CNA- Priorities and priority setting

The need for safety is an example of a ___________ need according to Maslow's hierarchy of needs. a. physical b. security c. self-actualization d. self-esteem

b - The need for safety is an example of a security need according to Maslow's hierarchy of needs.

Your new resident requires some additional documentation, including meal monitoring and bladder training logs. Documentation should be done: a. as each procedure is completed. b. at the beginning of the shift. c. at the end of the shift. d. only by the nurse.

a - CNAs as well as nurses are responsible for documentation. Documentation should be done as soon as possible after completing a procedure to ensure greatest accuracy.

All residents will not receive the same care interventions. What factors determine the care a resident will receive from the CNA? a. The needs of the resident. b. The requests of the family. c. The documentation on a flow sheet. d. The resident's ability to pay for care.

a - Care is planned and determined by resident needs. If a resident's needs increase or decrease, levels of care will change as well. Families may participate in care but they do not dictate care. CNA care is not based upon a resident's ability to pay. Flow sheets document residents' responses to care.

In the event of a fire, the first action you should take is: a. remove any residents in immediate danger. b. pull the fire alarm. c. look for the nearest fire extinguisher. d. grab your personal items in case of evacuation.

a - Following the RACE rule, R is remove any residents in immediate danger; Activate the alarm, Confine the fire or Close doors and Extinguish or Evacuate. Resident safety is always the first priority.

Which of these needs is the GREATEST priority? a. A healthy and satisfying relationship b. Membership in a community group c. An award or a special recognition d. Reaching one's fullest potential

a - Healthy and satisfying relationships are safety and security needs, according to Maslow. The safety and security needs are a greater priority than the love and belonging (membership in a community group), esteem by others (an award or another form of recognition), and self-actualization (reaching one's fullest potential).

Your resident is actively dying. You want to stay with her but you have other residents and 2 call lights on. How should you handle this? a. Let your coworkers know what is happening and solicit their aid to sit with her or answer lights. b. Stay with her as often as possible but continue your routine tasks. c. Don't worry about your other patients, as they will understand. d. Tell your coworkers you are going to stay with her and tell them to cover your other residents.

a - If you communicate with your coworkers you can solicit their assistance so you can stay with her as much as possible. Answer D is wrong because you cannot tell your coworkers to do your work no matter how you feel and you cannot just refuse to do your other work. Their help should be respectfully solicited, as this fosters teamwork.

Of all the patient needs, which one is the GREATEST priority? a. An airway b. Breathing c. Safety d. Freedom

a - Of all the needs, the physical needs are of greatest priority. Within the physical needs, it is airway, then breathing and then cardiovascular function that have the greatest priority in that order. These are the ABCs of CPR.

You have just come on duty for your 3 pm to 11 pm shift. Which task is the most important? a. Make rounds to check condition and location of residents. b. Gather your linen and supplies needed for the shift. c. Check and see who your co-workers will be for the shift. d. Speak with the director of nursing about an issue from yesterday.

a - Resident care is always the priority. If any of the other tasks delays you, you may miss the opportunity to ask questions or confirm facts before the other shift leaves.

You are taking vital signs for a group of elderly residents. Which vital sign characteristic must be reported immediately because it is the greatest priority? a. An irregular apical pulse b. A temperature of 98.4 degrees c. A blood pressure of 120/80 d. A respiratory rate of 16

a - The greatest priority is the irregular pulse. All of the other vital sign characteristics are typically within normal limits and/or characteristic of elderly people.

The levels of Maslow's hierarchy are ___________________. a. the physical needs, safety and security needs, love and belonging needs, esteem needs and self-actualization b. assessment, planning, implementation and evaluation c. subjective data, objective data, data analysis, open ended questions and close ended questions d. integumentary, respiratory, nervous and cardiac systems

a - The levels of Maslow' hierarchy are the physical needs, safety and security needs, love and belonging needs, esteem needs and self-actualization. Assessment, planning, implementation and evaluation are phases of the nursing process. Subjective data, objective data, data analysis, open ended questions and close ended questions are parts and aspects of the interview process. Lastly, the integumentary, respiratory, nervous and cardiac systems are a few of our bodily systems.

Which of the following has the HIGHEST priority? a. An obstructed airway b. Chest pain c. Irregular pulse d. Severe depression

a - The physical needs take priority over emotional needs (depression). An obstructed, or closed, airway is the highest priority of all of the physical needs.

