Hartman's Nursing Assistant Long Term Care Chapter 1 and 2

List 2 groups of people who qualify for Medicare

1) 65 years old or older 2) Any age with permanent kidney failure or certain circumstances/permanent disabilities

List the 4 parts of Medicare and what each helps pay for

1) Care in hospital, skilled nursing facility, or care from home health agency/hospice. 2) Doctor services & equipment 3) Medications prescribed for treatment 4) Private health insurance to provide benefits

List 4 examples of how you think elderly people living in care facilities can benefit from person-centered care

1) Core values 2) Respect 3) Dignity 4) Self determination

List 3 tasks that are said to be outside the scope of practice of a nursing assistant

1) Don't administer meds 2) Nothing outside scope of practice 3) Not listed on care plan

What are 3 tasks that nursing assistants are NOT allowed to perform?

1) Gives meds 2) Insert/Remove tubes/Sterile Practice 3) Give a diagnosis

List 5 guidelines for managing time

1) Plan ahead 2) Prioritize 3) Make a schedule 4) Get help 5) Combine activities

Compassionate

A) Being caring, concerned, considerate, empathetic, and understanding

Managed Care

A) Cost control strategies for health care

The assessment step of the nursing process involves

A) Getting info about the resident & reviewing this info

Which of the following statements is true of the chain of command?

A) It describes the line of authority

Home health aids

A) May clean or shop for groceries

In general, residents who stay at a facility for more than 6 months

A) Need 24-hour care

Nursing Assistant (NA or CNA)

A) Performs assigned tasks, such as measuring vital signs, providing personal care, & reporting observations to other care team members

Another name or long term care facility is

A) Skilled Nursing Facility

If a NA sees a resident who is not on his assignment sheet but who needs help, what should the NA do?

Ask for instructions on how to properly assist them

Hair should always be

B) Brushed or combed

The evaluation step of the nursing process involves

B) Deciding if goals were met

Physician or Doctor (MD or DO)

B) Diagnoses disease or disability and prescribes treatment

Unprejudiced

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

The diagnosis step of the nursing process involves

B) Identifying health problems & resident needs

Providers

B) People or organizations that provide health care

Assisted living facilities are initially for

B) People who need some help with daily care

The implementation step of the nursing process involves

B) Putting the care plan into action

Why should a NA not preform tasks that are NOT assigned to them?

B) The NA may put himself or a resident in danger

Most conditions seen in long term care are chronic. What does this mean?

B) The conditions last a long time.

Which of the following statements are true of adult day services?

B) This type of care is for people who need some assistance & supervision during certain hours

Which of the following would be the best choice for an NA to wear to work?

B) Watch

How is eligibility for Medicaid determined?

By income and special circumstances

Which of the following would be a good type of clothing for an NA to wear to work?

C) Clean, ironed uniform

What is the most important thing for a nursing assistant to know about the residents in her care?

C) Each resident is an individual with his/her own abilities and needs

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

C) Licensed professional who has completed 1 or 2 years of education & is able to administer medications & give treatments

More than half of residents in long term care facilities are

C) Male

Which of the following items should NAs not use before going to work?

C) Perfume

The goal of the nursing process is to

C) Plan & evaluate the residents care needs

Why is proper grooming important for NA's?

C) Proper grooming affects how confident residents feel about the care NA's give

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

C) Rehabilitation

Liability is a legal term that means

C) Someone can be held responsible for harming someone else

Which of the following statements is true of Joint Commission?

C) The goal of the Joint Commission's survey process is to improve safety and quality of care

What is the purpose of surveys in a long-term care facilities?

C) To study how well residents are cared for

Conscientious

C) being guided by a sense of right & wrong

HMOs (Health Maintenance Organizations)

D) A health plan that states that customers must use a particular doctor or group of doctors

How often should a NA bathe?

D) Every day

Care given to people who have approximately six months to live are called

D) Hospice Care

People who live in a long term care facility are usually called ___ because it is where they live for the duration of their stay.

D) Residents

The planning step of the nursing process involves

D) Setting goals & creating a care plan

If a surveyor asks a nursing assistant a question, and the NA doesn't know the answer, what would be her best response?

