CNA Exam Review: Role of the Nurse Aide
A client's daughter tells the nurse aide that she thinks her father is not getting the best care. How should the nurse aide respond?
*A."I can get the nurse in charge to speak to you if you would like."* B."I know that I provide great care for your father." C."Maybe you should transfer your father to another facility." D."Can you describe in detail what it is that upsets you?" The nurse in charge has the authority to discuss concerns with the family members and resolve any problems. The nurse aide should not make the situation worse by acting defensive or rude.
A nurse aide asks another nurse aide to help her transfer a heavy client. How should the nurse aide respond to this request?
*A."I will be there in a minute after I make sure my client is stable."* B."I'm going on my lunch break, so you will have to ask someone else." C."I can help you in a couple hours after I finish all my assignments." D."It's not my responsibility to work with your clients." The nurse aides should work as a team. The nurse aide has asked for help to promote the safety of her client. The other nurse aide should be certain that his or her client is stable and secure, and then help the coworker.
A nurse aide has been assigned the task of helping a client get dressed. What should the nurse aide say to the client upon starting the task?
*A."What would you like to wear today?"* B."Putting on clothes is really easy." C."Do you know how to dress yourself?" D."You get dressed, and I'll check on you later." When a nurse aide is required to help a client get dressed, then that client can no longer dress himself or herself. The client should still have the independence to choose what he or she wants to wear. The nurse aide should not make the client feel bad by saying that it is easy to dress alone.
A nurse aide sees a client trying to open several locked doors that open to the outdoors. How should the nurse aide respond to the client?
*A."Would you like me to take you for a walk outside?"* B."We lock those doors for a reason, so don't open them." C."If you try to escape, we will have to restrain you." D."Do you want to leave the facility permanently?" A client who is trying to open doors that lead outside usually just wants to go outside. The nurse aide should try to understand the client's motivation. Taking the client for a walk will fulfill the client's wishes.
A client mentions to the nurse aide that she has been having nightmares. What is the BEST response from the nurse aide?
*A."Would you like to tell me about them?"* B."Everyone has nightmares at some point." C."Don't you know that nightmares aren't real?" D."You're fine. They are just dreams." The best thing for the nurse aide to do is to offer the client a chance to talk about the nightmares. Sometimes a client can have nightmares if he or she is anxious about something. The nurse aide should not belittle the client for mentioning his or her nightmares.
A nurse aide is answering the phones, and a caller asks to speak to one of the other nurses. What is the best way for the nurse aide to handle this request?
*A.Put the caller on hold while looking for the nurse* B.Tell the caller to call again at the end of the day C.Write down the caller's name and tape the note to the phone D.Call out the nurse's name loudly to get his or her attention Nurse aides need to practice effective communication with people who call the facility. When a caller requests to talk to a nurse, the nurse aide should put the caller on hold and attempt to locate the nurse. If the nurse is busy, then the nurse aide should take a message and deliver the message personally or place the message in a location where the nurse will definitely see it.
The nurse aide is reading the care plan for a client and is unable to read the specific instructions given for bathing. The best way for the nurse aide to clarify this information is to:
*A.ask the client's nurse* B.ask the client's relative C.ask the client D.ask another nurse aide The nurse aide should always go to the nurse and ask for clarification on something that is not understandable, whether it is illegible or is just not well understood.
The role of the physical therapist is to:
*A.assist clients in the restoration of musculoskeletal functions* B.test the hearing ability of clients and fit them with hearing aids C.evaluate clients who have speech or swallowing problems D.assist with spiritual and emotional needs of clients The physical therapist assesses the musculoskeletal problems of clients and plans therapy needed to help restore musculoskeletal skills that have been lost.
A problem that has been identified by a state inspector at a nursing home is known as a:
*A.deficiency* B.certificate C.mistake D.diagnosis Nursing homes and all other healthcare facilities have to meet specific requirements set forth by both the state and the federal government. A deficiency occurs when the facility does not meet a standard established by the government. The facility is usually given a specified set of time to correct the deficiency and to meet the standard.