What type of footwear should a resident have on his or her feet when being transferred from a bed to a wheelchair? a. non-skid footwear b. skid footwear c. regular shoes d. slippers

a - The resident needs to have non-skid footwear on before you take any further action.

Which of the following are signs of depression? a. Not eating, not communicating, drinking alcohol b. Overeating, crying, singing c. Eating normally, going to work on time, not being social d. Drinking alcohol, socializing, overeating

a - These are all classically accepted signs of depression.

Your patient has had a very full and rewarding life. She has had a lot of success in her personal and professional life. She has achieved all of her goals and she has maximized her potential. This patient can be best described as a person who has achieved Maslow's___________. a. self-actualization b. exploration c. closeness d. protection

a - This person has moved along Maslow's hierarchy and is now self-actualized. Exploration, closeness and protection are not part of Maslow's hierarchy.

You notice the floor in the hall is wet from a food tray spill. Your next action should be to: a. call housekeeping. b. wipe it up as soon as possible. c. tell residents to be careful where they step. d. throw a towel over it.

b - Safety is a major priority and wet floors are a hazard. Your job includes keeping residents safe. A towel can go unnoticed and be a tripping hazard, and not all residents will understand cautions. Remove the wet substance and the towel and housekeeping should complete the job.

You are a CNA in a children's home. While you are bathing a severely mentally challenged girl you notice bruising in her perineal area. What should you do? a. Report this immediately to the nurse and document a description of your observations b. Report this to the nurse and document what you think caused it. c. Report it to the proper authorities as a sign of abuse. d. Document your observations and put it in the child's file.

a - When you see bruising or other harm to a child in the perineal area, you must report it immediately to the nurse and document your observations. Answer B incorrect because you should only document your observations not your opinion. Answer C is incorrect as you have a chain of command and policy to follow.

You are working a 7 AM to 3 PM shift. Mr. Mack returns from dialysis at 2 PM. What should you do for him before your shift is finished? a. Get him some food if he has not eaten, get his vital signs and allow him to have time for rest as dialysis can be exhausting. b. Get his vital signs as ordered, but do not worry about food as he will have supper in a few hours, maintain his usual activities. c. Ask him if he wants to eat or not, leave him alone to rest. Do not worry about vital signs as the oncoming shift will be vital signs at 3PM. d. Get his vital signs and report them but do not worry about nutrition or activities because he will ask for what he wants and the next shift will handle this.

a - You must get his vital signs when he returns from dialysis. You should also be sure he has eaten because he may have missed his lunch and nutrition is important especially post dialysis. Also be sure you make accommodations for his rest as dialysis is very stressful on the body and he may need rest before he can go on with other activities.

Your resident's family brought in 5 new blouses. Your action should now be to: a. put the blouses in the resident's closet. b. label the blouses with the resident's name. c. ask the family to take home some of the old blouses. d. notify the nurse.

b - CNAs are responsible for ensuring residents' possessions do not get lost unnecessarily. New clothing must be labeled first. If the facility policy is that the laundry department does the labeling, the CNA should follow procedure and send the clothes for labeling.

You are feeding a dependent resident when you are asked by the nurse to change a resident who is incontinent and wet. You should: a. refuse because you are feeding another resident. b. tell the nurse you will need someone to take over feeding the resident. c. place the cover on the resident's food and change the incontinent resident. d. politely remind the nurse you can only do one thing at a time.

b - CNAs must juggle multiple resident needs. Residents should not be made to wait to eat or get incontinent care. Staff should be prepared to work together and to assume responsibilities when needed so residents are not neglected.

Mr. Dennis is receiving hospice care for end-stage metastatic colon cancer. What is the most important issue in his care plan? a. Daily bathing b. Controlling pain and providing comfort c. Encouraging fluids d. Repositioning frequently

b - For residents on hospice care, comfort is the priority. Fluid intake, bathing and repositioning are not as important as keeping pain level down. Care plans for hospice residents with terminal diagnoses may differ from traditional resident care plans and may be updated frequently to reflect declines in resident conditions and changes in goals.

Your patient is concerned about their health insurance and the costs associated with their hospital care. Which of Maslow's needs is your patient expressing? a. Physical needs b. Security needs c. Self-actualization d. Self-esteem and the esteem of other

b - Health and life insurance are examples of security needs

Your patient is concerned about their life insurance and the costs of their burial. Which of Maslow's needs is your patient expressing? a. Physical needs b. Security needs c. Self-actualization d. Self-esteem and the esteem of other

b - Health and life insurance are examples of security needs

You are doing home care and your client trips on an area rug and falls. She gets up and is apparently unhurt. This is the second time it's occurred. How should you handle this emergency? a. Since she says she's ok, there's no need for further action. b. Move the rug and call your supervisor to come assess the patient. c. Tell the client to stay where she is and dial 911. d. Leave the rug in place and suggest to the family that the client be placed in a skilled nursing facility since this has happened twice.

b - If the client has gotten up and says she is uninjured, call your supervisor for a nurse to come assess her. After the client is attended to, move or remove the rug and let the family know you moved it because of the danger.

