Hartman's Nursing Assistant Long Term Care Chapter 1 and 2

Hartman's Nursing Assistant Long Term Care Chapter 1 a Hartman's Nursing Assistant Long Term Care Chapter 1 and 2 Understanding Healthcare Settings CH.1 - ANS Another name or long term care facility is - ANS A) Skilled Nursing Facility Assisted living facilities are initially for - ANS B) People who need some help with daily care Which of the following statements are true of adult day services? - ANS B) This type of care is for people who need some assistance & supervision during certain hours Care given by specialists to restore or improve function after an illness or injury is called - ANS C) Rehabilitation Care given to people who have approximately six months to live are called - ANS D) Hospice Care Home health aids - ANS A) May clean or shop for groceries People who live in a long term care facility are usually called ___ because it is where they live for the duration of their stay. - ANS D) Residents Most conditions seen in long term care are chronic. What does this mean? - ANS B) The conditions last a long time. Facilities - ANS c) Places where healthcare is delivered or administered HMOs (Health Maintenance Organizations) - ANS D) A health plan that states that customers must use a particular doctor or group of doctors Managed Care - ANS A) Cost control strategies for health care Payers - ANS E) People or organizations paying for healthcare services PPOs (preferred provider organizations) - ANS F) A network of providers that contract to provide health services to a group of people Providers - ANS B) People or organizations that provide health care [T or F] Long-term care facilities may offer assisted living, sub-acute care, or specialized care. - ANS True [T or F] facilities that offer specialized care must have specially trained employees - ANS True T or F Nonprofit organizations cannot own long-term care facilities - ANS False What is the most important thing for a nursing assistant to know about the residents in her care? - ANS C) Each resident is an individual with his/her own abilities and needs More than half of residents in long term care facilities are - ANS C) Male In general, residents who stay at a facility for more than 6 months - ANS A) Need 24-hour care Why is it important for nursing assistants to care for each resident as a whole person instead of treating only his/her disorders and disabilities? - ANS The resident may not have an outside support system, the needs may go un-met if the staff doesn't work to meet them. [T or F] A policy is a course of action to be followed. For example, all healthcare information must remain confidential - ANS True [T or F] Facilities will have procedures for reporting information about residents - ANS True [T or F] It is all right to preform tasks not listed in the job description if they are very simple - ANS False [T or F] changes in residents' should be reported to the nurse - ANS True [T or F] Each step in a written procedure is important and must be strictly followed - ANS True What is the purpose of surveys in a long-term care facilities? - ANS C) To study how well residents are cared for If a surveyor asks a nursing assistant a question, and the NA doesn't know the answer, what would be her best response? - ANS D) The NA should admit that she doesn't know and should find out the answer Which of the following statements is true of Joint Commission? - ANS C) The goal of the Joint Commission's survey process is to improve safety and quality of care List 2 groups of people who qualify for Medicare - ANS 1) 65 years old or older 2) Any age with permanent kidney failure or certain circumstances/permanent disabilities List the 4 parts of Medicare and what each helps pay for - ANS 1) Care in hospital, skilled nursing facility, or care from home health agency/hospice. 2) Doctor services & equipment 3) Medications prescribed for treatment 4) Private health insurance to provide benefits How is eligibility for Medicaid determined? - ANS By income and special circumstances List 4 examples of how you think elderly people living in care facilities can benefit from person-centered care - ANS 1) Core values 2) Respect 3) Dignity 4) Self determination The nursing assistant and the care team CH.2 - ANS Activities director - ANS K) Plans activities for residents to help them socialize and stay physically and mentally active. Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) - ANS C) Licensed professional who has completed 1 or 2 years of education & is able to administer medications & give treatments Medical Social Worker (MSW) - ANS I) Coordinates, manages, and provides skilled nursing care, as well as supervises nursing assistants' daily care of residents Nursing Assistant (NA or CNA) - ANS A) Performs assigned tasks, such as measuring vital signs, providing personal care, & reporting observations to other care team members Occupational Therapist (OT) - ANS G) Helps residents learn to adapt to disabilities by training them to perform activities of daily living & other activities Physical Therapist (PT or DPT) - ANS E) Develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain mobility Physician or Doctor (MD or DO) - ANS B) Diagnoses disease or disability and prescribes treatment Registered Dietitian (RDT) - ANS H) Assesses the residents nutritional status and develops a a treatment plan that may include special diets Registered Nurse (RN) - ANS J) Coordinates, manages, and provides skilled nursing care, as well as supervises nursing