TEST BANK
Lippincott Essentials for Nursing Assistants: A Humanistic
Approach to Caregiving
Pamela J. Carter
5th Edition
,Table of Contents
Chapter 01 The Health Care System 1
Chapter 02 The Nursing Assistant’s Job 11
Chapter 03 Professionalism and Job-Seeking Skills 24
Chapter 04 Communication Skills 35
Chapter 05 Those We Care For 45
Chapter 06 The Patient’s or Resident’s Environment 54
Chapter 07 The Human Body in Health and Disease 64
Chapter 08 Common Disorders 103
Chapter 09 Rehabilitation and Restorative Care 125
Chapter 10 Overview of Long-Term Care 134
Chapter 11 The Long-Term Care Resident 145
Chapter 12 Caring for People With Dementia 157
Chapter 13 Infection Control 166
Chapter 14 Workplace Safety 179
Chapter 15 Patient and Resident Safety 188
Chapter 16 Basic First Aid and Emergency Care 198
Chapter 17 Assisting With Repositioning and Transferring 211
Chapter 18 Assisting With Exercise 221
Chapter 19 Bedmaking 231
Chapter 20 Measuring and Recording Vital Signs, Height, and Weight 240
Chapter 21 Assisting With Hygiene 252
Chapter 22 Preventing Pressure Ulcers and Assisting With Wound Care 266
Chapter 23 Assisting With Grooming 275
Chapter 24 Assisting With Nutrition 285
Chapter 25 Assisting With Urinary Elimination 298
Chapter 26 Assisting With Bowel Elimination 311
Chapter 27 Assisting With Comfort 320
Chapter 28 Caring for People Who Are Dying 329
Chapter 29 Caring for People With Developmental Disabilities 341
Chapter 30 Caring for People With Cancer 350
Chapter 31 Caring for People With HIVAIDS 359
Chapter 32 Caring for People Who Are Having Surgery 368
Chapter 33 Caring for People in the Home Environment 377
Pre Lecture Quizzes 387
Prelecture Quiz, Chapter 01, The Health Care System 387
Prelecture Quiz, Chapter 02, The Nursing Assistant’s Job 389
Prelecture Quiz, Chapter 03, Professionalism and Job-Seeking Skills 391
Prelecture Quiz, Chapter 04, Communication Skills 393
Prelecture Quiz, Chapter 05, Those We Care For 395
Prelecture Quiz, Chapter 06, The Patient’s or Resident’s Environment 397
Prelecture Quiz, Chapter 07, Basic Body Structure and Function 399
,Prelecture Quiz, Chapter 08, Common Disorders 401
Prelecture Quiz, Chapter 09, Rehabilitation and Restorative Care 403
Prelecture Quiz, Chapter 10, Overview of Long-Term Care 405
Prelecture Quiz, Chapter 11, The Long-Term Care Resident 407
Prelecture Quiz, Chapter 12, Caring for People With Dementia 409
Prelecture Quiz, Chapter 13, Infection Control 411
Prelecture Quiz, Chapter 14, Workplace Safety 413
Prelecture Quiz, Chapter 15, Patient and Resident Safety 415
Prelecture Quiz, Chapter 16, Basic First Aid and Emergency Care 417
Prelecture Quiz, Chapter 17, Assisting With Repositioning and Transferring 419
Prelecture Quiz, Chapter 18, Assisting With Exercise 421
Prelecture Quiz, Chapter 19, Bedmaking 423
Prelecture Quiz, Chapter 20, Measuring and Recording Vital Signs, Height, and Weight
425
Prelecture Quiz, Chapter 21, Assisting With Hygiene 427
Prelecture Quiz, Chapter 22, Preventing Pressure Ulcers and Assisting With Wound Care
429
Prelecture Quiz, Chapter 23, Assisting With Grooming 431
Prelecture Quiz, Chapter 24, Assisting With Nutrition 433
Prelecture Quiz, Chapter 25, Assisting With Urinary Elimination 435
Prelecture Quiz, Chapter 26, Assisting With Bowel Elimination 437
Prelecture Quiz, Chapter 27, Assisting With Comfort 439
Prelecture Quiz, Chapter 28, Caring for People Who Are Dying 441
Prelecture Quiz, Chapter 29, Caring for People With Developmental Disabilities 443
Prelecture Quiz, Chapter 30, Caring for People With Cancer 445
Prelecture Quiz, Chapter 31, Caring for People With HIV-AIDS 447
Prelecture Quiz, Chapter 32, Caring for People Who Are Having Surgery 449
Prelecture Quiz, Chapter 33, Caring for People in the Home Environment 451
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Test Bank - Lippincott Essentials for Nursing Assistants: A Humanistic Approach to Caregiving, 5th Edition (Carter, 2021)