One of the most important purposes of placing people in long term care is to: a. cure dementia. b. keep residents safe. c. allow for elderly to interact with others. d. provide respite for caregivers.

b - Long term care facilities can provide socialization for residents and a break for caregivers. More importantly, facilities make every effort to keep residents safe from the many dangers faced by frail and confused elderly, including falls, infection and the hazards of immobility. There is no cure for dementia.

You enter Ms. Harris' room and note her respirations are rapid and she is having trouble catching her breath. After notifying the nurse, you should: a. ask Ms. Harris if she needs a drink. b. elevate the head of the bed. c. lower the head of the bed. d. take her pulse and blood pressure.

b - Once you have notified the nurse, elevating the head of the bed may ease the work of breathing. Lowering the head may make breathing more difficult. Aim to increase resident comfort before offering or attempting another intervention.

You have a new admission on your resident assignment. Which information should you make sure the resident is aware of? a. Your name, the name of the charge nurse and the director of nursing b. The location of the bathroom and how to operate the call light signal c. The office of the facility administrator d. The location of the activities room

b - The resident has many names and places to learn, but meeting physiologic needs such as toileting and knowing how to call for help will help ensure safety and security for the resident.

How can you best assist a vision impaired resident to eat? a. Feed him but tell him what is available on the plate so he can choose. b. Describe the location of food and utensil items on the tray or table using the face of a clock. c. Give him finger foods so he can feel them and know what they are. d. Provide a magnifying glass with the utensils.

b - Using the face of a clock, you can describe the location of the foods, utensils and other items. This action fosters independence.

You enter a resident's room to give her care. When you are standing next to her bed, you see a pill on the floor next to the bed. What should you do? a. You should pick the pill up, ask the resident if it is one of hers and throw it away because it is dirty from being on the floor. b. Wearing a glove, pick the medication up, ask the resident if it looks like one of her pills and return it to the nurse so he will be aware that the resident did not take that pill. c. Pick up the pill, throw it away and tell the nurse. d. Leave the pill on the floor as housekeeping will clean the floor and dump it.

b - You should always wear gloves when handling unknown pills. You should try to have the resident identify the pill as it might be hers or someone else's. You should return it to the nurse so it can be discarded properly and the nurse can give a new dose if the pill is that resident's and needs to be given or charted as not given

You are taking care of 12 residents today. One of your residents wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care problem is your second priority? a. The water b. Help to the bathroom c. The chest pain d. The crying person

b - Your second priority is assisting the person to the bathroom. You have to prevent falls, and protect the resident's freedom from injury, Maslow's safety and security needs.

Mr. Gomez is a diabetic resident who has heavy stubble and cannot shave himself. He wants you to use a disposable safety razor to shave him instead of his electric razor. Can you use a disposable safety razor on this patient? a. No, you can only use the electric shaver, as he is a diabetic. b. No, he must make an appointment with the barber. c. Yes, but you must report any nicks to the nurse. d. Yes, as long as the nurse gives approval.

c - A CNA can shave a resident with a disposable safety razor. A proper skin prep may make the shave more acceptable for the resident, like use of a hot towel. Lather must be used. That Mr. Gomez is a diabetic does not require use of an electric razor, so Answer A is incorrect. Answer D is incorrect because you do not need the nurse's approval to shave a resident with a disposable safety razor.

You are caring for a resident who is dying of cancer. He smells very bad and as a result his room smells bad. His visitors have complained about the smell and blamed it on bad housekeeping and his not being bathed. After you inform the nurse and ask her to talk to the family, what is your appropriate action? a. Complain to housekeeping that they need to do a better job. b. Provide each visitor a disposable respirator to block out the smell. c. Ask housekeeping for a bio-spray and use it often. d. Tell the family the odor is caused by the cancer and nothing can be done.

c - After informing the nurse of the situation and having her talk to the family, the next step is to let housekeeping know and ask them for a bio-spray that can be used to kill the bacteria and minimize the odor. Keep the resident as clean as possible. Answer D is incorrect because the family does not wish to deal with environmental issues and may not accept that this is part of some cancer deaths. Answer A is incorrect because this is not the fault of housekeeping. Answer B is incorrect because it is insensitive to the resident and the visitors and is not practical.

