Effective Communication and Client Care for Nurse Aides, Exams of Nursing

Download Effective Communication and Client Care for Nurse Aides and more Exams Nursing in PDF only on Docsity! CNA Exam Review: Role Of The Nurse Aide Questions And Answers. Assertive communication can be described by what quality? - \A.Aggressive B.Demanding *C.Firm* D.Loud Being assertive means being firm, not rude. Assertive behavior and communication can help nurse aides get their jobs done and stand by their principles. A volunteer goes to the nursing home every month to read to some of the clients. The volunteer asks the nurse aide what is wrong with one of the clients. What is the most appropriate response from the nurse aide? - \A."Just go look at his chart." B."Why don't you ask him yourself?" *C."I can't talk about any of the clients."* D."I'll tell you later in a private room." The nurse aide is not allowed to talk about the clients to other people. It violates the client's right to privacy and confidentiality. A nurse aide who listens to a client's concerns is an example of what component of communication? - \A.Message B.Feedback *C.Receiver* D.Sender In the communication process, the sender is the one speaking (or sending the message), and the receiver is the one listening (or receiving the message). The message is the information being transferred, and feedback is clarification of the message. When communicating with a deaf client, it is inappropriate to: - \A.write messages on paper B.use a sign language interpreter C.let the client read lips *D.shout in the client's ear* When a client is deaf, he or she cannot hear anything, not even shouting. Shouting at any client is rude and unprofessional. The best way for a nurse aide to communicate with a deaf client is to write messages to each other on paper. Deaf residents should be provided a notebook and pen. A nurse aide has been assigned the task of helping a client get dressed. What should the nurse aide say to the client upon starting the task? - \*A."What would you like to wear today?"* B."Putting on clothes is really easy." C."Do you know how to dress yourself?" D."You get dressed, and I'll check on you later." When a nurse aide is required to help a client get dressed, then that client can no longer dress himself or herself. The client should still have the independence to choose what he or she wants to wear. The nurse aide should not make the client feel bad by saying that it is easy to dress alone. Placing oneself mentally in the position of the client to better understand the client's feelings is an example of: - \A.tact *B.empathy* C.depression D.sympathy Empathy is the ability to imagine yourself in another person's position and understand how that person would feel. Nurse aides should have empathy for their clients. Empathy connects people and makes them treat others the way they would want to be treated. An alert and oriented client refuses to get dressed one day. What should be the nurse aide's response? - \A."Why are you trying to make my job more difficult?" B."If you don't get dressed, I'll tell your doctor." *C."Why don't you want to get dressed today?"* D."You need to get dressed like everyone else." If an alert client states that he or she does not want to get dressed, the nurse aide should try to find out why. Asking a question gives the client a chance to talk. There may be a physical or psychological reason that the client has refused to get dressed. A busy nurse aide has just been assigned a new client and must add his care to her list of responsibilities. How should the nurse aide respond to this change? - \A."I feel too tired to care for another client." *B."I will find a way to provide care for this client too."* C."I think that you should give this assignment to someone else." D."I will have to skip care for some of my clients to free up more time." C.remove the sheet from the chart with the incorrect entry on it *D.draw a line through the incorrect entry and initial it* Whenever a mistake is made in charting, the person who is charting should draw a line through the incorrect entry, date it, and initial it. Then, the correct information should be recorded immediately following the incorrect entry. The nurse aide looks at the schedule for next week and sees that she has been scheduled to work during the vacation time she has already had approved. What should the nurse aide do? - \A.Find another nurse aide who can work in her place *B.Talk to the nurse in charge about the mistake* C.Cancel the vacation and appear for work as scheduled D.Complain to other nurse aides about the schedule If the nurse aide has gotten her vacation approved, then putting her on the schedule was a mistake. The nurse aide should bring the mistake to the attention of the nurse in charge, who can then revise the schedule. A nurse aide sees a client trying to open several locked doors that open to the outdoors. How should the nurse aide respond to the client? - \*A."Would you like me to take you for a walk outside?"