CNA Final Review Questions

CNA Final Review Questions rehabilitation starts when the: - ANS Person first seeks health care A health care program for dying persons is: - ANS hospice Who controls policy in a healthcare agency? - ANS the board of directors Who is responsible for the entire nursing staff and safe nursing care? - ANS The director of nursing You are a member of: - ANS The health team and the nursing team The nursing team does not include: - ANS doctors Nursing assistants are supervised by: - ANS Licensed nurses The nursing assistant's role is to: - ANS Perform delegated tasks Nursing tasks are delegated according to a person's needs and staff member abilities. This nursing care pattern is called: - ANS Team Nursing Medicare is for persons who: - ANS are 65 years of age or older Which is required for an agency to operate and provide care? - ANS A license Which is voluntary for health care agencies? - ANS Accreditation A survey team member asks you some questions. You should: - ANS Give honest and complete answers The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilities is concerned with: - ANS Hospital Care A hospital patient has the right to the following except: - ANS Free Care OBRA is a: - ANS federal law A son has the legal right to act on his mother's behalf. The son is his mother's legal: - ANS Representative A daughter wants to read her father's medical record. What should you do? - ANS tell the nurse A resident refuses to have a shower. What should you do? - ANS tell the nurse Which violates the person's right to privacy? - ANS Opening the window blinds when assisting with bathing A resident has a phone in his room. He wants to make a phone call. What should you do? - ANS Leave the room Who decides how to style a person's hair? - ANS the person Residents do not have the right to: - ANS a private room A person brought furniture and other items from home. They are: - ANS Labeled with the person's name Residents have the right to be free from the following except: - ANS disease Who selects activities for a resident? - ANS the person A nursing center must provide the following except: - ANS a noise-free setting A long-term care ombudsman: - ANS investigates resident complaints Which action does not promote a person's dignity? - ANS Restraining the person Which is the correct way to address a person? - ANS "Hello, Mr./Ms. _________" Which does not promote dignity or privacy? - ANS Moving the person's items as you prefer The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilities is a federal law - ANS False OBRA applies to all 50 states - ANS True Nursing center residents have rights as U.S citizens - ANS True Residents are informed of their rights only in writing - ANS False You should open the person's mail within 24 hours of it being delivered to the center. - ANS False A resident complains about the food. The center must try to provide desired foods - ANS True Residents must provide some type of work for the center - ANS False Resident groups can discuss ideas for activity programs - ANS True An employee was found guilty of abusing a resident. The center can continue to employ the person. - ANS False You can restrain a resident to provide care - ANS False Nursing practice is regulated by: - ANS Nurse Practice Acts What state law affects what nursing assistants can do? - ANS Nurse Practice Act Your nursing assistant certification can be revoked for: - ANS performing acts beyond your role Which requires a training and competency evaluation program for nursing assistants? - ANS OBRA As a nursing assistant, you - ANS Need a written job description before employment As a nursing assistant, you - ANS Are responsible for your own actions Which statement is false? - ANS You can use the person's property for your own needs Who assigns and supervises your work? - ANS nurses You are responsible for - ANS Completing delegated tasks safely You perform a task not allowed by your state. Which is true? - ANS you could be practicing nursing without a license These statements are about delegation. Which is false? - ANS Nurses can delegate their responsibilities to you A task is not in your job description. Which is false? - ANS The nurse must delegate the task to you A nurse delegates a task to you. You must - ANS Decide to accept or refuse the task You can refuse to perform a task for these reasons except: - ANS You do not like the task You decide to refuse a task. What should you do? - ANS Communicate your concerns to the nurse Ethics is - ANS knowledge of right and wrong conduct Which is ethical behavior? - ANS reporting errors On your days off, you call the agency to check on a patient. This is a: - ANS Boundary sign To maintain professional boundaries, your behaviors must - ANS help the person You help with a friend's hospital care. This is a - ANS boundary crossing Which is not a crime? - ANS negligence These statements are about negligence. Which is false? - ANS a prison