Authorizing another person to perform a specific nursing function is known as:
*A.delegation* B.informed consent C.malpractice D.an intentional tort Delegation is the authority to assign a nursing task to someone else who has the ability to perform that task. Registered nurses may delegate to licensed practical nurses and to nurse aides. Licensed practical nurses may delegate to nurse aides. Nurse aides may not delegate though they may ask other members of the healthcare team to help them.
The member of the healthcare team who is responsible for assessing and planning the nutritional needs of a client is the:
*A.dietitian* B.podiatrist C.social worker D.physical therapist
A client refuses to wear a hospital gown. The nurse aide knows that the client:
*A.does not have to wear a hospital gown if he does not want to* B.can be asked to leave the facility for refusing to wear a gown C.must wear a hospital gown to have an IV started D.must agree to wear hospital pants if he will not wear a gown The client has the right to refuse to wear a hospital gown and wear his own clothes if it is feasible. The client must understand that treatment might be more difficult if a gown is not worn.
When the nurse aide arrives at work, he is told he will need to work on a different unit because that unit has a very high census. The nurse aide has never worked on that unit and does not want to go to another unit. The BEST thing for the nurse aide to do is:
*A.go to the new unit and tell the charge nurse that he is unfamiliar with the routine of that unit* B.go to the new unit and tell the charge nurse exactly what he will do C.refuse to go because it is the nurse aide's right to stay in one place D.go home because the nurse aide is not needed on the regular unit The nurse aide should go to the new unit and talk with the charge nurse, letting him or her know that the nurse aide is unfamiliar with the unit. This will allow the charge nurse to give very specific directions to the nurse aide.
A client has just told his family that he does not want to have open heart surgery, and he would just rather wait "for nature to take its course." The nurse aide knows the client:
*A.has the right to refuse treatment of any kind* B.does not understand all of the facts C.has a "death wish" D.is saying this to get attention All clients have the right to refuse treatment; they do not have to provide a reason for refusing that treatment.
The nurse aide is preparing to perform perineal care on a client. The nurse aide SHOULD:
*A.make sure that the curtain is pulled around the client's bed* B.do it quickly so it can be completed before anyone sees anything C.raise the blinds to allow for better lighting D.dim the lights in the room so there is less chance the client's genitals can be seen
The nurse aide sees a person place an unmarked box outside the client's window and walk away. The nurse aide should immediately:
*A.notify security of this suspicious activity* B.ask the client if he knows someone who is bringing him a present C.try to ignore the box until work is over D.go get the box and bring it inside
A client is scheduled to have surgery in the morning. The nurse aide knows that the person who is responsible for explaining the surgery and any possible complications is the:
*A.physician* B.registered nurse C.nurse aide D.licensed practical/vocational nurse The physician who is going to perform the surgery is responsible for giving the client a full and complete explanation of the procedure and the possible benefits and risks of that surgery.
The healthcare team member who assesses and treats clients with foot disorders is a(n):
*A.podiatrist* B.pharmacist C.medical technician D.audiologist The podiatrist is also known as a Doctor of Podiatric Medicine and treats clients with foot disorders such as bunions. Podiatrists also visit hospitals and nursing homes to assist clients who have very long and thick toenails.
The job focus of the nurse aide when working with clients in rehabilitation is to:
*A.prevent decline in function and promote independence* B.ensure the client does everything for himself C.ensure adequate nutrition D.keep the client clean and dry The job focus for all who work in rehabilitation is to assist the client to be as independent as possible and prevent any further decline in function. Keeping the client clean and dry and providing adequate nutrition are parts of this but are not the focus of rehabilitation.
The nurse asks the nurse aide to give a cup of pills to a client because the nurse does not have time to wait while the client takes them all. The nurse aide SHOULD:
*A.refuse because this is out of the scope of practice for a nurse aide* B.ask the nurse if the client can swallow all these pills C.tell the nurse that she has never done this before D.do it because the nurse is too busy The nurse aide cannot administer medications; therefore, the nurse aide must refuse to do it
The nurse aide is caring for a client who is being transferred to a nursing home and is aware that the healthcare team member who works with the client, family, hospital, and nursing home to complete this transfer is the:
*A.social worker* B.activities director C.medical technologist D.occupational therapist The social worker works with the client and the family to meet the social, emotional, and environmental needs of that client. The social worker actively works to find the best nursing home placement for a client that meets both the client and the family's needs.
