CNA

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msmit458
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296370
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CNA
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2015-02-26 23:09:44
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CNA
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CNA certificate
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  1. Define ALR
    Assisted living residencies

    for people needing help with daily activities in a home like setting
  2. Define SNF
    Skilled nursing facilities

    rehab, recreation, dietary, medical and recovery time
  3. Hospice
    focuses on comfort for those with 6 months or less to live.
  4. Alzheimers
    Dementia care

    • increases memory loss and confusion
    • provides safety from wandering
  5. Who comprises the health team?
    • DON
    • nursing supervisors/nurse managers
    • charge nurse
    • RN
    • LPN/LVN
    • nursing assistant
  6. Describe LPN
    Licensed practical nurse

    provides nursing care and meds
  7. Define RN
    Registered nurse

    assesses, diagnoses, plans, implements, and evaluates. Teaches the person and family how to improve health and independence
  8. Residents

    persons who live at a long term care facilities or only stay in short term facilities for a while
  9. Long term facilities
    persons who cannot care for themselves at home, but do not need hospital care
  10. Short term facility residents
    people who need to recover from illness, surgery, fractures and usually go back home.
  11. Respite care
    a short term facility that gives a caregiver at home rest or relief from the day to day challenges of taking care of someone
  12. Life-long residents
    those with birth defects and childhood injuries and diseases that cause disabilities
  13. Define DON
    Director of nursing

    responsible for the entire nursing staff and the care given
  14. Who are part of the nursing team?
    • RN
    • LPN/LVN
    • nursing assistant
  15. Medicare
    for those 65 years and older and or those younger with disabilities
  16. Medicaid
    for people with low income and or children and some older, blind and disabled.
  17. Who controls the policies in a healthcare agency?
    Board of directors
  18. Who is responsible for the entire nursing staff and safe nursing care?
    The director of nursing
  19. The nursing assistant's role is to?
    perform delegated tasks
  20. Nursing tasks are delegated according to a person's needs and staff member abilities. The nursing care pattern is called?
    Team nursing
  21. A service team member asks you some question. You should?
    Give honest and complete answers and if you don't know, refer them to the RN
  22. Define involuntary seclusion
    separating a patient form others against their will or keeping them contained in a certain area
  23. Define ombudsman
    Someone who supports or promotes the needs and interests of another person. Acts on behalf of the patient
  24. Define OBRA (Omnibus Budget Reconciliation Act of 1987)
    A federal law that plays as a patients advocate and insures that the rules are being followed
  25. Define finding
    The states determination of an employee who has abused, neglected, mistreated, or wrongfully used a person money or property.
  26. Who has the authority to order a restraint on a patient?
    The doctor.

    It is not used for the convenience of the nursing team.
  27. To resolve a conflict with a
    co-worker, you should?