assistants' daily care of patients Resident - ANS Person whose condition, treatment, goals, priorities, and progress are what the care team revolves around Speech-Language Pathologist (SLP) - ANS F) Identifies communication disorders & creates a care plan, as well as teaches exercises to help the resident improve or overcome speech problems What are 3 tasks that nursing assistants are NOT allowed to perform? - ANS 1) Gives meds 2) Insert/Remove tubes/Sterile Practice 3) Give a diagnosis What is one reason that observing & reporting changes in a resident's condition is important? - ANS NA's are the eyes & ears of the care team observing severe changes in residents condition is important. Also, writing down info or charting If a NA sees a resident who is not on his assignment sheet but who needs help, what should the NA do? - ANS Ask for instructions on how to properly assist them [P or U] Being on time for work - ANS Professional [P or U] Being neatly dressed & groomed - ANS professional [P or U] Doing tasks that have not been assigned if the resident requests for them - ANS Unprofessional [P or U] Keeping resident information confidential - ANS Professional [P or U] Telling a resident about a bad date that the nursing assistant had over the weekend - ANS Unprofessional [P or U] Explaining care before providing it - ANS Professional [P or U] Accepting a birthday gift from a resident - ANS Unprofessional [P or U] Providing person-centered care - ANS Professional [P or U] Asking questions when not sure of something - ANS Professional [P or U] Calling a favorite resident sweetie - ANS Unprofessional [P or U] Being a positive role model - ANS Professional Compassionate - ANS A) Being caring, concerned, considerate, empathetic, and understanding Conscientious - ANS C) being guided by a sense of right & wrong Dependable - ANS G) Getting to work on time & doing assigned tasks skillfully Empathic - ANS I) Identifying with the feelings of others Honest - ANS F) Being truthful Patient - ANS K) Not losing ones temper easily, not acting irritated or annoyed, not rushing residents Respectful - ANS D) Valuing other people's individuality and treating others politely and kindly Sympathetic - ANS J) Sharing in the feelings & difficulties of others Tactful - ANS E) Showing sensitivity and having a sense of what is appropriate when dealing with others Tolerant - ANS H) Respecting others beliefs and practices and not judging them Unprejudiced - ANS B) Giving the same quality of care regardless of age, gender, sexual orientation, religion, race, ethnicity, or condition Why is proper grooming important for NA's? - ANS C) Proper grooming affects how confident residents feel about the care NA's give How often should a NA bathe? - ANS D) Every day Which of the following items should NAs not use before going to work? - ANS C) Perfume Hair should always be - ANS B) Brushed or combed Which of the following would be a good type of clothing for an NA to wear to work? - ANS C) Clean, ironed uniform Which of the following would be the best choice for an NA to wear to work? - ANS B) Watch Why should artificial nails not be worn to work? - ANS D) They harbor bacteria Which of the following statements is true of the chain of command? - ANS A) It describes the line of authority Liability is a legal term that means - ANS C) Someone can be held responsible for harming someone else Why should a NA not preform tasks that are NOT assigned to them? - ANS B) The NA may put himself or a resident in danger Define scope of practice - ANS tasks that healthcare providers are legally allowed to do as permitted by state or fed law. List 3 tasks that are said to be outside the scope of practice of a nursing assistant - ANS 1) Don't administer meds 2) Nothing outside scope of practice 3) Not listed on care plan [T or F] The purpose of the care plan is to give suggestions for care, which the NA can customize for each resident - ANS False [T or F] NAs should NOT perform activities that are not listed on the care plan - ANS True [T or F] Care planning only involves the doctor's diagonisis; it does not involve the residents input or expectations - ANS False [T or F] Sometimes even simple observations that NA's make about residents are very important - ANS True The assessment step of the nursing process involves - ANS A) Getting info about the resident & reviewing this info The diagnosis step of the nursing process involves - ANS B) Identifying health problems & resident needs The planning step of the nursing process involves - ANS D) Setting goals & creating a care plan The implementation step of the nursing process involves - ANS B) Putting the care plan into action The evaluation step of the nursing process involves - ANS B) Deciding if goals were met The goal of the nursing process is to - ANS C) Plan & evaluate the residents care needs Is there a match between the residents ____ and the NA's skills, _____, and experience? - ANS Needs, Abilities what is the level of resident ______? - ANS stability can the nurse give appropriate direction and _____? - ANS communication is the nurse available to give ____ support, and help? - ANS supervision Do I have all the ______ I need to do this job? - ANS information Do I have all the necessary ____ for the task? - ANS Skills Do I have the needed supplies, ____, and other support? - ANS Equipment Do I know how to reach my ______? - ANS supervisor List 5 guidelines for managing time - ANS 1) Plan ahead 2) Prioritize 3) Make a schedule 4) Get help 5) Combine activities nd 2