CNA chapter 1 nursing assistant in long term care/ abuse and neglect

List two groups of people who qualify for medicare

-65+ -permanent kidney failure any age -certain disabilities any age

how is eligibility for medicaid determined?

-assistance to low income -certain disabilities

list the four parts of medicare and what each helps pay far

-facility -dr services -private health insurance -prescriptions for treatment

nursing assistants will NOT

-give medications -remove tubes

nursing assistants help with

-personal care (bathing, hair care, etc.) -toileting -move around safely -meals -promote self-care & independence

4:30 am

0430

10:00am

1000

2320

11:20 pm

2:10 pm

1410

8:25 pm

2025

0600

6 am

1800

6 pm

1927

7:27

physical therapist (PT OR DPT)

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

Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)

Licensed professional who has completed one to two years of education and is able to administer medications and give treatments

registered nurse (RN)

Licensed professional who has graduated from a two-to four-year nursing program and coordinates, manages, and provides skilled nursing care

Why should a nursing assistant not do tasks that are not assigned to him?

NA may put himself or someone else in danger

resident

Person whose condition, treatment, and progress are what the care team revolves around

What is one reason that other members of the care team will show great interest in the work that a nursing assistant does?

The NA will be working under the authority of others' licenses

what is true about a resident's medical chart?

a medical chart is a legal record of a resident's care

which of the following would be considered an incident?

a resident on a low sodium diet receives and eats a regular, non-restricted meal

negligence

actions, or failure to act pr provide a proper care, resulting in unintended injury to a person

an incident is what

an accident or unexpected event in the course of care

sexual harassment

any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive work environment

compassionate

being caring, concerned, considerate, empathetic, and understanding

conscientious

being guided by a sense of right and wrong and having principles

honest

being truthful

registered dietitian (RDT)

creates diets for residents with special needs

physician or doctor (MD OR DO)

diagnoses disease or disability and prescribes treatment

psychological abuse

emotional harm caused by threatening, scaring, humiliating, intimidating, isolating, or insulting a person, or by treating him or her as a child

Another name for long-term care facility

extended care facility

t or f. is it all right to do tasks not listed in the job description if they are very simple

false

t or f. nonprofit organizations cannot own long term care facilities

false

t or f. person-directed care means that staff should treat all residents exactly the same

false

sexual abuse

forcing of a person to perform or participate in sexual acts against his or her will

dependable

getting to work on time and doing assigned tasks skillfully

unprejudiced

giving the same quality of care regardless of age, gender, sexual orientation, religion, race, ethnicity, or condition

if a resident wants to make a complaint of abuse, what must a CNA do?

help them, tell them their rights, report it to a supervisor

Medical social worker (MSW)

helps residents get support services, such as counseling

occupational therapist (OT)

helps residents learn to adapt to disabilities by training residents to perform ADLS and other activities

activities director

helps residents socialize and stay active

care given to people who have about 6 months or less to live is called

hospice care

empathetic

identifying with the feelings of others

when should care be documented?

immediately after care is given

malpractice

injury caused by professional misconduct through negligence, carelessness, or lack of skill

physical abuse

intentional or unintentional treatment that causes harm to a person's body

battery

intentional touching of a person without his consent

one task of an ombudsman is to

investigate and resolve residents complaints

what is true about the chain of command?

it describes the line of authority in a facility

how soon after a resident is admitted does an MDS need to be completed?

must be completed within 14 days

patient

not rushing residents or being irritated if they take a long time to do things; not losing one's temper easily

what is included under protected health information? (PHI)

patient's social security number

Assisted living facilities are initially for what

people who need help with daily care

nursing assistant (NA OR CNA)

performs assigned tasks, such as taking vital signs and providing personal care

domestic violence

physical, sexual, or emotional abuse by spouses, intimate partners, or family members

Abuse

purposeful, mistreatment that causes physical, mental, or emotional pain or injury to someone

tolerant

putting aside personal opinions and not judging others

care given by specialists to restore or improve function after an illness or injury is called

rehabilitation

how does NA's reporting affect the MDS?

reporting changes may lead to a whole new document needing to be filled out

people who live in long-term care facilities are usually called what

residents

Jane is explaining a care procedure to Mrs. Gonzalez in English. Mrs. Gonzalez only speaks Spanish. When she is finished, Jane asks Mrs. Gonzalez if she understands the procedure. Mrs Gonzalez looks confused and doesn't respond. Jane begins to perform the care on Mrs. Gonzalez. which residents' right does this violate?