    Focus on the facts and specific behaviors
  28. Experiencing one's potential is called?
    Self actulization
  29. Define Self-actualization
    through creativity, independence, spontaneity, and grasp of the real world.
  30. A person's religion is different from yours. You should do what?
    Not force your ideas on the person
  31. A person is angry and demanding. It is important to always?
    Treat that person with respect and dignity
  32. For effective verbal communication do...
    • Ask one question at a time
    • speak clearly and slowly
    • repeat information as needed
  33. What communication technique will give you yes and no answers?
    Direct questions
  34. A person is in a coma. This means that the person...
    Cannot respond to others
  35. You should always assume that a person who is comatose can hear and understand you.
    true
  36. Aging is considered to be
    a normal process
  37. Statements about changes in the respiratory system is...
    • Respiratory muscles are weaken
    • coughing may be more difficult
    • respiratory infections and diseases can threaten the persons life
  38. Respiratory system changes occur with aging. What are helpful?
    • Deep breathing
    • turning
    • repositioning
  39. Because of the changes in the urinary system, older person
    urinate more often
  40. The following measure promote sexuality
    • providing privacy
    • knocking before you enter a room
    • discouraging masturbation
  41. What will cause suffocation?
    • using bed rails correctly
    • reporting a person unattended in the bathtub
    • reporting loose teeth
    • positioning the person in bed properly
  42. What is the most cause of choking?
    a large, poorly chewed pieced of meat
  43. A patient is choking. The person is conscious and can cough. Which action is needed?
    Encourage the person to cough forcefully
  44. You need to empty a person's ashtray. Which is correct?
  45. You need to empty a person's ashtray. Which is correct?
    The ashtray is emptied into a metal container partially filled with sand and or water.
  46. Before using a fire extinguisher, you must first.
    remove the safety pin
  47. Natural disasters include the following
    • tornadoes
    • hurricanes
    • blizzards
  48. A flood warning was issued for your area. You are at work. What should you do?
    Follow the agency's disaster plan
  49. Which is not a role in risk management?
    giving baths and taking vital signs
  50. You break a person's eyeglasses. What should you do?
    you need to complete an incident report
  51. A serious risk from bed rails is...
    entrapment
  52. A resident does not use bed rails. To give care, you need to raise the bed and ...
    ask a co-worker for help
  53. What is the purpose of hand rails?
    They give support when walking
  54. You need to transfer a patient using a transfer belt? How do you apply the belt?
    The belt is applied over clothing
  55. You are assisting a resident to the bathroom. The person starts to fall. What should you do?
    Ease the person to the floor.
  56. ad lib means
    as desired
  57. BM means
    Bowel movement
  58. BP means
    Blood pressure
  59. H or HR means
    Hour
  60. I&O means
    intake and output
  61. RB means
    Red blood
  62. BID means
    twice a day
  63. TID means
    three times a day
  64. mL means
    milliliter
  65. NPO means
    nothing by mouth
  66. PO means
    by mouth or orally
  67. prn means
    when necessary
  68. ROM means
    range of motion
  69. stat means
    at once, or immediatley
  70. UTI means
    urinary tract infection
  71. Q means
    every
  72. QID means
    four times a day
  73. QOD means
    every other day
  74. Define CMS
    Centers for medicare & Medicaid services
  75. Define Physical restraint
    restricts freedom of movement or normal access to one's movement
  76. Define Chemical restraints
    any drug used for discipline
  77. Functional nursing is?
    A nursing care pattern focusing on tasks and jobs
  78. An RN is responsible for the person's total care. This is called
    Primary nursing
  79. Services moved from department to the bedside is called?
    Patient focused care
  80. A transfer belt is?
    Used to transfer a patient who is unsteady or disabled
  81. A gait belt is?
    Used to help a patient walk that is unsteady or disableds
  82. Define CMS.
    Centers for Medicare and Medicaid Services
  83. What is one of the CMS rules pertaining to patients?
    The rules protect the patients rights and safety like restraint use
  84. When are restraints used?
    Only when necessary to treat medical symptoms and then they are removed.
  85. Can anyone use restraints on a patient?
    No, only when approved by a medical physician.
  86. Can an RN use restraints?
    Yes, but only in an emergency. No doctor's order is required.
  87. What are leather restraints?
    applied to the wrists and ankles. Are used in extreme agitation and combativeness
  88. What a re mitt restraints?
    Used on the hands and prevent finger use. Allow hand, wrist, and arm movement
  89. What are belt restraints?
    Used when injuries from falls are risks or for positioning during a medical treatment. Only allows a patient to turn in bed.
  90. Define CDC
    Centers for Disease Control and Prevention
  91. Define HBV
    Hepatitis B virus
  92. Define MRSA
    Methicillin-resistant Staphylococcus aureus


  93. Define OSHA
    Occupational Safety and Health Administration
  94. Define SARS
    Severe Acute respiratory syndrome
  95. Define VRE
    Vancomycin-resistant Enterococci
  96. Define MDROs
    Multidrug-resistant organisms are organisms that can resist the effects of antibiotics
  97. Where is MRSA usually found?
    A staph infection found in the nose and skin
  98. What are the effects of MRSA?
    Can cause pneumonia and serious wound and bloodstream infections
  99. What is VRE and where is it usually found?
    A bacterium normally found in the intestines and feces
  100. How can VRE be transmitted to others?
    VRE is a MDROs organism that is Transmitted to others by contaminated hands, toilet seats, care equipment, and other items that the hands touch.
  101. An infection found in a body part is called?
    a local infection
  102. An infection involved in the whole body is called an?
    systemic infection
  103. Define HAI
    Healthcare associated infection
  104. Define Asepsis
    The act of being free of disease-producing microbes
  105. Define Sterile?
    the absence of all microbes "good and bad"
  106. Define PPE
    Personal Protective Equipment
  107. What are biohazard waste
    items contaminated with blood, body fluids, secretions.

