Nurc 1001 final exam 100% VERIFIED ANSWERS 2024/2025 CORRECT, Exams of Nursing

Download Nurc 1001 final exam 100% VERIFIED ANSWERS 2024/2025 CORRECT and more Exams Nursing in PDF only on Docsity! Nurc 1001 final exam 100% VERIFIED ANSWERS 2024/2025 CORRECT What does a nurse aide do? Spends the most time with residents, works under the delegation and supervision of a licensed nurse, informs the nurse of any changes in the residents condition. follows a plan of care developed by the interdisciplinary team for each resident. Tasks and responsibilities of a nurse aide? Assures each resident receives correct diet, assist the resident with meals, fill the resident's water pitcher or assist resident to obtain water and fluids, calculate and record meal percentage on dietary record sheet, assist residents to and from the dining room. Records weight of resident, records I and Os Assist in admission, transfer and discharge of residents. Documents care on flow charts, reviews assignment sheets, completes assignment or worksheets and reports on and off duty for breaks, provides input to assessment and care plan. What work ethics and proper behaviors do nurse aides have at work? accountability, accuracy, competency, cooperation, courtesy, delegation, interpersonal skills, hygeine, time management, goal setting, stress, keeping promises and doing what you should with regard to the rules, responsibility,dependability, What is meant by empathy? Put someone else in your shoes What is meant by sympathy? Feelings of sadness for someone else's misfortune What is meant by delegation? The nurse athorizes the NA to perform certain tasks, The nurse is legally accountable for the task. The delgated task must be within legal limits of what a NA can do. Plus, promotes the safety. Who does the nurse aide report to? The Nurse What attitude, appearance and behaviors should a nurse aide resemble? Should have dependability, Accuracy, Should have good personal hygeine and professional uniform with proper fit, clean and pressed and approprite underclothing fit, style and color. Fingernails are to be short,neat and clean according to facility policy, no artificial nails or nail jewelry, name tag placed correctly, long hair pulled up, comfortable non permeable shoes. What is OBRA and what does it do? Omnibus Budget Reconciliation Act and it sets training and competency evaluation requirements for nursing assistants and assesses written and skills. What are the nurse practice acts? They regulate nursing practice in that state and defines Rn and LPN and LVn and proect the public from person practicing nursing without a license. Which law addresses the training of nurse aides to work in long term care? OBRA What is the minimum number of hours for a nurse aide class? 75 hours What is a chronic illness? Disease that cant be cured by medication, last more then 3 months and cant be prevented by vaccines or anything. What is a terminal illness? A disease that cant be treated and commonly causes someone to die. What is the role of a long-term care facility? to assist residents that have a hard time doing activities of daily living such as bathing and getting up on their own and using the bathroom and stuff with help. What is the goal of rehabilitation? To be able to do as many as possible activities of daily living and or get them back to themselves. Why do residents fall? age, mobility, elimination,mental status and medications and not answering the call light quick enough when needing help. How do we prevent falling? shoes or slippers with non- skid shoes, tie shoes laces, avoid long gowns or robes, avoid the use of throw rugs, wipe up all liquid spills immediately, encourage the use of hand rails, Non- skid tips of canes, walkers and chair legs. What are complications of falling? can lead to many health problems such as pneumonia, pressure ulcers, hypothermia, dehydration and even death usually get hospitalized. What is postural hypotension? reduction in systolic blood pressure after standing for at least one minute. When are residents likely to fall? call lights not answered for their needs. What is verbal and nonverbal communication? Verbal: Communicated that uses written or spoken words. Nonverbal: Does not use words, uses gestures, postures, touch, eye contact, facial expressions, body movements and apperance How do you communicate with vision impaired residents? Keep eyeglasses clean, have them wearing correct eyeglasses, store eyeglasses properly, keep environment clear and free of clutter. put everything away where it was found do not rearrange room, introduce self and offer explanation of what you are about to do when entering the room. Always tell the residents what you are doing while caring for them. How do you communicate with hearing impaired residents? Get the residents attention first make sure the resident can see you, touch