Critical Thinking
A resident looks short of breath. What actions might a critical thinker take?
get VS, notify RN, interview, sit HOB up, ensure oxygen is in place and on.
DEI stands for this
What is diversity, equity, and inclusion.
Your resident is in the hallway of the facility. She wears a brief and you notice they have an odor indicating they need to be changed. How would you go about this task with dignity.
A family has a complaint. What should the NA do?
use tact if cannot honor requests, refer to the nurse.
Name one of the 5 rights of delegation.
Right person, task, circumstance, direction/communication, supervision/evaluation
A resident has left sided weakness. Which arm would you put in the button up shirt first?
Left side
How could you include someone who has a weak side with participating in a drum circle activity?
Put drum stick on strong side, support affected side, assist to position all instruments at their strong side, etc.
Your resident is having some drooling during dinner. They have a history of stroke but are able to feed themselves with assistive devices. How can you help them but maintain dignity?
Assist with wiping mouth, ask if they would like a clothing protector, Ensure all assistive devices are in place and reachable, etc
What is considered "family"
People related by blood marriage or feeling of closeness
Collecting and analyzing patient data. The first step in the nursing care plan. (The nurse aide can assist with this by obtaining vital signs)
What is assessment
A resident has black stool. What would you do?
Find out if they are on iron supplements, notify the RN for possible upper GI Bleed
Your resident has COPD. Their oxygen is in place, oxygen saturations are good, the nurse has evaluated them and determined they are wnl. How could the NA help with anxiety?
Therapeutic communication, check on them frequently, offer favorite fluids/foods, sit them where they can see staff, answer call bells promptly, etc.
How do you maintain dignity for every single skill you do?
Explain the task and obtain permission.
You notice a resident is crying after a family visit. What should you do?
Notify the nurse.
Injury prevention, clean environment, and patient educations fall under this section of Maslows Hierarchy of Needs
Safety and Security
The resident is having abdominal pain. VS are normal, no nausea, no vomiting. What might you do at this point?
Ask when they last had a bowel movement, get them up to the bathroom. Ask what they ate last.
Your resident worked third shift all their life and enjoys sleeping in. How can you accommodate this preference?
Make them last on the list for getting up, give breakfast in their room to allow for longer sleeping, etc
Your resident has dementia and is trying to disrobe in the common area. How do you maintain dignity?
Assist them to a private area/their room/bathroom, don't yell or berate, ask them what they need, assist them to their room to change clothes, etc.
A family member brings your diabetic patient a large cake. The nurse has informed you the patients intake must be monitored closely because his sugars are very high. What would you do?
Notify the nurse. They will discuss/educate/update care plan.
The most important part during the intervention stage of care planning, the nurse aide must do this.
Accurately report reactions to interventions
Your patient has a rash on their left chest with blisters, pain, and itching. What would you do?
Notify nurse, consider covering rash and initiating respiratory precautions until shingles is ruled out.
The NA can provide a home-like environment by doing this (many answers)
What is allow for preferences, report changes in conditions, support independence, prepare them for changes in their routine.
Your resident named John prefers to wear dresses and has a closet full fo them. The offgoing shift stated they didnt get him dressed for the day because they don't think he should be wearing dresses. What would you do?
Get him dressed in his own clothing of choice, notify supervisor.
Meeting with family helps meet the needs for this level of Maslows Hierarchy of Needs
The nurse aide helps with THIS part of a falls prevention nursing care plan by answering call bells promptly, ensuring clear walkways, having assistive devices readily available.
Implementation