Module 5 Review Questions

What is one reason music therapy can be effective for residents with Alzheimer's disease?

Music is a form of sensory stimulation and can cause a response in people who do not respond well to other treatments

What is the role an NA is most likely to play in assisting residents with mental illness who take medications?

NAs may be assigned to observe residents taking their medications.

Clinical depression is a serious mental illness and is also

One of the most common conditions associated with suicide in older adults

One common cause of dementia is

Parkinson's disease

Mechanical ventilation can increase the risk for a special type of

Pneumonia

After the interviewer is finished with her questions, she asks Javier if he has any questions about the job. Which of these responses from Javier would be best?

"What kind of training or orientation program do you have for new nursing assistants?"

Mrs. Rienzi is dying and expresses to NA Barbara that one of her great regrets is that she will no longer be able to visit the grave of her husband, who died in combat, and place flowers there on Memorial Day. Which of these things would be best for Barbara to say?

"You must miss your husband very much. I know that putting flowers on his grave all these years has been very special to you."

Which of these statements would be best for a nursing assistant to make to a grieving family?

"Your mother had a smile for everyone. We will really miss her."

Subacute care falls between

Acute care and long-term care

Sheridan has realized that the stress of her job as a nursing assistant is taklng a toll on her health and mental well-being. What might be a good first step in developing a plan for dealing with her stress?

Consider her sources of stress and when it affects her the most

Which of these scenarios is an example of a grieving person experiencing guilt?

Constance, who was estranged from her father, feels that he might not have died if she had made an attempt to reconcile with him

One of the most common causes of delirium is

Infection

Psychotherapy is a method of treating mental illness that

Involves talking with mental health profes- sionals, either one-on-one or in a group

Promcting social interactions and thinking abilities

Is always important in rehabilitation

What most commonly happens to blood pressure as a resident approaches death?

It falls.

Which of these statements is true regarding Standard Precautions and postmortem care?

It is still important to follow Standard Precautions when caring for a deceased resident.

What is the shortest dress or skirt a woman should wear for a job interview?

Knee-length

When is it acceptable to lie on a job application?

Never

Haylee would like to know more about caring for residents with Alzheimer's disease and other forms of demertia, and also needs continuing education hours to maintain her certification. Her facility is not offering any continuing education in this area and she is not sure where else to look. What can she do to learn more about this topic and get her continuing education hours?

She can ask her supervisor to arrange for a course at the facility or to recommend a course elsewhere

What shouid a nursing assistant do if the family of a resident she cared for over the course of several years invites her to a memorial service?

She should ask permission from her supervisor, but should attend if she is allowed and wishes to do so.

With whom can a nursing assistant discuss her objections to end-of-life decisions made by residents?

She should not discuss her objections with anyone.

In providing postrmortem care Jenny is instructed to put Mrs. Bounan's dentures back In her mouth and close her mouth. Jenny is unable to insert Mrs. Bouman's dentures. What should she do?

She should place the dentures in a denture cup near the resident's head

Which of the following might indicate a nursing assistant is not managing her stress adequately?

She wakes up tired every morning.

if a certified nursing assistant moves from one state to another, which of the following is true of her ability to work in the new state?

She will need to contact the agency that oversees the state's NA registry for information on moving her certification to the new state

Scott is a nursing assistant caring for Mrs. Carson, who is dying. Scott is not a religious person. Mrs Carson asks Scott to sit with her and hold her hand while she prays. What should Scott do?

Sit with her quietly while she prays

Which skills do residents with Alzheimer's disease tend to keep the longest?

Skills they have used often over a lifetime

In a natural hand position, the fingers are

Slightly curled

What is the most important reason for a nursing assistant to give at least two weeks' notice when leaving a job?

So that the facility will have time to plan for adequate staff coverage

Nursing assistants shoulid not receive hostile criticism from

Supervisor

Mrs. Wales, a resident with Alzheimer's disease, has a difficult time sleeping at night. What can Hannah, an NA, do that might help her (assuming Mrs. Wales' care plan allows it)?

Take her for a walk each day so she gets some exercise

Which of the following is most likely to be influenced by a person's cultural background?

