CNA Study

Dementia can be easily mistaken for delerium or: A. Depression. B. Denial. C. Diabetes. D. None of the above

A. Depression

The Patient Bill of Rights DOES NOT give patients the right to: A. High quality care. B. Do whatever they want, whenever they want. C. Protection of privacy D. Be treated with respect from all staff members

B. Do whatever they want, whenever they want

An incident report: A. Is only completed when a client is injured. B. Does not become part of the client's medical record. C. Should be signed by all witnesses. D. Gives a client permission to sue your workplace

B. Does not become part of the client's medical record

Dementia is a: A. Disease. B. Group of symptoms. C. Normal part of aging. D. Virus

B. Group of symptoms

Hoarding is described as the need to acquire things along with: A. Taking pride in possessions. B. Inability to discard things. C. Depression. D. Obsessive Compulsive Disorder

B. Inability to discard things

For most people, being able to do ADLs means holding on to: A. Childhood B. Independence C. The past D. None of these

B. Independence

To best communicate with a client with hearing loss, you should: A. Raise your voice. B. Lower the tone of your voice. C. Call the language Line for an interpreter. D. Talk as little as possible while providing care

B. Lower the tone of your voice

If your client reports more frequent and painful urination, you should: A. Stop what you are doing and notify the nurse immediately. B. Report your observations to the nurse and make a detailed note in the chart as soon as you complete the current task with the client. C. Just make a detailed note in the chart or on the flow sheet. D. Do nothing. This is a subjective observation and does not require intervention.

B. Report your observations to the nurse and make a detailed note in the chart as soon as you complete the current task with the client.

Clients with frequent indigestion should be encouraged to: A. Eat larger meals. B. Sit up for 30 min after meals. C. Eat while reclining in bed. D. Avoid milk, cheese and ice cream

B. Sit up for 30 min after meals

During this stage of HIV, the blood converts to HIV positive and can be detected in testing: A. Stage 1, Primary Infection B. Stage 2, Seroconversion C. Stage 3, Immune System Decline D. Stage 4, Early HIV Disease

B. Stage 2, Seroconversion

You transfer your client to the bedside commode, place toilet tissue and the call bell, (if available) within easy reach. Next you should: A. Tidy up the room and chat while she goes. B. Stand just out of sight but close enough to help if needed. C. Tell her you'll be back in 10 minutes, then go do something else. D. Just leave. She can get back to bed on her own when she is finished

B. Stand just out of sight but close enough to help if needed

Aggressive people may: A. Blame themselves for everything. B. Try to control your behavior. C. Expect you to read their minds. D. Do anything to avoid an argument

B. Try to control your behavior

The purpose of the Patient Bill of Rights is to: A. Reduce the amount of complaints from patients. B. Make healthcare more affordable for all patients. C. Ensure patients are treated equally and ethically in all healthcare situations. D. Allow patients to yell at staff without fear of consequences.

C. Ensure patients are treated equally and ethically in all healthcare situations

The HIPPA law states that all healthcare workers must: A. Have access to the entire patient record at all times. B. Verify the patient has insurance before providing care. C. Keep every patient's personal health information private. D. Share all healthcare information with the patient's primary caregivers

C. Keep every patient's personal health information private

Clients have the right to confidentiality as stated in the: A. Patient Privacy Act. B. Patient Bill of Confidentiality. C. Patient Bill of Rights. D. Insurance Agreement Act

C. Patient Bill of Rights

Your client with dementia just flew into a rage for no apparent reason. You should: A. Try to reason with him. B. Apply restraints. C. Reassure him (from a distance). D. None of the above

C. Reassure him (from a distance)

Skin injuries (like cuts or pressure sores) are more dangerous for older clients because: A. They worry more about it. B. Their environment is dirtier. C. They are less able to fight off infections. D. You can't use soap to wash those areas

C. They are less able to fight off infections

A known factor that influences aging is: A. Smoking B. Stress C. The sun D. All of the above

D. All of the above

A stroke can effect the way a person: A. Understands speech. B. Forms messages. C. Forms speech sounds. D. All of the above

D. All of the above

Every day, around 4:30pm, your client with dementia becomes agitated and restless. It's difficult to get him to settle down. You should: A. Limit sugar and caffeine, especially late in the day. B. Close the drapes and turn on the lights before the sun begins to set. C. Keep afternoon and evening hours calm, filled with quiet activities only. D. All of the above

D. All of the above

Someone who breaches confidentiality may be: A. Fired. B. Put in jail. C. Fined. D. All of the above

D. All of the above

Tub baths place clients at a higher risk for: A. Falls B. Burns C. Drowning D. All of the above

D. All of the above

Along with the Patient Rights, patients have a responsibility to: A. Keep their room or home neat and clean. B. Refuse treatment if they can't afford to pay. C. Report a nurse for not doing exactly what they want. D. Ask for more information if they don't understand something

D. Ask for more information if they don't understand something

Which of the following is NOT a good treatment option for hoarders? A. Behavioral Therapy. B. Certain medications C. Early detection and intervention. D. Confronting hoarder with logic

D. Confronting hoarder with logic

If you feel unsafe during a visit to your client, you should: A. Call the police immediately. B. Tell the client you don't feel safe. C. Ask one of the client's neighbors to come over. D. Leave as soon as you can and call your supervisor

D. Leave as soon as you can and call your supervisor

A client who takes nitroglycerin for chest pain: A. Needs to keep the the nitro pills in a nice sunny spot. B. Should try walking around to see if the pain goes away. C. Might get low blood sugar from the medication. D. Might get dizzy right after taking the medication