Chapter 1, The Health Care System
1. Which approach focuses on the physical and emotional care of a person?
A) Holistic
B) Modern
C) Team
D) Traditional
ANS: A
Feedback: A holistic approach focuses on the care of the whole person, physically and
emotionally. The best aspects of the care provided by the old-fashioned “family doctor”
(i.e., the doctor’s familiarity with the person as an individual) are combined with
modern-day specialized care when needed. Modern and traditional are terms used to identify
the length of time something has been established. When client care is provided by a group
made up of many people with various skills, team care is being given.
PTS: 1 DIF: Easy
REF: Page and Header: 4, A Holistic Approach to Health Care OBJ: 1
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Remember NOT: Multiple Choice
2. Which is a type of health care organization? Select all that apply.
A) A hospital
B) A hostel
C) A subacute care unit
D) An assisted living facility
E) A home health agency
ANS: A, C, D, E
Feedback: Some health care organizations, such as university hospitals, are associated
directly with schools. Subacute care units are for clients who need care from a skilled health
care professional. An assisted living facility is a type of long-term care facility providing
help with medications, transportation, meals, and housekeeping. A home health agency
provides skilled care in a person’s home. A hostel does not provide health care services but
is a place that provides budget-oriented, sociable accommodation where guests can rent a
bed, usually a bunk bed, in a dormitory and share a bathroom.
PTS: 1 DIF: Easy
REF: Page and Header: 6, Health Care Organizations | Page and Header: 7, Table 1-1
Types of Health Care Organizations OBJ: 1
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Remember NOT: Multiple Response
3. Hospice organizations provide care for individuals who:
A) are dying and their families.
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Test Bank - Lippincott Essentials for Nursing Assistants: A Humanistic Approach to Caregiving, 5th Edition (Carter, 2021)
B) have been discharged from the hospital but still need skilled care.
C) are unable to care for themselves at home but do not need to be hospitalized.
D) live in their own homes but require skilled care.
ANS: A
Feedback: Hospice care focuses on relieving pain and providing emotional and spiritual
support for the dying person and the family. Subacute care units provide care for those
recently discharged from the hospital and who still need skilled care. Long-term care
facilities care for those who do not require hospitalization but are unable to care for
themselves. Home health care agencies provide skilled care services to those otherwise able
to live in their own homes.
PTS: 1 DIF: Easy
REF: Page and Header: 6, Health Care Organizations OBJ: 1
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Remember NOT: Multiple Choice
4. The abbreviation DON usually stands for:
A) Director of nursing
B) Division of nursing
C) Doctorate of nursing
D) Directory of nursing
ANS: A
Feedback: A director of nursing (DON) is an abbreviation generally used to identify the
head of nursing services in a health care organization.
PTS: 1 DIF: Easy
REF: Page and Header: 6, Structure of Health Care Organizations
OBJ: 1 NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Remember NOT: Multiple Choice
5. Which statement best defines the goal of holistic care?
A) All people are cared for by health care professionals.
B) Medical care is paid for by the government when necessary.
C) Providing care that is unique to the person’s needs.
D) Caring for a person’s mental needs.
ANS: C
Feedback: Providing holistic care means recognizing that each person cared for is unique
and special, with individual needs that are very different from those of others. Professional
health care is provided by treated providers. Mental health care is only a part of holistic
care. Government payment of care is not necessarily holistic in its focus and does not
address the type of care found on the various units within the hospital setting.
PTS: 1 DIF: Easy
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Test Bank - Lippincott Essentials for Nursing Assistants: A Humanistic Approach to Caregiving, 5th Edition (Carter, 2021)
REF: Page and Header: 4, A Holistic Approach to Health Care OBJ: 1
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Understand NOT: Multiple Choice
6. The focus of a health care team’s effort is:
A) to provide safe care.
B) the person needing care.
C) getting the person back into his or her home.
D) keeping the person free of pain.
ANS: B
Feedback: The person receiving care is always the focus of the health care team’s efforts.
The nursing assistant is a member of this team. Safe care is important, but it needs to be the
unique care the person needs. Returning to his or her home may not be realistic for all
people. The person’s pain is only one aspect of the team’s focus on the person.
