Unit 2 Review Questions

What should be placed in the mouth of a resident who is experiencing a seizure?

Nothing

Another way to describe choking is

Obstructed airway

Which of the following is true about older adults and sexuality?

Older adults can continue to engage in sexual activity unless a disease or injury prevents them from doing so.

How many links in the chain of infection must be broken to ensure the infection is not spread?

One

A heart attack happens when the heart muscle does not receive enough _____________ because ___________________ are blocked.

Oxygen, blood vessels

Mr. Kumar is a new resident who is Muslim. He is concerned about finding a clean place to store his prayer rug between prayer times and about making sure he is able to pray at the appropriate times. How can Tonya, the nursing assistant who is assisting with his admission, help him

She can carefully listen to and document his concerns, and then talk to a supervisor about how best to accommodate them.

Mrs. Gao has just moved in to Hearthside Home. Julian, a nursing assistant, has noticed that she seems very uncertain and fearful. What needs to happen before Mrs. Gao can begin to feel accepted, needed, and cared for?

She must first come to understand that she is safe and secure.

Mrs. Koplik tells Maribel, a nursing assistant, that she cannot eat the cheeseburger she has been served because it is not kosher. How should Maribel respond?

She should apologize, take the meal tray back to the kitchen, and bring a kosher meal.

Cindy needs to lift a heavy box from the floor in front of her and place it on a counter behind her. How can she best use proper body mechanics to accomplish this task?

She should bend at the knees, lift the box, use her leg muscles to return to a standing position, and hold the box close to her body as she pivots to face the counter and put the box down.

Naomi has been asked to take a specimen from Mr. Lopez, who is in isolation. She has put on the proper PPE and entered the resident's room. What should she do next?

She should collect the specimen, place it in the appropriate container, remove and discard her PPE properly in the resident's room, wash her hands before leaving the room, and take the specimen to the nurse.

Lola is assisting Mr. Mills with eating his dinner when suddenly he seems to be choking. His hands are at his throat, but he can still breathe and is coughing weakly. What should Lola do next?

She should encourage Mr. Mills to cough as forcefully as possible.

A woman is paying a visit to Mrs. Eggen and Mrs. Eggen's door is closed. Heidi, a nursing assistant, enters without knocking and finds the two women embracing and kissing. How should Heidi respond?

She should leave and provide privacy.

Mrs. Trujillo has recently had a stroke. She is still able to perform self-care, but with greater difficulty than before. Lillian is assisting Mrs. Trujillo with p.m. care when, while working on brushing her own teeth, Mrs. Trujillo throws the toothbrush at Lillian. What would be the best response from Lillian?

She should let Mrs. Trujillo know she realizes it is very hard and very frustrating to relearn these skills, and give her only what help is necessary to finish her p.m. care

Jayoung, a nursing assistant, is Buddhist. Mr. Dickens, a resident she cares for, often wants to talk to her about Jesus Christ and his belief that accepting the Christian faith is the only way Jayoung can receive eternal salvation. How should Jayoung respond to Mr. Dickens?

She should politely remind him that she respects his right to have different beliefs and hopes he can do the same.

How should a nursing assistant help a family that does not communicate much with her, but which she suspects is struggling with the emotional burden of caring for a resident?

She should talk to her supervisor about what she has observed.

Julia knows that Mr. Vogel tends to get agitated at a certain time of day and that her friend Sonia, the nursing assistant who generally cares for him, is very frustrated with the situation. Sonia asks Julia to help her get Mr. Vogel into a geriatric chair and fasten the tray table so he will not pace and wander. Julia knows there is no doctor's order for this action. What should she do?

She should tell Sonia she cannot help and suggest they go talk to a supervisor about alternative ways of caring for Mr. Vogel.

Havovi, a nursing assistant, is looking at a Safety Data Sheet (SDS) and realizes that she does not understand how to read it. What should she do?

She should tell her supervisor and ask for help learning to read it.

After controlling bleeding, it is important to check for symptoms of

Shock

Women are more likely than men to have this symptom when suffering a heart attack:

Shortness of breath

A nursing assistant who is not religious

Should still encourage residents who are religious to participate in religious services

Which of the following is a normal change of aging?

Slower responses and reflexes

In the situation above, what might be an approach that would help Mr. Vogel?

Sonia could make a point of helping Mr. Vogel with ambulation and providing him with activities he enjoys during the hours when he tends to pace and wander.

What is posture?

The way a person holds and positions his body

As people grow older, what happens to their senses of sight, hearing, touch, smell, and taste?

Their senses diminish (get weaker).

Which of the following is true about Safety Data Sheets (SDS)?

They must be accessible in work areas for all employees.

What is the main goal of care for a resident with intellectual disability?

To help the resident live as normal a life as possible

What is a nursing assistant's primary responsibility during a natural disaster?

To listen carefully to all directions and follow instructions

Why should the mouth of someone who has swallowed poison be checked?