the resident lightly to indicate that you wish to speak, keep the light behind the resident, so your face can be clearly seen. A resident may read lips or interpret facial expressions. Speak in a normal voice, speak slowly, distinctly and naturally. Do not shout words spoken clearly are easier to hear then ones screamed. How do you communicate with speech and physically impaired residents? Ask the resident questions you know the answer to so you can become familiar with the sound of their voice, Watch the resident's lip movement, Ask the resident to write down their messages if possible, ask the resident to repeat if needed, repeat what you think the message is for clarity. How do you communicate with depressed residents? Be a good listener, spend quality, goal oriented time with resident, be patient allow resident time to speak, return on schedule to give care, focus on activities such as reading, solving a puzzle, report any complaint to nurse for evaluation, provide a safe environment. How do you communicate with confused residents? begin conversation by identifying yourself and calling the resident by name, use short, common words and short simple sentences, communicate at eye level, maintain a pleasant and calm facial expression. How do you communicate with non english speaking residents? identify residents primary language, role of translators, seek the assistance of family members, friends, staff, other residents who speak the language, speak slowly and clearly, keep messages short and simple, be alert for words the residents may understand, use gestures, pictures, photos, be patient and calm, avoid medical terms, abbreviations and slang, alert nurse if communication is not effective. How do you communicate with agitated residents? speak calmly, show a positive attitude, stay flexible, be patient, listen to resident's concerns, demonstrate understanding of resident's anger/fears, protect yourself with a pillow incase of any blows. What is aphasia? Total or partial loss of the ability to use or understand language. How do you address residents? You say who you are and your role there and what you are going to do. How do you care for a hearing aid? What is Aids? bloodborne pathogen that attacks the immune system spreads through body fluids and is life threatening no vaccine. What is Tuberculosis? potentially serious infectious bacterial disease that mainly affects the lungs and is highly contagious by airborne droplets. What is a pathogen? bacteria, virus or other microorganism that can cause disease. What is scabies? skin disorder caused by a female mite small spider like organisms burrows into skin and lays eggs rash with intense itching highly contagious via direct contact. What is C-Diff? spore forming anaerobic bacteria, produces toxin, watery diarrhea, fever, nausea, anorexia, abdominal pain, spreads to inanimate objects via unwashed hands of infections person toilets, sinks, personal items and then to others touching items. What is isolation? voluntary or compulsory separation and confinement of those known or suspected to be infected with a contagious disease agent. What is contact isolation? used for infections, diseases, or germs that are spread by touching the patient or items in the room. Healthcare workers should wear a gown and gloves while in the patients room. What is airborne isolation or droplet? used for diseases or germs that are spread in tiny droplets caused by coughing and sneezing healthcare workers will wear gloves, gown and a surgical mask. What is RACE? R: rescue residents, A: Activate alarm, C: Confine fire, E: Extinguish or evacuate. What is PASS? P: Pull the pin, A: Aim toward the base of the fire, S: Squeeze the handle, S: sweep the base of the fire. What is the proper job for the use of oxygen? Nurse adjusts settings for liters flow, NA observes settings for accuracy, Be aware of 02 tubing, keep 02 tubing off floor report repair needs to nurse, report any 02 problems to nurse, keep kink free. What is the Heimlich Maneuver? used to get out whatever someone may be choking on use hands find belly button go down a little bit do it three times and ask if still choking. How do you know if the resident is choking? not speaking or coughing and grabbing their neck with their hands. What are the rules for ambulation? should have resident wearing skid- proof shoes, follow plan of care to determine which device resident uses, use resident's personal walker, cane, crutches. What are the rules for a gait belt? apply around waist leave enough room for two finger widths. What are the rules for vest restraint or any restraints? restraint can only be applied by direction of nurse per physicians order, always follow manufactures instructions, the resident should be allowed as much movement as possible, observe every 15 minutes, release and exercise limb and provide skin care, ambulate