The nurse aide is aware that signs of abuse include:
A.a red, raised rash all over the body *B.bruises to the face and cigarette-shaped burns to the torso* C.a sprained ankle D.a fever and swollen glands in the neck There are many signs of abuse but some of the most obvious are bruises and lacerations to the face and lips. Bruises that are the shape of objects, such as belt buckles, and burns that are the shape of cigarettes or cigars are signs of abuse.
A busy nurse aide has just been assigned a new client and must add his care to her list of responsibilities. How should the nurse aide respond to this change?
A."I feel too tired to care for another client." *B."I will find a way to provide care for this client too."* C."I think that you should give this assignment to someone else." D."I will have to skip care for some of my clients to free up more time." The nurse aide should accept the change and strive to provide exceptional care to all clients. The nurse in charge of making the assignments does not want to give the nurse aide too much work, but when things are busy, everyone has to work harder and be part of the team effort.
A volunteer goes to the nursing home every month to read to some of the clients. The volunteer asks the nurse aide what is wrong with one of the clients. What is the most appropriate response from the nurse aide?
A."Just go look at his chart." B."Why don't you ask him yourself?" *C."I can't talk about any of the clients."* D."I'll tell you later in a private room." The nurse aide is not allowed to talk about the clients to other people. It violates the client's right to privacy and confidentiality.
An alert and oriented client refuses to get dressed one day. What should be the nurse aide's response?
A."Why are you trying to make my job more difficult?" B."If you don't get dressed, I'll tell your doctor." *C."Why don't you want to get dressed today?"* D."You need to get dressed like everyone else." If an alert client states that he or she does not want to get dressed, the nurse aide should try to find out why. Asking a question gives the client a chance to talk. There may be a physical or psychological reason that the client has refused to get dressed.
An individual who wishes to become a nurse aide and be placed on the state registry MUST complete a course that contains at least:
A.200 hours of instruction B.50 hours of instruction C.100 hours of instruction *D.75 hours of instruction* OBRA requires at least 75 hours of instruction, though some states may require more. The student must complete both classroom and clinical and pass both a skills and a written competency exam.
Assertive communication can be described by what quality?
A.Aggressive B.Demanding *C.Firm* D.Loud Being assertive means being firm, not rude. Assertive behavior and communication can help nurse aides get their jobs done and stand by their principles.
The nurse aide is assisting a client who is being discharged to home. What is the BEST way for the nurse aide to determine that all of the client's belongings have been packed up?
A.Ask the family member accompanying the client if all of the client's belongings are accounted for B.Pack everything present in the client's room for transport to home C.Open the client's closet and make sure it is empty *D.Match the packed items to the clothing and personal belonging list made when the client was admitted* A clothing and or personal belonging list would have been made when the client was admitted, so the nurse aide should use these lists to make sure the client is leaving with everything that was present at admission. The list should have been updated regularly during the client's stay so the nurse aide will be confident that the list is accurate.
The nurse aide looks at the schedule for next week and sees that she has been scheduled to work during the vacation time she has already had approved. What should the nurse aide do?
A.Find another nurse aide who can work in her place *B.Talk to the nurse in charge about the mistake* C.Cancel the vacation and appear for work as scheduled D.Complain to other nurse aides about the schedule If the nurse aide has gotten her vacation approved, then putting her on the schedule was a mistake. The nurse aide should bring the mistake to the attention of the nurse in charge, who can then revise the schedule.
Which of the following is inappropriate when communicating with a client who has memory loss?
A.Listening quietly to the client B.Asking the client questions C.Allowing the client to tell stories *D.Laughing at what the client says* A client with memory loss may say some strange things, but the nurse aide should never make the client feel inferior by laughing at him or her. The best thing to do is to listen quietly and encourage the client to talk, even if the events and descriptions are not accurate.
The nurse aide is aware that many individuals who are age 65 or older pay for hospital and nursing home costs with:
A.Medicaid *B.Medicare* C.WIC D.ADC Most individuals who are 65 or older are eligible for Medicare benefits. Part A covers hospital, nursing home, hospice, and home health costs and is paid for by the federal government. Part B pays for physician's services and outpatient care and requires the individual to pay a monthly premium; it is usually handled through private insurers. Medicaid is also a federal program that pays all health insurance costs for individuals who are low income, blind, or disabled.
