CNA Chapter 1

what best shows professionalism by a nursing assistant?

A nursing assistant tasks time to document carefully

What two things should a nursing assistant wear to work?

A watch and identification badge

Physical Therapist

Administers therapy in the form of heat, cold, massage, ultrasound, electrical stimulation, and exercise to muscles, bones, and joints

Registered Nurse

Assesses residents, creates care plans, monitors progress, and provides treatment and medication

Registered Dietitian Nutritionist

Assesses the resident's nutritional status and plans a program of nutritional care

The chain of command describes the line of ______ in a facility

Authority

Which task do you think will be the most difficult for you?

Bathing the resident

Nurse Cathy Connell verbally gives nursing assistant Sandra Levy a list of things she wants done. Sandra simply says, "Okay" and walks off. As she turns the corner, she forgets what Nurse Connell wanted her to do first. "Oh well," she shrugs. "I'm sure it's not the end of the world." How could Sandra have been more dependable?

By asking the nurse what she was supposed to be doing for clarification and writing it down while the nurse is saying the task

Nursing assistant Wayne Leach just found out his facility is short-staffed tonight, and he will have to help five additional residents get ready for bed. "Oh great, " he says. " Now I'll never get this done!" How could Wayne have been more enthusiastic?

By being grateful that he can help more people than normal

Nurse Frederico Gonzales tells nursing assistant Mary Lupko about a resident's diagnosis of a sexually transmitted infection. He gives specific instructions about the resident's care. Mary sees a fellow nursing assistant across the hall , and says, " How did Joann Timbly get an STI? Her husband hasn't visited in months." How could Mary have been more trustworthy?

By keeping the resident's information confidential

Nursing assistant Tracy Fleming is assigned to help Mr. Ming, a resident from China, eat his dinner. Even though she has never met Mr. Ming, she complains, "I can never understand anything these kinds of residents are saying." How could Tracy have been more tolerant and unprejudiced?

By not being worried about the residents background

Nursing assistant DeShawn Brown is tidying Ms.Lee's room. He notices a Buddha statue and asks, " I'm Christian. Why don't you believe in Jesus?" How could DeShawn have acted in courteous and respectful manner?

By not saying anything at all about the residents beliefs

Nursing assistant Doug Albin is helping resident Sam Perkins to the bathroom. Sam walks slowly and has to rely on his walker for help. Doug notices that his shift is over in five minutes and says, "Can you walk a little faster? I'm leaving in five minutes!" How could Doug have been more patient and understanding?

By not worrying about what time he gets off

Nursing assistant Constance Wong is late for five shifts in a row. On the fifth day, her supervisor asks her about this. Constance replies, " It's not my fault. Traffic has been horrible, and I have to drive a long time to get to work." How could Constance have been more humble and open to growth?

By saying I'm sorry and admit that she missed up

Resident Hannah Stein is dying. She tells nursing assistant Mariana Lopes that she always wanted to be nicer to her son and to have a better relationship. Mariana replies, "Well my son won't even talk to me because I wouldn't let him go to a basketball game on a school night." Then Mariana proceeds to tell Mrs. Stein about her divorce and how her son's father never helps out. How could Mariana have been more empathetic?

By saying, "I understand" and not try to one up the resident

When a nursing assistant has a problem with another department, it should be reported to an immediate supervisor or the _______ nurse

Charge

What are activities of daily living?

Daily personal care task, such as bathing; caring for skin, fingernails, and hair; caring for the mouth and teeth; dressing; and communicating

Medical Social Worker

Determines residents' social needs and helps them get support services, such as counseling or financial assistance

Physician or Doctor

Diagnoses disease or disability and prescribes treatment

What are three questions nursing assistants should ask themselves before accepting a delegated task?

Do I have all the information I need to do this job? Are there any questions I should ask? Dow we both understand who is doing what?

Intergenerational care is

Elderly adults and children together in the same care setting

Occupational Therapist

Evaluates a resident's ability to do activities of daily living and develops a treatment plan to help them adapt to disabilities

How often should a nursing assistant bathe?

Every day

A survey is conducted by a team of professionals to make sure long-term care facilities are following state and federal regulations

False

Dementia is not a common cause of admission for terminal care

False

If a surveyor asks a nursing assistant a question and the nursing assistant does not know the answer, they should make one up to avoid being cited

False

Medicare will pay for any services requested by the resident

False

Most residents living in Long-term care facilities are male

False

No one younger than 65 is covered by medicare

False

Residents with the longest average stay in a healthcare facility are residents admitted for terminal care

False

What is part of a proper grooming for a nursing assistant?

Hair that is tied back

How does home health aide care differ from nursing assistant care?

Home health aides may clean the home and do laundry

Following the chain of command helps protect the staff from _____, which is a legal term for being held responsible for harming someone else

Liability

Team Nursing

Method of care in which a nurse acts as the team leader of the group giving care

Functional Nursing

Method of care in which each member of the care team is given specific tasks to perform for a large number of residents

Primary Nursing

Method of care in which the registered nurse gives much of the daily care to residents

Personal-Centered Care

Method of care that revolves around the resident and promotes each individual's preferences, choices, dignity, and interests

The _______ will usually be the nursing assistant's immediate supervisor

Nurse

Another name for a long-term care facility is a

Nursing home

Resident

Person who the care team revolves around

Activities Director

Plans activities for residents to help them socialize and stay physically and mentally active

A ______ is a course of action to be taken every time a certain situation occurs

Policy

A complete list if every facility policy is found in the _____ ______

Policy Manual

A _______ is specific way of doing something

Procedure

The exact way to complete every resident procedure is found in the ______ ________

Procedure Manual

Respiratory Therapist

Provides care fore people who have respiratory diseases or illnesses

A program of care given by a specialist or a team or specialists to restore or improve function after an illness or injury is called

Rehabilitation

Assisted living facilities are usually for

Residents who are generally independent and do not need skilled care

Takeisha is a new nursing assistant at Parkwood Skilled Nursing Care and wants to make a positive first impression. what is the best way for Takeisha to demonstrate professionalism at her new job?

She can avoid unnecessary work absences

If a nursing assistant is unsure about a task that is delegated to them, what should they do?

Talk to the nurse

Speech-Language Pathologist

Teaches exercises to help the resident improve or overcome speech problems and evaluates ability to swallow foods and drinks

A person who lives in a long-term care facility is called a resident because

The facility is their home

A person with limited income might qualify for medicaid

True

It is more important for nursing assistants to know each resident individually than to know general facts about most residents

True

Lack of outside support is one reason to care for the whole person instead of only the illness or disease

True

Medicare and Medicaid pay a fixed amount for services based on residents' needs

True

Medicare is a health insurance program for people who are 65 years of age or older

True

Membership in the Joint Commission is mandatory for all long-term care facilities

True

Poor health is not the only reason residents are admitted to long-term care facilities. Often they are admitted due to lack of a support system

True

Short, smooth natural nails are the best kind of nails for nursing assistants to wear to work

True

Surveyors will interview residents to get their opinions about the care they receive

True

What are three questions nurses consider before delegating a task?

What is the level of resident stability? Is the NA the right person to do the job? Can the nurse give appropriate directions and communication?

Physician Assistant

Works under the supervision of a doctor and is able to diagnose disease and prescribe treatment and medications

Nursing Assistant

performs assigned tasks, such as bathing residents and assisting with elimination, and has the most direct contact with residents

Which task do you think you will enjoy the most?

serving meal trays and helping residents eat and drink