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147 terms

CNA Chapter 43-57

Exercise questions
STUDY
PLAY
True
Carbohydrates, fats, and protein are nutrients.
False
Partially complete proteins contain all nine amino acids necessary to maintain life and provide growth.
An incomplete protein.
Gelatin is an example of?
False
Fats are not necessary to the body and need to be eliminated?
Daily
Water soluble vitamins, such as the B vitamins and vitamin C need to be consumed?
Three days
You can survive three months without food, but only about how long without water?
Helps prevent constipation.
What is an advantage of fiber in the diet?
Fats, oils and sweet.
What food group should we eat only sparingly?
Grains
What food group should we eat the most from?
False
The nursing assistant should discourage residents from taking too many fluids during the day?
True
Illness or disability, depression, and medication can all affect appetite.
False
When possible, residents eat in their own rooms, not the dining room.
Eat off other residents' trays.
When resident eat in the dining room , you should be sure they do not?
True
When residents eat in their rooms, the nursing assistant should encourage independent eating?
Watch the resident begin eating before leaving the rrom.
Mr. Wilson can feed himself in his own room. The nursing assistant should
Alternate solid food and fluids.
When feeding a dependent resident, the nursing assistant should
A portion of food caught in the airway.
Choking is commonly caused by
Give a hard, upward thrust against the resident's abdomen.
In the Heimlich Maneuver, the nursing assistant should
False
The nursing assistant specifies the type of diet most therapeutic for the resident.
Diabetic
In which type of diet is sugar elimination?
Regular
Which diet has no restrictions?
Low fat
Mrs. Johnson has coronary artery disease and is not allowed to eat fried foods, gravies, or foods using whole milk. What type of diet is she on?
True
The resident who is unable to chew at all may be placed on a pureed diet.
False
When planning a resident's diet, the nutritionist does not take into account the residents likes and dislikes
True
It is very difficult to change the eating habits of residents.
By observing the residents tray after the meal and noting how much was eaten.
How does the nursing assistant chart the amount of food and fluid consumed by the resident?
70%
For lunch, Mrs. Block ate half of her spaghetti and meatballs, none of the salad, and all of the bread and margarine, milk, and dessert. Using a guide in which meat = 40%, pasta = 10%, salad = 5%, bread and margarine = 20%, milk = 15%, and dessert = 10%, what is the total percentage of the allocated calories eaten by Mrs. Block?
True
Changes in a resident's eating habits must be reported by the nursing assistant to the charge nurse.
Soup, jello, and ice cream.
At dinner, Mrs. Flanagan ea\ts soup, salad, chicken, jello, and ice cream. Which of these foods should be recorded as her fluid intake.
As soon as he drinks the liquids.
Mr. Jackson has a catheter. In monitoring intake and output of fluids, when is it best to record his fluid intake?
1000 cc
Mrs. Johnson drinks an 8 oz. glass of milk, an 8 oz cup of coffee, a 6 oz. glass of juice, and a 10 oz. bowl of soup. What is her total fluid intake measured in cc's?
30 cc/ml
1 oz = how many cc's
True
Perineal care is essential every time an incontinent resident is changed.
False
Residents with catheters are usually not susceptible to infections.
Clean the area around the catheter.
What must the nursing assistant do when caring for a female resident who has an indwelling urinary catheter?
False
The collection bag or container should always be above the level of the bladder.
Edema
What is a result of decreased urinary output?
True
Abnormalities in urine are to be reported to the charge nurse.
Dehydration
Dry lips and mucous membranes are signs of?
Male residents to urinate into it.
What is a urinal used for?
False
Privacy when using a bedpan or urinal is the responsibility of the resident?
False
A resident can safely be left on a bedpan or commode for at least a half hour?
Sputum
Specimens you may be asked to collect include
First thing in the morning
It is best to take urine and sputum specimens
When the specimen must be free from contamination.
When should you use the midstream, clean catch method to collect urine?
False
When obtaining a urine specimen from a urinary catheter, you should always disconnect the drainage tube from the catheter?
True
Abnormalities observed in stool specimens include color, consistency, odor and amount
A substance coughed up by the lungs
What is sputum
True
Consistency and regular schedule are important in helping a resident regain bladder and bowel control.
True
Self-esteem, culture, and patterns of behavior are some reasons why people behave as they do.
False
In order to influence residents' behavior, you must first ignore the reasons for the behavior.
Loss
An experience that is common among older residents is?
True
Anger and depression are common reactions to loss.
True
Overly dependent behavior may be the result of the culture's expectation of older people.
False
Residents who have entered a long-term care facility are usually happy and rarely angry or depressed.
True
Stubbornness could really be fear of doing things differently.
By our whole manner and what we say
How are expectations communicated?
Reinforce the importance of letting him be more independent in the family's presence.
Mr. Howell's daughter and son-in-law are constantly doing things for him, so much so that he is dependent on them and everyone else in the care facility. What can the nursing assistant do to encourage Mr. Howell's independence?
Themselves
Because they may be coping with many losses, residents in long-term care facilities focus most of their energy and interest on?
True
A resident who has lost the strength and ability to easily perform everyday activities may be reluctant to attempt tasks independently.
with compliments and praise.
How can the nursing assistant help improve the resident's self esteem?
False
In order to motivate a resident, it's okay for the nursing assistant to point out the resident's mistakes?
True
Success in small goals motivates the resident to continue to strive for larger goals.
relearning to ambulate
Which of the following is an example of a larger goal of re-motivation?
In small steps
How is re-motivation best accomplished?
False
Re-motivation is the sole responsibility of the nursing assistant.
re-motivated
When a resident has the desire to do things again, the resident is
True
Positive reinforcement means ignoring failure and noticing and praising one's steps toward goals
True
We all have psychosocial needs for love and appreciation, approval and respect, and recognition.