A nurse aide who listens to a client's concerns is an example of what component of communication?
A.Message B.Feedback *C.Receiver* D.Sender In the communication process, the sender is the one speaking (or sending the message), and the receiver is the one listening (or receiving the message). The message is the information being transferred, and feedback is clarification of the message.
A client's right to confidentiality and privacy is defined by:
A.Nurse Practice Act B.National Council of State Boards of Nursing C.Older Americans Act *D.Health Insurance Portability and Accountability Act* The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy of any person who enters or uses some type of healthcare entity such as a hospital, a clinic, or a doctor's office.
When the nurse sees that a client has been anxious or depressed, the nurse aide should encourage the client to talk about his or her feelings. Which action encourages the client to talk to the nurse aide?
A.Putting your face closer to the client's face B.Demanding that the client talk to you C.Asking questions while doing other things *D.Sitting quietly at the level of the client* The client may feel more comfortable talking if the nurse aide is sitting quietly with the client. If the nurse aide is aggressive or distracted, then the client will not feeling like opening up about his or her feelings. The client wants to feel like the nurse aide cares.
A client has decided that if he becomes too sick to speak for himself, he wants his daughter to make all of his healthcare decisions. A document that specifies this client's wishes is known as:
A.a "no code" decision B.a do not resuscitate order C.a request for hospice *D.a durable power of attorney for health care* A durable power of attorney for health care gives a person the authority to appoint someone else to make decisions about health care if they are too sick to make these decisions themselves.
A document stating a client's wishes concerning health care when the client is unable to make his or her own decisions is called:
A.a do not resuscitate order B.the Patient Self-Determination Act C.a durable power of attorney for health care *D.an advance directive* An advance directive is a document that shows what types of treatments a client will accept if the client is unable to speak for himself or herself.
The nurse aide hears two employees discussing a specific client in the hospital cafeteria. The nurse aide knows that this is:
A.a type of client abuse B.an employee conference C.an example of client neglect *D.a breach of confidentiality* Discussing a client in a public place such as a cafeteria violates all client privacy standards. A client expectation is that information is only shared in private places with individuals who have a need to know about that care.
A permit signed by a client prior to surgery or an invasive procedure is an example of:
A.advance directive B.the Patient Self-Determination Act C.a living will *D.informed consent* Informed consent is when the physician describes a specific procedure to a client that includes the expected outcome and any possible complications. It is usually required before any type of invasive procedure, such as surgery or a special test.
The nurse aide knows that the people who are entitled to attend a client's care conference are:
A.all of the nurses who work in the facility B.physicians and registered nurses *C.only those people who are directly involved with the client's care* D.nurse aides only The client care conference is attended by all personnel who are involved in the care of the client. It may also be attended by family members and the client himself if the conference concerns changes in treatment or discharge planning.
The nurse aide receives a call from someone who identifies himself as a reporter for the local paper. This person asks for the room number of the local councilman who is hospitalized. The nurse aide SHOULD:
A.allow the reporter to come and look for the councilman *B.give out no information8 C.inform the reporter the information will be given upon proof of employment D.tell the reporter the room number The nurse aide must not give out any information about clients who are hospitalized in a healthcare facility. All clients have a right to privacy and have the right to determine who gets any information.
The nurse aide is bathing a client and notes several large bruises on the client's arms and neck. On admission, this client told the nurse that she obtained the bruises when she fell, but she now tells the nurse aide that it happened when her husband tried to throw her down the stairs. The client begs the nurse aide not to tell anyone. The nurse aide SHOULD:
A.ask the client why she lied to the nurse on admission *B.immediately alert the nurse in charge* C.respect the client's wishes and tell no one D.check with the client the next day to see if she has changed her mind The nurse aide must immediately report to the nurse because the client is a possible victim of domestic abuse, which must be reported.
