NAT TEST #4 Review: Chapters 19-20 & 22-24

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  1. 1. True or False: Delirium differs from dementia in that delirium is usually irreversible.
  2. 2. DEMENTIA is a term that is used to describe the group of symptoms that occur with progressive decline in thinking and memory.
    ((Just saying))  also YOUR a freaking Rock Star and you've GOT THIS!!!
  3. 3. What are at least three needs of a dying person?
    A. Maintain dignity, to have someone listen...

    b. to feel comfortable with the people caring for him or her.

    c. to be told the truth, to no feel alone, to be free of physical discomfort or pain.  To be prepared to die & kept clean.
    (this multiple choice question has been scrambled)
  4. 4. Mr. Sanders is frequently disoriented and today he hit you on your arm because he did not realize that you were his CNA.  he thought that you were going to rob him.  Describe what would be the proper actions to take:
    Stop what you are doing.  Step back, take a deep breath, ensure safety, get control of your emotions, refocus on the person, reapply your approach.
  5. 5. True or False:  Mrs. Smith becomes increasingly confused, agitated and irritable as the afternoon wears into the early evening.  She is most likely experiencing a catastrophic reaction.  (Sundowning)
    False   She is experiencing what they call, "Sundowning"
  6. 6. ______________ is on-going deliberate verbal or physical behavior that causes significant distress to another person.
  7. 7. True or False:  A person with Alzheimer's Disease in the Early stage may often be able to cover up the symptoms with their social skills.
  8. 8. Jack Smith has Alzheimer's disease and paces up and down the hallway
    for no apparent reason.  How can a nursing assistant best help him?
    Walk with him until he gets tired, take him to a less stimulating environment, bathroom offer or something to eat.
  9. 9. Some terminally ill people will receive care at home through a health care delivery system called:
  10. 10. Care for the person's body after death is called: ________.
    Post mordom care
  11. 11. What is bereavement care?
    Care provided for people after the person dies
  12. 12. The document used to summarize your education and employment history for the potential employer is called a ______.
  13. 13. Cold mottled hands and feet are a sign of _______?
    Approaching death, check for color, check for circulation.
  14. 14. Mr. Simpson tells you that he has "lived a good life and feels that he is ready to go when his time comes." He is currently suffering from metastatic liver cancer.  This would be an expression of which common emotion of those near the end of their life?
  15. 15.A shroud is a _____________?
    Cloth covering for the body after death
  16. 16. True or False: Speaking about familiar topics from his/her past is a good technique to use when communication with a resident who has Alzheimer's disease.
  17. 17. True or False: To comfort a dying resident, a nursing assistant might hold his/her hand so they are aware that they are not alone and that the nursing assistant is present.
  18. 18. If you job interview is scheduled for 1:00 PM.  What time should you plan on arriving at the site?
    15 minutes before interview
  19. 19. True or False:  A job application is considered a legal document.
  20. 20. List three job duties (other than personal care) that you might perform in the home care setting that you would not typically perform in a health care facility:
    • a. Laundry
    • b. light house keeping, cleaning
    • c. assisting w/ light medications <-----Self administration
  21. 21. The home health aide who is supposed to be covering the evening shift with your client is over 15 minutes late.  He/she called and said that it may be another 45 minutes before they can get to the home.  What should you do?
    Call your supervisor at the Agency to see what they want you to do.
  22. 22. In orentation for your new position, you would expect to rec eive information about?
    A. Benefits

    B. Employers expectations regarding job performance

    C. Dress code

    D. Emergency & Disaster response to protect.
    (this multiple choice question has been scrambled)
  23. 23. You are asked to provide at least three references for a position in health care.  List at least three appropriate categories of professionals that would ask to be your reference:
    • 1. Former Supervisors
    • 2. Teachers, coaches
    • 3. Clergy
  24. 24. Visiting a client and his/her family socially would be violating which of the home health aide characteristics?
    Professional boundaries
  25. 25. The first few months of your new job may be a time where your job performance is being closely evaluated and you may not have been offered benefits yet.  This time period is knows as __________?
    Probation period
  26. 26. True or False:  A job objective should be included on your resume.
  27. 27. Cognition is: ______________?
    A term used to describe thinking process which includes reasoning, judgement & language.
  28. 28. Mrs. Evans, who has dementia, is stashing food and sugar packets in her dresser drawers and she becomes quiet upset if you try to take these items away from her.  This behavior is knows as ________.
  29. 29. Mrs. Knowles is holding her room key in her hand but has no idea what this item is called or what she should do with it.  This is known as?  ________.
  30. 30. True or False: Since a resident in dementia can easily be distracted, it is a good idea to turn down the TV or radio when trying to communicate with him or her.
  31. 31. Recalling things that have happened over the last several hours or days is referred to as what type of memory?
    Short Term
  32. 32. List at least three care measures for residents in the final stage of dementia:
    A. Routine pain med for discomfort