PTS: 1 DIF: Easy
REF: Page and Header: 4, A Holistic Approach to Health Care | Page and Header: 5,
Figure 1-2 OBJ: 2
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Remember NOT: Multiple Choice
7. What kind of health insurance system is federally funded? Select all that apply.
A) Precertification
B) Medicare
C) Medicaid
D) Managed care
E) Acute care
ANS: B, C
Feedback: Medicare is a type of insurance plan that is funded by the federal government.
People who are 65 years or older are eligible for Medicare, regardless of their financial
situation. Medicaid is another type of insurance plan that is funded by the federal
government. Medicaid helps people with low incomes to pay for health care. Elderly people,
as well as those who are disabled, may also be eligible, especially if they have limited
incomes. Precertification is a term that describes authorization for a specific medical
procedure before it is done. A preferred provider organization (PPO) is a type of managed
care system. Managed care systems assist in delivering health care to people who need it by
arranging contacts with various health care providers. In a PPO, health care providers
receive a standard payment from an insurance company as total payment for their services.
In return for seeking care only from the health care providers who are part of the PPO
network, the insured person usually obtains that care at a reduced cost to himself or herself.
Acute care provides care to clients experiencing a serious disease or surgery and requires
care around the clock.
PTS: 1 DIF: Easy
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Test Bank - Lippincott Essentials for Nursing Assistants: A Humanistic Approach to Caregiving, 5th Edition (Carter, 2021)
REF: Page and Header: 13, Paying for Health Care OBJ: 1
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Remember NOT: Multiple Response
8. A psychiatric client is one who is:
A) having his or her tonsils removed.
B) experiencing a mental health disorder.
C) receiving radiation for the treatment of cancer.
D) older than 65 years of age.
ANS: B
Feedback: Psychiatric clients are people with impaired mental health. Surgical clients have
conditions that are treated by surgery. Medical clients have an illness or a condition that is
treated with methods other than surgery, such as medication, physical therapy, or radiation.
Geriatric clients are older adults, more than 65 years of age.
PTS: 1 DIF: Easy
REF: Page and Header: 9, Patients, Residents, and Clients OBJ: 2
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Remember NOT: Multiple Choice
9. The basic reason a person needs health care is that:
A) he or she can’t care for himself or herself.
B) professional care is best.
C) he or she is ill, injured, or disabled.
D) he or she is recovering from surgery.
ANS: C
Feedback: Generally speaking, a person needing health care has some sort of illness, injury,
or disability. These conditions can be either temporary or permanent. Health care may be
required for those who can care for themselves. It is generally true that professional health
care is best but that is not the reason care is needed. Surgery is only one reason health care
may be required.
PTS: 1 DIF: Moderate
REF: Page and Header: 9, Patients, Residents, and Clients OBJ: 1
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Understand NOT: Multiple Choice
10. It is true that Medicare:
A) is available to those with limited income.
B) reimbursement requires state agency approval.
C) insurance is available to anyone 65 years of age or older.
D) is not designed to provide care for the disabled person.
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Test Bank - Lippincott Essentials for Nursing Assistants: A Humanistic Approach to Caregiving, 5th Edition (Carter, 2021)
ANS: C
Feedback: Medicare is a type of insurance plan that is funded by the federal government.
People who are 65 years or older are eligible for Medicare, regardless of their financial
situation. Some younger people who are disabled also qualify for Medicare. Medicaid is
another type of insurance plan that is funded by the federal government. Medicaid helps
people with low incomes to pay for health care. To receive Medicaid reimbursement, a
facility must be approved by the state agency.
PTS: 1 DIF: Easy
REF: Page and Header: 13, Paying for Health Care OBJ: 2
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Understand NOT: Multiple Choice
11. The nursing assistant helps in the completion of a client’s Minimum Data Set (MDS) by:
A) suggesting that the client socialize with other clients.
B) recording the actual help the client needs to feed himself or herself.
C) being sure the client has clean linen on his or her bed.
D) helping the client use the telephone to call a family member.
ANS: B
Feedback: MDS is a report that focuses on the degree of assistance or skilled care that each
resident of a long-term care facility needs. One of the nursing assistant’s duties will be to
accurately record the care given to clients and residents. Proper recording of the care
provided is necessary to ensure that the health care facility continues to receive Medicare
reimbursements for the care provided. Making it possible for the client to socialize and
make a telephone call is a part of holistic care. Providing clean linen is an example of good
care.
PTS: 1 DIF: Moderate
REF: Page and Header: 13, Paying for Health Care | Page and Header: 15, Figure 1-5
OBJ: 3 NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Apply NOT: Multiple Choice
12. Medicare introduced diagnosis-related groups (DRGs) to:
A) influence how insurance companies reimburse for services.