Whether the funeral or memorial service is treated as a celebration of the person or an event of great sadness

During an evaluation Austin's supervisor tells her that she needs to improve her charting. Austin did not realize there was any problem at all with her charting and is surprised to hear this. Which of these responses is best?

Wow. I didn't even realize I was making mistakes. Could you please show me how to fix it?"

Audrey just got home from a job interview for a nursing assistant position. She was very impressed with the facility and liked the staff members she met during her interview. What should she do next to have the best chance of getting the job?

Write a thank you note or email to the person or people who interviewed her

Most state certification exams have both ____ and ____ evaluations.

Written, skills

Which element of starting a new job is the most likely to cause significant stress?

learning the facility's routines and policies

What is another name for an ocular prosthetic?

Artificial eye

An illness that gets continually worse and eventually causes a breakdown of body systems is a(n)

Degenerative illness

Which of these processes cleans the body of waste that the kidneys cannot remove due to chranic renal faillure?

Dialysis

Mrs. Perry has Alzheimer's disease. Lately she has been taking items from other residents' rooms. Her daughter breaks down crying during a conversation with Pilar, a nursing assistant, and says she is terribly embarrassed and cannot believe her mother has been stealing. Which of these responses from Pilar would be best?

"Actually we don't think of it as stealing. This behavior is very common. I know it's upsetting for you, but it's part of the disease."

Sandra is a nursing assistant caring for Mr. McKenzie, who has Alzheimer's disease. When Sandra brings Mr. McKenzie his breakfast at the usual time he shouts at her and says he's tired of her always being late. What would be the best response from Sandra?

"I am sorry you had to wait, Mr. McKenzie. I hope you enjoy your breakfast."

Javier just finished his NA training course. During a job interview he is asked this question: "We have a lot of residents here who have Alzheimer's disease. How do you feel about working with residents with dementia?" Which of these responses from Javier would be best?

"I don't have any professional work experience yet, but my grandmother lived with my family until she died last year. She had Alzheimer's disease and it was very hard to care for her at home but my mom is a nurse. She did it and we all helped. It was tough but it was rewarding to know that we were doing our best to make her life as good as it could be. I'd like to do the same for residents here."

Which of the following is an example of an effective "I" statement?

"I feel angry because it's hard to build a good relationship with the residents when you tell them negative things about me."

Nancy is a nursing assistant who often cares for Mr. Macintosh, a resident who is mentally ill, Nancy has noticed that Mr. Macintosh becomes upset-wringing his hands, cringing, and hiding in the bathroom-every time he sees a certain facility emplovee walk by his room. How should she report this?

"Mr. Macintosh wrings his hands, cringes, and hides in the bathroom every time he sees John walk by."

Johanina has a job interview at an assisted living facility. She is supposed te meet with the director of nursing at 10:30 a.m. Which of these arrival times would be best?

10:15

Kendra's résumé makes note of the fact that she has references available upon request. Which of these people would be best for Kendra to ask for a professional reference before sending out her résumés?

A teacher from high school with whom she had a close relationship and who inspired her to work hard and succeed in school

What type of illness will eventually cause death?

A terminal illness

Why is developing a routine and sticking with it an important part of caring for a resident with Alzheimer's disease?

Because consistency is important for residents who are confused or easily upset

Why should a nursing assistant performing postmortem care be aware of a deceased resident's religious and cultural practices?

Because some religions and cultures do not allow certain post-mortem practices

Which of these qualities would be the most helpful in hospice care?

Being a good listener

Where should chest tube drainage containers be kept?

Below the level of the resident's chest

Cheyanne is caring for Mrs. Reed, who is dying. How should she adjust the lighting in the room during daylight hours?

Cheyanne should keep the lighting in the room low.

The irregular respirations common as death approaches are called

Cheyne-Stokes respirations

The five stages of grief described by Dr. Elisabeth Kübler-Ross begin _____ with and end with _____.

Denial, acceptance

Olivia, a nursing assistant, is caring for a dying resident whose family is spending lots of time at the facility. It makes Olivia very uncomfortable that every time Mr. Sampson's family asks for an update on his condition they start to cry. What should Olivia do?