term is likely Threatening to touch the person's body without the person's consent is - ANS assault Restraining a person's freedom of movement is - ANS false imprisonment A person's photos are shown to others without consent. This is - ANS invasion of privacy You tell others that you are a nurse. This is - ANS fraud informed consent is when the person: - ANS Fully understands all aspects of his or her treatment Who is at risk for being wounded, attacked, or damaged? - ANS All patients and residents Self-neglect is when: - ANS The person's behaviors put him or her at risk for harm You scold an older person for not eating lunch. This is - ANS verbal abuse You leave a home care patient before completing your assignment. This is abuse by - ANS Abandonment You fall asleep at work. This is - ANS abandonment Which is not a sign of elder abuse? - ANS stiff joints and joint pain Depriving a child of food, clothing, and shelter is - ANS Neglect A child has a black eye, bruises on the face, and bite marks on the arms. These are signs of - ANS physical abuse A child is dirty and has a body odor. These are signs of - ANS Neglect Blood stains on a child's underpants are a sign of - ANS sexual abuse These statements are about domestic abuse. Which is true? - ANS One partner has control over the other partner You suspect a person was abused. What should you do? - ANS tell the nurse You wear needed eyeglasses. This helps protect the person's safety. - ANS True Childcare requires planning before you go to work. - ANS True being on time for work means arriving at the agency when your shift begins - ANS false You share information about a person with a friend. This is grounds for losing your job. - ANS True You must be careful what you say over the intercom system - ANS True You do not follow the agency's dress code. You could lose your job. - ANS True You can use the agency's computer for your homework - ANS false You can keep your wireless phone turned on while you work - ANS False You must know your agency's attendance policy - ANS True Harassment is legal in the workplace. - ANS False Which will not help you do your job well? - ANS using drugs and alcohol Which is a good hygiene practice? - ANS brushing teeth after meals You are getting ready for work. Which is a good practice? - ANS Styling hair up and off your collar When should you ask questions about your job description? - ANS during the interview Respite Care - ANS planned short-term care, usually for the purpose of relieving a full-time informal caregiver Group Home - ANS home for severe mentally handicapped people. Maslow's Hierarchy of Needs - ANS Physical needs, safety needs, love and belonging, esteem, self-actualizaion Physical Need - ANS food, clothing, safety Safety Need - ANS The need to be free from danger and pain. Love and Belonging Need - ANS friendship, family, sexual intimacy Esteem Need - ANS need for self-respect, status, reputation, recognition, self-confidence; self-esteem and esteem from others Self-Actualization Need - ANS The need to become all you are capable of becoming; Illness: - ANS state of being sick Disease: - ANS An abnormal state in which the body is not functioning normally Difference between illness and disease: - ANS Illness: what the person defines themselves with, often based on self reported mental or physical symptoms. Disease: a condition diagnosed by a physician or other medical expert. a - ANS without sepsis - ANS infection asepsis - ANS absence of pathogenic microorganisms Contractures: - ANS a condition of shortening and hardening of muscles, tendons, or other tissue, often leading to deformity and rigidity of joints. Dilirium: - ANS an altered state with confusion, distractibility, hallucinations, and overactivity caused by medication or a metabolic disorder Anticipatory grief - ANS a period of mourning when the dying person or his family is expecting the death Complicated Grief - ANS a person has a prolonged or significantly difficult time moving forward after a loss unresolved grief - ANS grief that continues beyond what is considered a reasonable period of time; may affect the person's ability to function Inhibited Grief - ANS Many of the normal symptoms of grief are suppressed and other effects, including somatic, are experienced instead. implement - ANS enforce Cystitis - ANS inflammation of the bladder Pyelonephritis - ANS inflammation of the renal pelvis and the kidney; kidney infection Patients with chronic renal failure may have: - ANS low- protein diets and fluid restrictions Renal calculi - ANS kidney stones Renal Failure - ANS kidney failure Acute renal failure (ARF) - ANS Sudden inability of the kidneys to excrete wastes, resulting from hemorrhage, trauma, burns, toxic injury to the kidney, pyelonephritis or glomerulonephritis, or lower urinary tract obstruction. Characterized by oliguria and azotemia. Chronic Renal Failure (CRF) - ANS the progressive loss of kidney function over an