Chapter 19 - 21 Quiz - Quality CNA

10. Mr Lawrence has Alzheimer's disease. Each evening, between 5-9 p.m. he paces the halls and rips at his clothes. He empties his dresser drawers, screams if anyone tries to confine him and begs visitors to take him home. Which action would be LEAST helpful in managing his behavior? a. Have him sit in a reclining chair in a dimly lit, quiet room after dinner. b. Keep Mr. Lawrence active in the mornings and encourage him to rest after lunch to minimize fatigue. c. Give him something to hold or keep his hands occupied so that he won't pull at his clothes. d. Take him for a walk after dinner.

a. Have him sit in a reclining chair in a dimly lit, quiet room after dinner.

19. While caring for a person with dementia, the nurse assistant notices that the person cannot follow directions given to him. However, the person is able to follow the nurse assistant's gestures. The person is most likely experiencing: a. Receptive aphasia b. Agnosia c. Short-term memory loss d. Expressive aphasia

a. Receptive aphasia

28. A male resident of the facility has died. Which action by the nurse assistant would be best? a. Refraining from showing emotion about his death around other residents. b. Telling the other resident's so they don't wonder what happened to him. c. Not informing other residents because it might upset them. d. Sealing off the resident's room and not allowing anyone to enter it.

a. Refraining from showing emotion about his death around other residents.

14. A nurse assistant is caring for a resident who is unable to remember the names of her sisters and husband who have come to visit her. The resident also does not remember who they are. Which statement by the nurse assistant would be most appropriate: a. "Your sister Mary and her husband Jim are here to visit." b. "Oh sure, you don't remember your sister?" c. Don't you know who these two people are?" d. "Just try to remember who these people are; you can do it."

a. "Your sister Mary and her husband Jim are here to visit."

12. Which statement about dementia is true? a. A person often has more than one form of dementia. b. The majority of persons with dementia are middle-aged. c. Medications are available to cure dementia. d. Dementia refers to many different forms of a specific disease.

a. A person often has more than one form of dementia.

27. When a dying person is very sad, the nurse assistant should: a. Acknowledge the person's feelings, allowing them to talk. b. Arrange for the person's friends to visit. c. Plan a party to cheer up the person. d. Allow the person special privileges.

a. Acknowledge the person's feelings, allowing them to talk.

4. A person with Alzheimer's disease has difficulty identifying a ring placed in her hand. This is an example of: a. Agnosia b. Apraxia c. Amnesia d. Aphasia

a. Agnosia

16. Age-related memory impairment differ from mild cognitive impairment in that the changes related to normal aging: a. Do not interfere with the ability to carry out activities of daily living, (ADLs). b. Place the person at risk for developing dementia. c. Are more noticeable to others. d. Indicate a progressive decline in memory and thinking.

a. Do not interfere with the ability to carry out activities of daily living, (ADLs).

41. A nurse assistant is providing care for a girl. The nurse assistant would first clean: a. Groin skin folds b. Urethral area c. Labia d. Anal area

a. Groin skin folds

29. A nurse assistant sees that a family member of a dying resident is very upset. The nurse assistant should: a. Take the time to listen to the family member if the family member feels like talking. b. Leave the family member alone with her loved one and continue with other responsibilities. c. Tell the family member that her loved one's passing will be blessed because then the person's suffering will be over. d. Avoid coming into contact with the family member when he or she visits.

a. Take the time to listen to the family member if the family member feels like talking.

34. A nurse assistant measures the tympanic temperature of a 4 yr. old child. Which measurement should the nurse assistant report to the nurse as abnormal? a. 98.4° F b. 101.2° F c. 99.2° F d. 97.0° F

b. 101.2° F

37. A nurse assistant is measuring the pulse of an adolescent. Which rate should the nurse assistant report promptly to the nurse? a. 78 beats/min b. 97 beats/min c. 85 beats/min d. 60 beats/min

b. 97 beats/min

2. The most common type of dementia is: a. Lew Body b. Alzheimer's disease c. Vascular dementia d. Frontotemporal dementia

b. Alzheimer's disease

17. A person with Alzheimer's disease in the early stage may often: a. Need a great deal of attention to ensure his or her safety. b. Be able to cover up the symptoms with their social skills. c. Show changes in his or her personality. d. Become physically dependent on others for all care.

b. Be able to cover up the symptoms with their social skills.