Express her support and reassurance to the family, even if it makes her uncomfortable

What is the first step in a job hunt?

Finding potential employers

Schizophrenia is a mental illness that can cause

Hallucinations and delusions

Kendra is at a copy shop printing résumés for her nursing assistant job search. What type of paper should she choose?

High quality white or cream-colored paper

This is a guideline that may vary from state to state:

How quickly after completing a training program a NA must take and pass the certification exam

Which of the following is true of nursing assistants and career choices?

If a person who has trained as a nursing assistant wishes to switch to a different healthcare career, she can do so after receiving the proper training.

Which federal law requires that states keep a registry of nursing assistants?

OBRA

What is true of dying residents and pain?

Pain relief is critical and residents may not be able to communicate their pain, so observing for signs of pain is very important.

An emphasis on palliative care means an emphasis on

Pain rellef and comfort

Which needs of dying residents does hospice care address?

Physical, emotional, spiritual, and social

If a nursing assistant is regularly experiencing conflict with a colleague, what should he do?

Report to the supervisor that he is having difficuities getting along with the colleague and ask for help resolving their conflict

What is true of people whose religious beliefs include belief in an afterlife?

They might find comfort in their beliefs when someone they love dies.

Diagnostic services includes which of the following careers?

Ultrasound technician

Elena has noticed that Mrs. Singer, a resident with Alzheimer's disease, always eats well when she is served finger foods but rarely eats anything else. What should Elena do with this information?

iShare it with the rest of the care team

Which of these situations represents a normal change of aging in the brain?

A resident has a hard time remembering certain words.

Which of these items are supportive devices?

Canes, walkers, and crutches

Jan, a nursing assistant, arrives in Mrs. Taylor's room to walk her to the dining room at lunch time. Mrs. Taylor, who has a mental illness, is standing in the far corner of her room and says she cannot go to the dining room because she is afraid of the other resi- dents. Which of the following is the best way for Jan to respond?

"Mrs. Taylor, I can see you're really scared. What can I do to help?"

Mr. Lockwood was once a Peace Corps volunteer and enjoyed his time living in Africa, where he met the woman who became his wife. He has Alzheimer's disease. Christine, a nursing assistant who works with him, wants to use reminiscence therapy as she assists with ADLS. What would be the best way to introduce the topic?

"Your wife showed me some pictures from when you lived in Africa. It looks like it was a real adventure. Can you tell me more about it?"

Mrs. Ross has termina! cancer. She has not been coming to eat in the dining room or participating in any of her favorite activities. Bree is a nursing assistant who has cared for Mrs. Ross for several years. How can she best help Mrs. Ross with this stage of grief?

By making it clear that she is there to listen if Mrs. Ross wants to talk

Mrs. Novakova is recelving rehabiltative care after a stroke. She becomes embarrassed when she receives praise and verbal encouragement. Alexa, a nursing assistant who works with her, is pleased to see that she is able to take more steps than she has taken since the beginning of rehabilitation. How might Alexa best encourage Mrs. Novakova without making her uncomfortable?

By smiling and giving Mrs. Novakova a gentle squeeze on her shoulder

Mrs. Kagarise is a resident with moderate Alzheimer's disease (middle-stage). What symptoms might she be experiencing?

Changes in personality and behavior

Mrs. Puma has a new prosthetic leg. Beverly, a nursing assistant, has cared for residents with prosthetic legs before, but has never seen one like Mrs. Puma's. What should she do?

Check with the nurse for any special instructions

What may be used when a resident has air, blood or other fluid, or pus collecting in the space between the layers of membrane covering the lungs?

Chest tubes

When speaking to a resident who is confused, a nursing assistant should speak _______ and ______.

Clearly, slowly

When assisting with passive range of motions exercises a nursing assistant should

Give support above and below the resident's joints

Mr. Vogel has Alzheimer's disease and becomes very agitated when it is time for bathing. Which of these approaches might help Angela, a nursing assistant, when she is assigned to assist him?

Hand him a washcloth and walk with him to the shower room without talking about bathing first

How should an NA respond if he notices that a resident receiving rehabilitative care has become depressed and less motivated to care for herself?