extended period (months to years) Dialysis - ANS a procedure to remove waste products from the blood of patients whose kidneys no longer function Dialysis patients are at what type of risk? - ANS A High Fall risk because of low blood pressure. Type 1 diabetes - ANS insulin dependent Type 2 diabetes - ANS insulin resistance what body organ supplies insulin? - ANS Pancreas diabetes - ANS A condition in which the body is unable to produce enough insulin, the hormone required for the metabolism of sugar Carbohydrates - ANS the starches and sugars present in foods Hyperglycemic - ANS high blood sugar Carbohydrates produce sugar and also do what? - ANS make your blood sugar high hypoglycemic - ANS low blood sugar diverticular disease - ANS very common intestine disease; formation of bulging pouches throughout the colon but most commonly in the lower portion of the colon Hepatitis A - ANS has a vaccine and is not deadly Hepatitis B - ANS very deadly; shuts your liver down. Does have a vaccine. Also is spread through sexual intercourse Hepatitis C - ANS has no vaccine; is the most seen form of hepatitis there is. Causes yellowing of the skin and feces. Caused by contaminated needles. Coronary Artery Disease (CAD) - ANS disease of the arteries surrounding the heart; leading cause of death in the United States Angina Pectoris - ANS chest pain Myocardial Infarction (MI) - ANS heart attack Stroke - ANS A sudden attack of weakness or paralysis that occurs when blood flow to an area of the brain is interrupted Congestive Heart Failure (CHF) - ANS the failure of the heart to pump efficiently, leading to excessive blood or fluids in the lungs, the body, or both edema - ANS puffy swelling of tissue from the accumulation of fluid enema - ANS the placement of a solution into the rectum and colon to empty the lower intestine through bowel activity Occlusive Stroke - ANS a partial or complete blockage(occlusion) of a cerebral artery, causing decreased blood supply to brain tissue. hemorragic stroke - ANS a stroke where the blood vessel has ruptured CVA - ANS cardiovascular accident (stroke) COPD - ANS chronic obstructive pulmonary disease Emphysema - ANS A serious disease that destroys lung tissue and causes breathing difficulties. Aspirate - ANS to withdraw fluid or suction fluid; also to draw foreign material into the respiratory tract Stasis ulcers - ANS Affect the lower legs and feet and are caused by poor blood return through the veins The human body is in a steady state called hemeostasis. What does this mean? - ANS The body is at a standstill. Processes don't change unless affected by disease The basic unit of body structure is: - ANS the cell Groups of cells with similiar functions combine to form: - ANS tissues Groups of the same tissue function form: - ANS organs organs that work together to perform special functions form: - ANS systems The integumentary system, or skin, is: - ANS the largest system blood vessels dilate when? - ANS when temperature outside the body is high Blood vessels constrict when? - ANS when the body retains heat the goal of rehabilitation is: - ANS to return persons to their highest possible level of physical and mental functioning and to independence acute illness: - ANS A sudden illness from which a person is expected to recover chronic illness - ANS an on-going illness, slow or gradual in onset; it has no known cure; it can be controlled and complications prevented with proper treatment terminal illness - ANS an illness or injury from which the person will not likely recover. The person will die assisted living residence - ANS Provides housing, personal care, support services, health care, and social activities in a home-like setting to persons needing help with daily activities hospice - ANS a health care agency or program for persons who are dying board of directors (BOD) - ANS Makes sure that safe care is given at the lowest possible cost. health team consists of all of these except: Doctors Nurses LPNs/LVNs CNAs - ANS doctors health team - ANS involves the many health care workers whose skills and knowledge focus on the person's total care 30cc= - ANS 1oz the nursing team - ANS Those who provide nursing care--RNs, LPNs/LVNs, and nursing assistants Registered Nurse (RN) - ANS A nurse who has completed a 2-, 3-, or 4-year nursing program and has passed a licensing test licensed practical nurse (LPN) - ANS A nurse who has completed a 1-year nursing program and has passed a licensing test; called licensed vocational nurse (LVN) in some states nursing assistant - ANS A person who has passed a nursing assistant training and competency evaluation program; performs delegated nursing tasks under the supervision of a licensed nurse functional nursing - ANS A nursing care pattern focusing on tasks and jobs; each nursing team member has certain tasks and jobs to do team nursing - ANS Involves a team of nursing staff led by RN primary nursing - ANS the primary nurse (an RN) is