False
Very few residents go through periods of anxiety and depression after being admitted to a long-term care facility.
Introduce her to staff and other residents.
Mrs. Goodwin is a new resident in a long-term care facility. What can nursing assistant do to help her feel comfortable in her new surroundings?
False.
Pointing out a resident's failures helps him or her become more independent.
Has lost the familiarity of home and family.
A resident entering a long-term care facility?
True
Care should be taken to help roommates become acquainted
False
Residents should be talked out of any negative feelings
True
When assisting a resident who is being difficult, the nursing assistant should maintain a kind, considerate manner and give full attention.
False
Residents should be discouraged from reminiscing and should focus instead on what's going on now.
True
If you treat all residents as you would like to be treated, you will be meeting their psychosocial needs as best you can.
False
It is appropriate to express anger or hurt feelings to your residents
eliminated
Actions that do not get the result we want are usually
True
Withdrawal, suspicion, and manipulation are some characteristic behavior of residents
Have a matter-of-fact attitude
In dealing with the manipulative person, what approach works best?
Encourage him to push himself and praise him when he does.
Mr Waston is capable of [propelling his own wheelchair, but he is constantly asking you to do it for him. What should you do?
Use firm kindness
How should the nursing assistant respond when caring for a depressed resident who refuses to get up or eat?
Report it to your supervisor
What is the best approach in dealing with combative resident?
Report it to your supervisor
If you suspect substance abuse in a resident you must?
True
Confusion may be either temporary or permanent?
True
For all residents, kindness, respect, and courtesy are always appropriate responses?
False
Role playing refers to playacting
True
Gender, relationship, and occupation are some ways roles are determined?
Male
Which of the following is an example of a fixed role?
Chosen
The roles of teacher, artist, and nurse are all
By special interest.
Both Mrs. Martin and Mrs Stewart, who are residents, love to knit and spend hours knitting homemade gifts for family and friends. In their facility these ladies are known as "the knitters." How are their roles determined?
True
Roles are constantly changing
Traumatic
How would you describe a persons role change from being well to becoming handicapped?
False
Relationships never change?
True
The best way to help an angry resident is to listen to them?
Positive reinforcement.
Noticing and complimenting well behavior is called?
True
About half of the cases of dementia are caused by Alzheimer's disease?
False
No cause of dementia are curable?
True
Alzheimer's disease steadily gets worse?
Complete disorientation
Which symptom is not characteristic of moderate dementia?
True
People with severe dementia sometimes have seizures?
False
In dealing with dementia, it can help to speak loudly and rapidly?
Sundown
One particularly bad time of day for many people with dementia is?
True
Hoarding is one common form of behavior for those with dementia?
True
If incontinence is a problem, it can help to schedule regular visits to the toilet?
Asking the resident's name
Which technique is not a good idea to help keep a resident oriented to reality?
False
Sexuality applies only to young?
True
Touching and hugging can be part of sexuality.
False
Sex is too strenuous for older people?
True
The interest in and need for love, touching, and sexual release continues onto old age?
Lack of suitable partners
What is usually the greatest inhibiting factor to sexuality in residents in long-term care facilities?
True
Masturbation is a normal, healthy mean of sexual release for people who lack suitable partners?
True
Less vaginal lubrication and elasticity in women, and less firm erections in men can affect sexual function?
Decrease in circulation
Diabetes often causes a decline in sexual ability due to?
Assist residents with clothing, cosmetics, and grooming.
How can the nursing assistant help the residents understand and cope with sexuality?
False
Providing privacy for a resident's expression of sexuality is not a responsibility of the nursing assistant?
True
Most people eat and enjoy those foods which are familiar to them?
False
The food eaten in a culture is not influenced by the local geography and the foods that grow there?
True
The Mormon religion does not allow its members to drink alcoholic beverages, coffee, or tea?
Prepared in specified ways
Kosher foods are?
True
Every resident has the right to practice his or her own religion including following the dietary rules and regulations?
False
You cannot have religious beliefs without belonging to an organized religious party?
False
Sometimes it is appropriate to argue your own beliefs with the resident?
True
Some people find the meaning of life in nature, self-awareness, art and music?
False
Residents can practice their own religions but they are not allowed to have religious symbols openly displayed?
True
Most long-term care facilities provide religious services conducted by local clergy?
True
Using words such as"passed away" or "taken from us" to describe someone's death is our way of trying to soften the blow of death?
Accept them, then talk about them.
How can you work through your strong feeling about death?
False
When caring for a dying resident, your feelings about death have no bearing on your behavior toward the resident?
True
Crying is natural release for feelings of grief?
Listen to the residents who need to talk about death.
When a resident dies, how should the nursing assistant respond to the other residents?
True
Most people want and have a right to know when they are dying?
Provide care and understanding
When dying residents are in the depression or "poor me" stage, how should the nursing assistant respond?
False
Acceptance is usually one of the first stages a dying person experiences?
False
It is best to keep the dying resident's room dimly lit?
False
In providing postmortem care it is no longer necessary to treat the body with dignity?
True
Socialization provides information, affection and stimulation?
False
Socialization does not require other people?
By doing hobbies or crafts
How can the need to interact with others in a long-term care facility be met?
True
When residents enter a long-term care facility, changes in roles and relationships may affect their socialization.
All of the above changes
What pyhsical changes that may occur with age could affect the resident's way of socializing?
A resident's family name and relationships
It is helpful for socialization if the nursing assistant knows
Fasle
There's only one right way to meet a resident's socialization needs
Suggest that residents visit with other residents.
Which of the following describe an appropriate way to encourage socialization among residents?
True
Unless the nursing assistant understands the resident, it will be difficult to help develop care plans for their socialization.