quiz 6
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."
What type of illness will eventually cause death?
A terminal illness
Which of the following statements about observing residents who have a mental illness is true?
An NA needs to report changes in mood.
Which basic services do most home health agencies provide?
Basic nursing care, personal care, and housekeeping services
Why should an NA stay especially close to a resident who is using a new ambulatory aid?
Because the resident is likely to be off-balance
How should an NA perform range of motion (ROM) exercises?
Begin at the shoulders and work downward
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
Mrs. Ross has terminal 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
A person who is mentally healthy
Can control and fulfill impulses appropriately
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.
Maintaining boundaries is important for a home health aide because
Emotional attachments to clients are unprofessional and may interfere with an HHA's judgment
If a resident is having surgery for which the bowels need to be cleared, a(n) ___________ or __________________ may be ordered.
Enema, rectal suppository
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
Anesthesia that leaves a patient unaware of her surroundings and unable to feel pain is called
General anesthesia
Goals of rehabilitation include
Helping a resident adapt to a disability
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
One guideline for communicating with mentally ill residents is to
Maintain eye contact and listen closely
Which of the following is a typical task a home health aide performs for clients?
Measuring vital signs
Which of the following statements is true about mental illness?
Mental illness is a disorder like any physical illness.
Abduction is
Moving a body part away from the midline of the body
An emphasis on palliative care means an emphasis on
Pain relief and comfort
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.
What are the greatest concerns right after a person has surgery?
Problems with breathing, mental status, pain, and wound healing
Which of the following is a sign or symptom of mental illness?
Regularly being agitated
What action should a home health aide first take if he observes a client being abused?
Report it to his supervisor immediately
What action should a home health aide take if she notices a significant change in a client's condition?
Report to the supervisor so that the care team can revise the client's care plan
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.
Which of the following about restorative care should be observed and reported to the nurse?
Signs of depression
Mental illness can be made worse by
Substance abuse
Which of the following statements is true of a nursing assistant's role in restorative care?
The NA should recognize that setbacks occur and reassure the resident.
Which of the following is an appropriate way for an NA to care for a resident who is mentally ill?
The NA should support the resident and his family and friends.
Regular activity and exercise help improve
The quality and health of the skin
Which of the following is true of defense mechanisms?
They help a person cope with stress.
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.
Why might a resident who has had an operation be ordered to use anti-embolic hose or a sequential compression device?
To reduce the risk of blood clots
Passive range of motion (PROM) exercises are done
When a resident cannot move on her own
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
How many times should each range of motion exercise be performed for each body part?
at least 3 times
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 tube
A coworker gets the promotion that an NA has wanted for a long time. When a friend asks if the NA is upset, he says, "No, not at all." This is an example of
denial
Which of the following body parts is included in passive range of motion (PROM) exercises?
finger
Bending a body part is called
flexion
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
A ______ is an intense form of anxiety.
phobia
Complex wound care, specialized infusion therapy, dialysis, and mechanical ventilation are all situations that may require
subacute care
Signs and symptoms of clinical depression include
apathy
A ____ is the permanent and painful shortening of a muscle.
contracture
What should a nursing assistant do if telemetry pads fall off?
report it to the nurse
