Reality orientation vs Validation therapy
A resident keeps calling you by his daughter's name (different approaches based on technique)
- ANSREALITY ORIENTATION - keep reminding resident of your name and who you are
VALIDATION THERAPY -- ask him about his daughter
Shock position - ANSHead down with feet elevated. You can elevate the feet by putting several
pillows under their legs
Normal RECTAL temperature - ANS98.6 - 100.6 degrees F (lubricate and hold in place for 1-2
minutes, insert 1 inch into the rectum and resident must be in SIMS position - which is left side
lying )
Possible HIPAA violations - ANSTaking a picture of resident or family & visitors / not closing
door during tasks / not pulling the privacy curtain, not asking visitors to leave when needing to
perform a task
Precautions for removing a meal tray or specimen from an isolation room - ANSMust double bag
when removing tray or specimen
BID / TID / QID - ANSBID = twice a day / TID = three times a day / QID = four times a day
Where & how restraints secured - ANSSecured to the movable part of the bed and are secured
with an easy release knot
When passing ice water, what is the procedure? - ANSYou may not touch the inside of the water
pitcher or glass; in between resident rooms be sure that ice scoop is place in the side pocket of
the ice chest
Cold dry ice application preparation - ANSCold dry ice applications must be covered with some
type of cotton cloth (i.e. pillow case
Dysphagia - ANSDifficulty swallowing
Dysphasia - ANSDifficulty speaking
Aphasia - ANSAbsent or difficult speech
, Dyspnea - ANSDifficulty breathing
If your resident drinks poison - ANSYou need to put on the signal light and call for the nurse
Recreation therapy - ANSUsed with residents with dementia or AD -- can help increase the
resident's alertness
Orientation therapy - ANSHelping the resident with person (who they are & who you are) /
where they are / what day of the week and date or season etc.
How you will identify your resident before performing a task - ANSUse their ID band and a 2nd
identifier
Anti-Embolus hose are applied - ANSWith the resident laying in bed
Where are you standing during the application of Anti-Embolus hose? - ANSYou are standing at
the foot of the bed, in good body alignment with your feet spread apart (use shoulders are your
guideline about 12-18 inches) to improve your balance
Reason to use Anti-Embolus hose - ANSThey will increase circulation and help to prevent blood
clots
AM care includes - ANSPrepare for morning (Breakfast), assist with elimination, chance & clean
incontinent person, wash face & hands (shower), oral hygiene, dress person, brush hair and
position person for breakfast, make bed and straighten their room
PM care includes - ANSPreparing for sleep, assist with elimination, clean & change incontinent
person, help with washing face & hands, oral hygiene, back massage, undress and help with
pajamas, straighten bed & unit
Position of mechanical lift sling - ANSNeeds to be under shoulders, butt and thighs
Doctor visiting your resident and he gives you a medical order - ANSExplain that you will go get
the nurse for him; that you are not allowed to take medical orders
The resident or patient - ANSDetermines the water temperature of a tepid bath used to reduce
fevers
Most important step in hand washing - ANSFriction
How do you stock (or put away) the new supplies in the utility room - ANSYou must move the
old supplies to the front of the cabinet and put the new supplies in the back
Elbow ROM - ANSExtension and Flexion
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