The nurse asks the nurse aide to take vital signs on all of the clients. The nurse aide does not like to take vital signs on a specific client because the client curses frequently and this embarrasses the nurse aide. The nurse aide SHOULD:
A.ask the nurse to take this client's vital signs B.refuse to take vital signs on this client C.record the same vital signs the last person took *D.ask the client not to use curse words* The best thing for the nurse aide to do is to ask the client to refrain from cursing. This is often uncomfortable to do but is simply a request by the nurse aide.
During the admission of a client to a nursing home, the nurse may ask the nurse aide to:
A.assess the client's mobility status B.explain the reason for the client's admission C.finish the client history *D.complete the vital signs* The nurse could ask the nurse aide to complete the vital signs as part of the admission process. The other tasks are the responsibilities of the admitting nurse.
Clients have a right to be informed of hospital policies:
A.at discharge B.if a problem arises C.prior to any procedure *D.upon admission* Clients have a right to be informed of the policies of the hospital and the unit on which the client is staying during admission to the facility.
A client continues to press the call light every 15 minutes to ask for minor tasks. The nurse aide may NOT:
A.attempt to meet more than one demand at a time *B.remove the call light from the client* C.tell the client she will check on her every 15 minutes D.try to find out what is bothering the client The nurse aide may not remove the call light from the client because the client must have the ability to signal for help if needed.
A nurse aide begins morning care and discovers a client who is lying in a bed soiled with feces. The feces are dry and are adhered to the client's skin. The client says that no one came to check on her all night. The BEST action for the nurse aide is to:
A.bathe the client and make sure the client has the call light B.call the police and report this as a case of neglect C.clean up the feces and put a diaper on the client *D.clean the client and then inform the nurse in charge* Because the feces are dry, it is evident that the client has been left unattended for a significant length of time. The nurse aide should first clean the client and then go and get the charge nurse to report what happened.
A nurse aide takes pictures at a birthday party for a client and puts the pictures on a social networking Web site. This is an example of:
A.battery B.assault C.slander *D.invasion of privacy* Posting pictures of clients without their permission is an example of invasion of privacy.
The nurse aide is caring for a client who has a do not resuscitate (DNR) order. When the nurse aide goes into the client's room to check on the client, she sees that the client is not breathing. The nurse aide SHOULD:
A.call a code B.initiate chest compressions *C.inform the nurse* D.begin artificial respirations A do not resuscitate (DNR) order means that if the client stops breathing or if the heart stops beating that the client does not want any measures taken to prevent death. The nurse aide should immediately inform the nurse about the client's change in condition.
The client has told the nurse aide that he wants to read his chart. The nurse aide knows that the client:
A.can only see the chart after he is discharged B.has a right to view the nurse's notes *C.has a right to review his chart* D.does not have a right to look at his chart Any client has a right to view his own chart and receive an explanation of the contents of that chart.
The nurse tells the nurse aide to care for Mrs. Smith but there are two different Mrs. Smiths on the unit. Before giving care, the nurse aide SHOULD:
A.care for both Mrs. Smiths B.ask both Mrs. Smiths if they need care at that time C.find the assignment sheet and see if that clears up the confusion *D.get clarification from the nurse and check ID bands* The nurse aide should immediately seek clarification from the nurse about the assignment before going any further. Then the nurse aide should check the client's ID bands to make sure the nurse aide is caring for the correct client.
A nurse aide who has received specialized training in working with clients who are in need of rehabilitation is known as a:
A.certified nurse aide *B.restorative aide* C.nursing assistant D.nursing home aide A nurse aide who has received additional training in assisting clients who are in rehabilitation is known as a restorative aide. A nursing home aide and a nursing assistant are both nurse aides. Some states require nurse aides to become certified before working in a nursing home.
The nurse aide in a nursing home might be asked to:
A.change a client's dressing B.phone the physician C.pass medications to a client *D.ambulate a client* Ambulating clients is a common task for nurse aides who work in nursing homes. Giving medications to a client, changing the client's dressing, or phoning a physician about a client are all tasks that must be completed by a licensed person such as the registered nurse or the practical/vocational nurse.