D. Might get dizzy right after taking the medication

Which of the following is an objective observation? A. Mr. Smith seems grumpy in the morning. B. Mr. Smith is thirsty all of the time. C. Mr. Smith looks tired today. D. Mr. Smith has a red rash on his left arm

D. Mr. Smith has a red rash on his left arm

A partial bed bath means you wash the face, hands, underarms and: A. Feet B. Hair C. Chest and abdomen D. Perineal area

D. Perineal area

A communication problem that makes it hard to understand the message is known as a(n): A. Expressive B. Dysarthria C. Language D. Receptive

D. Receptive

Which of the following medications might make your client dizzy: A. Nitroglycerin B. Diuretic medication C. An antibiotic D. Blood pressure medication E. All of them

E. All of them

True or false: A non-verbal client cannot express feelings of pain

False

True or false: A stage 1 pressure sore will have a thick black scab

False

True or false: AIDS is the virus that causes HIV

False

True or false: Across America, someone dies accidentally at home every four hours

False

True or false: Always feed clients with dementia in the dining room where they can participate in social interactions

False

True or false: Because nursing assistants don't usually give out medications, they have no role in preventing medication errors

False

True or false: Clients with AIDS should be told to get rid of pets because pets carry diseases that could be dangerous to someone with a weakened immune system

False

True or false: Clients with dementia tend to wander or get lost in familiar places when their dementia is in the "severe" stage

False

True or false: Dementia cannot be prevented

False

True or false: Dentures should be removed and washed thoroughly once a week

False

True or false: Every abnormal observation should be reported to the nurse right away

False

True or false: Home care patients have a responsibility to clean their home before the caregiver arrives

False

True or false: If you notice a serious change in your client's condition, you should document the problem with red ink

False

True or false: Incontinence (of bowel and bladder) is a normal part of aging

False

True or false: It's best to use a family member to interpret for non-English speaking clients

False

True or false: It's illegal for cameras to be installed in a client's room

False

True or false: Medical errors are rare in the United States

False

True or false: Most people need their hair washed every day

False

True or false: No matter what level of support your client needs, the best thing you can do is to complete all the ADLs for him so he won't get tired

False

True or false: Patients earn their rights after proving they can perform their responsibilities

False

True or false: People who take Coumadim as a blood thinner should not eat foods high in potassium, like bananas

False

True or false: Pinching, hitting, or pushing a client is considered "assault"

False

True or false: Subjective observations are things you can see, hear, smell or feel

False

True or false: The United States is an homogenous society consisting of people from more than 100 ethnic groups

False

True or false: When feeding confused clients, it's best to load up the fork and go as quickly as possible

False

True or false: You should always document what you think your client can do on his own, even if you had to help him

False

True or false: A normal pulse range is between 40 and 80 beats per minute

False, it is 60 to 100 beats per minute

The stage of violence is considered _______ if it includes slapping, punching, kicking and pulling hair

Moderate

When are the two riskiest times for domestic violence?

Pregnancy and retirement

True or false: To rid your hands of germs, you should use the hottest water you can stand

To rid your hands of germs, you should use the hottest water you can stand

True or false: Abnormal vital signs are considered "urgent" and should be reported immediately

True

True or false: Aging causes people to "shrink" very gradually, losing from one to four inches in height

True

True or false: An infection that occurs in a person with a weak immune system is called an opportunistic infection

True

True or false: Autonomy means that clients can earn the right to make their own decisions if they prove they can make good choices

True

True or false: Clients with dememtia will respond best to one "yes" or "no" question at a time

True

True or false: Constipation is defined as going longer than 3 days without a BM

True

True or false: Immunizations, like the flu shot, may not work as well or last as long as expected for your elderly clients

True

True or false: In addition to helping with speech, SLP's can also help with swallowing problems

True

True or false: It is legal to share your client's medical information with others if you suspect your client is being abused

True

True or false: It's normal for elderly clients to feel cold all the time-especially on their hands and feet

True

True or false: Kidney disease usually develops in diabetic patients over the age of 40

True

True or false: Most cases of dementia are permanent and get worse over time

True

True or false: Most cultures outside the U.S. have false beliefs about how to stay healthy

True

True or false: Nausea, vomiting, fatigue, and numbness in the hands and feet are common side effects of HIV medications

True

True or false: No one has the right to hoard because it causes unsafe living conditions

True

True or false: Objective observations can be seen, heard, smelled, felt or measured

True

True or false: Patients have a right to complain and to expect a reasonable response to the complaint

True

True or false: Patients have a right to dispute any charges they feel were not provided

True

True or false: Patients have the right to know your name and title before you provide care

True

True or false: People with weakened immune systems are at risk for catching an infection from their pets

True

True or false: Physical restraints may be a violation of patient rights

True

True or false: Root cause analysis is a method of studying medical errors

True

True or false: Strokes, urinary infections and pain can all cause clients to be combative

True

True or false: The kitchen sponge is one of the dirtiest items in a house

True

True or false: The only way to tell if someone has been infected with HIV is to do a blood test to check for HIV antibodies

True

True or false: The outside of your purse or client care bag is probably home to as many germs as the bottom of your shoes

True

True or false: The purpose of a Good Samaritan Law is to protect health care workers who help during emergencies

True

True or false: The two main ways HIV is spread is through unprotected sex and sharing needles and syringes between IV drug users

True

True or false: When transferring from bed to chair, place the chair on the client's strong side

True

True or false: Your client may become confused about the date, but under normal circumstances, should know where and who he is

True

True or false: ome people with AIDS may quit taking their medications because the medication "tastes bad"

True

After giving a verbal report, you must document, if required, the date and time of the observation in addition to the ______ and _____ of the person to whom you reported

name and title