CNA Quiz 2

Mr. Chambers is undergoing physical rehabilitation after suffering a spinal cord injury in a boating accident. He is growing very frustrated with what he perceives to be his lack of progress. What could the nursing assistant say to Mr. Chambers while assisting him in his rehabilitation effort?

"Mr. Chambers, I am so impressed by your progress! You've gone so much further this week than you did last week!"

Mr. Trimble, one of the residents, has just told the nursing assistant that he is the Secretary of Defense. How should the nursing assisant respond?

"Mr. Trimble, let's go sit over here and you can tell me about what it was like to serve in the Army during World War II."

A nursing assistant is working with a patient who is living with Alzheimer's disease and who is experiencing the 4 A's of dementia. What is this patient experiencing? (select all that apply) -Aprosopia -Amnesia -Apraxia -Aprosody -Aphasia -Agnosia

-Amnesia -Apraxia -Aphasia -Agnosia

Good alignment, balance, and coordinated body movement are the ______________ of good body mechanics.

ABC's

Mrs. Wells has middle stage dementia and has begun wandering around the long-term care facility increasingly often. How should the nursing assistant accommodate Mrs. Wells' behavior?

Allow her to wander, provided her safety and other residents' privacy can be ensured.

Which are the two most common types of dementia?

Alzheimer's disease and vascular dementia

Mrs. Joseph has middle-stage dementia and is currently agitated, saying that she needs to get home because her babies need her. How should the nursing assistant respond to Mrs. Joseph?

Ask her questions about each of her children.

As a result of a misunderstanding, a nursing assistant has become involved in a conflict with a coworker. What action should the nursing assistant prioritize in an attempt to resolve this conflict?

Attempt to speak privately with the coworker

The nursing assistant just told Mrs. Smyth, one of the residents with dementia, that it is time to go to bed, and the assistant is going to help her get into her pajamas. Mrs. Smyth begins to scream and cry and cannot be consoled. What is Mrs. Smyth experiencing?

Catastrophic reaction

The nursing assistant is caring for a resident who has a degenerative condition. Which disease does this resident most likely have?

Dementia

Which is an example of a chain establishment?

Dunkin' Donuts

Mr. D'Ilio has Alzheimer's disease and now takes a long time to dress himself in the morning. This morning, Mr. D'Ilio is taking a particularly long time to button his shirt but he appears focused on accomplishing the task. How should the nursing assistant respond to this?

Encourage Mr. D'Ilio in his effort and allow him time to complete the task.

In the RACE fire response plan, the letter "E" stands for ______________ and evacuate.

Extinguish

Being in too much of a hurry and failing to clean up water or substances on the floor can increase the risk for _______________.

Falls

All precautions for preventing transmission of tuberculosis (TB) do not need to be implemented until it is known for certain the patient or resident is infected.

False

As a nursing assistant, you will place stress on your body as you lift push, pull, stoop, and bend all day. Unfortunately, there is no way to minimize your risk for physical injury.

False

If a doctor calls and a nursing assistant answers the phone, it is okay for the nursing assistant to accept an order for the nurse to give a patient some Tylenol for pain.

False

Only the maintenance and housekeeping department personnel are responsible for knowing where fire extinguishers are kept in our facility.

False

Rehabilitation should be carried out in a similar manner with all patients and residents, regardless of their age.

False

The greatest occupational risk to health care workers is syphilis.

False

The least common method of transmission for hospital-acquired infections is the hands of health care workers.

False

There are no extra precautions needed when oxygen therapy is in use.

False

Mrs. Nell, a resident with dementia, is undressing in the common room in front of other residents. What should the nursing assistant do?

Gently, but firmly, lead Mrs. Nell back to her room and redirect her attention by introducing another activity.

The nursing assistant is caring for a resident who has middle-stage dementia and has seated him at his usual table in the dining hall of the facility. Rather than eating his supper, the resident is staring at his plate and has grabbed the wrong end of his fork. How should the nursing assistant respond?

Help the resident grasp the fork correctly and lift a bite of food to his mouth.

It is recommended that all health care workers who have potential for being exposed to blood or contaminated body fluids receive the _______________ vaccinations.

Hepatitis B

Disability

Impaired physical or emotional function

Why are people in the United States living longer, on average, than in previous generations?

Improvements in health care

The nurse is caring for a client who has difficulty hearing. What action should the nurse utilize when caring for this client?

It is important to turn down any background noise

A resident of a nursing home has a diagnosis of dementia and in recent weeks he has become unable to walk or sit independently. This resident is likely at which stage of dementia?

Late

Which change associated with moving to long-term care is known to be most stressful for new residents?

Loss of independence

Restorative care

Measures that healthcare workers take to help a person regain health, strength, and function; the means by which rehabilitation is achieved.

Which resident of a long-term care facility is living with a chronic disease?

Mrs. James, who has diabetes

Our main nonspecific defense mechanism against invasion by microbes is intact skin and _____________ membranes.

Mucous

The nursing assistant and resident are engaged in a conversation. Which action should the nursing assistant prioritize at this time?

Nodding encouragingly as someone speaks

Which statement about Alzheimer's disease is true?

People with Alzheimer's disease should be approached in a calm, quiet manner.

A person with dementia may do the same thing over and over again. What is this called?

Perservation

The nursing assistant knows that Mrs. Sullivan, one of the residents with dementia, gets very agitated at the idea of having to bathe. Which nursing assistant action can help make sure that bath time goes smoothly?

Prepare the tub room in advance.

One way of communicating information about chemicals to employees is through ___________________________.

Safety Data Sheets

The bacteria present in the ___________ of the person infected with tuberculosis are spread when the person coughs, sneezes, speaks, or sings.

