied with opening in the back. Straps cross in the front -
never in the back. Do not apply backwards. Apply over clothing.
Sequence for Donning PPE - CORRECT ANSWER✅✅ON (before entering isolation room): 1) Gown, 2)
Mask or Respirator, 3) Goggles or Face Shield, 4) Gloves. OFF (at doorway or anterior room): 1) Gloves,
2) Goggles or Face Shield, 3) Gown, 4) Mask or Respirator (after leaving room).
Nursing Center Residents - CORRECT ANSWER✅✅Are allowed to bring some furniture and personal
items from home as space allows.