* B."We lock those doors for a reason, so don't open them." C."If you try to escape, we will have to restrain you." D."Do you want to leave the facility permanently?" A client who is trying to open doors that lead outside usually just wants to go outside. The nurse aide should try to understand the client's motivation. Taking the client for a walk will fulfill the client's wishes. A client's daughter tells the nurse aide that she thinks her father is not getting the best care. How should the nurse aide respond? - \*A."I can get the nurse in charge to speak to you if you would like."* B."I know that I provide great care for your father." C."Maybe you should transfer your father to another facility." D."Can you describe in detail what it is that upsets you?" The nurse in charge has the authority to discuss concerns with the family members and resolve any problems. The nurse aide should not make the situation worse by acting defensive or rude. A client mentions to the nurse aide that she has been having nightmares. What is the BEST response from the nurse aide? - \*A."Would you like to tell me about them?"* B."Everyone has nightmares at some point." C."Don't you know that nightmares aren't real?" D."You're fine. They are just dreams." The best thing for the nurse aide to do is to offer the client a chance to talk about the nightmares. Sometimes a client can have nightmares if he or she is anxious about something. The nurse aide should not belittle the client for mentioning his or her nightmares. All of the following are examples of verbal communication between coworkers EXCEPT: - \A.shift reports B.training sessions *C.body language* D.staff meetings Verbal communication involves speaking or writing to your coworkers. Shift reports, training sessions, and staff meetings use verbal communication. Nonverbal communication is communication using the human body, without speech or writing. Body language is one form of nonverbal communication. A nurse aide asks another nurse aide to help her transfer a heavy client. How should the nurse aide respond to this request? - \*A."I will be there in a minute after I make sure my client is stable."* B."I'm going on my lunch break, so you will have to ask someone else." C."I can help you in a couple hours after I finish all my assignments." D."It's not my responsibility to work with your clients." The nurse aides should work as a team. The nurse aide has asked for help to promote the safety of her client. The other nurse aide should be certain that his or her client is stable and secure, and then help the coworker. A client refuses to wear a hospital gown. The nurse aide knows that the client: - \*A.does not have to wear a hospital gown if he does not want to* B.can be asked to leave the facility for refusing to wear a gown C.must wear a hospital gown to have an IV started D.must agree to wear hospital pants if he will not wear a gown The client has the right to refuse to wear a hospital gown and wear his own clothes if it is feasible. The client must understand that treatment might be more difficult if a gown is not worn. A client's right to confidentiality and privacy is defined by: - \A.Nurse Practice Act B.National Council of State Boards of Nursing C.Older Americans Act *D.Health Insurance Portability and Accountability Act* The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy of any person who enters or uses some type of healthcare entity such as a hospital, a clinic, or a doctor's office. A client continues to press the call light every 15 minutes to ask for minor tasks. The nurse aide may NOT: - \A.attempt to meet more than one demand at a time *B.remove the call light from the client* C.tell the client she will check on her every 15 minutes D.try to find out what is bothering the client The nurse aide may not remove the call light from the client because the client must have the ability to signal for help if needed. A client has just told his family that he does not want to have open heart surgery, and he would just rather wait "for nature to take its course." The nurse aide knows the client: - \*A.has the right to refuse treatment of any kind* B.does not understand all of the facts C.has a "death wish" D.is saying this to get attention All clients have the right to refuse treatment; they do not have to provide a reason for refusing that treatment. A confused client has been yelling loudly for the last 2 hours. The nurse gives the client a sedative so that the client will go to sleep. Giving medication so that a client will be quiet is a form of: - \A.harassment B.theft *C.restraint* D.seclusion Medicating a client so that the client will be quiet is a form of restraint. It is a use of medication to keep the client from yelling A group of student nurse aides are completing a clinical experience at a local long-term- care facility. Prior to the students observing a treatment on a client, the client: - \A.is required to allow the students to view the treatment B.needs to sign a paper that he agrees to the observation C.will need to take a bath and get cleaned up *D.must give permission for the students to view the treatment* The client has the right to personal privacy, and the client must agree to others participating in his care. This agreement is given orally, and a signed document is not required. A do not resuscitate (DNR) order means that if the client stops breathing or if the heart stops beating that the client does not want any measures taken to prevent death. The nurse aide