Nurse Aide Comp Exam A

When a family member makes suggestions or gives directions about the way to care for a resident, it is important to listen and accept suggestions that can be done and are safe for the resident. This shows respect for the family member's input and acknowledges their concern for the resident's well-being. Ignoring their suggestions may lead to strained relationships and potential harm to the resident. Telling the family that you will care for the resident your way may come across as dismissive and disrespectful. Asking the family to do the care themselves may not be feasible or appropriate in certain situations.

The explanation for the correct answer, which is True, is that the resident might become closer to and trust the nurse assistant more than his own family because the nurse assistant is likely to spend more time with the resident, provide them with care and support, and build a personal relationship based on trust and understanding. Additionally, the nurse assistant may also be more familiar with the resident's needs and preferences, leading to a stronger bond and trust between them.

When family members believe that their loved one is being well taken care of, it creates a positive perception of the staff. This positive feeling is likely to be influenced by factors such as the quality of care provided, the level of communication and involvement from the staff, and the overall experience of the loved one in the care facility. When family members have confidence in the staff's ability to provide proper care, they are more likely to have a positive attitude towards them.

When assisting a female with perineal care, it is important to wash and dry from the pubic area to the anal area. This direction of cleaning helps to prevent the spread of bacteria from the anal area to the urethra, reducing the risk of urinary tract infections. Washing from front to back also helps to maintain proper hygiene and prevent the introduction of harmful bacteria into the vaginal area.

Foot care is an important practice to maintain the health and hygiene of the feet. Inspecting between the toes helps in identifying any potential issues such as cuts, blisters, or infections. Soaking the feet helps in relieving tiredness, reducing swelling, and softening the skin. Washing the feet with soap and water helps in removing dirt, sweat, and bacteria, preventing foot odor and infections. Therefore, all of the mentioned practices are essential components of foot care.

Encouraging the family to visit as often as possible is the correct answer because regular visits from family members can have a positive impact on the resident's emotional well-being and overall quality of life. It provides them with social interaction, emotional support, and a sense of belonging. Regular visits also allow family members to stay updated on the resident's condition, advocate for their needs, and actively participate in their care. By encouraging frequent visits, the resident's support system is strengthened, leading to better outcomes and a higher level of satisfaction for both the resident and their family.

Washing hands is an essential practice for maintaining hygiene and preventing the spread of germs. It is necessary to wash hands after removing gloves to ensure that any potential contaminants on the gloves are eliminated. Similarly, after going to the restroom, handwashing is crucial to remove any bacteria or viruses that may be present. Before giving care, it is important to wash hands to prevent the transmission of germs to the person receiving care. Lastly, after giving care, handwashing is necessary to remove any potential contaminants acquired during the caregiving process. Therefore, the correct answer is "None of the above" as handwashing is required in all the mentioned scenarios.

Offering fluids frequently while the resident is awake is the correct answer because it helps to prevent dehydration. Dehydration can occur when the body loses more fluids than it takes in, and offering fluids frequently ensures that the resident stays hydrated throughout the day. Waking the resident hourly during the night to offer fluids may disrupt their sleep and is not necessary unless there is a specific medical condition that requires it. Giving the resident frequent baths does not directly address dehydration. Feeding the resident salty foods to increase thirst is not recommended as it can have negative health effects.

Employees should be informed of the hazards of chemicals they may be using to ensure their safety and to prevent any potential accidents or health risks. By providing this information, employees can take necessary precautions and follow proper procedures while handling chemicals, reducing the likelihood of accidents or injuries. This also enables employees to understand the potential risks associated with specific chemicals and take appropriate measures to protect themselves and others in the workplace. Therefore, it is important for all employees to be informed about the hazards of chemicals they may be using.

It is not safe to dry a resident's hair with a hair dryer while he/she is soaking in the tub. This can pose a serious risk of electrocution as water conducts electricity. Mixing water and electricity can result in severe injuries or even death. It is important to prioritize the safety of the resident and avoid any actions that could potentially harm them.

The statement is true because aphasia is a condition that affects a person's ability to express themselves verbally. This can lead to feelings of frustration and depression as individuals struggle to communicate their thoughts and emotions effectively.

When a family member becomes angry and directs the anger at the nurse assistant, it is important for the assistant to remain calm and report the situation to the charge nurse. Walking away from the angry family member may not resolve the issue and could potentially escalate the situation further. Telling the family member not to be angry may not be effective and could aggravate them more. Getting angry with the family member is unprofessional and can worsen the relationship between the assistant and the family. Therefore, remaining calm and reporting the situation to the charge nurse is the most appropriate course of action to ensure the safety and well-being of everyone involved.