Sputum

_________________ precautions involve the use of barrier methods and environmental control methods to protect the health care worker.

Standard

The nursing assistant is reporting to the nurse observations noted while providing care to a client. Which one would the nursing assistant note as a subjective observation?

The client is complaining of a stomachache

Which scenario depicts nonverbal communication between a nursing assistant and a client?

The client's facial expression indicates getting up from bed causes pain

The nursing assistant recognizes the signs of early Alzheimer's disease in a person she is caring for. Which sign suggests early dementia?

The person keeps losing common objects.

Why do many facilities that care for people with dementia have outside courtyards with high fencing?

To allow the residents to wander outside while still keeping them safe

Barriers used in infection control include gloves that should be worn when there is a possibility of coming into contact with body fluids.

True

Canes, crutches, and walkers are examples of assistive devices.

True

Chewing and swallowing are abilities that are likely to be addressed by a speech-language pathologist.

True

It is the employee's responsibility to report any exposure incidents to his or her employer, who will arrange for medical tests and treatment.

True

Most bacteria that can cause illness need a warm, moist, dark environment with a source of nutrition in order to grow.

True

Occupational therapy is a health care specialty that focuses on helping people regain or maintain the ability to perform ADLs.

True

__________________ causes changes in the lungs that can be seen on chest x-ray.

Tuberculosis

The most common way of getting HBV and HIV is having ______________ sexual intercourse.

Unprotected

The nursing assistant is helping a person with dementia with activities of daily living (ADLs). What can the nursing assistant do to ensure that the process goes smoothly?

Use hand gestures in addition to spoken instructions to "walk" the person through the procedure.

Bloodborne pathogen

a disease-producing microbe that is transmitted to another person through blood or other body fluids

MSDS (SDS)

a document that summarizes key information about a chemical, such as its composition, which exposure may be dangerous, what to do if an exposure should occur, and how to clean up spills.

A facility owned by a company or organization with the intention of making profit is:

a for-profit facility.

A facility owned and operated by a service organization that fulfills a need in a community and financial need is not the primary intent is:

a non-profit facility.

Exposure control plan

a plan that states what actions must be taken if an employee is exposed to blood or other body fluids while on the job

Validation therapy is a communication technique commonly used with people who have dementia in order to:

acknowledge the person's reality.

The _______________ phase of rehabilitation occurs in the first 24 hours following surgery, illness, or injury.

acute

Mr. Anders is injured after an automobile accident. His rehabilitation plan includes steps for assisting him with a new prosthetic device. A prosthetic device refers to:

an artificial replacement for a leg, foot, arm, or other body part.

The immune system develops specialized proteins called ______________ which help the body fight off certain microbes.

antibodies

Prosthetic devices

artificial replacements for legs, feet, arms or other body parts

A person who has experienced a heart attack or other heart disease is likely to require ________________ rehabilitation.

cardiac

The late stage of Alzheimer's disease results in:

death

Assistive devices

devices that make certain tasks (such as walking, eating, or dressing) easier for a person with a disability.

Supportive devices

devices used when positioning a person to help the person maintain proper body alignment, or to stabilize a weak joint or limb.

The nursing assistant best helps the nursing home meet or exceed survey requirements by:

following policies at the facility.

Rehabilitation may be slower and more difficult for elderly patients and residents because we tend to become more _______________ as we age.

frail

Alignment

good posture, the "A" in the ABC's of good body mechanics

___________ hygiene is the single most important method of preventing the spread of infection.

hand

Hepatitis

inflammation of the liver

Body fluids

liquid or semi-liquid substances produced by the body, such as blood, urine, feces, vomitus, saliva, drainage from wounds, sweat, semen, vaginal secretions, tears, cerebrospinal fluid, amniotic fluid, and breast milk.

The nursing assistant is collaborating with the occupational therapist in the care of a hospital patient who is receiving rehabilitation after a head injury. The focus of the occupational therapist's care will be helping the patient:

perform her activities of daily living (ADLs) as independently as possible.

Frail

physically weak and fragile

A person who has lost a limb due to injury or amputation may be fitted for a _________________ device.

prosthetic

A nursing assistant is helping with the rehabilitation of an older adult resident of the long-term care facility. The resident is frail, so the nursing assistant should consider that the:

resident is likely at a higher risk of falls.

An elderly person is being placed in long-term care. This person has Alzheimer's disease and wanders. The best unit to place this person in is a/an:

special care unit for dementia.

When lowering your center of gravity to perform a lift, you should ___________, instead of leaning over.

squat

Balance

stability produced by the even distribution of weight; the "B" in the ABC's of good body mechanics.

______________ precautions are precautions that health care workers use with every patient or resident.

standard

The technique of medical asepsis that best destroys all bacteria is:

sterilization

The nursing assistant cares for Mr. Leaf, a person with middle stage Alzheimer's disease. She notices that Mr. Leaf becomes more agitated, restless, and confused in the late afternoon and evening. This is an example of:

sundowning

Body mechanics

the efficient and safe use of the body

The chain of infection requires that a pathogen has a physical way of getting from one person to another. This a the pathogen's method of _______________.

transmission

The goal of ____________________ rehabilitation is to help an individual return to his or her job.

vocational

A possible sign of infection might be increased confusion or disorientation.

True

Back injuries are the most common work-related injury in the nursing field.

True

Dust can act as a fomite and carry microbes from one area to another

True

Failure to properly tag a defective electrical device could result in injury or death to the next person who uses it.

True

Ergonomics

the practice of designing equipment and work tasks to conform to the capability of the worker

Rehabilitation

the process of helping a person with a disability to return to his or her hightest level of physical, emotional,or economic function.