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Study Guide Final Exam
Study Guide for CNA Final Exam
93
Health Care
Not Applicable
03/17/2014

Additional Health Care Flashcards

 


 

Cards

Term
Why is it important that sheets be kept wrinkle free?
Definition
It helps prevent skin tears and pressure sores.
Term
What is a prosthesis?
Definition
It is a device that replaces a missing body part.
Term
How do you convert ounces (oz) to milliliters (ml) or cubic centimeter (cc)?
Definition
1 oz= 30ml or 30cc
Term
What is Hospice care?
Definition
It is a healthcare setting for people who have 6 months or left to live.
Term
What does NPO stand for?
Definition
Nothing By Mouth
Term
What is range of motion?
Definition
Exercises that put joints through its full arc of motion.
Term
What is another word for high blood pressure?
Definition
hypertension
Term
What does scope of practice mean?
Definition
Defines the things that healthcare providers are legally allowed to do and how to do them correctly.
Term
What responsibilities are outside a NA's scope of practice?
Definition
NA's are not allowed to give medications, insert/remove tubes, change sterile dressings, give tube feedings.
Term
What are Standard Precautions?
Definition
A method of infection control in which all blood, body fluids, non-intact skin, and mucous membranes are treated as if they were infected with an infectious disease.
Term
_____________ care helps restore a patient to the highest level of functioning possible.
Definition
Rehabilitation Care
Term
What is the difference between rehabilitation and restorative care?
Definition
Rehabilitation care is managed by a professional and helps restore a person to the highest possible level of functioning (Improve function/help get better). Restorative care is to keep the resident at the level achieved by rehabilitative services (maintain function/not get worse).
Term
What is a Care Plan?
Definition
It is created for each resident and helps a resident achieve his/her goals. It outlines the steps and tasks the care team must perform. It states how often these tasks should be performed and specifics about how the tasks should be carried out.
Term
Should a NA perform an activity if it is not on the care plan?
Definition
No. A NA should only perform activities that are listed on the care plan.
Term
What are guidelines regarding restraints?
Definition
A doctor must prescribe a restraint
It is against the law for staff to use restraints for convenience or to discipline a resident.
Term
What is the last sense to leave the body?
Definition
Hearing
Term
What is the normal range for blood pressure?
Definition
100/60-139/89
Term
How can a NA assist a resident who is incontinent?
Definition
Follow toileting schedules
Answer call lights immediately.
Provide good skin care.
Term
Define good body mechanics.
Definition
When lifting a heavy object-spread your feet shoulder width apart, bend your knees, and pull the object close to your body (level with your pelvis).
Do not twist when moving an object.
Assume a good stance when assisting a resident to sit, stand,or walk.
If you are making the bed, adjust the bed to a comfortable height (usually waist high).
Term
What is a phantom sensation?
Definition
Pain or feeling from a body part that has been amputated; cause by remaining nerve endings.
Term
What is a fracture pan and when should it be used?
Definition
A bedpan that is flatter than a regular bed pan and is used by someone who cannot raise his/her hips onto a regular bedpan.
Term
What is palliative care?
Definition
Comfort care
Term
What can cause an insulin reaction?
Definition
Also called hypoglycemia. Results from either too much insulin or too little food.
Term
NA's are required to have at least ____ hours of training as a requirement of OBRA.
Definition
75
Term
What are three guidelines for caring for someone who is mentally ill?
Definition
Observe residents carefully for changes in condition or abilities.
Support the resident and his/her family and friends.
Encourage residents to do as much for themselves as possible.
Term
How often should a NA change the sheets on a resident's bed?
Definition
Whenever they are soiled, wrinkled or damp.
Term
What is chain of command and what is its purpose?
Definition
It describes the line of authority and helps to make sure that residents get proper health care.
Term
What are guideline for a nursing assistant to respond to inappropriate sexual behavior?
Definition
Be matter of fact; do not over react.
Try to distract the resident or take the resident to a private area.
Term
If a NA suspects a resident is being abused he/she MUST...