To see if there are any chemical burns

Mrs. Groth's son brought her a cup of coffee from her favorite cafe. As he was handing it to her, it spilled and burned her hand, leaving the skin very red. Christine, a nursing assistant, was in the room at the time. She notified the nurse immediately and put on gloves. What should she do next?

Use cool, clean water to decrease the skin temperature

Which of these measures might help reduce smoke inhalation in the case of a fire?

Using a damp covering over the mouth and nose

What is usually the best level for making an adjustable bed using proper body mechanics?

Waist height

The charge nurse has directed Clara to call emergency medical services. When should Clara hang up?

When the dispatcher hangs up or tells her to hang up

In the chain of infection, what is meant by reservoir?

Where the pathogen lives and multiplies

How should a nursing assistant turn off the faucet after washing hands?

With a clean, dry paper towel

In middle adulthood

wrinkles and gray hair appear

Alexandra has been caring for Mr. Anson for several years. She has read his medical chart, which states he has no bloodborne infections. As she is preparing to shave Mr. Anson with the straight razor he prefers, Alexandra realizes she does not have any gloves. Which of these statements represents the best response by Alexandra?

"Mr. Anson, I'm sorry for the delay but I'm going to have to get some gloves."

After a visit with her mother, Mrs. Delaney's daughter is feeling overwhelmed by all of the recent changes to her mother's health. Meredith, a nursing assistant, sees the daughter sitting in a lounge near her mother's room and crying. Which of these possible responses is the best for Meredith to make?

"We will do everything we can to take good care of your mother. I know this must be hard."

_______________________________ is the result of a temporary lack of oxygen to the brain and is a warning sign of a stroke.

(D) Transient ischemic attack

A resident who has a restraint applied must be checked every

15 minutes

Which of the following is true of cardiopulmonary resuscitation (CPR) and do-not-resuscitate (DNR) orders?

A DNR is a legal order and no CPR may be given to a resident who has a DNR order in place.

What is an oxygen concentrator?

A box-like device that changes air in the room into air with more oxygen

Intellectual disability is

A developmental disability

Who may order the use of a restraint?

A doctor

What is a pathogen?

A harmful microorganism

Dehydration is a condition in which

A person does not have an adequate amount of fluid in the body

What is disinfection?

A process that reduces pathogens to a level that is considered not infectious

Which of the following is an example of indirect contact?

A resident sneezes into her hand and then touches her bathroom doorknob. A nursing assistant then touches the doorknob with ungloved hands.

Which is the most serious type of burn, also known as a full-thickness burn?

A third-degree burn

Marilu needs to clean up a spill. She has already put industrial strength gloves on. What should she do next?

Absorb the spill with whatever product is used by the facility

Human immunodeficiency virus (HIV) is the virus that can cause

Acquired immune deficiency syndrome (AIDS)

During which developmental stage do people tend to experience rapid mood swings and conflicting feelings about their level of dependence on their parents?

Adolescence

Prejudice toward, stereotyping of and/or discrimination against older persons or the elderly is called

Ageism

Pathogens that require _________________ Precautions are able to remain floating for some time after being expelled.

Airborne

What are the three categories of Transmission Based Precautions?

Airborne, Droplet, and Contact Precautions

In a long-term care facility, who is responsible for preventing the spread of infection?

All care team members

When should an NA encourage a resident to perform as much of his own personal care as possible?

Always

Which of the following is an example of holistic care?

An NA talks with a resident as she eats, learning about the resident's favorite foods and the good memories she associates with mealtimes.

Physical activity is

An essential part of a person's life

What is a localized infection?

An infection limited to a specific location in the body

Standard Precautions means treating blood, body fluids, non-intact skin, and mucous membranes

As if they were infected, no matter what

A person responding to a medical emergency should do the following before touching an injured or ill person:

Ask permission

Residents with autism spectrum disorder may

Be withdrawn and unable to make eye contact

Why is an alcohol-based sanitizer not considered effective in eliminating C. difficile from the hands?

Because hand sanitizers are not effective in eliminating the spores that cause C. difficile

Why should there never be an open flame present when oxygen is in use?

Because oxygen is combustible and an open flame is a fire hazard

Why are elderly people more likely than younger people to get healthcare-associated infections?

Because they are hospitalized more frequently than younger people

When should a nursing assistant wash hands?

Before, between, and after all contact with residents

How should pressure be applied to treat a nosebleed?

By squeezing both sides of the nose, on the soft part, up near the bridge, between gloved thumb and forefinger

What is one way Julian can help Mrs. Gao meet her current needs?

By treating her possessions with care and respect

Chantal wears eyeglasses. She is asked by Dr. Gormley to assist him during a procedure that may involve splashing body fluids. Which of the following statements is true?

Chantal should wear goggles over her eyeglasses during the procedure.

Which of the following might be included in a facility's exposure control plan?

Detailed information on the proper handling of infected waste

Sweet or fruity breath, deep or labored breathing, and increased thirst are all signs of

Diabetic ketoacidosis

Vegans are vegetarians who

Do not eat any animals or animal products

Which developmental disorder is marked by the presence of an extra chromosome?