All of the symptoms mentioned in the options should be reported to the charge nurse. Foul smelling urine could indicate a urinary tract infection or other underlying medical condition. Blood in the urine or stool could be a sign of a serious issue such as a urinary or gastrointestinal tract infection. Difficulty having a bowel movement could be a symptom of constipation or a more serious condition. A bloated abdomen could be a sign of gastrointestinal issues or fluid retention. Therefore, it is important to report all of these symptoms to the charge nurse for further evaluation and appropriate medical intervention.

The first principle when talking with a resident is to speak clearly and slowly. This is important because residents may have difficulty understanding or hearing, so speaking clearly ensures that they can comprehend the conversation. Speaking slowly allows residents to process the information at their own pace and reduces the likelihood of misunderstandings. By following this principle, communication with residents can be effective and respectful.

When moving a resident, it is important to consider any medical devices or lines that they may have, such as a urinary catheter, IV tubing, G-tube, or oxygen line. These devices and lines require special care and attention during the moving process to ensure the safety and well-being of the resident. Therefore, the statement "When moving a resident, anything such as a urinary catheter, IV tubing, G-tube or oxygen line should be considered" is true.

When communicating with a resident with a memory loss, it is important to treat them with respect and empathy. Laughing or making fun of what the resident is saying can be hurtful and demeaning, and it can cause distress to the resident. It is crucial to create a safe and supportive environment for the resident, where they feel comfortable expressing themselves without fear of judgment. Instead of laughing or making fun, it is recommended to pay attention to what the resident is saying and try to understand and respond in a compassionate manner.

Cardiac arrest refers to the sudden cessation of the heartbeat and breathing. It is a life-threatening condition where the heart fails to pump blood effectively. This can lead to a sudden loss of consciousness and a lack of pulse. A stroke, on the other hand, is caused by a disruption of blood flow to the brain and does not necessarily involve the cessation of heartbeat and breathing. Therefore, the correct answer is "Heartbeat and breathing have stopped."

The roles of the Food service department include providing a variety of meals, ensuring that the food is safe, nutritional, and appealing, as well as making sure that every resident receives the correct diet ordered by the doctor. Therefore, the correct answer is "All of the above."

The correct answer is CVA (Cerebral Vascular Accident). A stroke, also known as a cerebral vascular accident, occurs when there is a disruption in the blood supply to the brain. This can be caused by a blockage or rupture of a blood vessel, leading to damage to brain cells and potentially severe neurological deficits. MI (Myocardial Infarction) refers to a heart attack, PVD (Peripheral Vascular Disease) refers to the narrowing of blood vessels outside the heart and brain, and CHF (Congestive Heart Failure) refers to a condition where the heart is unable to pump blood effectively.

Before starting to communicate with a resident who is visually impaired or blind, it is important to introduce yourself and let the resident know that you are in the room. This helps establish trust and allows the resident to be aware of your presence. Touching the resident without their consent can be invasive and disrespectful, so it is not recommended as a method of communication. Therefore, the correct answer is both b & c.

To encourage a resident to talk with you, it is important to sit at the same level as them. This creates a sense of equality and respect, making the resident feel more comfortable and willing to open up. Standing over the resident may create a power dynamic and make them feel intimidated or less inclined to share. Starting to talk while doing other activities can be distracting and may not give the resident your full attention, which can hinder effective communication. Therefore, sitting at the same level as the resident is the best approach to encourage them to talk.

The first step in bathing a resident is to communicate with them and inform them about the procedure. This helps to establish trust and ensure the resident's comfort and consent. By explaining what you are going to do, you can also address any concerns or questions the resident may have, promoting a more positive and respectful bathing experience.

When families admit their loved ones to a long-term care facility, they may experience guilt because they feel responsible for not being able to provide the necessary care themselves. They may also feel relief because they know their loved ones will receive professional care and support. Additionally, they may experience a sense of loss of control as they relinquish the responsibility of caregiving to the facility. Therefore, all of the given options - guilt, relief, and loss of control - are possible emotions that families may experience in this situation.

Accidents that occur in a long-term care (LTC) facility can be prevented through various measures such as implementing safety protocols, providing staff training, conducting regular inspections, and promoting a culture of safety. By identifying potential hazards, addressing them promptly, and promoting awareness among staff and residents, the risk of accidents can be significantly reduced. Preventive measures can include ensuring proper lighting, maintaining equipment, implementing fall prevention strategies, and monitoring residents' health conditions. By taking proactive steps and prioritizing safety, LTC facilities can create a safer environment for both staff and residents, ultimately preventing accidents from occurring.