should immediately inform the nurse about the client's change in condition. Clients have a right to be informed of hospital policies: - \A.at discharge B.if a problem arises C.prior to any procedure *D.upon admission* Clients have a right to be informed of the policies of the hospital and the unit on which the client is staying during admission to the facility. The nurse aide receives a call from someone who identifies himself as a reporter for the local paper. This person asks for the room number of the local councilman who is hospitalized. The nurse aide SHOULD: - \A.allow the reporter to come and look for the councilman *B.give out no information8 C.inform the reporter the information will be given upon proof of employment D.tell the reporter the room number The nurse aide must not give out any information about clients who are hospitalized in a healthcare facility. All clients have a right to privacy and have the right to determine who gets any information. A resident in a long-term-care facility gets very upset whenever a nurse aide attempts to place a clothing protector on the client. The nurse aide knows that the client: - \A.should be forced to wear a clothing protector *B.has the right to get food on his clothes* C.must be made to eat foods that are not messy D.does not understand the rules about eating Clients have the right to certain personal choices, such as what they wear or do not wear, so the client has the right to refuse to wear a clothing protector at meals. The nurse aide knows that the people who are entitled to attend a client's care conference are: - \A.all of the nurses who work in the facility B.physicians and registered nurses *C.only those people who are directly involved with the client's care* D.nurse aides only The client care conference is attended by all personnel who are involved in the care of the client. It may also be attended by family members and the client himself if the conference concerns changes in treatment or discharge planning. The client has told the nurse aide that he wants to read his chart. The nurse aide knows that the client: - \A.can only see the chart after he is discharged B.has a right to view the nurse's notes *C.has a right to review his chart* D.does not have a right to look at his chart Any client has a right to view his own chart and receive an explanation of the contents of that chart. The nurse aide is preparing to perform perineal care on a client. The nurse aide SHOULD: - \*A.make sure that the curtain is pulled around the client's bed* B.do it quickly so it can be completed before anyone sees anything C.raise the blinds to allow for better lighting D.dim the lights in the room so there is less chance the client's genitals can be seen A client is scheduled to have surgery in the morning. The nurse aide knows that the person who is responsible for explaining the surgery and any possible complications is the: - \*A.physician* B.registered nurse C.nurse aide D.licensed practical/vocational nurse The physician who is going to perform the surgery is responsible for giving the client a full and complete explanation of the procedure and the possible benefits and risks of that surgery. The nurse aide is bathing a client and notes several large bruises on the client's arms and neck. On admission, this client told the nurse that she obtained the bruises when she fell, but she now tells the nurse aide that it happened when her husband tried to throw her down the stairs. The client begs the nurse aide not to tell anyone. The nurse aide SHOULD: - \A.ask the client why she lied to the nurse on admission *B.immediately alert the nurse in charge* C.respect the client's wishes and tell no one D.check with the client the next day to see if she has changed her mind The nurse aide must immediately report to the nurse because the client is a possible victim of domestic abuse, which must be reported. The nurse has asked a new nurse aide to perform a task, but the new nurse aide has never completed this task on a client, only in the school skills laboratory. The new nurse aide SHOULD: - \A.refuse to do the task *B.ask the nurse to watch him or her do this task* C.go and do the task because it is the same as in the skills lab D.go and find a textbook, review the task, and then complete it The nurse aide should tell the nurse that this task has only been completed in a skills laboratory and then ask the nurse to watch while the nurse aide completes it on a client for the first time. Upon arriving for work, the nurse aide smells alcohol on the breath of a nurse aide who is getting ready to go off duty. The nurse aide SHOULD: - \A.suggest the nurse aide go and have a cup of coffee B.ask the other nurse aide what he has been drinking *C.report this to the charge nurses of both shifts* D.do nothing and see if it ever happens again The nurse aide should immediately report this to the charge nurse of both shifts. This ensures that both are aware of the possibility that an employee is using alcohol on the job. The nurse aide must realize that it is about client safety and not about getting someone in trouble. A client has decided that if he becomes too sick to speak for himself, he wants his daughter to make all of his healthcare decisions. A document that