right to be fully informed

Matt, a new nursing assistant, tells a resident that she has to wear the flowered shirt he picked out for her. which residents' right does this violate?

right to choice

During dinner, Pete, a NA, spills hot soup on a residents arm. He tells her that she had better not tell anyone about it or he will be very angry at her. which residents' right does this violate?

right to complain

Margaret, a nursing assistant, tells her best friend, "Mrs. Picadilly's cancer is getting worse. I heard her moaning all night last night." which residents' right does this violate?

right to privacy/confidentiality

Yvonne, a nursing assistant, is going off duty. Leaving Ms. Scott's room, she notices a pretty necklace. She decides to borrow it for the night, promising to herself to return it tomorrow. She knows Ms. Rice has Alzheimer's disease and wont notice that is gone away. which residents' right does this violate?

right to security and possessions

Harry, a nursing assistant, is measuring a resident's vital signs when the resident's family arrives. He tells them, "You'll have to come back another day. I'm busy with her right now." which residents' right does this violate?

right to visit

Ms. Land, an elderly resident, gets into a loud argument with another resident during a card game. when her daughter comes to see her later that day, Anne, an NA, tells her that Ms. Land is in a bad mood and cannot see anyone. which residents' right does this violate?

right to visits

Mrs. Perkins is a visually-impaired resident. She is very nearsighted and has misplaced her eyeglasses many times. She gets upset during eye examinations, so the staff at her facility often allow her to go without glasses for a few weeks before having them replaced. which residents' right does this violate?

services and activities to maintain a high level of wellness

sympathetic

sharing in the feelings and difficulties of others

tactful

showing sensitivity and having a sense of what is appropriate when dealing with others

liability is a legal term that means what

someone can be held responsible for harming someone else

speech-language pathologist

teaches exercises to help the resident improve or overcome speech problems

what is the correct response by an NA if someone who is not directly involved with a resident's care asks for a resident's PHI?

tell the person that the information is confidential and cannot be given out

incidents should be reported to

the charge nurse

most conditions in long term care are chronic. this means that

the conditions last a long time

financial abuse

the improper or illegal use of a person's money, possessions, property, or other assets

Active neglect

the purposeful failure to give needed care, resulting in harm to a person

Laura, a nursing assistant, is running behind with her for the evening. She is helping Mr. Young, a resident with Alzheimer's, with his dinner. She is getting frustrated with him because he keeps taking the fork out of her hand and dropping it on the floor. Finally she slaps his hand to get him to stop. which residents' right does this violate?

the right to dignity, respect, and freedom

Ms. Mayes, a resident with severe arthritis, has a blue sweater that she loves to wear. The buttons are very tiny, and she cannot button them herself. Jim, a nursing assistant, tells her that she cannot wear the sweater today because it takes him too long to help her into it. which residents' right does this violate?

the right to make independent choices

Mr. Gallerano has a stomach ulcer that causes him minor pain. He has medication for it, nut he says that it makes him nauseous and he does not want to take it. Lila, a nursing assistant, tells him that he may not have his dinner until he takes the medication. which residents' right does this violate?

the right to participate in one's own care

Amy is a nursing assistant at Sweetwater Retirement Home. Every night when she goes home, she tells her family funny stories about the residents she is working with which residents' right does this violate?

the right to privacy and confidentiality

involuntary seclusion

the separation of a person from others against the person's will

passive neglect

the unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person

verbal abuse

the use of spoken or written words, pictures, or gestures that threaten, embarrass, or insult another person

What is true about adult day care services?

this type of care is for people who need some help and supervision during certain hours

assault

threat to harm a person, resulting in the person feeling fearful that he will be harmed

what is the purpose of HIPAA

to protect and secure the privacy of health info

t or f. a policy is a course of action to be followed. for example, all health information must remain confidential.

true

t or f. changes in residents should be reported to the nurse

true

t or f. culture change means basing care on each individuals needs

true

t or f. documentation of incidents helps protect resident, employer, and individual staff members

true

t or f. each step in a written procedure is important and must be strictly followed

true

t or f. facilities that offer specialized care must have specially trained employees

true

t or f. facilities will have procedures for reporting information about residents

true

true or false. long term care facilities may offer assisted living, sub acute care, or specialized care

true

false imprisonment

unlawful restraint that affects a person's freedom of movement

substance abuse

use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself or others

what is one way to keep private health info confidential?

using confidential rooms for reporting on residents

respectful

valuing other people's individuality and treating others politely and kindly

workplace violence

verbal, physical, or sexual abuse of care team members by residents or other care team members