Definition
Immediately report his/her suspicions to the nurse.
Term
What are Transmission Based Precautions?
Definition
Method of infection control used when caring for persons who are infected or suspected of being infected with a disease. Also called Isolation Precautions.
Term
What is a NA's scope of practice regarding IV's?
Definition
NA's are not allowed to insert, remove or change IV lines.
Term
What is PROM?
Definition
Passive Range of Motion
Term
When should a NA perform PROM?
Definition
When a resident cannot move on his/her own.
Term
What is the first thing a NA should do if there is a fire?
Definition
Transfer the residents to safety.
Term
What are the barriers to communication?
Definition
Resident does not hear or understand you.
Slang words/expressions
Cliches
Giving Advice
Asking "Why" or "Yes/No" questions.
Resident speaks a different language.
Term
Who helps a resident learn to use adaptive devices for eating and dressing?
Definition
Occupational Therapist
Term
What are the guidelines for giving oral care to an unconscious resident?
Definition
Turn resident on side or head to the side.
Place emesis basin next tot he cheek and chin for excess fluid.
Dip swab in cleaning solution and squeeze excess liquid to prevent aspiration.
Term
What should a NA observe and report regarding the musculoskeletal system
Definition
Changes in resident's ability to perform ROM exercises.
Pain during movement
White, shiny, red or warm areas over a joint.
Term
How can a NA promote a resident's independence?
Definition
Encourage resident to as much as possible for him/herself.
Encourage self-care no matter how long it takes.
Allow residents to make choices-respect their right to make choices.
Term
How should a NA treat a minor burn?
Definition
Use cool, clean water to decrease skin temperature and prevent further injury.
Term
What is confidentiality? How does it differ from privacy?
Definition
Confidentiality is the legal and ethical principle of keeping information private. Privacy is related to care.
Term
Before a NA leaves the room, he/she needs to make sure that the resident's ______ _______ is within reach.
Definition
call light/signal light
Term
How often should a NA reposition a resident?
Definition
Every 2 hours
Term
Each time a NA repositions a resident what should they observe and report?
Definition
Any changes in the resident's skin
Term
_____ is the most essential nutrient for life.
Definition
Water
Term
What is a nutrient?
Definition
Something found in food that provides energy, promotes growth, health and repair, and helps regulate metabolism.
Term
What are the 6 nutrients.
Definition
Proteins, Carbohydrates, Fats, Vitamins, Minerals, Water
Term
What are the food groups?
Definition
Grains, Vegetables, Fruits, Milk, Meat and Beans
Term
What is the function of the nervous system?
Definition
It senses and interprets information from outside the body.
Term
What should a NA respond to a resident having a seizure?
Definition
Lower person to the floor. Lay them on their side.
Do not leave the person unattended unless you must do so to get medical help.
Do no restrain the person.
Do not give liquids or foods.
When seizure is over, check breathing
Term
Define cognition.
Definition
The ability to think logically and quickly.
Term
How can a NA help residents with their spiritual needs?
Definition
Learn about residents' religions/beliefs. Listen carefully.
Respect residents' decisions to participate in or refrain from food related rituals.
Report to the nurse any desire to see clergy and allow privacy.
If residents are religious, encourage participation in religious services.
Term
Name three guidelines for assisting a resident with Alzheimer's Disease to dress.
Definition
Show the resident clothing to put to put on and encourage to pick clothes to wear.
Lay out clothes in the order in which they should be put on.
Do not rush the resident
Term
What is the difference between clean catch and routine urine specimen?
Definition
A clean catch or midstream urine does not collect the beginning or the end of the urine stream. A regular urine specimen collect the entire urine stream.
Term
What is fluid balance?
Definition
The same amount of fluid intake and fluid output.
Term
What is COPD?
Definition
Chronic Obstructive Pulmonary Disease
Term
What are three guidelines for caring for someone with COPD?
Definition
Help residents sit upright or lean forward.
Be calm and supportive
Use good infection control
Term
What are pressure sores?
Definition
Serious wound resulting from skin breakdown; also known as a bed sore or decubitus ulcer.
Term