responsible for the person's total care care management - ANS a case manager (an RN) coordinates a person's care from admission through discharge and into the home or long-term care setting patient-focused care - ANS A nursing care pattern; services are moved from departments to the bedside medicare - ANS A federal program of health insurance for persons 65 years of age and older representative - ANS Any person who has the legal right to act on the resident's behalf when he or she cannot do so for himself or herself Right to Information - ANS access to all records about the person right to refuse treatment - ANS the legal right of patients to refuse certain forms of treatment advance directives - ANS A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process right to personal privacy - ANS staff must provide care in a manner that maintains privacy of the person's body abuse - ANS the physical, mental, emotional, or sexual mistreatment of one person by another how many hours of instruction does OBRA require? - ANS 75 hours What are some role limits for nursing assistants? - ANS Never Give Drugs. Never insert tubes or objects into body openings. Do not remove tubes from the body. Never Take Oral or phone orders from doctors. Never perform procedures that require sterile technique. Never tell the person or family the person's diagnosis or medical or surgical treatment plans. Never diagnose or prescribe treatments or drugs for anyone. Never supervise others, including other nursing assistants. Never ignore an order or request to do something. This includes nursing tasks that you can do, those you cannot do, and those that are beyond your legal limits. NATCEP - ANS Nursing assistant training and competency evaluation program Job description - ANS a written description of the basic tasks, duties, and responsibilities required of an employee holding a particular job; what you can do The Five Rights of Delegation: - ANS right task right circumstance right person right direction/communication right supervision/evaluation tort - ANS a wrong committed against a person or the person's property Negligence - ANS failure to take proper care in doing something; carelessness malpractice - ANS Negligence by a professional person standard of care - ANS the skills, care, and judgments required by a health team member under similar conditions defamation - ANS injuring a person's name and reputation by making false statements to a third person Libel - ANS Making false statements in print, writing, or through pictures or drawings slander - ANS making false statements orally false imprisonment - ANS unlawful restraint or restriction of a person's freedom of movement invasion of privacy - ANS violating a person's right not to have his or her name, photo, or private affairs exposed or made public without giving consent fraud - ANS Saying or doing something to trick, fool, or deceive a person Assault - ANS intentionally attempting or threatening to touch a person's body without the person's consent battery - ANS touching a person's body without his or her consent what are some symptoms of dehydration? - ANS poor urinary output, dry skin, dry mouth, confusion physical abuse - ANS intentionally causing physical harm to another person Neglect - ANS Failure to provide the person with the goods or services needed to avoid physical harm, mental anguish, or mental illness verbal abuse - ANS the use of words to mistreat or injure another person involuntary seclusion - ANS separating or confining a person from others against the person's will financial exploitation or misappropriation - ANS a person's money is stolen or used by another person. It is also mis-using a person's property emotional or mental abuse - ANS inflicting mental pain, anguish, or distress through verbal or nonverbal acts sexual abuse - ANS Any sexual contact that is forced upon a person against his or her will Abandonment - ANS the person is deserted by someone who is supposed to give his or her care domestic abuse - ANS the abuse of one spouse by the other economic abuse - ANS controlling a person's access to economic resources social abuse - ANS Controlling friendships and other relationships priorities change: - ANS as the person's needs change stress - ANS the response or change in the body caused by any emotional, physical, social, or economic fear stressor - ANS an event or situation that causes stress how often do you position a resident in bed? - ANS 2 hours physical signs of stress: - ANS sweating, increased heart rate, faster and deeper breathing, increased blood pressure, dry mouth mental signs of stress: - ANS anxiety, fear, anger, dread, depression, and using defense mechanisms social signs of stress: - ANS changes in relationships, avoiding others, needing others, blaming others spiritual signs of stress: - ANS changes in beliefs and values and strengthening or questioning one's belief in God or a higher power minor health problems due to