or reposition the resident, offer toileting or change, offer fluids or nourishment, reinforce the safety reason for the restraint. What are the rules for Mechanical Lifts? make sure lift works, check weight limit and that it works with residents weight, make sure sling, straps, hooks, and chains are in good repair, never operate it alone need two people for safety reasons, lock all brakes after positioning, position sling pad with back of residents knee, secure the resident in the straps or slings, ask resident to place arms across chest. What is the different pressure areas? shoulder blades, elbows, knees, heels, ankles, backbone, hips, coccyx, ears, any part of the body may have skin breakdown. How can we prevent the pressure, and what are signs and symptoms of too much pressure? turn resident every two hours, reposition resident in chair every one hour if resident unable to move self, remove ben pan promptly, keep bed linens or residents clothing free from wrinkles, and excessive padding, apply pressure relieving devices per plan of care. What is a skin tear and how do we prevent it? break or rip in the skin, epidermis separates from the underlying tissue, usually occurs during adls. What is TPR and BP? temperature, pulse and respirations. Blood pressure What is normal bowel elimination? brown in color, formed, frequently may vary and other things change color of pool. How do we promote normal elimination? be alert to residents cues, establish a regular schedule for toileting follow resident's care plan, toileting resident promptly when requested. What is incontinence? having no voluntary control over urinary or defecation. How do we care for the incontinent resident? check at least every two hour, change clothes and linens if needed, wash and dry affected skin, use adult disposable protective undergarments, use protective pads on residents bed, treat resident with respect. What is catheter care? provided every two hours cleaning perineum, catheter and emptying it out every two hours and checking the amount. What is a UTI? urinary tract infection caused by bacteria that causes burning and to pee a lot. What is meant by ROM? range of motion exercising all joints through their full motion, to prevent contractures and muscle atrophy. What is trap? T: Tremors R: ridgid movements A:akinsea moving slowly P:postural instability impaired balance and coordination. What is atrophy? when muscles waste away What is a contracture? result of stiffness or constriction in the connective tissues of your body. How are these conditions prevented? by exercising the muscles as much as you can or are able to. What are the developmental tasks associated with aging? adjusting to decreased strength and loss of health, adjusting to retirement and reduced income, coping with partners death, developing new friends and relationships, preparing for ones death, maintaining satisfactory living arrangements realigning relationships with adult children, finding meaning in life, developing sense of spirituality. What physical changes occur with aging? sensory loss vision and hearing, changes in sleep patterns, slower sexual responses, prone to certain chronic conditions, postural changes, less efficient elimination, less tolerance for glucose, gray hair and dry skin. What is the difference between sex and sexuality? sex: physical activities involving the reproductive organs done for pleasure or to have children. sexuality: the physical, psychological, social, cultural, and spiritual factors that affect a person's feelings and attitudes about his or her sex. How can the nurse aide assist the resident to promote his/her sexuality? encourage grooming routines, assist women with makeup application, nail polish, lotion. Assist men to shave and wear cologne hair care is important for men and women. Encourage choice of clothing, protect the resident's privacy while caring for them, knock before entering room. What are the stages of death and dying? denial, anger, bargaining, depression, acceptance. What is the role of a nurse aide during death? provide for keeping the resident warm, consider the wishes of the resident, resident wishes come first but if the resident is unable to communicate involve the family, provide for skin cleanliness due to perspiration and possibly to incontinence, change position to prevent skin breakdown, give special attention to mouth care and take measures to moisten the mouth to promote comfort, provide spiritual support. What are the signs of death? blood circulation slows, causing cold feet and hands, pale skin, eye movement is reduced or absent, falling, perspiration even though the body is cold, loss of muscle tone, rattling. What may influence your feelings about death? personal experience, culture, religion, age. What is a hippoviolation? posting something from work on social media without permission.