    b. directives, respect of advance directives

    c. Oxygen, Support to ease breathing
    (this multiple choice question has been scrambled)
  33. 33. What is receptive aphasia?
    The inability to understand/receive communication, written or spoken from others.
  34. 34. A common mental health symptom in dementia residents is intense, exaggerated and persistent worry about everyday things.  This is known as ________?
  35. 35. Janet Lane who is a resident in a memory care unit is refusing to eat because she is certain that there is poison in her food items.  This is an example of:
  36. 36. There is an order that when Mrs. Lyons' heart stops beating or her breathing stops, the health care team should not start CPR. This is what type of order?
    A DNR  ( Do not resuscitate )
  37. 37. True or False: It is appropriate for a CNA to try to identify when and where a dementia resident is likely to wander and take items for other residents room if the CNA often finds the missing items in this dementia resident's room?
  38. 38. A resident with dementia is taking off her clothing in the middle of the family room while an activity is being held.  What is the most appropriate action to take?
    Approach the resident calmly & redirect her from the behavior.
  39. 39. True or False: Alzheimer's disease is the most common type of dementia.
  40. 40. Medicare will pay for home care cost only if the client is ________?
    Home bound
  41. 41. True or False: A characteristic of the early stage of Alzheimer's disease is getting lost in familiar places.
  42. 42. On average, Alzheimer's disease last ____ to _____ years.
  43. 43. What are at least three common causes of delirium?
    (These are things that can be reversed. )

    • 1. Side effects of medications
    • 2. dehydration, infections
    • 3. Lack of sleep, pain
  44. 44. Apraxia means: _________.
    The inability to preform the steps necessary to complete a task, despite having the ability & desire to preform the task.
  45. 45. If you are reliable as a home health aide, it means that you do what?
    Show up to work on time, work when scheduled, provide quality care.
  46. 46. When a family caregiver takes a periodic break from 24/7 care-giving responsibilities, it is called _________?
  47. 47. What is one approach in assisting a dementia resident with personal care skills that you can take that will help maintain her independence?
    Break the procedure down into steps & go through the steps one step at a time.
  48. 48. The most common and most feared symptom that occurs when someone is dying is? ___________
  49. 49. you are a home health aide who is supposed to give Miss Simpson a tub bath.  What should you want to make sure of regarding safety before you assist her into her tub?
    1st Mae sure the resident can bear most or all their weight safely, Make sure there are bars & it's safe.
  50. 50. True or False: Writing down the names of each medication, the dosage and when to take each in large letters using black ink on white paper is one way that you can assist a home care client who is hard of hearing with her medications.
  51. 51. Once you have accepted a job offer, you will be required to complete a pre-placement health evaluation.  what is the purpose of this evaluation?
    To ensure you are physically & emotionally able to meet job requirements.  They might have to provide accommodations if you can't meet the job physically.
  52. 52. A nursing assistant identifies the most important tasks to be done and lists order of importance.  This is called________?
  53. 53.  What is the best way to handle a conflict with a co-worker?
    Speak to the person privately.  Don't use accusing language.  Allow the person to express their feelings, Agree to disagree.
  54. 54. List at least two strategies for handling another person's anger: (Page 384)
    1. Seen causes for the behavior.  For example, an diagnosed infection or an injury can cause a person to respond with anger or aggression when you attempt to give care.

    2. Do not take the person's anger personally.

    3. Avoid getting to close to the person or touching the person.  This may be threatening to the person and may make him or her angrier or more aggressive.

    4. If someone is angry about what you are doing or responds with aggression, stop the task and give the person time to cool off.

    5. Try distracting the person with another activity or change the topic and tone of the conversation to something pleasant.

    6. Ask for help from a co-worker when you must provide care to a person who is known to behave in a violent or aggressive manner.
  55. 55. True or False: One of the best ways to handle unexpected events is to ignore the events completely so you won't disrupt your routine.
    False  (Be flexible) :)
Card Set:
NAT TEST #4 Review: Chapters 19-20 & 22-24
2015-10-14 20:12:53
Redcross CNA NAT TEST Review Chapters 19 20 22 24
Redcross CNA
NAT TEST #4 Review: Chapters 19-20 & 22-24
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