Communication/Safety
Give an example of an open-ended question.
A question that allows the resident to respond in their own words.
The easiest way to prevent the spread of infection?
Hand Washing
How frequent should a bedridden patient be repositioned?
At least every 2 hours
What is a terminal illness?
An illness that a patient will not recover from.
Who do NA's report to? Can a NA delegate tasks?
RN or LPN
NA's can not delegate
In the event of a fire, what does RACE stand for?
Rescue
Alarm
Contain
Extinguish
What is the name of an external urinary catheter? What kind of tape is applied?
Condom catheter
Elastic tape
What is the purpose of rehabilitation? Name 2 assistive devices.
To help get get someone back to their highest level of functioning.
Shoe horn, meal devices, grabber, etc......
What is validation therapy? Patients with what disease will most likely need this?
Recognizing that what the patient says is their reality.
Patients with dementia.
Give 3 examples of good hygiene for NA's.
Wear deodorant ya nasties.......
List 4 barriers to communication.
Culture, Age, Disease/Disability, Not listening, Not giving enough response time, Asking wrong questions, No eye-contact,
Name the two vaccines offered by employers due to risk of exposure. Are they required for employment?
Flu Vaccine
Hepatitis B Vaccine
Not required, but have to sign a waiver declining
You are ambulating with a resident and they begin to feel lightheaded and sway, what should you do? When should you complete an incident report?
Assist the resident to the floor and protect their head. Call for the nurse to come assess the patient.
Complete an incident report once the resident is safe.
What are the stages of grief in order?
Denial
Anger
Bargaining
Depression
Acceptance
How can a NA assist with a resident's self-esteem? List 4 things.
Be nice..........
Give 5 examples of abbreviations (including meaning) that you might see in a patient's record.
OOB, PRN, NWB, NPO, ROM, ADL, BID, TID, QID, QOD, Q2H, AC, HS, blah blah blah
Name 3 different types of isolation precautions and the personal protective equipment required to wear for each.
Contact- gown, gloves
Droplet- gown, gloves, mask
Airborne- gown, gloves, N95 respirator or hood
Neutropenic- gown, gloves, mask (sometimes more)
What position is most comfortable for someone with emphysema? What are the degrees for these positions?
Semi-Fowlers or Fowlers
45-60 degrees and 90 degrees
Geri had a stroke and now experiences dysphagia, aphasia, hemiplegia, hypertension, and CHF. What is going on with Geri? What will his diet be?
Difficulty swallowing
Inability to speak
Paralysis on side of the body
High blood pressure
Congestive heart failure
Low sodium and no added salt diet
Name 5 pressure points and devices that can be used to relieve pressure.
Shoulders, elbows, hips, coccyx, knees, ankles, toes
Air mattress, elbow pads, pillows, heel protectors, bed cradle, foot board, etc.
You are walking to your car after a long day of wiping butts. It is raining outside and see a resident is on the ground. Using your knowledge of emergency response, what 5 steps are you going to perform?
1. Recognize an emergency exists.
2. Decide to act- stay calm and check the scene
3. Check for consciousness
4. Activate your facility's emergency response system
5. Provide appropriate care until help arrives. BLS
Your resident is on isolation precautions because of side effects of chemotherapy. Your nurse has asked you to perform mouthcare for the patient who is comatose and has HIV.
What PPE will you don before entering the room? What supplies will you need to bring with you? What position does your patient need to be in for mouthcare?
PPE- gown, gloves, mask
Supplies- toothettes, cup for water, towel
Client should be flat and in a side-lying position
What is the difference between passive and active ROM? Name the four exercises you will perform at state. How many times do you ask your patient if they are in pain?
Passive- You are doing the exercise for them
Active- The patient is able to do the exercise.
Flexion, Extension, Abduction, Adduction
3 Times total throughout the skill
Name one effect of aging from each of these body systems.
Nervous, Cardiovascular, Respiratory, GI, Renal, Skeletal, Muscle
Tell me somethin good.....
Geri is at risk for blood clots because of a recent hip surgery. Name 3 nursing interventions you might find in his careplan.
Anti-embolism stockings, ROM exercises, Blood thinner-risk for bleeding, reposition every 2 hours, scd’s,