The nurse aide recognizes that the purpose of client rounds is to:
A.determine if the other members of the healthcare team are meeting the clients' needs *B.assure the health and well-being of the assigned clients on a regular basis* C.make sure that the assigned clients' rooms remain neat and tidy D.complete all daily documentation required for the assigned clients
The inability to express or understand spoken or written language is called:
A.disorientation B.paranoia C.body language *D.aphasia* Aphasia is the inability to understand or express spoken or written language. To help communicate with clients who have aphasia, the nurse aide should point to objects, use gestures, use a gentle touch, and speak slowly using simple sentences.
The nurse aide is caring for a client who has sustained a severe brain injury and is unable to speak. If the nurse aide sees a family member slapping this client, the nurse aide SHOULD:
A.explain to the family member that the client is still able to feel pain B.try to ask the client to explain what just happened *C.immediately report it to the nurse* D.tell the family member that it is wrong to hit anyone The nurse aide must report any type of abuse immediately to the nurse in charge. The nurse aide should not try to intervene or receive any type of explanation from the family member.
While caring for a client, the client asks the nurse aide's opinion about a physician who the nurse aide does not like. The BEST thing for the nurse aide to do is:
A.give the client the name of a doctor the nurse aide likes *B.refrain from offering any opinion* C.tell the client all the concerns about this physician D.say nothing but give nonverbal signals that show disapproval of the physician The nurse aide should refrain from offering any opinion, or he can say something like "all of the physicians in the facility are fine." It is also very difficult not to use nonverbal cues to give the client an opinion, but it is best to leave the entire decision about physicians to the client alone.
A nurse aide finds a wallet in the middle of the hall. The nurse aide SHOULD:
A.go up and down the hall asking if someone lost a wallet B.put the wallet in a drawer and wait for someone to claim it C.open the wallet and attempt to find the driver's license *D.ask a nurse to help him locate the name of the owner* The nurse aide and another employee should go through the wallet together to try to locate the name of the wallet's owner. In this way, both employees are protected from accusations of theft if something is missing from the wallet.
A confused client has been yelling loudly for the last 2 hours. The nurse gives the client a sedative so that the client will go to sleep. Giving medication so that a client will be quiet is a form of:
A.harassment B.theft *C.restraint* D.seclusion Medicating a client so that the client will be quiet is a form of restraint. It is a use of medication to keep the client from yelling
A group of student nurse aides are completing a clinical experience at a local long-term-care facility. Prior to the students observing a treatment on a client, the client:
A.is required to allow the students to view the treatment B.needs to sign a paper that he agrees to the observation C.will need to take a bath and get cleaned up *D.must give permission for the students to view the treatment* The client has the right to personal privacy, and the client must agree to others participating in his care. This agreement is given orally, and a signed document is not required.
Effective skills for nonverbal communication with the client include all of the following EXCEPT:
A.leaning forward *B.looking downward* C.smiling D.nodding your head Nonverbal communication is a way to communicate without using words. It is important to use effective nonverbal communication when talking or listening to clients. Looking downward is not effective communication. Instead, the nurse aide should make eye contact with the client.
Most healthcare facilities are restricted from hiring someone who has been convicted of:
A.littering B.speeding C.jay walking *D.abuse* Facilities may not hire individuals who have been convicted of, or are under investigation for, any type of abuse. This is set up to protect clients from any individual who might respond to stress by abusing another person.
The nurse has asked the nurse aide to perform a task. By accepting this task, the nurse aide agrees to:
A.make a minimal number of mistakes B.get it done by the end of the day C.be an expert at the task *D.perform the task with safety* By agreeing to accept the responsibility of performing a task, the nurse aide is stating that he or she is able to safely perform the task without assistance.
A nurse aide is NOT allowed to:
A.measure intake and output B.take a blood pressure C.weigh a client *D.take a medication history* Nurse aides are not allowed to perform certain tasks during the admission process. These include things such as obtaining the client's medical and medication history.
The healthcare worker who assists clients to re-learn tasks needed for employment is known as a(n):
A.medical technologist B.clinical nurse specialist C.speech therapist *D.occupational therapist* Occupational therapists are responsible for assisting clients in re-learning tasks that will be needed for both independent living and continuing employment.
