Vital Signs
The rst walks in the elder's room to take a blood pressure. The elder has an IV in the upper left arm. What should the rst do?
a. Take the blood pressure in the lower left arm
b. Take the blood pressure in the right arm
c. Take the IV out the left arm
d. Refuse to take the blood pressure.
b. Take the blood pressure in the right arm
Which of the following is an example of nonverbal communication?
a. Whispering
b. Writing a letter
c. Smiling
d. Making a phone call
c. Smiling
You see Linda, another RST smack an elder's hand for putting it in her soup. What should you do?
a. Tell Linda that she shouldn't hit an elder.
b. Tell the elder not to put her hand in her soup.
c. Pretend you didn't see it happen.
d. Report it to the team leader.
d. Report it to the team leader.
How is a resident with dementia whose stomach is hurting mostly to communicate?
a. Telling you about the pain
b. refusing to eat
c. Holding his/ her stomach
d. crying
c. Holding his/ her stomach
What is the single most important method for preventing infections?
a. Staying inside in cold weather
b. Washing hands often
c. Getting a flu shot
d. Eating healthy foods
b. Washing hands often
The RST goes in the elder room to obtain an oral temperature on the elder. The elder is eating a meal. What should the RST do? (select all that apply)
a. Wait 5 minutes after the elder completes their meal and take the oral temperature.
b. Ask the elder if he/ she can stop eating for a moment to have their temperature taken.
c. Wait 15 minutes after the elder completes their meal.
d. Take the elder's temperature temporally.
c. Wait 15 minutes after the elder completes their meal.
d. Take the elder's temperature temporally.
Which of these is something a good listener should try to do?
a. Nod to let the elder know you understand.
b. Interrupt and ask questions to show your interest.
c. Avoid looking at the elder.
d. Say, "What are you talking about?" if you don't understand.
a. Nod to let the elder know you understand.
The elder drink 8 ounces of coffee, 4 ounces of ice cream, 4 ounces of milk and 4 ounces water with their meal. How many milliliters will the RST document in care connect?
a. 480 mL
b. 600 mL
c. 240mL
d. None of them
b. 600 mL
Mrs. Gorski has difficulty finding words and usually takes a long time to tell you what she wants. What should you do?
a. Fill in the words for her so she doesn't get frustrated.
b. Tell her she needs to talk more quickly.
c. Avoid her
d. Give her enough time to tell you what she wants.
d. Give her enough time to tell you what she wants.
Which of the following is a reason to wear gloves when feeding an elder?
a. The elder drools or spit.
b. The elder has diabetes.
c. The elder has dementia.
d. The elder plays in the food.
a. The elder drools or spit.
Which statement is false?
a: Vital signs are temperature, pulse, respirations, oxygen saturation, and blood pressure
b: Vital signs detect changes in body function
c: Vital signs change only during illness
d: Sleep, exercise, drugs, emotions and noise can affect vital signs
c: Vital signs change only during illness
You notice a bruise on Mrs. Beacon's arm. When you ask her about it she begins to cry and tell you that Marsha, the CNA, grabbed her arm. She asks you not to tell anyone. What should you do?
a. Respect her right to confidentiality and tell no one.
b. Report it to the team leader.
c. Ask Marsha about it.
d. Tell your coworkers to keep an eye on Marsha.
b. Report it to the team leader.
Mr. Wilson really likes ice cream but he makes a mess when he eats it. Ice cream is on the menu today, but you don't feel like cleaning up a mess. What should you do?
a. Don't tell Mr. Wilson about the ice cream.
b. Tell Mr. Wilson he can't have ice cream because he is too messy
c. Order ice cream and let Mr. Wilson enjoy it.
d. Tell Mr. Wilson he can have ice cream if he allow you to feed him.
c. Order ice cream and let Mr. Wilson enjoy it.
What is the best way to give instructions to a person who has dementia?
a. Explain everything at once.
b. Give one step at a time.
c. Avoid using gestures.
d. Speak quickly.
b. Give one step at a time.
What causes an infection?
a. A microorganism
b. The air
c. Getting chilled
d. Getting wet feet
a. A microorganism
Which factor (s) can create an inaccurate blood pressure reading?
a: Taking blood pressure on an arm with an IV infusion
b: The elder has their legs crossed
c: Using a small cuff on a “patient of size”
d: All the above
d: All the above
Communication is the passing of information from one person to another. Examples of communication are? (select all that apply)
a. Speaking to someone
b. Sending a letter
c. Using sign language
d. Hugging
e. Smiling
f. Avoiding eye contact
g. All the above
g. All the above
Mrs. Smith tells you that she does not want to eat her dinner. Which of the following should you NOT do?
a. Offer to get her something different.
b. Ask her if she is feeling ill or if something is wrong.
c. Report her refusal to the team leader.
d. Tell her she has to eat to stay healthy.
d. Tell her she has to eat to stay healthy.
What is sundowning?
a. Becoming restless in the evening
b. A temporary change in thinking
c. A strong emotional response
d. A problem with speech
a. Becoming restless in the evening
Where would you find a microorganism?
a. In the air
b. In the food you eat
c. In your mouth
d. All of the above
d. All of the above
When measuring blood pressure, the cuff should be placed over which artery?
a: Radial
b: Brachial
c: Pulmonary
d: None of the above
b: Brachial
You know that pleasant conversation is appropriate at mealtime. Mrs. Ross tells you she has a headache and doesn't feel like talking. What should you do?
a. Talk about something that will distract her.
b. Tell her it is rude not to talk to you
c. Respect her request and quiet
d. Talk very softly
c. Respect her request and quiet
Mr. Darcy begins choking and cannot expel the food from his airway. The RST should:
a. Do nothing
b. Begin doing the Heimlich maneuver
c. Slap him on his back
d. Give him something to eat
b. Begin doing the Heimlich maneuver
Which of the following are examples of communication technique for a resident with dementia?
a. Speaking slowly and clearly, using simple one-step commands. (select all that apply)
b. Giving the elder time to respond
c. Treating the elders like children.
d. Giving the elder 5 things to do at once
a. Speaking slowly and clearly, using simple one-step commands.
b. Giving the elder time to respond.
*Limit choices you offer to the elder, to two things, stating each choice simply.
* Do not treat the elders like children. Remember that they are adults.
* With late- stage elders, use only the simplest words and communicate through gentle, pleasant tones of voice, facial expressions, and gentle touch.
* If you want the elder to do something, use a statement rather than a question. Say, It's time to go to lunch." instead of Would you like to eat now?"
What PPE do the RST need to wear prior to going into a "RED" room? (select all that apply)
a. N95 respirator
b. Surgical mask
c. gown
d. Face shield
e. gloves
a. N95 respirator
c. gown
d. Face shield
e. gloves