He should report this change.

Words often associated with rehabilitative care include

Health, ability, and independence

What does telemetry measure?

Heart rhythm and rate

Whom should an NA inform if she thinks a resident or her family would benefit from receiving a list of community resources?

Her supervisor

Which of the following is true of residents in a long-term care facility and alcohol use?

If a doctor has not written an order stating that a resident may not have alcohol and the facility has no policy against it, a resi- dent may drink alcohol.

Where on the body is a pulse oximeter commonly placed?

It is clipped on to a finger, earlobe, or toe.

Part of a nursing assistant's role in preoperative care may include the following:

Listening to a resident's fears or concerns about the surgery

Armando is a nursing assistant caring for Mr. Vargas, whose wife recently died. He has noticed that Mr. Vargas frequently looks through photo albums and stares out of his window. What grief reaction is Mr. Vargas likely demonstrating?

Loneliness

One of the differences between mental illness and intellectual disability is that

There is no cure for intellectual disability, but many mental illnesses can be cured.

Which of the following is true of families of residents who have Alzheimer's disease?

They may have mixed feelings about having placed their loved ones in a LTC facility.

Why might a res dent who has had an operation be ordered to use anti-embolic hose or a sequential compression device?

To reduce the risk of blood clots

What is the last body part exercised during passive range of motion exercises?

Toes

Rehabilitation seeks to restore a person to his highest possible level of ____.

functioning

Residents with Alzheimer's disease will

Each lose skills and show symptoms at different times

These are the three categories into which surgeries generally fall

Elective, urgent, and emergency

Mental health is the normal functioning ____ of ____ and abilities.

Emotional, intellectual

If a resident is having surgery for which the bowels need to be cleared, a(n) ____ or ____ maybe ordered.

Enema, rectal suppository

Every two hours the position of a resident confined to bed should be changed to prevent muscle stiffness and

Pressure injuries

What are the greatest concerns right after a person has surgery?

Problems with breathing, mental status, pain, and wound healing

In addition to the usual tasks of caring for any resident, when caring for a resident who has a mental illness, a nursing assistant may need to do the following:

Provide positive, professional support for the resident and his family and friends

Which of these surgeries would be considered emergency?

Removal of a bullet from a gunshot wound

Which of the following is true of a resident's progress in rehabilitation and restorative care?

Sometimes a resident can do something one day and then cannot do it the next.

Nursing assistant Carmen often cares for Mrs. Kagarise. What kind of tasks can Carmen encourage Mrs. Kagarise to do that might help slow the progression of her AD?

Tasks that Mrs. Kagarise finds challenging but not frustrating

A situation response is

Temporary

Mr. Opitz is mentally ill. He often refuses to eat his meals and insists that the nursing assistants caring for him have tampered with his food. Lalida, a nursing assistant, becomes frustrated with Mr. Opitz and tells him to just stop being so rude and paranoid. What fallacy about mental illness is Lalida engaging in?

That people with mental illness can control their illness or choose to be well

Mrs. Doutrich is new to Fairview, a long-term care facility. For the first few days she mostly stayed in her room arranging her things and reading, but after that she used the activities schedule to pick out events she wanted to take part in. She has made friends with the other women who sit with her in the dining room. Which characteristic of mental health is Mrs. Doutrich demonstrating?

The ability to adapt to change

Who should set the pace when a resident is learning to use a new ambulatory aid?

The resident

Which of the following is an effective strategy for communicating with a resident with Alzheimer's disease?

Using the resident's name during conversation

People who have tracheostomy tubes

Usually can learn to talk through them

If a resident with Alzheimer's disease does not seem to remember where the bathroom is, an NA can help by

Marking the bathroom door with a picture of a toilet

When reporting observations about the behavior of a resident with mental illness, an NA should

Report only the facts of his observations

Dawn, a nursing assistant, sees Mrs. Bruegger tugging at a tracheostomy tube that was recently inserted, What should Dawn do?

Report to the nurse

What should a nursing assistant do if telemetry pads fall off?