    double bagging is needed if the outside of the bag is wet soiled, or contaminated.
  108. What are blood borne pathogens?
    pathogens that are spread through blood and other potentially infectious materials (OPIM) like HIV and HBV.
  109. What is HBV and how does one get it?
    It is a Hepatitis B liver disease spread the blood and sexual contact
  110. What are your strongest and largest muscles?
    shoulders, arms, hips, and thighs
  111. Define Ergonomics
    making a job fit your work styles for safety related to MSD's
  112. Define MSD
    Musculo-skeletal disorder involved injuries to injuries and disorders
  113. What are the OSHA's risk factors for MSD
    • Force in physical efforts
    • Repeating action
    • Awkward postures
    • heavy lifting
  114. A semi-fitting sitting position is called?
    • Fowlers (45 and 60 degrees).
    •  Used on people with heart and respiratory disorders
  115. What is a back lying position called?
    A supine position
  116. What is the position called where a person lies on the abdomen with the head turned to one side and or the feet hanging off the bed and the arms are positioned next to the hands?
    Prone
  117.  What is the position called when a person lies on one side or the other and the upper leg is in front of the lower leg and one arm is under the other?
    lateral
  118. What is the position where a person lies on the left side with one arm at one side, the other bent at the elbow next to the head, and the right leg is bent?
    Sims
  119. What is the chair position?
    Where a person sits upright with their feet flat on the floor and their tail bone sits at the back rest of the chair.
  120. Can a pillow be used in the chair position?
    Only when the pt is not restrained
  121. Define a transfer
    how a person moved to and from surfaces
  122. Levels of dependence in a persons mobility
    • Level 4 total dependence
    • Level 3 Extensive assistance
    • Level 2 limited assistance
    • Level 1 Supervision
    • Level O independent
  123. What is level 4 total dependence entail?
    A person who cannot assist in being transferred and needs mechanical lift
  124. What is the level 3 extensive assistance entail?
    The person can bear some weight, sit up with help, and may be able to pivot to transfer
  125. What does the level 2 limited assistance entail?
    The person is highly involved in the moving or transfer procedure
  126. What does level 1 supervision entail?
    the staff will need to look after, encourage or remind the person what to do
  127. What does level 0 independent entail?
    The person walks without help
  128. What is friction?
    the rubbing of 1 surface against another when moved tin bed, the persons skin rubs against the sheet.
  129. What happens when friction and shearing occur?
    both cause infection and pressure ulcers
  130. What is shearing?
    the skins sticks to a surface while muscles slide in the direction the body is moving
  131. How doe you reduce friction and shearing?
    • Roll the person
    • use friction-reducing devices like a lift sheet
    • Turning pads
    • large waterproof pads and
    • slide sheets
  132. How many staff members does it take to help you move a person in bed who weighs less than 200 pounds or more than 200 lbs?
    • 2 or 3 and a friction-reducing device (less than)
    • 3 staff members and a friction reducing sheet for (more than 200lbs)
  133. Why do you move a person up in bed?
    for good alignment and comfort
  134. How is a draw sheet used?
    it is held near the shoulders and hips
  135. What is it called when you turn a person on their side to prevent complications from bed rest?
    logrolling
  136. What is log rolling and how is it done?
    turning a person as a unit, in alignment, with  1 motion.

    It is done by placing a pillow between a persons legs. The you use a reducing sheet or water proof pad to roll the person in your direction with help.
  137. Patients who feel dizzy, or faint when getting out of bed too fast do what and why?
    Sit on the side of the bed and dangle their legs. They do this to stimulates circulation in their legs along with coughing and taking deep breaths.
  138. What do you do if the person feels dizziness and fainting occurs?
    Lay the person down
  139. Define Ambulate
    to walk
  140. Arranging a room to allow enough space in moving a person from beds, commodes, shower, toilets and wheelchairs is what?
    A transfer using a belt
  141. What are transfer belts used for? 
    • to support patients during transfers
    • re-position persons in chairs and wheelchairs
  142. When using a chair or wheelchair to transfer a patient, what side of the body should you use to get a patient out of bed?
    The strong side.

    ex. If the left side of the body is weak and the right side is strong, get the person out on the right side.
  143. What body part do you use to block a person with a weak leg or foot?
    The knee and foot of one leg to block the persons weak leg or foot. place your other leg slightly behind you, but be sure to straddle both of your legs around the persons knees
  144. Define "F"
    Farenheit
  145. Define ID
    identification
  146. What temperature does the CMS require that nursing homes maintain temperature and why?
    71 to 81F, because older or ill patients need higher temps for comfort
  147. Define BM
    bowel movements
  148. Define incontinence
    pee/poo
  149. According to the CMS, comfortable sound levels in a nursing home does what?
    • Does not interfere with a persons hearing
    • promotes privacy when privacy is desired
    • allows the person to take part in activities
    • Some healthcare sounds may disturb some
  150. To give a patient care. Do you raise or lower the bed and to what angle?
    You raise the bed horizontally and to your level.
  151. What are the 6 basic bed positions?
    • Fowlers (between 45 and 6o degrees)
    • High fowlers (between 60 and 90 degrees)
    • Semi fowlers (head is raised to 30 degree)
    • Trendelenburgs (the foot of the bed is raised and the head is at a natural position) by doctors orders only
    • Reverse Trendelenburgs (head is raised and foot is lowered slightly)
  152. Bedside pans. What goes in the drawers?
    • Top- small items like, money, eyeglasses and books
    • Middle-wash basin and personal care items and emesis basin for oral hygiene items
    • bottom drawer-bed pan, urinals, toilet paper

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