Chapter 21 A
If a NA is caring for a resident with a new prosthetic that she has not worked with before, what should she do prior to assisting the resident with that prosthetic?
Ask the nurse
Who has to approve a new exercise program for a resident in rehabilitation?
The doctor
What should a NA do if a family member invites her to the memorial service of a resident who has died?
Ask permission from her supervisor.
What kind of lighting is most ideal when someone is dying?
Keeping the lighting low.
What should a NA assistant do if she objects to a resident's end-of-life decisions?
Keep it to herself.
The resident
What is the main goal of rehabilitation?
Restore a person to his highest possible level of functioning.
What kind of illness will eventually cause death?
Terminal
What happens to blood pressure as a person is dying?
In drops
What is an ocular prosthetic?
An artificial eye
What is an incentive spirometer used for?
Assist with deep breathing exercises
Daily Double
If you are performing PROM to the lower extremity for a resident, what is the last body part you would perform PROM on?
Name 3 of the 4 areas hospice care addresses.
Physical
Emotional
Social
Spiritual
What is the main point of palliative care?
Relief of symptoms and comfort
When would rehabilitation be ordered for a resident?
Following an illness or injury where the resident has lost some ability to function.
Where should support be provided for a resident when performing PROM exercises.
Above and below the joint
What type of change should a NA, working in restorative care, report regarding a resident's attitude.
Any positive or negative change
What is the name of the irregular respirations associated with the end of life?
Cheyne-Stokes
Why is it important to understand a person's culture when providing postmortem care?
Some cultures may not allow some postmortem practices and some may request that family members perform the practices
Why is it important to reposition a resident every 2 hours?
For comfort and to prevent pressure injuries.
Who may order ROM exercises for a resident? (3)
Doctor, nurse, or physical therapist
What is the difference between assistive and supportive devices?
Assistive devices help residents perform ADLs such as a reacher, plate guard, sock aid.
Supportive devices assist with ambulation such as walker, cane, crutches
What should you do with dentures after a person dies if you are unable to put them in the resident's mouth?
Place them in a denture cup near the resident's head so they may be given to the funeral director.
What are the 5 stages of grief described in the book (by Kubler-Ross)
Denial
Anger
Bargaining
Depression
Acceptance
What is one of the most important things you can do for someone who is grieving or providing hospice care to a resident/family.
Listening, offering support