D) The NA should admit that she doesn't know and should find out the answer

Why should artificial nails not be worn to work?

D) They harbor bacteria

Respectful

D) Valuing other people's individuality and treating others politely and kindly

Physical Therapist (PT or DPT)

E) Develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain mobility

Payers

E) People or organizations paying for healthcare services

Tactful

E) Showing sensitivity and having a sense of what is appropriate when dealing with others

Do I have the needed supplies, ____, and other support?

Equipment

PPOs (preferred provider organizations)

F) A network of providers that contract to provide health services to a group of people

Honest

F) Being truthful

Speech-Language Pathologist (SLP)

F) Identifies communication disorders & creates a care plan, as well as teaches exercises to help the resident improve or overcome speech problems

T or F Nonprofit organizations cannot own long-term care facilities

False

[T or F] Care planning only involves the doctor's diagonisis; it does not involve the residents input or expectations

False

[T or F] It is all right to preform tasks not listed in the job description if they are very simple

False

[T or F] The purpose of the care plan is to give suggestions for care, which the NA can customize for each resident

False

Dependable

G) Getting to work on time & doing assigned tasks skillfully

Occupational Therapist (OT)

G) Helps residents learn to adapt to disabilities by training them to perform activities of daily living & other activities

Registered Dietitian (RDT)

H) Assesses the residents nutritional status and develops a a treatment plan that may include special diets

Tolerant

H) Respecting others beliefs and practices and not judging them

Medical Social Worker (MSW)

I) Coordinates, manages, and provides skilled nursing care, as well as supervises nursing assistants' daily care of residents

Empathic

I) Identifying with the feelings of others

Registered Nurse (RN)

J) Coordinates, manages, and provides skilled nursing care, as well as supervises nursing assistants' daily care of patients

Sympathetic

J) Sharing in the feelings & difficulties of others

Patient

K) Not losing ones temper easily, not acting irritated or annoyed, not rushing residents

Activities director

K) Plans activities for residents to help them socialize and stay physically and mentally active.

What is one reason that observing & reporting changes in a resident's condition is important?

NA's are the eyes & ears of the care team observing severe changes in residents condition is important. Also, writing down info or charting

Is there a match between the residents ____ and the NA's skills, _____, and experience?

Needs, Abilities

Resident

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

[P or U] Asking questions when not sure of something

Professional

[P or U] Being a positive role model

Professional

[P or U] Being on time for work

Professional

[P or U] Explaining care before providing it

Professional

[P or U] Keeping resident information confidential

Professional

[P or U] Providing person-centered care

Professional

Do I have all the necessary ____ for the task?

Skills

Why is it important for nursing assistants to care for each resident as a whole person instead of treating only his/her disorders and disabilities?

The resident may not have an outside support system, the needs may go un-met if the staff doesn't work to meet them.

[T or F] A policy is a course of action to be followed. For example, all healthcare information must remain confidential

True

[T or F] Each step in a written procedure is important and must be strictly followed

True

[T or F] Facilities will have procedures for reporting information about residents

True

[T or F] Long-term care facilities may offer assisted living, sub-acute care, or specialized care.

True

[T or F] NAs should NOT perform activities that are not listed on the care plan

True

[T or F] Sometimes even simple observations that NA's make about residents are very important

True

[T or F] changes in residents' should be reported to the nurse

True

[T or F] facilities that offer specialized care must have specially trained employees

True

[P or U] Accepting a birthday gift from a resident

Unprofessional

[P or U] Calling a favorite resident sweetie

Unprofessional

[P or U] Doing tasks that have not been assigned if the resident requests for them

Unprofessional

[P or U] Telling a resident about a bad date that the nursing assistant had over the weekend

Unprofessional

Facilities

c) Places where healthcare is delivered or administered

can the nurse give appropriate direction and _____?

communication

Do I have all the ______ I need to do this job?

information

[P or U] Being neatly dressed & groomed

professional

what is the level of resident ______?

stability

is the nurse available to give ____ support, and help?

supervision

Do I know how to reach my ______?

supervisor

Define scope of practice

tasks that healthcare providers are legally allowed to do as permitted by state or fed law.