One nurse aide is helping another to clean a client who has been incontinent of stool. The first nurse aide tells the client that she is "dirty" and "lazy" and that being incontinent is "just disgusting." The nurse aide who is helping knows that this is an example of:
A.mild scolding *B.verbal abuse* C.physical abuse D.necessary correction
A client began yelling and shouting in the dayroom of the unit, so the nurse aide placed the client in her bedroom with the door closed. This action by the nurse aide is known as:
A.neglect B.kidnapping *C.restraint and seclusion* D.breach of confidentiality Confining someone to a specific area, such as her bedroom, without her consent is known as restraint and seclusion.
In long-term care, an individual who is assigned to promote the needs and interests of the residents is known as a(n):
A.nurse aide *B.ombudsman* C.dietician D.chaplain All long-term care facilities in the United States must have an ombudsman. This is regulated by the Older Americans Act, which states that each facility must have someone who acts on behalf of the resident, not on behalf of the facility.
A healthcare agency whose purpose is to meet the needs of individuals who are dying is known as a(n):
A.nursing home B.dementia unit *C.hospice* D.assisted living center Agencies whose primary purpose is to meet the needs of people who are dying are known as hospices. A hospice can meet those needs in individual homes or in separate nursing facilities.
Changing a dressing would be the responsibility of the:
A.pharmacist B.occupational therapist C.nurse aide *D.licensed practical/vocational nurse* Wound care, which includes dressing changes, is performed by a registered or licensed practical nurse. This is because it requires specialized training and education to perform this task correctly.
A client has just been admitted to a long-term-care facility. The nurse aide knows it is important to:
A.place the client's belongings in storage B.only allow the client to keep three items *C.label the client's personal property* D.send all belongings home with a family member
The best way to handle an incorrect entry into a client's chart is to:
A.put an X through the incorrect entry, skip a line, and write the correct entry B.use correction fluid to cover over the incorrect entry and then write it again C.remove the sheet from the chart with the incorrect entry on it *D.draw a line through the incorrect entry and initial it* Whenever a mistake is made in charting, the person who is charting should draw a line through the incorrect entry, date it, and initial it. Then, the correct information should be recorded immediately following the incorrect entry.
The nurse aide is assisting a client and finds a $20 dollar bill lying on the floor next to the client's bed. The MOST appropriate action for the nurse aide is to:
A.put the money in the client's drawer B.keep the money *C.ask the client if it is his money* D.give the money to the nurse The nurse aide should ask the client if this could be his money. It may have been from a visitor or it may be the client's own, but the client should be asked before anything else is done. If the client does not know, then it should be taken to the nurse. It should never be kept by the nurse aide or any other employee.
The nurse has asked a new nurse aide to perform a task, but the new nurse aide has never completed this task on a client, only in the school skills laboratory. The new nurse aide SHOULD:
A.refuse to do the task *B.ask the nurse to watch him or her do this task* C.go and do the task because it is the same as in the skills lab D.go and find a textbook, review the task, and then complete it The nurse aide should tell the nurse that this task has only been completed in a skills laboratory and then ask the nurse to watch while the nurse aide completes it on a client for the first time.
The nurse aide is caring for a client and notices that there are five unopened envelopes on the bedside table. The nurse aide SHOULD:
A.send the mail back to the mailroom unopened *B.ask the client if he wanted the nurse aide to open the mail and read it to him* C.put the envelopes in a drawer in the bedside table D.open the client's envelopes and read the mail to him The nurse aide should first ask the client if he wants the mail opened and then offer to read it to the client. The nurse aide should not open the mail unless the client gives permission.
All of the following are examples of verbal communication between coworkers EXCEPT:
A.shift reports B.training sessions *C.body language* D.staff meetings Verbal communication involves speaking or writing to your coworkers. Shift reports, training sessions, and staff meetings use verbal communication. Nonverbal communication is communication using the human body, without speech or writing. Body language is one form of nonverbal communication.
A resident in a long-term-care facility gets very upset whenever a nurse aide attempts to place a clothing protector on the client. The nurse aide knows that the client:
A.should be forced to wear a clothing protector *B.has the right to get food on his clothes* C.must be made to eat foods that are not messy D.does not understand the rules about eating Clients have the right to certain personal choices, such as what they wear or do not wear, so the client has the right to refuse to wear a clothing protector at meals.