15. When communicating with a person who has dementia, which action would be most appropriate? a. Giving instructions all at once, then one step at a time. b. Being aware of own tone of voice and body language. c. Encouraging the person to do things quickly to prevent problems. d. Establishing a clinical connection with personal care first.

b. Being aware of own tone of voice and body language.

35. A nurse assistant is caring for a school aged child. Which fear would the nurse assistant expect to find in this age group? a. Fear of being alone. b. Fear of injury and pain. c. Fear of the dark and nighttime. d. Fear of body mutilation.

b. Fear of injury and pain.

3. Delirium differs from dementia in that delirium: a. Is unrelated to chemical changes b. Is rapid in onset c. Is usually irreversable d. Frontotemporal dementia.

b. Is rapid in onset

21. Mr. Barton, who has dementia tries to hit you while you are helping him with his bath. All of the following could be explanations for his behavior EXCEPT: a. Mr. Barton is afraid of the running water and shiny surfaces of the tub room. b. Mr. Barton is unappreciative of the care he is receiving. c. Mr. Barton feels exposed because he is naked. d. Mr. Barton is experiencing pain.

b. Mr. Barton is unappreciative of the care he is receiving.

26. Bereavement care is care provided for: a. People who die in long-term care faciliites. b. People grieving after a person dies. c. People diagnosed with a terminal illness. d. Parents of a child who is ill.

b. People grieving after a person dies.

22. A nurse assistant is providing care for a person's body after death. This is called: a. Intensive care b. Postmortem care c. Hospice d. Terminal care

b. Postmortem care

23. When handling the body of a person who has died, the nurse assistant should handle he body with care and: a.Bereavement b. Respect c. Grief d. Privacy

b. Respect

9. Mr. Green becomes increasingly confused, agitated and irritable as the afternoon wears on into early evening. He is most likely experiencing: a. Pacing b. Sundowning c. Hoarding d. Catastrophic reaction

b. Sundowning

20. Mr. Howe has dementia, he use to be a small business owner. He still believes that is he running his business and refers to the nurses as his employees. Today Mr. Howe tells you that he has scheduled you to work Tuesday, Thursday and Saturday. How should you respond to Mr. Howe? a. Disregard Mr. Howe's comments because he has dementia and nothing he says makes sense. b. Tell him how interesting it must be to run his company, and ask him questions about how he got into his line of work. c. Remind Mr. Howe that he is retired and he does not have responsibility for scheduling employees anymore. d. Change the subject by asking him what he would like to do today.

b. Tell him how interesting it must be to run his company, and ask him questions about how he got into his line of work.

11. The only way to identify which type of dementia that a person has is by having: a. The person undergo a computed tomography (CT) scan. b. The person's brain examined during an autopsy. c. A biopsy done on the person's brain. d. The person receive a psychiatric evaluation.

b. The person's brain examined during an autopsy.

38. The nurse assistant measures a child's temperature orally beginning at what age? a. 6 years b. 5 Years c. 4 years d. 7 years

c. 4 years

32. A nurse assistant provides postmortem care: a. After rigor mortis sets in. b. When the funeral director arrives for the body. c. After respecting the family's need to have time with the person. d. After the doctor pronounces the person dead.

c. After respecting the family's need to have time with the person.