stress include: - ANS headaches, stomach upset, sleep problems, muscle tension life-threatening health problems due to stress include: - ANS high blood pressure, heart attack, stroke, ulcers when should you ask questions about your job description? - ANS during the interview Lying on a job application is - ANS fraud you are completing a job application. You should do the following except: - ANS leave spaces blank that do not apply to you Which of the following do employers look for the most? - ANS dependability empathy is: - ANS Seeing things from the other person's point of view what should you wear to a job interview? - ANS A simple dress or suit Which is a poor behavior during a job interview? - ANS Crossing your arms and legs Which is the best response to an interview question? - ANS brief explanations Which statement reflects a good work attitude? - ANS "I'm sorry, I didn't know" A co-worker says that a doctor and nurse are dating. This is: - ANS Gossip Which is professional speech and language? - ANS speaking clearly Which is not a courteous act? - ANS Wanting others to open doors for you You are on a meal break. Which is true? - ANS The nurse needs to know that you are off the unit You are planning your work. You should do the following except: - ANS plan care so that you can watch the person's TV These statements are about stress. Which is false? - ANS All stress is unpleasant Which helps to reduce stress? - ANS Exercise, rest, and sleep Which is not harassment? - ANS Using touch to comfort a person A resignation letter should not include - ANS Problems you had during your work Which is not a reason for losing your job? - ANS Taking a meal break The OBRA requires that summaries of care be written: - ANS at least every 3 months kardex - ANS A type of card file that summarizes information found in the medical record: drugs, treatments, diagnoses, routine care measures, equipment, and special needs 0100 - ANS 1:00 am 0200 - ANS 2:00 am 0300 - ANS 3:00 am 0400 - ANS 4:00 am 0500 - ANS 5:00 am 0600 - ANS 6:00 am 0700 - ANS 7:00 am 0800 - ANS 8:00 am 0900 - ANS 9:00 am 1000 - ANS 10:00 am 1100 - ANS 11:00 am 1200 - ANS 12:00 pm 1300 - ANS 1:00 pm 1400 - ANS 2:00 pm 1500 - ANS 3:00 pm 1600 - ANS 4:00 pm 1700 - ANS 5:00 pm 1800 - ANS 6:00 pm 1900 - ANS 7:00 pm 2000 - ANS 8:00 pm 2100 - ANS 9:00 pm 2200 - ANS 10:00 pm 2300 - ANS 11:00 pm 2400 or 0000 - ANS 12:00 am When reporting, do not: - ANS report what other CNAs did what do you do when you make a mistake while writing a report on a paper chart? - ANS draw a line through the incorrect part (Do NOT erase!). Date and initial the line. If required by the agency policy, write "mistaken entry" over it. Then re-write the part the four abdominal regions are: - ANS Right upper quadrant (RUQ) Left upper quadrant (LUQ) Right lower quadrant (RLQ) Left lower quadrat (LLQ) Directional terms include: - ANS Anterior (Ventral)- at or toward the front of the body or body part Posterior (Dorsal)- at or toward the back of the body or body part Proximal- the part nearest to the center or to the point of origin Distal- the part farthest from the center or from the point of attachment Lateral- way from the mid-line; at the side of the body or body part Medial- at or near the middle or mid-line of the body or body part You help with Mrs. Gordon's care. Reading her medical record violates her right to privacy. - ANS False You can access all medical records in the agency - ANS False When using a computer, the person's privacy must be protected. - ANS True All employees have the same password for computer use - ANS False You can give information about the person over the phone. - ANS False You should leave faxes in the fax machine for the nurse to read - ANS False To communicate, you should do the following except - ANS Use terms with many meanings a person is discharged from the agency. The medical record is - ANS Permanent These statements are about medical records. Which is false? - ANS All agency staff can read them A person is weighed daily. The measurement is recorded on the - ANS graphic sheet Where does the nurse describe the nursing care given? - ANS progress notes When recording, you do the following except: - ANS Erase errors These statements are about recording. Which is false? - ANS Chart a procedure before completing it In the evening the clock shows 9:26. In 24-hour clock time this is - ANS 2126 A suffix is: - ANS Placed after a root Which term relates to the side of the body? - ANS lateral These statements are about computers in health care. Which is false? - ANS You can use another person's username if yours doesn't work You have access to the agency's computer. Which is true? - ANS E-mail and messages are sent only to those needing the information You answer a person's phone in a nursing center. How should you answer? - ANS "Good morning. Tammy Brown, nursing assistant, speak." A co-worker is often late for work. This means extra work for