Ergonomics is the study of designing and arranging things in a way that optimizes human well-being and performance. It focuses on factors such as body mechanics, which involves maintaining proper posture and using correct body movements to prevent injuries. It also considers the use of equipment, ensuring that tools and devices are designed to be comfortable and efficient for users. Additionally, ergonomics addresses repetitive movements, aiming to minimize the strain and fatigue caused by performing the same actions repeatedly. Therefore, the correct answer is "All of the above" as all these factors are encompassed within the field of ergonomics.

Routine reporting at the end of each shift includes notifying the appropriate individuals about any changes in residents and the care they have received. This is important for continuity of care and to ensure that all relevant information is communicated to the next shift. The other options listed, such as notification of dangerous situations, presence of families, and notification of temperature of 103 degrees, may also be important to report, but they are not specifically mentioned as part of routine reporting.

The correct answer is to wipe up the spill immediately. This is the most appropriate action to take when encountering water spilled on the floor. Wiping up the spill helps to prevent accidents and injuries caused by slipping on the wet surface. It also helps to maintain a safe and clean environment for everyone. Calling the housekeeper or reporting it to the charge nurse may be necessary in certain situations, but the immediate action should be to clean up the spill. Walking around the spill may still pose a risk to others and is not a proactive solution.

Close friends of residents who have no living family members or have family who live far away are usually like family to the resident. This is because these close friends often provide emotional support, companionship, and a sense of belonging to the resident. They may visit regularly, engage in activities together, and offer a support system similar to that of a family member. These close friends may become an integral part of the resident's life and provide a sense of stability and connection in the absence of immediate family members.

Including the family in the care of the resident helps them adjust to the new situation in a LTC facility. By involving the family in the care, they feel valued and included in the resident's well-being. This can also help alleviate any feelings of guilt or helplessness that the family may have. Additionally, involving the family allows them to maintain a sense of connection with their loved one and helps them feel more comfortable and familiar in the LTC facility.

Lifting under the arms is not preferred over using a transfer belt. Using a transfer belt provides better support and stability for the person being lifted, reducing the risk of injury for both the caregiver and the individual. Lifting under the arms can cause discomfort and potential harm to the person being lifted, as well as strain on the caregiver's back. Therefore, it is recommended to use a transfer belt for safer and more efficient transfers.

The correct answer is to move objects that may injure the resident. During a seizure, it is important to create a safe environment by removing any objects that could potentially harm the person. Restraint should not be used as it can cause further injury and putting a tongue blade in the mouth is also not recommended as it can lead to choking or injury. The priority is to ensure the person's safety by removing any hazards nearby.

In the event of a small fire in a resident's room, the first priority should be to ensure the safety of the resident. Therefore, the nurse assistant should immediately remove the resident from the room to a safe location. This action helps to prevent any harm or injury to the resident and allows for the fire to be addressed by other appropriate personnel.

The correct answer is False because the statement suggests that there is an error in the documentation that needs to be scribbled out to prevent it from appearing on the chart.

When a resident is lying on his side, it is recommended that his legs should be in a bent position and separated by a pillow. The bent position helps to maintain proper alignment of the spine and reduce strain on the lower back. Separating the legs with a pillow helps to prevent the legs from rubbing against each other, which can cause discomfort and skin irritation. Therefore, both options a and b are correct recommendations for positioning the legs when a resident is lying on his side.

The correct answer is that the nurse assistant plays a part in developing the resident care plan. This means that the nurse assistant is involved in the process of creating and implementing a care plan for the resident. They may contribute their observations, input, and expertise to ensure that the plan is tailored to the individual needs of the resident. This involvement is important as it allows the nurse assistant to provide personalized and effective care to the resident.

If a resident starts to fall while you are ambulating them, it is important to support them from behind with your knee (option a). This can help to provide stability and prevent them from falling further. However, if you are unable to hold them up, it is recommended to gently lower them to the floor (option b). This is to ensure their safety and prevent any further injuries. It is advised not to try to help them in any other way, as this may put strain on your back and potentially cause harm. Therefore, the correct answer is both a and b.

Allowing a resident to dangle their legs on the edge of the bed does not necessarily cause dizziness. Dizziness can be caused by various factors such as inner ear problems, low blood pressure, medication side effects, or dehydration. While dangling legs may potentially increase the risk of falling or injury, it does not directly lead to dizziness. Therefore, the statement is false.