What is the first sign that a pressure sore may be developing?
Definition
Pale, white, reddened, or purple skin
Term
____ _______ is the most important thing you can do to prevent the spread of disease.
Definition
Hand washing
Term
What are the 4 ways you can take someone's temperature?
Definition
Oral, Tympanic, Rectal, Axillary
Term
What is the most accurate way to take a temperature?
Definition
Rectal temperature
Term
What can effect food preference?
Definition
Culture, ethnicity, income, education, religion and geography.
Term
What is contracture?
Definition
The permanent stiffening of a joint or muscle.
Term
Name three complications of diabetes?
Definition
Heart attack, stroke, impaired wound healing, kidney damage, nerve damage, vision loss/blindness.
Term
What can a NA do if a resident begins to fall?
Definition
Never try to catch a falling resident. Use your body to slide him/her to the floor.
Term
What is an important thing to remember when providing care to a resident with Alzheimer's Disease who is violent?
Definition
Remove the triggers
Term
When should a NA wear gloves?
Definition
Whenever liquids are involved
Term
How can HIV be transmitted?
Definition
It is a sexually transmitted disease. It is also spread through infected blood, infected needles, or to a fetus from an infected mother.
Term
What is the critical element for "Assists with Use of Bedpan."
Definition
Places bedpan correctly under client's buttocks.
Term
What is a stoma?
Definition
It is an artificial opening in the body.
Term
What is a NA's scope of practice regarding catheters?
Definition
NA's are not allowed to insert or remove catheters
Term
Pain is also known as the _____ _____ ____. It is a personal experience and is different for each person.
Definition
fifth vital sign
Term
Name three guidelines for good skin care.
Definition
Report changes in resident's skin
Provide regular, daily care for skin to keep it clean and dry.
Do not pull residents across sheets during transfers.
Term
When dressing a resident with an affected side, which side should be dressed first?
Definition
The affected side should be dressed first.
Term
What is a quad cane?
Definition
A can with four feet.
Term
What is a resident right regarding mail?
Definition
Do not open open a resident's mail or look through a resident's belongings.
Term
A NA is assisting a resident who has had a stroke to walk. On what side of the body should the NA stand?
Definition
The resident's weaker side.
Term
What are three guidelines for communicating with a resident who is visually impaired?
Definition
Make sure glasses are clean and worn
Knock on the door and identify yourself when you enter the room.
Always tell the resident what you are doing when you are providing care.
Term
What are three guidelines for communicating with a resident who is hearing impaired?
Definition
Reduce or remove noise (TVs, radios, loud speech).
Speak clearly and slowly. Directly face the resident.
Keep the pitch of your voice low.
Term
What position should a resident be in to eat?
Definition
Sitting in a reclined position- 45 degrees.
Term
How can a NA prevent falls?
Definition
Keep all walkways free of clutter.
Lock wheelchairs before helping residents in and out of them.
have residents wear non-slip, sturdy shoes. Make sure shoe laces are tied.
Term
Name the different positions a resident can be placed.
Definition
Lateral, Sims', Supine, Prone, Fowler's
Term
How do you prevent a UTI for a female resident?
Definition
Wipe from front to back
Term
If a resident is wearing a catheter where should the drainage bag be placed?
Definition
The bag must be placed lower than the hips or bladder.
Term
What is a physician's role on a resident's care team?
Definition
Diagnose disease and prescribe treatment.
Term
What is PHI?
Definition
Protected Health Information
Term
Who is allowed to see a resident's PHI?
Definition
People who need the information for care or processing records.
Term
What is physical abuse?
Definition
Any treatment, intentional or not, that causes harm to a person's body.
Term
What is psychological abuse?
Definition
Emotionally harming a person by threatening, scaring, humiliating, intimidating, isolating, insulting, or treating him/her as a child.
Term
How do you convert standard time to military time?
Definition
Add 12 to the standard time.
Term
What does Normal Change of Aging mean?
Definition
Changes a body goes through as it ages. It does mean that a person may become dependent, ill or inactive.
Term
Where should a transfer belt be placed on a resident?
Definition
Around the waist, over the resident's clothing.
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