Final Exam Review

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How to prevent aspiration?

- tuck the chin with each swallow - turn the head toward the weak side to swallow - hold their breath while swallowing - sit in an upright position to swallow

What is an advance directive?

A set of instructions written by persons with capacity explaining to their physician and family what they want done in certain situations if they lose their decisional capacity.

Ways to prevent aspiration during oral care of unconscious residents include ____. A. Using as little liquid as possible when giving oral care B. Turning residents on their stomachs when giving oral care C. Not giving frequent mouth care D. Pouring water slowly into the resident's mouth

A.

When transferring a resident from a bed into a wheelchair, where should the wheelchair be placed? A. On the stronger side B. On the weaker side C. On the left side D. On the affected side

A.

Where should the nurse assistant (NA) be when helping a visually-impaired resident walk? A. The NA should be beside and slightly in front of the resident. B. The NA should be beside and slightly behind the resident. C. The NA should be about three feet away from the resident. D. It does not matter where the NA stands when helping the resident.

A.

Which of the following blood pressures falls within the normal range? A. 118/76 B. 134/92 C. 90/70 D. 144/80

A.

Which of the following statements is true of using validation therapy? A. An NA makes no attempt to reorient the resident to actual circumstances. B. An NA reminds the resident that he is not living in the past. C. An NA reminds the resident about what is real and what is not real. D. An NA tells the resident he is having delusions.

A.

What should a nursing assistant (NA) do if a resident's walker seems too short for the resident to use properly? A. The NA should adjust the height of the walker for the resident. B. The NA should inform the nurse. C. The NA should see if the resident can adjust the height of the walker. D. The NA should suggest to the resident that she needs a new one.

B.

When should a nursing assistant identify a resident? A. When shifts change B. Before helping with feeding C. After giving care D. When collecting meal trays

B.

If a resident refuses to wear a clothing protector when eating a meal, the nursing assistant should: A. Refuse to serve the resident until she puts it on B. Insist that the resident wear it C. Respect the resident's refusal D. Point out to the resident that she is making her work more difficult

C.

Passive range of motion exercises are done: A. By a doctor or physical therapist only B. By the resident with some help and support C. When a resident cannot move on her own D. By the resident herself, without help

C.

What is the best way to control the spread of clostridium difficile? A. By using more powerful antibiotics B. By giving more enemas to clean out the gastrointestinal tract C. Through proper hand washing and handling of contaminated wastes D. By limiting contact of the infected person with others

C.

How should a resident use a cane to aid ambulation? A. Allow the cane to drag about six inches behind him. B. Place the cane about six inches in front of his weaker leg. C. Take the cane along in case he gets tired. D. Place the cane about six inches in front of his stronger leg

D.

When bathing a resident, a nursing assistant should ____. A. Leave the resident alone to promote self-care B. Get each item needed as the resident asks for it C. Use bath oil to moisturize the resident's skin D. Make sure the room is warm enough before beginning

D.

How to use a four tipped cane?

Hold cane on stronger side and start to walk on the weaker side

Examples of plant based protein

Lentils, Chickpeas, Peanuts, Almonds, Spirulina, Quinoa, Mycoprotein.

What is the best site to take a temperature?

Oral (by mouth) is the most common method of taking a temperature. For you to get an accurate reading, the person must be able to breathe through his or her nose. If this is not possible, use the rectum, ear, or armpit to take the temperature. Place the thermometer under the tongue, just to one side of the center.

When should sheets be changed?

Sheets and pillow cases should be washed at least once a week for others.

What is diabetes? (What is most common type?)

Type 2 diabetes, the most common type of diabetes, is a disease that occurs when your blood glucose, also called blood sugar, is too high

What is a contracture?

a severe tightening of a flexor muscle resulting in bending of a joint

Who is an ombudsman?

an official who is charged with representing the interests of the public by investigating and addressing complaints of maladministration or a violation of rights

What is holistic care?

caring for the whole person- the mind as well as the body

What is the OBRA act?

to establish uniform standards for nursing homes and ensure the protection and safety of patients

What is the most essential nutrient for life?

water

Amputation phantom sensation

when you "feel" the missing part of your limb. You may feel an itch or a tickle. Or it may feel as if the missing part of your leg is asleep. It is most often mild, not painful.


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