specifies this client's wishes is known as: - \A.a "no code" decision B.a do not resuscitate order C.a request for hospice *D.a durable power of attorney for health care* A durable power of attorney for health care gives a person the authority to appoint someone else to make decisions about health care if they are too sick to make these decisions themselves. When the nurse aide arrives at work, he is told he will need to work on a different unit because that unit has a very high census. The nurse aide has never worked on that unit and does not want to go to another unit. The BEST thing for the nurse aide to do is: - \*A.go to the new unit and tell the charge nurse that he is unfamiliar with the routine of that unit* B.go to the new unit and tell the charge nurse exactly what he will do C.refuse to go because it is the nurse aide's right to stay in one place D.go home because the nurse aide is not needed on the regular unit The nurse aide should go to the new unit and talk with the charge nurse, letting him or her know that the nurse aide is unfamiliar with the unit. This will allow the charge nurse to give very specific directions to the nurse aide. The nurse aide is aware that signs of abuse include: - D.say nothing but give nonverbal signals that show disapproval of the physician The nurse aide should refrain from offering any opinion, or he can say something like "all of the physicians in the facility are fine." It is also very difficult not to use nonverbal cues to give the client an opinion, but it is best to leave the entire decision about physicians to the client alone. A nurse aide finds a wallet in the middle of the hall. The nurse aide SHOULD: - \A.go up and down the hall asking if someone lost a wallet B.put the wallet in a drawer and wait for someone to claim it C.open the wallet and attempt to find the driver's license *D.ask a nurse to help him locate the name of the owner* The nurse aide and another employee should go through the wallet together to try to locate the name of the wallet's owner. In this way, both employees are protected from accusations of theft if something is missing from the wallet. A nurse aide is NOT allowed to: - \A.measure intake and output B.take a blood pressure C.weigh a client *D.take a medication history* Nurse aides are not allowed to perform certain tasks during the admission process. These include things such as obtaining the client's medical and medication history. A nurse aide is walking with a client. The nurse aide stops to talk to a coworker and forgets to watch the client. The client falls and breaks a hip. The nurse aide is aware that the individual who will be held responsible for the client's fall is: - \A.the physician B.the nurse *C.the nurse aide* D.the client The nurse aide is responsible for his or her own actions. In this case, the nurse aide's inattention to the client allowed the client to fall and sustain injury. The nurse aide is caring for a client who has sustained a severe brain injury and is unable to speak. If the nurse aide sees a family member slapping this client, the nurse aide SHOULD: - \A.explain to the family member that the client is still able to feel pain B.try to ask the client to explain what just happened *C.immediately report it to the nurse* D.tell the family member that it is wrong to hit anyone The nurse aide must report any type of abuse immediately to the nurse in charge. The nurse aide should not try to intervene or receive any type of explanation from the family member. A nurse aide begins morning care and discovers a client who is lying in a bed soiled with feces. The feces are dry and are adhered to the client's skin. The client says that no one came to check on her all night. The BEST action for the nurse aide is to: - \A.bathe the client and make sure the client has the call light B.call the police and report this as a case of neglect C.clean up the feces and put a diaper on the client *D.clean the client and then inform the nurse in charge* Because the feces are dry, it is evident that the client has been left unattended for a significant length of time. The nurse aide should first clean the client and then go and get the charge nurse to report what happened. The nurse aide may NOT: - \A.take a client to the bathroom B.do range of motion exercises C.give a back rub *D.change a sterile dressing* A nurse aide is not allowed to perform invasive procedures or perform any procedures that require the use of sterile technique. Sterile technique requires judgment and training beyond that of a nurse aide. The nurse tells the nurse aide to care for Mrs. Smith but there are two different Mrs. Smiths on the unit. Before giving care, the nurse aide SHOULD: - \A.care for both Mrs. Smiths B.ask both Mrs. Smiths if they need care at that time C.find the assignment sheet and see if that clears up the confusion *D.get clarification from the nurse and check ID bands* The nurse aide should immediately seek clarification from the nurse about the assignment before going any further. Then the nurse aide should check the client's ID bands to make sure the nurse aide is caring for the correct client. Most healthcare facilities are restricted from hiring someone who has been convicted of: - \A.littering B.speeding C.jay