Down Syndrome

When a diabetic resident is experiencing hypo - glycemia, or insulin reaction, she has

Either too much insulin or too little food in her system

If a person is in shock and does not have a head, neck, back, spinal, or abdominal injury, breathing difficulties, or fractures, a nursing assistant caring for her should

Elevate her legs eight to 12 inches

Who is responsible for providing in-service education on infection prevention for nursing assistants?

Employers

Which of the following is a sign of shock?

Extreme thirst

Which of the following is a major factor in the spread of tuberculosis?

Failure to take all prescribed medications

Pressure placed on a bleeding wound should be

Firm and directly on the wound

Which of the following is a role residents' families play?

Giving the resident support and encouragement

Louise works at a facility and lives in a state where she is allowed to offer heart medication to a resident having a heart attack. When caring for a resident who is suffering from a heart attack, Louise can

Hand the heart medication to the resident

People with intellectual disability

Have the same emotional and physical needs as other people

After one glove has been removed and is being held by the fingertips of the hand that is still gloved, how should a nursing assistant go about removing the second glove?

He should slip two fingers underneath the cuff of the remaining glove at the wrist, then turn the glove inside out over the first glove without touching any part of the outside of the glove.

What must be present in order for a fire to occur?

Heat, fuel, and oxygen

Paola was helping Mrs. Qian get up from her bed to ambulate when it suddenly seemed that Mrs. Qian might faint. What would it be best for Paola to do?

Help Mrs. Qian to lie back down on the bed and elevate her legs

In movies and television older adults are often portrayed as

Helpless and forgetful

Which type of hepatitis is a bloodborne disease and a serious threat to healthcare workers, which is why they should take the free vaccine offered for it?

Hepatitis B

What determines the type of Transmission Based Precautions used in any given situation?

How an infection is transmitted

An incident report must be completed

If a resident is injured while a restraint is applied

As Rob enters Mrs. Jheong's room he sees that she is about to fall as she attempts to get out of bed. What should Rob do?

If he is able to reach her, he should use his body to slide Mrs. Jheong to the floor rather than attempting to break her fall.

When should a nursing assistant report any exposure to infection?

Immediately after it occurs

Jack has just finished shaving Mr. Fritz and needs to dispose of a razor blade. Where should he dispose of it?

In a biohazard container for sharps in Mr. Fritz's room

Staff may refer to residents who need Transmission-Based Precautions as being

In isolation

A person who is conscious

Is mentally alert and aware of her surroundings

Which of the following is true of a person's center of gravity?

It is the point where most weight is concentrated and changes as the body's position changes.

When a gown is unfolded,

It should be allowed to unfold without shaking

How should wet, soiled linen be treated?

It should be placed immediately in a leakproof bag at its point of origin.

In the case of a serious burn, what should be done with clothing covering the burned area?

It should not be removed

The arm and elbow can be thought of as a

Lever and fulcrum

Which of the following statements is true of multidrug-resistant organisms (MRDOs)?

MRDOs are a rising problem in healthcare.

When responding to shock it is important to

Maintain normal body temperature

Clara has just entered Mrs. Greer's room and sees that Mrs. Greer is unconscious on the floor. There is blood on the floor but Clara is not sure where it came from. This is a medical emergency. Clara knows she must first assess the situation. That includes

Making sure she is not in danger, and noticing the time

According to OSHA's Bloodborne Pathogens Standard, which of these would be considered a significant exposure to infectious material

Mucous membrane contact In which situation is tuberculosis most likely to be spread? In a small home where many people share each room

Disposable equipment

Must be discarded after one use

Activities programs are required by OBRA and must be designed to meet the interests and the __________________, _____________________, and _____________________ well-being of each resident.

Physical, mental, psychosocial

What can nursing assistants do to help slow the spread of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin resistant Enterococcus (VRE)?

Practice good hand hygiene, using soap and warm water

Which of the following is a physical restraint?

Raising the side rails on a resident's bed so she cannot get out of bed

Which of the following is a physical problem associated with restraints?

Reduced blood circulation

Emily is assigned a task she does not feel she has the physical strength to complete safely. What should she do?

Report to the nurse that she does not feel able to do the task safely

If a resident has difficulty swallowing, she may have a special diet that

Requires liquids to be thickened

A facility at which restraints are not kept or used for any reason is providing

Restraint-free care

Many scientific studies have found that

Restraints are not needed

What is the best way for nursing assistants to avoid contracting hepatitis B?

Taking the vaccine provided by their employers

Who is responsible for providing appropriate personal protective equipment (PPE) for nursing assistants?

The facility is responsible for providing PPE for nursing assistants

Which of the following is a mucous membrane?

The lining of the eyes

Which of these are the most basic needs of human beings?

The need for food and water

According the Abraham Maslow, what must happen before a person's psychosocial needs can be met?

The person's physical needs must be met.