Exam Four Review

Parkinson's disease symptoms

-"pill-rolling" tremor of one hand -shuffling gate

Which of the following statements about observing a resident who has a mental health disorder is true? -Social withdrawal does not need to be reported. -Changes in abilities to perform ADLs do not need to be reported. -An NA needs to report changes in mood. -An NA does not need to report a comment about suicide as long as it was a joke.

An NA needs to report changes in mood.

T/F Cold or warm applications should be applied for 30 minutes

False! Only apply for 20 minutes

Which of the following is a proper guideline for hearing aids? -batteries last forever and don't need to be replaced -hearing aids should be left on when not in use -make sure residents with hearing aids have them turned on -hearing aid should be soaked in water to clean

Make sure residents with hearing aids have them turned on.

A way for a nursing assistant to respond to hallucinations is to -Laugh at the resident to ease tensions -Reassure a resident who is upset and worreid -Tell the resident that what she thinks she sees is not real -Tell the resdient that she can see the hallucination, too

Reassure a resident who is upset and worreid

If a resident with Alzheimer's Disease has problems with bathing, the nursing assistant should -Hurry the resident through the bath -Insist that the resident bathe even if she does not want to -Surprise the resident with the bath -Schedule bathing when the resident is least agitated

Schedule bathing when the resident is least agitated

If a resident with Alzheimer's Disease becomes violent, the NA should -Yell at the resident -Ignore the resident -Restrain the resident -Step out of the way and remove triggers if possible

Step out of the way and remove triggers if possible

Guidelines for working around oxygen

The NA should not allow open flame near oxygen The NA is NOT allowed to remove or adjust oxygen settings

T/F Pressure injuries can lead to life threatening infections

True

Therapy that allows residents with AD to believe that they live in the past or in imaginary circumstance is -Reality orientation -Reminiscence therapy -Remotivation therapy -Validation therapy

Validation therapy

prosthesis

a substitute for a diseased or missing body part, such as a leg that has been amputated

Guidelines in assisting a resident recovering from CVA

allow time to complete tasks take time with cares place food on the unaffected side assist with ambulation to prevent falls

Residents with congestive heart failure (CHF) may: -require a high-sodium diet -have an order to force fluids -need meds that decrease urine output -need to do range of motion exercises to improve muscle tone

need to do ROM exercises to improve muscle tone

Which is a normal age related change for the male reproductive system? -number and capability of sperm decreases -menopause begins -the prostate gland shrinks -sexual response is faster

number and capability of sperm decreases

Strategies for better communication with residents who have Alzheimer's Disease include -knowing that nonverbal cues are usually not helpful with residents with Alzheimer's Disease -telling the resident "don't" when he does something unsafe -only talking about one subject at a time, using simple, short sentences -not repeating instructions or questions because this may upset the resident

only talking about one subject at a time, using simple, short sentences

Skin that is not intact is considered a(n):

open wound

phantom pain

pain felt in a body part that is no longer there

Important in caring for a resident with multiple sclerosis

prevent falls

A NA encountering a sexual situation with consenting adults should: -tell the residents how cute they are -provide privacy and leave -askt he residents to stop -tell the residents' friends and families what she saw

provide privacy and leave

Which of the following is a condition that increases the risk of pressure injuries: -healthy circulation -cold air -restricted mobility -resident flexibility

restricted mobility

How should a resident with COPD be positioned?

sitting upright

Which is a normal age-related change of the integumentary system? -skin becomes thinner and more fragile -pressure injuries occure -hair thickens -amount of fat and collagen increases

skin becomes thinner and more fragile

Normal age-related changes of the nervous system include: -sense of vision, taste and smell increase -reflex response is quicker -sensitivity of nerve endings increases -some memory loss occurs

some memory loss occurs

What should a resident with asthma avoid?

strong smells

Normal age-related changes for the circulatory system include: -blood vessels widen -blood vessels become more elastic -blood flow increases -the heart pumps less efficiently

the heart pumps less efficiently

A man with benign prostratic hypertrophy may have difficulty with: -reproducing -ejaculating -walking -urinating

urinating

Care guidelines for residents with visual impairment

use a clock to describe the location of things in the room or food on a plate

Which is a normal age-related change for female reproductive system? -vaginal walls become drier and thinner -the response to vaccines decreases -the amount of calcium in the cody increases -lung capability increases

vaginal wals become drier and thinner

Weakening, wasting away, and decrease in size of a muscle is called:

atrophy

Residents with COPD have trouble with

breathing

Osteoporosis is caused by lack of _____ in the diet

calcium

Sputum collection

do in the morning rinse mouth with water before collection

Hypertension

high blood pressure

When should elastic stockings be applied?

in the morning

hypotesion

low blood pressure

Normal age related change for the respiratory system include: -oxygen in the blood increases -lung strength decreases -cough become stronger -airways become more elastic

lung strength decreases

Normal age-related changes of the musculoskeletel system include: -joints become more flexible -muscle mass increases -muscles weaken and lose tone -bones gain calcium

muscles weaken and lose tone

Shingles is a viral infection cause by the same virus that causes ______

Chicken pox