CNA Exam 1

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117 terms · Hartman's Nursing assistant Care, long-term care.

loss of mental bilities, such as thinking, rembering, reasoning and communicating.

Dementia

50 to 90

Percent of Dementia

Is vital for elderly to live outside of a facility.

Support system

Lack of outside support given to residents.

Reason to treat "whole person"

A course of action that should be taken every time a certain situation occurs.

Policy

must remain confidential.

Basic policy includes that healthcare information...

HIPAA, care plan, no non-job description tasks done, report events to RN, personal problems not discussed with resident, no gifts, on time

Policy's include all of the following

Are done to make sure long-term care facilities follow state and federal regulations.

Inspections

9 to 15 months

Inspections are done every...

To find a problem through a survey.

Cite

Study how well staff care for residents.

Surveyors

F or N

Tags by surveyors

Independent non-profit organization that evaluates and accredits healthcare organizations.

Joint commission (JCAHO)

Improve safety and quality of care.

JCAHO goal

Undergo survey process every 3 years.

JCAHO accreditation

transferring authority to a person for a specific task.

Delegation

Charting writing down important information about the resident

Charting

care plan, observations, report, following policies and procedures.

Professionalism includes

entering the feeling of others.

Empathy

sharing the feelings and difficulty of others

Sympathy

always trying your best. dependable Make and keep commitments.

Conscientious

set minimum standards for nursing assistant training.

Omnibus budget reconciliation act (OBRA)

75 hours.

NA must complete how many hours of training?

detailed form with guidelines for assessing residents.

Minimum data set (MDS)

14 days.

Facilities must complete the MDS for every resident within how many days?

3 months.

MDS for each patient must be reviewed after how many months?

assigned by law as the legal advocate for residents.

Ombudsman (OAA)

group of residents who meet to discuss issues in the long term facility.

Residents council

protects healthcare information by congress.

Heath insurance and accountability act (HIPPA)

law that says a persons health information must be kept private.

Protected health information (PHI)

relate to how residents must be treated while living in a facility.

Residents rights

Best care available with dignity, choice and independence.

Quality of life

Receive correct care, as healthy as possible.

Services and activities to maintain a high level of wellness

Residents must be told what care and services are avilible.

The right to be fully informed about rights and services

Residents have the right to participate in thier treatment, care and discharge.

The right to participate in their own care

Process by which a person with the help of a doctor makes informed decisions about his or her health care.

Informed consent

Choices about doctors, care, treatments and personal decisions.

The right to make independent choices

Privacy when care is given

The right to privacy and confidentially

Residents must be treated with respect and dignity by caregivers.

Right to dignity, respect and freedom

Possessions must be safe at all times

The right to security of possessions

location changes must be made safely and with the residents knowledge.

Rights during transfers and discharges

Residents have the right to complain.

The right to complain

Right to have visits from family and friends.

The right of visits

The care faculty must provide residents with access to social services.

Rights with regard to social services

actions to act or provide the proper care.

Negligence

Person is injured due to professional misconduct.

Malpractice

threatening

Assault

Attacked

Battery

Not an option it's the law

Reporting abuse is

People who are legally required to report suspected abuse.

Mandated reporters

process of exchanging

Communication

sender, receiver and feedback

Three step communication

system of learned behaviors

Culture

Face them, speak slowly and clearly.

Resident does not hear you or understand.

Be patient and take time to listen

Resident is difficult to understand

Phrases that are used over and again but don't mean anything.

Cliches

based on what you see hear touch or smell

Objective information

something you cannot or did not observe, but is based on what the resident has said which may or may not be true.

Subjective information

When a resident skin is pale or blue.

Cyanotic

Accident during the course of care.

Incident

Identify name and facility. If needed place on hold ask if OK. Write messages down, with name number and short message. Say thanks and goodbye.

phone educate

Loss of function or ability.

Impairment

Stroke; caused when blood is cut to the brain.

Cerebrovascular accident (CVA)

Paralysis on one side of the body

Hemiplegia

Weakness on one side of the body

Hemiparesis

Inability to speak or speak clearly.

Expressive aphasia

Inability to understand spoken or written words.

Receptive aphasia

Laughing or crying inappropriately.

Emotional lability

Difficulty swallowing

Dysphagia

measures practiced in healthcare to prevent and control the spread of disease.

Infection control

in the bloodstream and is spread throughout the body. (fever chills confusion)

Systemic infection

confided to a specific location in the body and has local symptoms. (hot red painful)

Localized infection

Infections that patients acquire within healthcare settings that result from treatment for other conditions.

Healthcare-associated infections (HAIs)

free from microorganisms, not just pathogens. (sterile technique)

Surgical asepsis

disease transmitted from human to human
(Links:Causative agents, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host)

Chain of infection

Causes diseases bacteria, fungi and protozoa

Causative agents

place where pathogen grows, lungs blood and large intestine

reservoir

any body opening on an infected person that allows pathogens to leave, nose mouth, eyes or cut.

portal of exit

Pathogen travels from one person to another. (Indirect or direct)

mode of transmission

Any body opening on an uninfected person that allows pathogens to enter.

portal of entry

Government agency that issues information to protect the health of individuals and communities.

Centers for disease control and prevention (CDC)

Standard Precautions and Transmission-based (or Isolation, precautions)

Two tiers for Centers for disease control and prevention (CDC)

Treat body fluid's as if infectious

Standard precautions

Equipment to protect you from hazards. (Gown gloves mask)

Personal protective equipment (PPE)

A must have for employers designed to eliminate employee exposurer to infectious material.

Exposure control plan

(methicillin-resistant staphylococcus aureus) Illness caused by hospitals

MRSA

spores in feces

C-diff

5 seconds at 140 F

Temp and time for serious burns

Organs and tissues do not receive enough blood supply.

Shock

30 compressions 2 breaths with 5 cycles

CPR cycles

Hypo: cold clammy trembling nervousness

Hypoglycemia vs Hyper

Too little insulin

Diabetic Ketocidosis (DKA)

mini stroke, lack of oxygen to brain.

Transient ischemic attack

vomiting

Emesis

The science of designing equipment and work tasks to suit the worker's abilities.

Ergonomics

Belt to help walk

Gait belt

walking

Ambulation

Hospice care

Palliative care

slow irregular respiration's

Cheyne-stokes

latin for stiffness of death

Rigor mortis

75 hours

OBRA minimum level of training hours

12 hours

ANNUAL OBRA minimum level of training hours as well a continuing education

2 hours

How many hours do patients need to be shifted?

2 days

Mandated reporters send report in how many days

1.Smile 2.Raise arms 3.Speak a simple sentance

Stroke Steps

SOB

Shortness of breath initials

Difficulty breathing

Dyspea

Fast breathing

Tachypnea

Slow breathing

Bradypnea

Confused and anxious due to lack of oxygen

Shortness of breath causes people to feel?

7 days

Long-term MDS how many days

2 years 48 hours

In-service when should you renew license?

observed

Always record what you...

Physical, safety, love, esteem, actualization

Maslow list of needs

Written polices available for patient rights. These may only be denied by a doctor's order and the law.

Title 22

Pull pin, Aim, Squeeze, Sweep

PASS

Remove resident, Activate alarm, Contain fire, Extinguish

RACE

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