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Health Occupation Finals

Terms in this set (152)

What time of day is it best to weigh residents?
Morning after the resident uses the restroom and before they eat breakfast.
Who should report weight gain/loss?
The C.N.A.
What is the purpose of transferring a resident?
...
What equipment is used when transferring a resident?
Gait belt, golvo lift Sabina lift
What are the safety precautions used when transferring a resident?
...
When transferring a resident to their W/C (Wheel Chair) where should the W/C be placed?
Adjusted Answer:

Behind resident at all times
What is the purpose of hair care?
Promote cleanliness
What are the safety precautions of hair care?
Keep hand under hair dryer to check heat
What are some hair care observations you could make?
Sores, redness, dry scalp, excessive dandruff, swollen areas
How often should you wash an elderly persons hair? Young Person?
Elderly person needs hair wash at least 2 times a week. A young person needs hair washed daily or whatever their preference is.
What should the temperature of the water be when washing a residents hair?
105 degrees F.
What is no rinse shampoo?
Shampoo that you do not rinse out
What is the purpose of assisting a resident with ambulation either with a cane or without?
Promote excersise and circulation, promote independence.
What equipment is used with assisting a resident with ambulation either with a cane or without?
Gait belt
What safety precautions are used with assisting a resident with ambulation either with cane or without?
Gait belt is always on, nonskid shoes, be in uncluttered area,observe resident, stand on weaker side
What do you do when a resident (with or without cane) begins to fall?
Pull resident's body in close alignment with your hip/thigh area and guide them down to the floor
Where should a C.N.A be standing when assisting a resident to ambulate?
Residents weak side
What side should the resident hold their cane?
Residents strong Side
What is the purpose of moving a resident up in bed?
...
What type of linen is used to move a resident up in bed?
A lift sheet
What degree should the HOB (head of Bed) be to prevent shearing?
30 degrees
How many C.N.A should assist with moving a resident up in bed?
2 C.N.As
What is the purpose of moving a resident up in a chair?
So they have good alignment
What equipment is needed to move a resident up in a chair?
Gait belt
How many C.N.As are needed to move a resident up in a chair?
2 to 3 C.N.As
What are the safety precautions with moving a resident up in a chair?
Make sure resident has a gait belt on and you have good footing
What is apprehension?
Anxiety that something bad may
What emotions might the new residents in a long term care facility feel?
Upset- depressed, lonely, abandoned...
Can a resident experience confusion during a transfer to the facility or within the facility (such as being transferred to a new room)?
Yes
What is the purpose of a care plan?
An individual plan of action for each resident, which allows the facility to Assist the resident to fulfill basic and special needs and successfully conduct the activities of daily living. The care plan allows the resident live at his/her fullest potential.
Who creates the care plan?
The resident, family members, members or the nursing and medical staff, and other consultants.
What can you find within the residents/patients care plan?
Everything they need to carryout basic human needs.
What are the C.N.As responsibilities regarding the care plan?
To follow the care plan for each and every resident.
What is Congestive Heart Failure?
The inability of the heart to pump an adequate quantity of blood.
What are the signs and symptoms are of Congestive Heart Failure?
Internet Answer:

shortness of breath, fatigue, swollen legs, and rapid heartbeat.
What are some treatment modalities?
...
How can a C.N.A assist with a resident how has Congestive Heart Failure?
...
What is the purpose of a bedpan?
Internet Answer:

Someone who cannot get up to go to the bathroom and helps with deification.
What equipment is used with a bedpan?
...
What is the maximum time a resident can be on a bedpan?
10 minutes
What is the purpose of using powder on skin?
Absorbs moister and keeps area clean and dry
What is the appropriate way to apply powder to skin?
Put in hand and apply DO NOT SHAKE OVER RESEDENT
If a residents' needs are not being met, what type of coping mechanisms or emotions would they demonstrate?
Depression
What is the purpose of Universal Precautions?
To prevent and control the spread of germs and diseases from one resident/patient to another.
What residents do we use universal precautions on?
All residents
What is P.P.E?
Personal Protective Equipment
What is contact precautions?
Used for people who have a serious risk of getting diseases.
What is the purpose of contact precautions?
Protects residents/patients from germs.
What illnesses and diseases are contact precautions used for?
C-Dif and Gastroenteritis
What is droplet precautions?
Used for diseases that are spread through large droplets in the air from coughing, sneezing, talking, and singing.
What is the purpose of droplet precautions?
To keep others from getting infected.
What P.P.E is used with droplet precautions?
Regular mask
What illnesses or diseases do we use droplet precautions on?
Influenza
What is the purpose for turning a resident?
...
What equipment is used for turning a resident?
Lift sheet
What safety measures are used for turning a resident?
...
How often do we turn a resident who is immobile?
Every 2 hours
What are complications associated with immobility?
Pressure ulcers, pneumonia, constipation, blood clots, hypertension.
What is the purpose of bathing and showering?
...
What equipment is used with bathing and showering?
Shower chair (If necessary), shampoo, body wash, lotion, rags, towels.
What safety measures are used with bathing and showering?
...
What is the difference between partial bathing/showering and complete bathing/showering?
Partial: Face, hands, arms, and peri area. Complete the whole body.
What is a bed bath?
...
When bathing/showering a resident what should the water temperature be?
115 degrees F.
What should you do if the resident refuses to bathe/shower?
Explain to them the benefits of showers/baths but respect their wishes.
What is the purpose of toenail care?
Decreases bacteria build up and gives a neat appearance.
What equipment is used with toenail care?
Gloves, nail clippers, foot basin, a germ-x (or something similar), lotion, nail polish removal (in needed), towels, rags, cotton balls/pads (in needed), nail polish (if needed).
What are the safety measures used for toenail care?
Cut straight across, avoid cutting skin open, avoid cuts if already there, observe and report if anything has changed.
What should the temperature of the water be? How long should you allow the residents feet to soak?
105 degrees F. 5-10 minutes
How should you clip the residents toenails?
Straight across to avoid ingrown toenails.
Why do you need to dry in between each toe?
To avoid bacteria, fungus, and skin breakdown.
Why can't a C.N.A clip a diabetics residents toenails?
Because of poor circulation.
If you found a resident lying on the floor and they have fallen, how would yo document this?
Just as you see it
Who is the most important heath care team members?
Family and resident
How could a C.N.A prevent burns during a residents shower or bath?
Allow the resident to feel the water first.
How can a C.N.A prevent burns when assisting a resident with their meals?
Spread the food out and let it cool.
What is the purpose is of oxygen safety?
...
What equipment is used with oxygen?
...
What are some safety precautions with oxygen?
...
Can a C.N.A increase the liter of oxygen the patient receives?
No
What can a C.N.A do regarding oxygen administration?
Check for tubing kinks, and disconnections.
If the resident complains of their nose being dry on the inside, what could the C.N.A do?
Apply a water based lubricant
What are Pressure Ulcers (Decubitus Ulcers)?
...
What are the stages of pressure ulcers?
...
What areas of the body are prone to pressure ulcers?
...
Why are elderly people more prone to pressure ulcers?
...
What is the purpose of turning a resident in a 3/4 turn?
...
How often should you turn a bedridden patient?
...
Which direction should you turn the resident?
Towards you
How should you sign your name on a medical chart?
First initial with full last name.
What is an example of a hearing observation?
Weezing
What is an example of a touch observation?
Warm skin
What is an example of a smell observation?
A strong oder
What is frequent fluid?
...
What is the purpose of frequent fluid?
...
Who orders Frequent Fluids?
...
How can a C.N.A assist a resident with Frequent Fluids?
...
What are the Activity Directors duties?
Conduct group and individualized activities so that each resident of the facility is reached. Supervise volunteers. Schedule community-sponsored activities in and outside facility.
What are the C.N.As responsibilities regarding activities?
Take the residents to and from activities. Encourage residents to participate in activities.
What should a C.N.A do if a resident refuses to participate in activities frequently?
Encourage the resident to join in but respect their wishes.
What is a Sun Downer?
Phenomenon when confusion becomes worse in the evening (when the sun goes down).