Which of Maslow's needs is the LEAST priority? a. Physical needs b. Safety and security needs c. Self-actualization d. Self-esteem and the esteem of other

c - Although self-actualization needs are important, they are the least important in terms of priorities.

You are pulled to an unfamiliar floor to provide resident care. You demonstrate professionalism in this difficult situation by: a. explaining the situation to every resident so they know why you are slow. b. telling the charge nurse you will do it, but in your own way. c. asking the charge nurse or an experienced nursing assistance for guidance on arranging the assignment. d. not asking any questions so you may complete the assignment on time.

c - Asking for guidance shows you are interested in the best outcome for the residents. It is not the residents' fault or problem you were pulled. Health care demands flexibility, and not asking necessary questions or confirming information can lead to miscommunication resulting in resident harm.

You are doing hospice care for Mr. Jones. Which of the following symptoms will let you know his death is near? a. Shallow rapid breathing, warm skin, heart rate 72, pulse oximetry of 92% b. Eupnea, irregular pulse rate 60-90, skin cool and dry, pulse oximetry of 89% c. Cheyne stokes respirations, pulse rate 42-60 irregular, skin cool and moist, pulse oximetry of 76% d. Orthopnea, irregular pulse rate 110, skin warm moist, pulse oximetry 89%

c - Cheyne Stokes respirations are a sign of impending death. A pulse rate as low as 42-60 and irregular is a sign of cardiac issues. Skin being cool and moist may indicate shock. Lastly, a pulse oximetry that low indicates poor air exchange. The other answers have irregular vital signs but are not definitive signs of impending death.

Who developed the Hierarchy of Needs? a. Erikson b. Piaget c. Maslow d. Nightingale

c - Maslow developed the Hierarchy of Needs. Erikson developed a framework of development tasks; Piaget describes the thinking development of people, and Nightingale is referred to as the Mother of Nursing.

RACE is the acronym for the things you must do in the case of a fire. What is the FIRST thing that you do if a fire breaks out? a. Restore the patients b. Relate and report the fire c. Rescue the patients d. Run from the scene

c - RACE is Rescue, Alarm, Contain and Extinguish, if you can. The first thing you do is R. The first thing you do is to rescue all the people that are in immediate danger.

You are taking care of 12 residents today. One of your residents wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care problem must you deal with first? a. The water b. Help to the bathroom c. The chest pain d. The crying person

c - The chest pain must be addressed immediately, before the other issues are dealt with. Chest pain is a very serious physical problem that could indicate that the resident is having a heart attack. The chest pain must be immediately reported to the nurse.

The fire alarms in your nursing home begin ringing. What is the first thing you must do? a. evacuate the patients laterally. b. evacuate the patients vertically. c. close the patient doors. d. open the patient doors.

c - The first thing you must do is close the patient doors to prevent smoke from entering the rooms. You do not evacuate patients until you are instructed to do so.

When giving care to a resident which of his rights are you enforcing when you close the door or curtain before starting? a. Right to confidentiality b. Right to refuse care c. Right to privacy d. No particular right, it is common courtesy.

c - The resident has the right to privacy when receiving personal care.

The resident who is asking for water is expressing a _________ need according to Maslow. a. hydration b. fluids c. physical d. safety

c - The resident who is asking for water is expressing a physical need according to Maslow. Although hydration and fluids are common needs, they are not part of Maslow's hierarchy of needs. Safety and security is one of Maslow's needs, but water and fluids are not examples of safety and security needs.

You work as a CNA in a hospital. A woman says she is the sister of a patient and asks you why she is there and how she is doing. What is your best response? a. "I can't discuss her diagnosis but she is in room 201, why don't you visit her." b. "I can't tell you her diagnosis but she is responding to treatment well." c. "I'm the CNA. If you give me your name, and wait a few minutes, I'll check to see if she can have a visitor." d. "As a CNA, I can't give out any information. Please see the nurse about visitation and her diagnosis and condition."

c - The statement in answer C is the best response. Answer A is incorrect because you have not properly identified the visitor and have given out key information like room number and invited her to visit. Answer B is incorrect because you have not identified the visitor but have given out key information. Answer D, referring her to the nurse without identifying her may be convenient but is not correct.