42. An infant typically receives which solid food first: a. Strained vegetables b. Strained fruit c. Cereal d. Strained meat

c. Cereal

1. The term used to describe thinking process is: a. Judgment b. Reasoning c. Cognition d. Memory

c. Cognition

30. Mrs. Jacobson is dying. To comfort her, the nurse assistant should: a. Be sure to leave Mrs. Jacobson alone with her thoughts. b. Avoid talking with her about her feelings to prevent her becoming depressed. c. Hold her hand so she is aware of the nurse assistant's presence. d. Keep her involved in activities and with visitors to keep her mind busy.

c. Hold her hand so she is aware of the nurse assistant's presence.

24. The most common and most feared symptom that occurs when someone is dying is: a. Vomiting b. Nausea c. Pain d. Shortness of breath

c. Pain

39. A nurse assistant measures an apical pulse rate for which child? a. 3 yr. old b. 12 yr. old c. 5 yr. old d. 18-month old

d. 18-month old

43. A nurse assistant who is working in a family clinic would measure a child's blood pressure beginning at about what age? a. 5 yrs. old b. 4 yrs. old c. 2 yrs. old d. 3 yrs. Old

d. 3 yrs. Old

6. A person in the middle stage of dementia starts throwing things around the room and shouting obscenities over not being able to find his drinking glass. The nurse assistant believes the person is demonstrating: a. Sundowning b. Hoarding c. Wandering d. Catastrophic reaction

d. Catastrophic reaction

25. The nurse assistant suspects that a resident who is dying is approaching death because of which signs and symptoms? a. Highly elevated blood pressure. b. Rapid, deep, increased respiration's. c. Strong, regular pulse. d. Cool, mottled hands and feet.

d. Cool, mottled hands and feet.

8. A person with dementia struggles to find the right word, often using the wrong words or jumbles words together that do not make sense. This behavior is called: a. Receptive aphasia b. Agnosia c. Apraxia d. Expressive aphasia

d. Expressive aphasia

5. A person with Alzheimer's disease tells the nurse assistant that there are spiders crawling in his bed and chair. The nurse assistant checks both areas and finds nothing. The nurse assistant identifies the person(s) statement as a(n): a. Anxiety b. Paranoia c. Delusion d. Hallucination

d. Hallucination

13. Short-term memory loss associated with dementia is due to damaged to the: a. Nerve cells b. Spinal cord c. Skull d. Hippocampus

d. Hippocampus

44. The adolescent age group is striving for: a. Independence b. Creativity c. Trust d. Identity

d. Identity

36. Magical thinking is a characteristic of: a. Adolescents b. School-age children c. Toddlers d. Preschoolers

d. Preschoolers

33. A 3 year old child who is toilet-trained is admitted to the hospital with an acute infection. The child had been wetting the bed since admission. This behavior reflects a. Magical thinking b. Separation anxiety c. Atraumatic care d. Regression

d. Regression

31. Mrs. Brown tells the nurse assistant, "I'm afraid I'm going to die." A good way to help her would be to: a. Tell her not to worry about what might happen. b. Tell her everything will be okay. c. Change the subject to something more pleasant. d. Sit quietly and let her express these feelings.

d. Sit quietly and let her express these feelings.

7. When communicating with a person with dementia, the nurse assistant should a. Speak in a clinical manner b. Touch the person first before talking c. Keep the area brightly lit d. Turn down the TV/Radio

d. Turn down the TV/Radio

40. A nurse assistant is preparing to help a child take a bath. The child weighs about 45 pounds and needs help getting in the tub. The nurse assistant should: a. Bend at the kneed to squat while lifting the child into the bath. b. Hold the child's hand as the child climbs into the tub. c. Hold the child under the arms to gently lower him into the tub. d. Use an assistive device to life the child into the tub.

d. Use an assistive device to life the child into the tub.

18. A person with Alzheimer's disease paces up and down the hall for no reason. The nurse assistant can help by: a. Making sure to keep the person's routine as much as possible. b. Having the person rest in the afternoon. c. Getting the person to watch television or listen to the radio. d. Walking with the person until the behavior stops.

d. Walking with the person until the behavior stops.