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CNA state test exam

Terms in this set (63)

While at work, you receive a call from someone who says he is a client's nephew. He asks about his uncle's condition. However, he is not on the client's list of approved people who can have access to his condition. What should you say?
"Can I please have your contact information? I'll have someone get back to you."
Remember- A hospital or health facility can confirm that the patient is there, but no medical information can be provided.
Incident reports are created to?
Determine patterns/trends of injuries
All are types pathogens except??
Ebola
-Ebola is a bacterial infection
Used disposable supplies and equipment should be discarded:
In a designated receptacle NOT in the patients wastebasket
Precautions for a pt in respiratory isolation include all except?
A gown
-Precautions consist of a special air system, a mask, and a private/isolated room
Once a CNA's name is placed on the abuse registry for neglect, they may?
Petition the state nursing board for reinstatement

Remember- If the state allows reinstatement, they will provide information and an attorney is recommended to help dispute/reinstate the license
Forgetting to raise the side rail causes the pt to fall, this can be classified as?
Neglect

-Neglect is considered mistreatment that results from the lack of attention/carelessness.
DNR can require special measures such as?
Morphine, pt support, and pt care.
Aiding and Abetting is?
Knowing of a crime and not reporting it, even if you are not present when the crime is taking place. If the crime is not reported, you can be charged guilty by association.
What side should you place the pt on for an Enema procedure?
Pt's left side
Term for hair loss
alopecia
Paralysis on one side of the body is known as?
Hemiplegia
Most of our calories should come from which nutrient?
Carbohydrates NOT protein
False beliefs not supported by facts/reality can be classified as?
Delusion
No bowel movement after _______ days, the pt is at risk for constipation.
3 days
CNA notices bilateral hearing aids, the CNA understands that if a hearing aid is not in use, it should be?
Have the battery disengaged from the hearing aid to prolong battery life and placed in safe and secure place.
Positioning of a patient can be used by everything except?
A hoyer lift.
-A footboard is used to make sure there is no foot drop, bath blankets and towels can be used in-between the pt's legs to promote body alignment, and pillows are used to support.
When shaving a diabetic pt...
use an electric razor
Adducted
Towards the midline of the body
Abducted
Away from the midline of the body
Your pt has a fractured hip, the best way to turn is to??
DONT! Check with the nurse for doctors orders and restrictions.
Getting struck by a used needle, what should you do?
Wash the site for several minutes
Branch of medicine that deals with physical medicine and rehabilitation?
Physiatry
CNA notices that dentures of pt is cracked while cleaning them, what do they do?
Notify nurse of damages
An important rule of communication is to always use "register". This means?
The way we talk to people.
-Register refers to the perceived attitude and level of formality associated with a variety of language
What is the most comfortable position for a pt to be in with a respiratory problem?
Fowler's
What is the main purpose of continuing education for the CNA?
Client safety!
Which of the following would affect a nurse aide's status on the state registry and probably cause the nurse aide to be ineligible to work in a nursing home?
Being charged of resident neglect in a legal court case.
The intentional attempt or threat to touch a person's body without the person's consent is?
Assault
-Assault is intentional attempt to threat to touch someone without their consent. There does not need to be actual touching and will be charged as a misdemeanor.
The nurse aide is administering a bed bath when all of a sudden they hear a scream coming from the next room. What should the nurse aide do?
Secure the safety of the patient first before leaving the room.
Before touching a resident who is crying to offer comfort, the nurse aide should consider?
The residents cultural background
A resident with dementia needs?
A structured environment
All behavior has meaning to the person?
Doing the behavior
How can a CNA help meet a resident's social needs?
By praising him for his accomplishments and for trying new things (kind of like when a puppy does a good sit ~remind the pt you are proud~)
Ms. Patton's husband died several months ago, she continues to talk about him and expects him to come visit daily. She is experiencing?
Denial
The learning and behaviors of a group passed from one generation to the next is?
Culture
The term used when a person repeats a phrase or action over and over is called?
Perseveration
What are the parts that make up the whole person?
Spiritual, physical, emotional, cognitive, social
Whenever a patient visits the care facility for a short period of time only, to give their usual caregivers a "break"; this is called??
Respite care
-Respite care gives the family and caregivers a chance to temporarily rest while the patient is cared for in a facility. Respite care can be during the day, for a weekend, or for a few days.
Delusions are defined as?
False beliefs based on misinterpretations
The 5 stages of grief and dying was identified by?
Elisabeth Kugler-Ross
-She stated that anger is the only stage that EVERYONE goes through
The LAST sense a dying pt will lose is?
Hearing
Partial baths include:
Face, hands, underarms, back and perineum
Anti-embolism stockings (TED hose)
1. Should apply while resident is in bed or with feet elevated
2. Hold foot and heel of stocking and gather up stocking - turning the stocking inside out down to the heel (this aids in application)
3. Smooth up and over leg so hose is even and snug (not twisted or wrinkled this can cause pressure ulcers)
4. Heel and toe in proper location
5. check circulation of the toes
Decubitus ulcer
bedsore/pressure ulcer
In what position should the CNA place an unconscious pt when giving oral care?
Lateral (side lying w/ head turned towards you)
-With lateral position, the fluids can drain out of the mouth into the mouth basin, rather than down the pt's throat (aspiration)
ADLs (activities of daily living)
"Death"
D-dress
E-eating
A-ambulate
T-transfer/toilet
H-hygine
CNA's should give an unconscious pt oral hygiene at LEAST every:
2 hours
-This is because unconscious pt's cannot keep mouth moist and clean, so doing so every 2 hours will keep pt comfortable
S.S.E
Soapsud enema
When transferring a client to a different unit, the MOST important information the CNA needs from the nurse is the?
Name and room number
Pt falls as you are ambulating him, what do you do?
Lower him to the ground
Why do residents with Parkinson's disease require assistance when walking?
They have a shuffling gait and often get tremors
To help prevent development of contractures:
-Perform range of motion exercises
-Positioning body in good body alignment
-Using supportive devices
Contractures are caused by?
Shortening of muscles, tissues, tendons, and skin at the joints due to lack of movement and exercise
-chronic lack of exercise
Why is it important for the CNA to check the feet for skin breakdown while providing care to a diabetic resident?
Because diabetics often have neuropathy, or nerve damage, which leaves them unable to detect if their feet are injured.
Urinary incontenence is a predisposing factor to?
Pressure sores
-exposure to feces/urine is one of the most common causes for skin irritation/breakdown
The patients bill of rights includes?
Freedom of choice
On admission to a nursing home or a long term care facility, a resident must be given?
A copt of the resident bill of rights
-Must give it to pt in language they understand and this document must also be posted in a visible place
What is the CNA's responsibility after calling a Code Blue?
Be available for any necessary tasks
-As a CNA, you must call for help, get the pt into a flat position, and begin CPR. When the code blue team arrives, allow them to take over.
-Necessary tasks would include documenting the code, getting equipment, keeping area clear, taking blood to the lab, or making phone calls
F.A.S.T (stroke)
F- face drooping
A- arm weakness
S- speech difficulty
T- time to call 911
R.A.C.E (fire response plan)
R- rescue and remove all people who can not take care of themselves
A- alarm
C- Confine and contain the fire or smoke by closing all doors to prevent/slow the spread (smoke is dangerous to everyone)
E- extinguish the fire if possible
Hypovolemic shock
A condition in which low blood volume, due to massive internal or external bleeding or extensive loss of body water (Lethargic, pale, eyes are dull).
If pt is throwing up in bed, position them immediately in the?
Sitting position
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