Verbal bullying, among school aged children, threatens which of Maslow's needs? a. Physical needs b. Self-actualization needs c. Love and belonging needs d. Safety needs

c - Verbal bullying, among school aged children, threatens the love and belonging needs of these young children. They want to be accepted by others as a member of their peer group. Bullying of all kinds is not acceptable.

The resident's vitals are 99 - 98 - 36. Which of these findings needs to be reported immediately to the nurse? a. Temperature b. Pulse c. Respirations d. All of them.

c - Vital signs are normally noted in the order of temperature, pulse, respirations. The normal range of respirations is 12- 24 breaths per minute. A respiratory rate of 36 should be reported to the nurse.

As his CNA, you observe Mr. Oliver's hands have cigarette burns on his fingers. You know he smokes heavily and has become less responsible when he smokes. Which of the following is the best course of action? a. Escort Mr. Oliver when he smokes to keep him safe and prevent the burns. b. Take his cigarettes and lighter away because smoking has become unsafe for him. c. Tell the nurse your observation and let him handle the problem. d. Tell Mr. Oliver to be more careful or you will tell on him.

c - You need to report this to the nurse. It is dangerous both to the patient and others to have someone who is not competent to smoke doing it anyway. The removal of liberal smoking privileges must be part of the care plan and decided upon by the care team as the patient will see others who still have the privilege and need to be counseled on his change of care plan. Answer A is incorrect because while having someone escort him when he smokes is desirable, it is not always possible especially if he retains his cigarettes and lighter. Answer B is incorrect because while it is true that he probably should not have his cigarettes and lighter, it is a clinical team decision regarding his care plan. Answer D is incorrect because the patient may not be able to be more careful or may not perceive the problem. He may interpret this as a threat.

You see a resident lying on the floor of the bathroom. You are NOT assigned to this patient. What is the first thing that you should do? a. Get the nursing assistant who is caring for the resident. b. Tell the nurse that the resident has had another seizure. c. Observe the resident for any injuries and call out for help. d. Nothing. This resident is not one of your assignments.

c - You should observe the resident for any injuries and call out for help. This is an emergency and you must act immediately even if the resident is not part of your assignment. You did not see this resident before they fell so you do not know that the person has had a seizure.

While providing care for a resident, a co-worker enters the room to ask you a question unrelated to resident care. Your best response is to: a. answer the question quickly and return to your work. b. ask the resident if he minds while you discuss the question. c. leave the resident in a safe position, leave the room and answer the question. d. ask the co-worker to discuss the question on break.

d - Discussing unrelated issues while providing care or interrupting resident care for a non-emergency sends the message to the resident that he or she is not important. You are being paid to take care of residents and should not allow interruptions or distractions unless absolutely necessary.

You have six beds to strip and make. The nurse tells you one of your residents needs to be taken to the bathroom. You should: a. ask the nurse to get another CNA to do it. b. ask the nurse if she can take care of the resident. c. ask if the resident can wait so you can get caught up. d. ask if you can get help with the beds after taking care of the resident.

d - Even if the workload is overwhelming, resident care comes first and it is the job of the CNA to assist residents with activities of daily living, such as toileting. If you need help with an assignment, notify the nurse.

You are the CNA on the first floor. You have been informed in report that you will be receiving 3 new residents from the hospital this morning. Each resident is reported to be able to feed themselves, needing assistance to the bathroom and being admitted for rehabilitation. How can you best prepare for these admissions? a. Tell the charge nurse that you cannot handle three admissions on your shift and perform your usual duties on time. b. Set up the new rooms first. After that, begin your routine duties despite the fact that they may be late. c. Perform all of your assigned duties in the order that you usually would. Set up the rooms after the new residents arrive. d. Perform your other assigned duties and between the routine tasks set up the rooms based on the anticipated order of the new arrivals.

d - Find out the anticipated order of arrival of the new residents and prepare the rooms in between your regular duties so that each room will be ready when the new residents arrive. Place the vital signs machine in the room of the first arrival.

You wake up feeling sick and unable to go to work. You should: a. Call another CNA to come in and cover your assignment. b. Wait until 30 minutes before your shift begins and call. c. Wait 2 hours before your shift begins and call. d. Call the facility as soon as possible.

d - Good work habits include notifying the facility of absence as soon as possible so coverage may be arranged.

Physical bullying, among school aged children, threatens which of Maslow's needs? a. Physical needs b. Love and belonging needs c. Safety needs d. All of the above

d - Physical bullying can injure a person (physical needs). It can also threaten the child's psychological and physical safety and security, in addition to the fact that all bullying, including physical bullying, leads to a person feeling rejected, rather than loved and belonging to the group.

