2nd Semester CNA Module Study Guide pt 4
When do you practice hand hygiene?
Before arriving at work and after arriving, before and after providing care, before leaving work and after leaving work.
The nursing assistant threatens to "throw Mr. Vazquez into the shower, if he doesn't bathe today
assault
Mr. and Mrs. Chavez have been married for sixty years. They no longer want to care for a big house and they are having difficulty driving, but can care for the rest of their needs.
assisted living
Cara was diagnosed with diabetes type I when she was 16 years old.
chronic
I understand that your residents do not wear identification bands. How do you know that you are providing care for the correct resident?
know facility policy
Mr. Hernandez's son visits and finds his father in a urine soaked bed
neglect
Florence has a wet brief before lunch. The nurse aide leaves Florence in her room and closes the door after bringing her lunch.
neglect - involuntary seclusion
Dr. Finklestein calls on the phone to give the nurse admission orders, but the nurse is busy so he wants you to take the orders
no
Mirham is a resident who gives you $10 to buy her tylenol at Walgreens
no
Mr. Thomas's "son" arrives at the nursing home and he would like to see his father's medical records
no
The nurse asks you to replace Mrs. Littlejohn's foley catheter
no
The nurse leaves Mr. Yu's medication on his breakfast tray and asks you to make sure he takes them with his breakfast
no
Mrs. Jackson has dementia. Her family is having difficulty caring for her at home. Mrs. Jackson wanders at night and also refuses to eat, because she believes the food is poisoned. In addition to placement, what are these 2 behaviors known as?
nursing home - paranoia and sundowning
Herman offers you $10 after you assist him with shaving and you take it
refuse the money - dont take it
You are caring for a new resident, Lilian, during her bath you notice that she has large bruises on her back
report to nurse
Max is slightly confused, but would like to vote in the upcoming election
respected
Mr. Duran does not want visits from his son
respected
Mr. Holland likes his curtains closed and his television turned off during nap time
respected
Mr. Stephen refuses his 1500 physical therapy appointment, because he wants to watch the breaking news
respected
Mrs. Singh would like to see a cleric, but there is no cleric that visit the nursing home
respected
Mr. Tan has many health conditions, including dementia; he is cared for daily by his daughter and her family. This weekend his daughter is attending a family wedding and does not want to stress Mr. Tan, so they admit him for care at a local nursing center, but will return for him on Tuesday when they come home.
respite
Which one is which? Acute, Chronic, Terminal Mrs. O'Malley has end stage lung cancer. She has refused any additional treatment. Her family is visiting today outside her window.
terminal
Alice wants to go to BINGO and the knitting circle group, but the nurse assistants continuously take her to the yoga group and the gardening club
violated
Dr. Patel would like a copy of his mother's chart, but he is not her power of attorney for healthcare
violated
Felix has passed away and the nurse assistants left the door open while providing post mortem care
violated
Horace's family has brought a quilt from home, but the nursing assistant thinks that the quilt is ulgy and puts the quilt on the top shelf of the closet
violated
Violet wants to know why her new roommate is always on the call light
violated
Maria is angry about the lack of care that she receives from the afternoon shift
violated - right to complain
Alaza is a new resident to Lakewood Nursing Home; she only speaks Polish and limited English. How should she receive her resident's rights
written/oral in a language they can understand
Surveyor: May I ask you a few questions about the care that you provide?
yes
The nursing care team requests your input on Ivan who you care for frequently at the next care conference
yes
You do not know how to give foley care, so you ignore this part of the resident's care
yes
Okay one last question, what should you do if you are not sure how to give an enema?
ask the nurse or check policy/procedure
List your 8 nevers of being a certified nurse assistant.
-give medication -insert or remove tubes -take verbal or phone orders -procedures that require sterile technique -ignore an order or request -supervise others -diagnose or prescribe meds -tell a family the treatment,diagnosis, or surgical plans
List 5 ways that a certified nurse assistant can lose a certification as a nurse aide
-remove tubes from someone -give resident medicine -diagnose a resident -go against HIPPA -do a task not in your job description
List 5 ways that a certified nurse assistant can lose a certification as a nurse aide
-violation of privacy, taking pictures/go against HIPPA -give resident medicine/working outside your role -abusing a resident -convicted of a crime outside of work -giving unsafe care/outside boundries
Janet Paczynski is your resident today. She is new to you and you are not sure how to pronounce her last name. Worse yet she is a bit confused and hard of hearing. What do you do?
Ask how to pronounce, write, bend down to be level with her
Mrs. Paczynski tells you to call her Busha. What do you do?
Ask nurse or family if acceptable
What is the federal act that guarantees resident's rights and responsibilities, provides educational standards needed by certified nursing assistants, and gives direction to care measures for those in nursing homes?
ORBA
Who can supervise your work as a nursing assistant?
RN or LPN
Write the care measures that you would take for Stanley, your resident with dementia. He can care for himself, but needs some assistance with ADL's. How will you do this and maintain his right to independence
Use washcloth to wash his face. Provide oral care Have him choose out of a few shirts and pants. (ex. 3 different options for each)
Misha fell off a swing and broke her arm.
acute
Irene has end stage cancer and would like to remain in her home until she dies. Her family is supportive of Irene's decision and have hired a caregiver to provide care in her home, but the family can also receive additional support from this service that is given either in home or in-patient.
hospice
Mrs. Morrison fell at home today and fractured her hip. Where should she go first for care? When does rehabilitation begin?
hospital - when you seek health care
Two nurse assistant students put a picture on SnapChat of them with their favorite resident and the caption "last day of clinicals with our favorite resident--Charlie."
invasion of privacy