How should a C.N.A express emotions when a resident that they care about passes?
Allowed to cry but still needs to be able to function and carry out their responsibilities.
How can a C.N.A achieve character?
Gain control of personal desires, develop a deep regard for others, put aide personal interestS and needs to serve others. Get guidance from parents, other family members, neighbors, friends, teachers, religious leaders, and other workplace associations. Develop a set of ideals upon which to base your life.
What is the job duties of a Social Worker?
Screens residents before admission to a facility to determine the if the facility can meet the residents needs. Review residents and facility's rights and responsibilities, determines if resident social/emotional needs are being met daily. can if qualified give counseling to resident/family. Assist with financials, Secure aids to daily living, makes arrangements for outside services. Referrals/follow-ups.
What should a C.N.A do if the family of a resident complains about the care that their family member is receiving?
...
What is Hospice Care?
...
What is the goal of Hospice Care?
...
What is the purpose of a Ted Hose?
...
How do you apply a Ted Hose
Apply while resident is laying down, bunch up, powder (if necessary), make sure there are no wrinkles.
If a resident needs to wear a Ted Hose during the day, when should you apply them to the resident?
...
What is the C.N.As responsibilities regarding admission?
...
What is the C.N.As responsibilities regarding discharges?
...
What is the C.N.As responsibilities regarding transfers?
...
What is the purpose of ROM (Range of Motion)?
To keep joints strong and movable. Prevents joints for becoming stiff and immobile, also prevents arthritis and rickets.
How many times should each joint be exercised?
As ordered by Physician
How should the HCP communicate with elderly residents who have dementia?
...
How often should bed linen be changed?
As needed
How often should bed linen be changed if the resident is incontinent?
As often as needed for cleanliness
How should you dress/undress a resident who has had a stroke?
Dress: weak side first. Undress: Strong side first.
Who should select the residents clothes?
The C.N.A should select 2-3 choices for the resident and allow the resident to choose between the choices.
What should the C.N.A do if the residents wants to wear a sweater jacket during the summer months?
...
What is Tuberculosis?
An infection, primarily of the lung, from mycobacterium tuberculosis
What isolation precautions are utilized during active TB?
Resident must be in a private room, no outside people allowed with the exception of hospital staff in charge of patient/resident.
What type of pathogen is TB?
Bacteria (mycobacterium)
What types of PPE would you wear when dealing with TB?
Mask, (Gloves and Gown are only worn if there is direct contact with resident.)
What is the name of the special type of mask that you should wear when dealing with TB?
N-95/HEPA mask
What type of room should a resident/patient who has TB have?
A private room with a negative air pressure.
What is the first thing a C.N.A do if there is a fire?
Remove residents from danger.
What does R.A.C.E stand for?
Remove resident from danger, Activate the alarm, Contain the fire/Clear the Area, Extinguish Fire.
How should you talk to a resident who is unconscious?
...
How often do you turn a resident who is unconscious?
...
How often should you provide mouth care to a resident who is unconscious? How often is mouth care needed?
...
What is the purpose of physical restraints?
Physical restraints are use to restrict resident/patient from movement.
What are the safety measures for physical restraints?
Need to be trained on physical restraints before using. Need to check on resident every 30 minutes. Need to exercise resident every 2 hours. Put padding on skin area to prevent friction, usual minimum restraints, give resident as much moving room as possible with out risking safety.
What are some types of physical restraints?
Geri chair, lap locks, bed side rails
How often should you check on a resident who is physically restrained? How often should you exercise the restrained area?
You should check on the resident every 30 minutes and exercise every 2 hours.
What emotions could the restrained resident feel?
Depression, anxiety, restless,
How do you correct an error you made in a residents chart?
Draw a line through the entry and write mistaken entry. Write your initial for identification.
How do you shave a resident with a disposable razor?
With water, shaving cream, shave downward on face and upward on neck
What does G/C stand for?
Geri Chair
What does BID stand for?
2 times a day
What does TID stand for?
3 times a day
What does Amb stand for?
Ambulatory
What does VS stand for?
Vital signs
What does TPR B/P stand for?
Temperature, pulse, respiration, Blood Pressure
What does Ac stand for?
Before Meals
What does Pc stand for?
After Meals
What does H stand for?
Hour
What does W/C stand for?
Wheel Chair
What does Hasten mean?
To be quick to do something; cause (something) to happen quicker than expected.
What does Confer mean?
To have an discussion, exchange opinions.
What does Blanchable mean
A erythematous (patchy red looking) lesion that looses all redness when pressed on.
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