B) get clients back in their homes as quickly as possible.
C) increase the need for subacute care services.
D) pay for the care given to the client.
ANS: D
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Test Bank - Lippincott Essentials for Nursing Assistants: A Humanistic Approach to Caregiving, 5th Edition (Carter, 2021)
Feedback: Medicare started a reimbursement program based on DRGs. Under this system,
payment for hospitalization, surgery, or other treatment is specified according to the
diagnosis. Lengths of hospital stays are also determined by the diagnosis and are typically
short. Since being introduced by Medicare, the DRG system has been adopted by insurance
companies in the private and group sectors as well, resulting in industry-wide changes. As a
result of the DRG system, clients are discharged from the hospital sooner and sicker, a
situation that has created an increased need for subacute care and home health care.
PTS: 1 DIF: Easy
REF: Page and Header: 13, Paying for Health Care OBJ: 1
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Understand NOT: Multiple Choice
13. The main goal of managed care systems is to:
A) provide holistic care.
B) allow for team health care delivery
C) reduce the cost of health care services
D) provide care for those who are not eligible for Medicare or Medicaid
ANS: C
Feedback: Managed care systems help to deliver health care to people who need it by
arranging contracts with various health care providers who agree to provide services for a
standard, reduced cost. Managed care may provide for holistic, team-delivered health care
for those who are eligible, but that is not the main goal.
PTS: 1 DIF: Easy
REF: Page and Header: 13, Paying for Health Care OBJ: 1
NAT: Client Needs: Physiological Integrity: Basic Care and Comfort
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Remember NOT: Multiple Choice
14. A resident in a long-term care facility asks the nursing assistant about an upcoming test the
physician wants them to have done. Given the scope of practice, the best response to the
resident’s question would be:
A) “I’m sure your doctor just wants to give you the best care possible.”
B) “I will let your nurse know that you have questions about your test so the nurse can
give you the details.”
C) “After I get caught up on my work, I will get on my computer and try to get you
some answers.”
D) “Do you remember what reports you shared with the doctor before the test was
ordered?
ANS: B
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Test Bank - Lippincott Essentials for Nursing Assistants: A Humanistic Approach to Caregiving, 5th Edition (Carter, 2021)
Feedback: What a health professional can and cannot do to or for a client is dependent on
that health professional’s scope of practice, which is defined by state boards along with
each facility policy for a nursing assistant. If a resident asks a question outside the scope of
practice, the nursing assistant should answer the question honestly. If the assistant does not
know the answer to a question, it is okay to say so and offer help in getting the answer the
resident needs. Answer “A” is a form of belittling and does not answer the resident’s
question. Searching the Internet for answers to a resident’s medical question is outside the
nursing assistant’s scope of practice. Asking the resident about reported complaints to
answer a medical question is also outside the assistant’s scope of practice.
PTS: 1 DIF: Moderate
REF: Page and Header: 10, Oversight of the Health Care System
OBJ: 2 NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter: 1 KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
15. Since a fellow teammate is taking a lunch break, the nursing assistant begins making rounds
on the residents on the floor. One of the residents has dropped lunch food and drink on the
floor. What action should the nursing assistant take first?
A) Make a note and report it to a peer as soon as the peer gets back from lunch.
B) Tell the residents’ nurse so the nurse can chart a more accurate I&O.
C) Get needed supplies and immediately clean up the spill before continuing rounds
on other clients.
D) Ask the resident if the lunch is disliked and whether the resident would like to
order different foods.
ANS: C
Feedback: A cluttered, messy environment is unpleasant for clients, residents, and staff
alike. It may even present safety issues like food and drink on the floor. The priority is to
clean up the spill and then ask the resident if another tray is desired. Making a note and
reporting the spill is a safety hazard for the resident and the nursing staff. There is no way to
accurately chart I&O on thrown food.
PTS: 1 DIF: Moderate
REF: Page and Header: 10, Oversight of the Health Care System
OBJ: 2
NAT: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
TOP: Chapter: 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Apply NOT: Multiple Choice
16. The nursing assistant (NA) was providing care for a resident and noticed skin breakdown on
the coccyx. What action should the nursing assistant take first?
A) Use a skin treatment the NA used when working at another facility.
B) Inform the resident’s nurse of the skin breakdown on the coccyx.
C) Follow the nursing home’s policy regarding the handling of soiled linens.
D) Cleanse the skin of incontinence and change the undergarment.
ANS: D
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