Exam Four Review
Parkinson's disease symptoms
-"pill-rolling" tremor of one hand -shuffling gate
Which of the following statements about observing a resident who has a mental health disorder is true? -Social withdrawal does not need to be reported. -Changes in abilities to perform ADLs do not need to be reported. -An NA needs to report changes in mood. -An NA does not need to report a comment about suicide as long as it was a joke.
An NA needs to report changes in mood.
T/F Cold or warm applications should be applied for 30 minutes
False! Only apply for 20 minutes
Which of the following is a proper guideline for hearing aids? -batteries last forever and don't need to be replaced -hearing aids should be left on when not in use -make sure residents with hearing aids have them turned on -hearing aid should be soaked in water to clean
Make sure residents with hearing aids have them turned on.
A way for a nursing assistant to respond to hallucinations is to -Laugh at the resident to ease tensions -Reassure a resident who is upset and worreid -Tell the resident that what she thinks she sees is not real -Tell the resdient that she can see the hallucination, too
Reassure a resident who is upset and worreid
If a resident with Alzheimer's Disease has problems with bathing, the nursing assistant should -Hurry the resident through the bath -Insist that the resident bathe even if she does not want to -Surprise the resident with the bath -Schedule bathing when the resident is least agitated
Schedule bathing when the resident is least agitated
If a resident with Alzheimer's Disease becomes violent, the NA should -Yell at the resident -Ignore the resident -Restrain the resident -Step out of the way and remove triggers if possible
Step out of the way and remove triggers if possible
Guidelines for working around oxygen
The NA should not allow open flame near oxygen The NA is NOT allowed to remove or adjust oxygen settings
T/F Pressure injuries can lead to life threatening infections
True
Therapy that allows residents with AD to believe that they live in the past or in imaginary circumstance is -Reality orientation -Reminiscence therapy -Remotivation therapy -Validation therapy
Validation therapy
prosthesis
a substitute for a diseased or missing body part, such as a leg that has been amputated
Guidelines in assisting a resident recovering from CVA
allow time to complete tasks take time with cares place food on the unaffected side assist with ambulation to prevent falls
Residents with congestive heart failure (CHF) may: -require a high-sodium diet -have an order to force fluids -need meds that decrease urine output -need to do range of motion exercises to improve muscle tone
need to do ROM exercises to improve muscle tone
Which is a normal age related change for the male reproductive system? -number and capability of sperm decreases -menopause begins -the prostate gland shrinks -sexual response is faster
number and capability of sperm decreases
Strategies for better communication with residents who have Alzheimer's Disease include -knowing that nonverbal cues are usually not helpful with residents with Alzheimer's Disease -telling the resident "don't" when he does something unsafe -only talking about one subject at a time, using simple, short sentences -not repeating instructions or questions because this may upset the resident
only talking about one subject at a time, using simple, short sentences
Skin that is not intact is considered a(n):
open wound
phantom pain
pain felt in a body part that is no longer there
Important in caring for a resident with multiple sclerosis
prevent falls
A NA encountering a sexual situation with consenting adults should: -tell the residents how cute they are -provide privacy and leave -askt he residents to stop -tell the residents' friends and families what she saw
provide privacy and leave
Which of the following is a condition that increases the risk of pressure injuries: -healthy circulation -cold air -restricted mobility -resident flexibility
restricted mobility
How should a resident with COPD be positioned?
sitting upright
Which is a normal age-related change of the integumentary system? -skin becomes thinner and more fragile -pressure injuries occure -hair thickens -amount of fat and collagen increases
skin becomes thinner and more fragile
Normal age-related changes of the nervous system include: -sense of vision, taste and smell increase -reflex response is quicker -sensitivity of nerve endings increases -some memory loss occurs
some memory loss occurs
What should a resident with asthma avoid?
strong smells
Normal age-related changes for the circulatory system include: -blood vessels widen -blood vessels become more elastic -blood flow increases -the heart pumps less efficiently
the heart pumps less efficiently
A man with benign prostratic hypertrophy may have difficulty with: -reproducing -ejaculating -walking -urinating
urinating
Care guidelines for residents with visual impairment
use a clock to describe the location of things in the room or food on a plate
Which is a normal age-related change for female reproductive system? -vaginal walls become drier and thinner -the response to vaccines decreases -the amount of calcium in the cody increases -lung capability increases
vaginal wals become drier and thinner
Weakening, wasting away, and decrease in size of a muscle is called:
atrophy
Residents with COPD have trouble with
breathing
Osteoporosis is caused by lack of _____ in the diet
calcium
Sputum collection
do in the morning rinse mouth with water before collection
Hypertension
high blood pressure
When should elastic stockings be applied?
in the morning
hypotesion
low blood pressure
Normal age related change for the respiratory system include: -oxygen in the blood increases -lung strength decreases -cough become stronger -airways become more elastic
lung strength decreases
Normal age-related changes of the musculoskeletel system include: -joints become more flexible -muscle mass increases -muscles weaken and lose tone -bones gain calcium
muscles weaken and lose tone
Shingles is a viral infection cause by the same virus that causes ______
Chicken pox