The nurse assistant is usually responsible for documenting on the ADL flow sheet. This is because the nurse assistant is directly involved in providing care to the patients and is responsible for assisting them with activities of daily living (ADLs) such as bathing, dressing, and feeding. Therefore, they are in the best position to accurately document the patient's ADLs on the flow sheet. The registered nurse and physician may oversee and review the documentation, but it is typically the nurse assistant who completes the initial documentation. Nursing home administration may not have direct involvement in patient care and therefore would not typically be responsible for documenting on the ADL flow sheet.

The correct answer is MI (Myocardial Infarction). This term refers to the condition where the blood flow to the heart muscle is blocked, leading to the death of the heart tissue. It is commonly known as a heart attack. CVA (Cerebral vascular accident) refers to a stroke, PVD (Peripheral Vascular Disease) refers to the narrowing of blood vessels outside the heart and brain, and CHF (Congestive Heart Failure) refers to the inability of the heart to pump blood effectively.

When communicating with a hearing impaired resident, it is important to let them know that you are listening. Touching the resident to get their attention can help them understand that you are trying to communicate with them. Minimizing background noise is crucial as it can make it easier for the resident to focus on your conversation. Facing the resident when talking is also essential as it allows them to see your facial expressions and lip movements, which can aid in understanding. Therefore, all of the above options are correct in ensuring effective communication with a hearing impaired resident.

The given answer, "Objective information," is correct because the weight of Mr. Jones, which is 183, is a factual and measurable value. It is not influenced by personal opinions or interpretations, making it an objective piece of information.

When moving a resident to the head of the bed, it is recommended to lower the head of the bed and have the resident bend his knees. This position allows for better stability and control during the transfer. By lowering the head of the bed, the resident's center of gravity is lowered, reducing the risk of falls. Bending the knees helps to engage the leg muscles and provide support while moving. This position also allows the resident to push off with their feet, making the transfer easier and safer for both the resident and the caregiver.

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The correct answer is "Male and female residents" because a urinal is a type of toilet fixture that is designed for both men and women to use. It is a common feature in public restrooms where multiple individuals of different genders need to use the facilities. By providing urinals, it allows for more efficient use of space and shorter waiting times for everyone.

The MDS (Minimum Data Set) is not solely a resident assessment that only nurses have input into. The MDS is a comprehensive assessment tool used in long-term care facilities to gather information about a resident's physical, mental, and psychosocial functioning. While nurses do play a significant role in completing the MDS, other healthcare professionals such as physicians, therapists, and social workers also contribute to the assessment process. Therefore, the statement that only nurses have input into the MDS is false.

The nurse aide's important duty is to schedule assistance with elimination around the resident's usual elimination pattern. This means that the nurse aide should understand the resident's regular schedule for bowel movements and provide assistance accordingly. This helps maintain the resident's comfort and promotes regular bowel function. Training the resident to eliminate according to staff schedule may not be appropriate as it disregards the resident's natural patterns. Giving a laxative should only be done if necessary and under the guidance of a healthcare professional. Therefore, the correct answer is to schedule assistance with elimination around the resident's usual elimination pattern.

Infectious waste is disposed of in bags marked with the biohazard symbol because this helps to clearly identify the contents of the bag as potentially hazardous. The biohazard symbol is universally recognized as a warning sign for biological hazards, indicating that the waste inside may contain infectious materials that could pose a risk to human health or the environment. Using bags marked with the biohazard symbol ensures that the waste is handled and disposed of properly, minimizing the potential for accidents or contamination.

Counting respirations for 30 seconds is not a reliable method to determine if a victim is breathing. This is because counting respirations only measures the rate of breathing, but it does not confirm if the person is actually taking in air or if there is any air exchange happening. Therefore, counting respirations alone cannot determine if a victim is breathing. Other methods such as looking to see if the chest rises and falls, listening for escape of air, or feeling for the flow of air are more accurate indicators of whether a victim is breathing or not.

When giving a bath as a nurse assistant, it is important to inspect the skin for any signs of redness, breakdown, or odor. This is crucial in order to identify any potential skin issues or infections that may need to be addressed. Beginning with the eyes and giving a gentle backrub are also important aspects of providing care, but they are not specifically related to the importance of inspecting the skin. Therefore, the correct answer is to inspect the skin for redness, breakdown, or odor.

Keeping the resident up and walking is the correct answer because it helps to maintain blood circulation and prevent the person from going into shock. By keeping them upright and moving, it promotes blood flow to vital organs and helps to prevent blood pooling in the extremities. This can help stabilize their condition until help arrives.