you. To resolve the conflict you should do the following except - ANS Discuss the matter during the end-of-shift report Objective Data - ANS information that is seen, heard, felt, or smelled by an observer; signs Subjective Data - ANS things a person tells you about that you cannot observe through your senses; symptoms What is one of the first symptoms of a pressure ulcer? - ANS redness that does not go away Which is not a step in the nursing process? - ANS observation The nursing process - ANS is the method nurses use to plan and deliver nursing care What happens during assessment? - ANS Information is collected Which is a symptom? - ANS pain Which is a sign? - ANS dry skin Which should you report once? - ANS The person complains of sudden, severe pain Which should you report at once? - ANS The person can no longer move a body part Measures in the nursing care plan are carried out. This is - ANS Implementation Which statement about the nursing process is true? - ANS It is used to communicate the person's care. The care plan is - ANS The measures to help the person What is used to communicate the nursing tasks delegated to you? - ANS an Assignment sheet Which is a nursing diagnosis? - ANS chronic pain Holism - ANS a concept that considers the whole person; the whole person has physical, social, psychological, and spiritual parts that are woven together and cannot be separated culture - ANS the characteristics of a group of people- language, values, beliefs, habits, likes, dislikes, and customs. They are passed from one generation to the next. disability - ANS any lost, absent, or impaired physical or mental function obstetrics - ANS the branch of medicine concerned with the care of women during pregnancy, labor, and childbirth, and for 6 to 8 weeks after birth Pediatrics - ANS the branch of medicine concerned with the growth, development, and care of children. They range in age from newborns to teenagers (usually to age 16) psychiatry - ANS the branch of medicine concerned with mental health problems Bariatrics - ANS the field of medicine focused on the treatment and control of obesity. Geriatrics - ANS the branch of medicine concerned with the problems and diseases of old age and older persons What changes are normal with aging? - ANS body changes, social and psychological changes In India, men: - ANS shake hands with other men, but not with women In India, women: - ANS they place their palms together and bow slightly as a greeting People from China do not like touching by strangers. What would be a proper introduction instead? - ANS A nod or slight bow; health care workers of the same gender are also preferred Demanding behavior - ANS nothing seems to please the person self-centered behavior - ANS The person cares only about his or her own needs. aggressive behavior - ANS The person may swear, bite, hit, pinch, scratch or kick. withdrawal - ANS the person has little or no contact with family, friends, and staff You work in a health care agency. You focus on - ANS The person as a physical, psychological, social, and spiritual being Which basic need is the most essential? - ANS safety and security A person says, "What are they doing to me?" Which basic needs are not being met? - ANS safety and security needs A person has a garden behind the nursing center. This relates to - ANS self-actualization Which is false? - ANS A person must follow all beliefs and practices of his or her culture or religion Which is true? - ANS Mental health problems are the focus of psychiatry. These statements are about illness and disability. Which is false? - ANS They are matters of personal choice Alert and oriented residents need nursing center care because they: - ANS Have physical problems Which is false? - ANS Verbal communication is the truest reflection of a person's feelings To communicate with a person you should - ANS Be quiet when the person is silent Which might mean that you are not listening? - ANS You sit with your arms crossed Which is a direct question? - ANS Do you feel better now? A person wants to take a shower. You say: "You would like to take a shower." This is - ANS Paraphrasing Focusing is useful when: - ANS A person is rambling Which promotes communication? - ANS Why are you crying? Which is not a barrier to communication? - ANS Using silence A person uses a wheelchair. For effective communication, you should - ANS Sit or squat next to the person A person is comatose. Which action is not correct? - ANS use listening and silence to communicate A person has many visitors. Which is false? - ANS Visitors can stay in the room when care is given A visitor seems to tire a person. What should you do? - ANS Tell the nurse A person wants care given at a certain time and in a certain way. Nothing seems to please the person. The person is most likely demonstrating: - ANS demanding behavior A person is demonstrating problem behavior. You should do the following except - ANS ask the person to be nicer