Report to the nurse

A nursing assistant should check on a resident on a mechanical ventilator often for this reason:

Residents on mechanical ventilators cannot speak and may feel very anxious; the NA's presence can be reassuring.

Suctioning is normally a ______ procedure performed by ____ or respiratory therapists.

Sterile, nurses

Complex wound care, specialized infusion therapy, dialysis, and mechanical ventilation are all situations that may require

Subacute care

The length of time from diagnosis of Alzheimer's to death may range from ____ to ____.

4 years, 20years

Normal blood oxygen levels usually measure between

95% and 100%

Which of the following is true of starting a new exercise program with a resident in rehabilitation?

A doctor has to approve a new exercise program, taking the resident's particular case into consideration.

What might cause signs and symptoms of mental illness when mental illness is not actually present (known as a situation response)?

A personal crisis

Which of these statements regarding mental illness and Residents' Rights is true?

A resident with mental illness has thesame Residents' Rights as any other resident.

Mrs. Hinegardner was once an avid knitter and even ran her own yarn shop. She now has Alzheimer's disease and is not able to knit. Patrick, an NA, brings her a large bag full of yarn skeins. Each evening at a time when she tends to get agitated, Patrick gets out the bag of yarn and Mrs. Hinegardner enjoys sorting it into piles. This is an example of

Activity therapy

Who uses defense mechanisms to release tension or cope with stress?

All people

What is the most common cause of dementia in the elderly?

Alzheimer's disease

Obsessive-compulsive disorder is a(n) _____ disorder characterized by obsessive behavior or thoughts.

Anxiety

ative care, what should a nursing assistant Regarding the attitude of a resident in report?

Any change, positive or negative

When communicating with a resident who is mentally ill, a nursing assistant should avoid

Arguments

Although mental illness and intellectual disability are very different, residents with either condition will both need

Emotional support

Anesthesia that leaves a patient unaware of her surroundings and unable to feel pain is called

General anesthesia

Mrs. Collins has Alzheimer's disease. Every time she sees Violet she tells her that she has been kidnapped and is being held against her will. She tells Violet she wants to go home. What should Viclet do?

Gently guide the conversation to another topic or intraduce an activity Mrs. Collins enjoys

Deep breathing exercises are sometimes performed using a device called a(n)

Incentive spirometer

Which of the following is true of residents with Alzheimer's disease and dressing?

It can be helpful to give the resident just a few choices of appropriate clothing.

Which of the following is true of confusion?

It can be temporary or permanent.

Which of these statements is true of mental illness?

It can cause specific signs and symptoms, just as a physical illness does.

Which of the following is true of the relationship between physical and mental wellness?

Mental health can help protect and improve physical health.

At which stage of Alzheimer's disease could symptoms be mistaken for normal changes of aging?

Mild Alzheimer's disease (early-stage)

What is a nursing assistant's responsibility regarding surgical drains?

NAs observe the amount and appearance of drainage.

The process of diagnosing a resident with dementia commonly involves which of the following exams?

Neurological exam

Substance abuse and chemical dependency

Often require diagnosis and care by specialists

For a resident with Alzheimer's disease, repetition is

Often soothing

Tal is a nursing assistant and has been feeling under tremendous pressure lately, both in her personal life and at work, where she is caring for some residents who have a very high level of need. One morning she loses patience while caring for Mrs. Parrish, a resident with Alzheimer's disease. Tal grabs a hairbrush from Mrs. Parrish and roughly brushes her hair because Mrs. Parrish is so slow in caring for herself. Later, Tal tells another NA what happened and says, "It was the only thing I could do. i still had so many other residents to take care of!" Which defense mechanism is Tal using?

Rationalization

Livia is currently caring for two residents in the late stage of Alzheimer's disease. Lately she has found that she is having a hard time being patient and empathetic while providing care for them. She is often frustrated and angry. What should Livia do?

She should talk to her supervisor about the stress she is experiencing.

Which of the following is true of ROM exercises?

They may be ordered by a doctor, nurse, or physical therapist.

Which of the following is true of residents with artificial airways?

They may find it frightening and uncomfortable.

When is rehabilitation ordered?

When a resident loses some ability to function due to illness or injury