The nurse aide has said Mr. Kinney's name a couple times, but he has not turned to look at her. She knows that Mr. Kinney is losing his hearing. To get the client's attention, the nurse aide SHOULD:
A.shout his name in her loudest voice *B.touch him lightly on the arm* C.talk directly into his ear D.jump into his line of sight The nurse aide should know appropriate ways to get the attention of a client who is hearing-impaired. It is most acceptable to lightly touch the client on the arm to get his attention. It is not appropriate to shout, jump in front of him, or talk into his ear. Those actions could startle the client or make him feel uncomfortable.
In nursing homes, the individual who is responsible for planning social and recreational programs is known as the:
A.social worker B.nurse aide C.physician assistant *D.activities director*
In a healthcare facility, all care given by registered nurses, licensed practical/vocational nurses, and nurse aides is ultimately supervised by the:
A.state legislators *B.director of nurses* C.American Medical Association D.health unit coordinator Nursing care in a facility is the ultimate responsibility of the director of nurses (DON). The DON will delegate functions to charge nurses and other persons, but the DON holds the ultimate responsibility for the care given by the nursing staff.
Upon arriving for work, the nurse aide smells alcohol on the breath of a nurse aide who is getting ready to go off duty. The nurse aide SHOULD:
A.suggest the nurse aide go and have a cup of coffee B.ask the other nurse aide what he has been drinking *C.report this to the charge nurses of both shifts* D.do nothing and see if it ever happens again The nurse aide should immediately report this to the charge nurse of both shifts. This ensures that both are aware of the possibility that an employee is using alcohol on the job. The nurse aide must realize that it is about client safety and not about getting someone in trouble.
Placing oneself mentally in the position of the client to better understand the client's feelings is an example of:
A.tact *B.empathy* C.depression D.sympathy Empathy is the ability to imagine yourself in another person's position and understand how that person would feel. Nurse aides should have empathy for their clients. Empathy connects people and makes them treat others the way they would want to be treated.
The nurse aide may NOT:
A.take a client to the bathroom B.do range of motion exercises C.give a back rub *D.change a sterile dressing* A nurse aide is not allowed to perform invasive procedures or perform any procedures that require the use of sterile technique. Sterile technique requires judgment and training beyond that of a nurse aide.
A client has been hospitalized for an extended period of time and has been cared for by the same nurse aide for much of the time. Upon discharge, the client hands the nurse aide a card with a monetary gift. The nurse aide SHOULD:
A.thank the client for his generosity *B.return the money* C.donate the money to a scholarship fund D.give the money to the charge nurse It is not ethical for a nurse aide (or any staff member) to accept a gift or a tip from a client or from the client's family.
A nurse aide is walking with a client. The nurse aide stops to talk to a coworker and forgets to watch the client. The client falls and breaks a hip. The nurse aide is aware that the individual who will be held responsible for the client's fall is:
A.the physician B.the nurse *C.the nurse aide* D.the client The nurse aide is responsible for his or her own actions. In this case, the nurse aide's inattention to the client allowed the client to fall and sustain injury.
The nurse aide is aware that a client may be restrained:
A.to make sure the client does not wander away B.to keep the client in the bed *C.to protect the client from harming himself and others* D.to make sure that the client eats his dinner Even though all clients have the right to freedom from restraints, restraints—both chemical and physical—may be used with a physician's order if the client may harm himself or other people.
The nurse aide woke up one morning with a severe headache and is scheduled to report for work in 1 hour. The medication that the nurse aide takes for these headaches also causes drowsiness and dizziness. The nurse aide SHOULD:
A.wait until coming to work before taking the medication B.try to work and hope the headache goes away C.take the medication and try not to act sleepy *D.call in sick because the medication will make the nurse aide unsafe to practice*
When communicating with a deaf client, it is inappropriate to:
A.write messages on paper B.use a sign language interpreter C.let the client read lips *D.shout in the client's ear* When a client is deaf, he or she cannot hear anything, not even shouting. Shouting at any client is rude and unprofessional. The best way for a nurse aide to communicate with a deaf client is to write messages to each other on paper. Deaf residents should be provided a notebook and pen.