walking *D.abuse* Facilities may not hire individuals who have been convicted of, or are under investigation for, any type of abuse. This is set up to protect clients from any individual who might respond to stress by abusing another person. The nurse aide is assisting a client who is being discharged to home. What is the BEST way for the nurse aide to determine that all of the client's belongings have been packed up? - \A.Ask the family member accompanying the client if all of the client's belongings are accounted for B.Pack everything present in the client's room for transport to home C.Open the client's closet and make sure it is empty *D.Match the packed items to the clothing and personal belonging list made when the client was admitted* A clothing and or personal belonging list would have been made when the client was admitted, so the nurse aide should use these lists to make sure the client is leaving with everything that was present at admission. The list should have been updated regularly during the client's stay so the nurse aide will be confident that the list is accurate. The job focus of the nurse aide when working with clients in rehabilitation is to: - \*A.prevent decline in function and promote independence* B.ensure the client does everything for himself C.ensure adequate nutrition D.keep the client clean and dry The job focus for all who work in rehabilitation is to assist the client to be as independent as possible and prevent any further decline in function. Keeping the client clean and dry and providing adequate nutrition are parts of this but are not the focus of rehabilitation. A problem that has been identified by a state inspector at a nursing home is known as a: - \*A.deficiency* B.certificate C.mistake D.diagnosis Nursing homes and all other healthcare facilities have to meet specific requirements set forth by both the state and the federal government. A deficiency occurs when the facility does not meet a standard established by the government. The facility is usually given a specified set of time to correct the deficiency and to meet the standard. Authorizing another person to perform a specific nursing function is known as: - \*A.delegation* B.informed consent assistant are both nurse aides. Some states require nurse aides to become certified before working in a nursing home. A healthcare agency whose purpose is to meet the needs of individuals who are dying is known as a(n): - \A.nursing home B.dementia unit *C.hospice* D.assisted living center Agencies whose primary purpose is to meet the needs of people who are dying are known as hospices. A hospice can meet those needs in individual homes or in separate nursing facilities. The nurse aide recognizes that the purpose of client rounds is to: - \A.determine if the other members of the healthcare team are meeting the clients' needs *B.assure the health and well-being of the assigned clients on a regular basis* C.make sure that the assigned clients' rooms remain neat and tidy D.complete all daily documentation required for the assigned clients An individual who wishes to become a nurse aide and be placed on the state registry MUST complete a course that contains at least: - \A.200 hours of instruction B.50 hours of instruction C.100 hours of instruction *D.75 hours of instruction* OBRA requires at least 75 hours of instruction, though some states may require more. The student must complete both classroom and clinical and pass both a skills and a written competency exam. In nursing homes, the individual who is responsible for planning social and recreational programs is known as the: - \A.social worker B.nurse aide C.physician assistant *D.activities director* The healthcare team member who assesses and treats clients with foot disorders is a(n): - \*A.podiatrist* B.pharmacist C.medical technician D.audiologist The podiatrist is also known as a Doctor of Podiatric Medicine and treats clients with foot disorders such as bunions. Podiatrists also visit hospitals and nursing homes to assist clients who have very long and thick toenails. In a healthcare facility, all care given by registered nurses, licensed practical/vocational nurses, and nurse aides is ultimately supervised by the: - \A.state legislators *B.director of nurses* C.American Medical Association D.health unit coordinator Nursing care in a facility is the ultimate responsibility of the director of nurses (DON). The DON will delegate functions to charge nurses and other persons, but the DON holds the ultimate responsibility for the care given by the nursing staff. The healthcare worker who assists clients to re-learn tasks needed for employment is known as a(n): - \A.medical technologist B.clinical nurse specialist C.speech therapist *D.occupational therapist* Occupational therapists are responsible for assisting clients in re-learning tasks that will be needed for both independent living and continuing employment. Changing a dressing would be the responsibility of the: - \A.pharmacist B.occupational therapist C.nurse aide *D.licensed practical/vocational nurse* Wound care, which includes dressing changes, is performed by a registered or licensed practical nurse. This is because it requires specialized training and education to perform this task correctly.