Which of the following has the LOWEST priority? a. An obstructed airway b. Chest pain c. Irregular pulse d. Severe depression

d - Physical needs take priority over emotional needs (depression). Depression is the lowest priority because all the other needs above are physical needs.

Mrs. Smith states she has lost her pocketbook, which contained $50. Upon hearing this, you should: a. stop what you are doing and help her look for it. b. call the police to report a missing item. c. ask her roommate and other residents if they have seen it. d. notify the nurse.

d - Possible thefts or misappropriation of items is a potential legal issue and the nurse in charge needs to be made aware.

You do not know how a resident toilets. What is the best way to find the correct information? a. Ask the resident or a family member. b. Ask another nursing assistant. c. Evaluate the resident's strength and capacity for cooperation and decide. d. Check the resident profile card or care plan.

d - Residents and families or other nursing assistants may not know the correct answer. The nursing assistant does not independently decide the method of toileting. Refer to the care plan for interventions that have been formulated by the interdisciplinary team.

What color is the cornea in a blue-eyed person? a. White b. Blue c. Slightly yellow d. It is clear.

d - The cornea is clear. It appears colored when it is over the iris or dark over the pupil.

You are taking care of 12 residents today. One of your residents wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care is the lowest in terms of priority? a. The water b. Help to the bathroom c. The chest pain d. The crying person

d - The crying person is the lowest priority. All of the other needs are physical needs that take priority over emotional needs. This does not mean that you should not address the crying. You must address it but it is the LOWEST priority at this time.

Which of the following needs has the LEAST priority? a. A healthy and satisfying relationship b. Membership in a community group c. An award or a special recognition d. Reaching one's fullest potential

d - The lowest priority of all of these needs is reaching one's fullest potential (a self-actualization need). The other needs in terms of priority are self-esteem and esteem by others (awards or another form of recognition), then love and belonging (membership in a community group), followed by safety and security (healthy and satisfying relationships).

The resident who is asking for help to walk to the bathroom is expressing a (n) _________ need according to Maslow. a. mobility b. esteem c. elimination d. physical

d - The resident who is asking for help to the bathroom is expressing a physical need because the resident has to use the bathroom. The resident is also expressing a safety need If they need help to prevent a fall. Although mobility and elimination are common needs, they are not part of Maslow's hierarch of needs. Esteem and esteem by others are Maslow's needs, but toileting is not an esteem need.

In your facility, the patient charts are kept in a cabinet by the patient's room. You see a family member go into the cabinet and read the patient's chart. The family member has a medical power of attorney for the patient. What type of violation is this? a. HIPAA violation b. Hospital policy violation c. Privacy violation d. No violation

d - There is likely no violation, HIPAA or otherwise, if this person, whether family or not, has medical power of attorney or legal patient representative status. If this is an authorized representative, it should not be a hospital policy issue.

You are serving trays in the dining room. You know that Mrs. Smith is a diabetic and that her diet calls for 2000 calorie ADA diet. The kitchen has put the following food items on her tray: mashed potatoes, apple juice, macaroni and cheese, meatloaf and a brownie. What should you do? a. Be sure that this is the correct tray for Mrs. Smith. b. Ask the dietitian if this is the correct plate for this person and diet. c. Report the meal and the amount Mrs. Smith eats to the nurse so she can observe for high blood sugar. d. All of the above. e. Do nothing and serve the tray, as that is your task.

d - There may be a dietary error in this case. You must always check for the right person, the right tray and the right diet when serving trays. Since you have learned that diabetics need to restrict carbohydrates, sugar and starches, you should ask the dietitian is this is the correct plate for Mrs. Smith. The nurse needs to be made aware so he can watch for an elevated blood glucose. You must always check for the right person, the right tray and the right diet when serving trays.

What step must be done before every procedure? a. Introduce yourself to the resident. b. Document the procedure. c. Check the care plan. d. Wash your hands

d - if there is no change from the previous day as per shift report, you do not need to check the care plan for every procedure. Documentation is done upon procedure completion. While introducing yourself is important, the most important procedure to ensure resident safety and infection control is proper hand washing before each procedure.

Who is the most important member of the interdisciplinary health care team? a. CNA b. Attending physician c. Charge nurse d. Resident

d - it is worth remembering that it is the needs and goals of the resident that are the focus of the team. Each professional contributes his or her own unique information and perspective.