Study Guide #8
A good way for a nursing assistant to respond to hallucinations is to
Reassure a resident who is upset and worried
If a resident with AD shows violent behavior, the nursing assistant should:
Remove triggers
Restraint-free care means that
Restraints are not kept or used at the facility for any reason
Reality orientation is more likely to be helpful to a person with
Reversible Dementia Early Alzheimer's Disease
A ______________ urine specimen can be collected any time the resident voids
Routine
If a resident with AD has problems with bathing, the nursing assistant should
Schedule bathing when the resident is lease agitated
A serious illness usually caused by a bacterial infection is called:
Sepsis
Care guidelines for dialysis include:
Following instructions for intake and output measurement carefully
An example of a restraint alternative is
Giving frequent help with toileting
One benefit of applying heat to the body is that:
Heat increases movement of oxygen and nutrients into the tissues
What is a possible benefit of using an incentive spirometer
Helping clear the lungs
Examples of cold application
Ice bag Frozen gel pack Disposable cold pack
A sitz bath is used to
Increase blood flow to pelvic area
How does moisture affect warm and cold applications?
It strengthens their effects
Why are ketones, substances produced when the body burns fat for fuel, produced by the body?
Ketones are produced when there is not enough insulin in the body
Examples of heat application are
Warm soaks Disposable warm pack Aquamatic K-pad
A false belief such as believing that someone is trying to harm or steal from them is called a
Delusion
At least every ________ hours, a restraint must be removed and care must be provided
2
Warm or cold applications should be applied for:
20 minutes
Which of the following statements about observing mentally ill residents is true?
A CNA needs to report changes in mood
When a resident experiences increasing distress and anxiety caused by possible over-stimulation and fatigue the resident may escalate to violent behavior. This is called
A catastrophic reaction
Which of the following terms means " a serious loss of mental abilities" ?
Dementia
What disorder can put a person at higher risk for sepsis?
Diabetes
Non-sterile dressings are applied to
Dry wounds that have less chance of infection
The best time to collect a sputum specimen is
Early in the morning
Dementia is a normal part of aging
False
A pulse oximeter sensor is normally clipped on a persons
Finger
When using a pulse oximetry device, which of the following should be avoided?
Fingernail Polish
Signs and symptoms of clinical depression include
Apathy
When providing a cold application to a resident the CNA must
Apply it to the skin correctly by protecting the skin from direct contact with cold application by covering with a cloth or other protective material Check the skin at 10 minute intervals which cold is applied remove application at once if the skin appears blanched, very pale, white or bluish and notify the nurse immediately
One possible complication that can result from a tube feeding is:
Aspiration
Examples of restraints are
Bed rails Trunk or limb restraint A chair that prevents residents from rising
A pulse oximeter measures
Blood oxygen level
What is a type of intravenous line that is inserted into a large vein the the body?
Central Venous Line
Which of the following statements is true of a resident on a ventilator
Clipboards, pads, and communication boards can help with communication
What is one problem associated with chest tubes that should be reported by the nursing assistant?
Clots are in the drainage tubing
The ability to think logically is called
Cognition
One important task to complete when collecting 1 24-hour specimen is to
Create a sign to hang near the bed to alert all staff
If a resident with AD has problems with dressing, the nursing assistant should
Lay out clothes in the order they should be put on
If a resident with AD is incontinent, the nursing assistant should:
Mark the bathroom with a sign or picture
Which of the following is a common set of treatments for anxiety disorders?
Medication and psychotherapy
A clean-catch specimen is also called a _______ specimen because the first and last voiding are not included in the urine sample
Mid-stream
What piece of extra equipment is important for a resident using an oxygen concentrator?
Nasal cannula
A tube that is inserted into the nose, through the esophagus, and into the stomach for feeding is called a
Nasogastric tube
Subacute care is for residents who
Need more care than most long-term care facilities provide
The anxiety that is characterized by repetitive thoughts or behavior is
Obsessive-compulsive disorder (OCD)
Hidden, or ___________ blood is found inside stoll with a microscope or special chemical test
Occult
Strategies for better communication with residents who have AD include
Only talking about one subject at a time, using simple short sentences.
Restraints may be used
Only with a doctors order
A stool sample that is to be tested for ___________ must be delivered to the lab immediately
Ova and parasites
Why does working with oxygen require special safety precautions?
Oxygen is a dangerous fire hazard
What might a nursing assistant do for a resident with a tracheostomy?
Provide skin care to the site around the tube
There are many types of dementia. Some are reversible and other irreversible. The type of dementia that caused by several small strokes or multi-infarct dementia is also called:
Vascular Dementia
Which of the following statements is true of restraints
People tend to respond better to restraint alternatives than a restraint
A person who is mentally healthy
Performs well in professional settings
What is one of the nursing assistants responsibilities for tube feedings?
Positioning the resident
When a resident with AD pillages and hoards, the nursing assistant should:
Provide a rummage drawer
A nursing assistant can respond to sundowning by
Setting a bedtime routine and keeping it
Which of the following statements is true of Alzheimer's Disease (AD)
Skills a person has used over a lifetime are usually kept longer
Which type of test is used for urine density?
Specific gravity test
If a resident with AD becomes violent, the CNA should
Step out of the way and remove trigger if possible
Which of the following statements is true of how nursing assistant should care for a resident with a telemetry pack
The CNA should not get the unit, pads, or electrodes wet
A resident has been acting a little strangely lately. She get upset very easily, and her eyes are always red. She does not eat much, and sometimes the nursing assistant can smell alcohol on her breath, even in the morning. What should the nursing assistant do?
The CNA should report her observations to the nurse
Which of the following is a good way for a nursing assistant to care for a mentally ill resident?
The CNA should support the resident and his or her family and friends
Which of the following would be the best way for a nursing assistant to respond to as resident with AD who is exhibiting inappropriate sexual behavior?
The CNA should take the resident to a private area
One way for a nursing assistant to help a resident with AD with eating is to
Use dishes without a pattern and a simple place setting
If a resident with AD has lost most of his verbal skills, the CNA should:
Use touch, smiles, and laughter
Alternate communication methods for a resident with an artificial airway include
Using communication boards
The most important part of testing urine with a reagent strips is
Using strips that have not expired
Therapy that allows resident with AD to believe that they live in the past ot in imaginary circumstances is:
Validation therapy
When caring for a resident who has dementia, it is important to understand
The behavior from the residents perspective and that all behavior has reason
Which of the following statements is true of chest tubes?
The chest drainage must be observed for amount and color
What is the function of an artificial airway?
To keep the airway open for the lungs to perform air exchange
When applying anti-embolism or elastic stocking, the CNA should check for stocking to remain smooth and completely extended. If the stocking slides down, the elastic can form a tight band impairing circulation
True
When providing heat application, the CNA must remove it at once if the skin appears reddened or is otherwise discolored
True
When working with residents with dementia who are wandering or who are at risk for elopement it is important that you know where the resident is at all times, not just at the beginning and end of the shift.
True
Normal pulse oximetry readings are considered to be
from 95% to 100%
This technique is used to support and assist with communication with the demented resident by remembering the past and telling life stories and experiences is called
reminiscence
When a resident has kidney stones, care by a nursing assistant includes:
reporting blood in the urine promptly