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1. Which of the factors impact on a person’s grief?
Consider the role of cultural practices and spiritual beliefs in shaping emotional responses and coping mechanisms during times of loss.
2. What type of care focuses on the support and comfort of the dying person and family with the goal of facilitating a peaceful and dignified death?
Consider the care approach that emphasizes comfort, dignity, and support for both the patient and their family during the final stages of life, rather than seeking a cure.
3. Palliative care is an approach that improves the quality of life for patients and their families facing the problems associated with:
Think about conditions that significantly impact life quality and often involve complex medical management, especially for individuals facing life-limiting circumstances.
4. CNAs assist clients who are dying in order to enable a peaceful death and to maintain self-confidence, dignity, and __________.
Consider what embodies a person’s value and sense of identity as they approach the end of life, reflecting on how caregivers can affirm this during difficult times.
5. Who cares for the body postmortem and arranges for funerals, burials, and cremations?
Think about the professional who specializes in handling the deceased and facilitating end-of-life services, ensuring families receive support during a difficult time.
6. You are working in the Pediatric unit. A young child suddenly starts violently jerking; the child also appears to be having difficulty breathing. This child is most likely having a:
Consider the onset of sudden, intense muscle contractions accompanied by altered consciousness and potential respiratory distress in children.
7. Identify the developmental task with the correct age group: A) infancy – autonomy B) toddler – initiative C) preschool child – trust D) school age child – industry
Consider the age range associated with competence and learning through various activities and peer interactions.
8. Your 47-year-old patient is concerned about guiding the Next Generation. What developmental task is this 47-year-old patient addressing?
Think about the stage of life where individuals focus on creating a positive influence and legacy for future generations, often through nurturing and mentoring roles. This reflects a key transitional phase in adult development.
9. The term used to describe the study of aging and older adults is:
Think of a term that combines “geras,” meaning old, and “logy,” denoting the study of. This field examines the process and challenges of getting older.
10. Mr. Flores is a 47-year-old man who notices that he has recently started to have difficulty reading and seeing clearly objects that are close to his face; for example, he is not able to clearly read a newspaper. This decrease in vision is a:
Consider how age can affect vision, particularly focusing on nearby objects.
11. Which of the following diseases or disorders is acute?
Consider conditions that appear suddenly and typically resolve quickly with treatment, differentiating them from those that develop gradually and require long-term care.
12. Your patient has been confused for years. Your patient can be best described as a patient with a chronic underscore disorder.
Consider the long-term effects on memory and daily functioning in patients with ongoing cognitive difficulties.
13. CNAs and nursing assistants are permitted to work in which of the following areas as long as they stay within their scope of practice and not beyond their limitations?
Consider the settings where assistance with daily living activities and basic patient support is critical, while also ensuring that any tasks performed are well within the training and legal boundaries established for CNAs and nursing assistants.
14. One major difference between long-term care and respite centers is the fact that long-term care facilities:
Think about the duration and purpose of care services provided by each type of facility. Consider how they each meet different needs based on the continuity of care required.
15. CNAs and nursing aides can work in home care: A) only when the RN is also in the home B) only when an RN or LPN is in the home C) only with elderly patients or residents D) only under the supervision of the nurse
Consider the role of supervision in home care for CNAs and nursing aides, and remember that they can work with patients of all ages as long as proper oversight is in place.
16. You are working as a CNA in hospice. What types of patients are you caring for?
Consider the unique needs and stages of patients who are approaching the end of life, focusing on comfort and quality of care rather than curative treatment.
17. Diabetic patients are more prone to underscore than other people without this chronic disorder.
Consider the ways diabetes affects the body’s immune system and healing processes, leading to a higher likelihood of complications.
18. You are taking care of an 85-year-old woman who has been complaining about stiff joints and pain in her joints. What physical problem must be prevented with this patient?
Consider the effects of decreased mobility and the increased risk of falls in older adults, particularly due to joint issues. Focus on strategies to enhance stability and strength.
19. A complication of osteoporosis is:
Consider how weakened bones can lead to structural changes in the body, particularly in the spine and joints, resulting in pain and impaired movement.
20. One of the complications of complete bed rest and immobility is which of the following?
Consider how prolonged immobility affects muscle and tendon length, particularly in the lower extremities, and think about the potential outcomes for foot positioning when not engaged in regular movement.
21. Plantar flexion can be prevented with:
Consider devices that help keep the foot aligned and prevent downward bending to maintain proper posture and flexibility.
22. A grease fire breaks out in the nursing home kitchen. What type of fire extinguisher should you use?
Remember that grease fires require specific extinguishing agents; using the wrong one can make the fire worse. Look for a fire extinguisher that handles flammable liquids effectively.
23. Match the type of fire and the appropriate fire extinguisher: a) grease, b) electric, c) paper, d) ___.
Remember the key classes of fire extinguishers: Class A for ordinary combustibles like paper, Class B for flammable liquids like grease, and Class C for electrical fires. Each type must be matched carefully to prevent hazards.
24. You have an annual contract with a home care patient; you should change the batteries in the smoke alarms underscore so you do not forget to do it.
Consider aligning the battery changes with daylight saving time adjustments for an easy reminder twice a year.
25. You are ready to use a fire extinguisher to put out a grease fire in your home care patient’s kitchen. You should aim the fire extinguisher where?
Aim at the base of the fire to effectively extinguish it.
26. One of the environmental risk factors associated with infection is:
Consider how living situations and population density in certain facilities can influence the spread of germs and infections among individuals.
27. A local sign of infection is which of the following?
Think about the four classic signs of inflammation that are typically associated with an infection in a specific area.
28. A systemic sign of infection is:
Consider common physical responses that affect the entire body when fighting an infection, rather than localized symptoms.
29. The single most important thing that all healthcare workers can do in order to prevent the spread of infection is:
Remember the basics of hygiene; the most effective way to eliminate germs and prevent transmission is through thorough hand washing.
30. Infections are a serious problem in healthcare because infections are:
Consider the financial impact and the implications for patient health when infections occur in healthcare settings; think about how these factors complicate treatment and overall care.
31 a CNA answers the phone at the nursing station. The caller states that they are a friend of Mrs. T and they ask how she is doing. The CNA tells the caller about Mrs. T without determining that Mrs. T does not want her medical information shared with the caller. The CNA has a:
Consider the importance of patient confidentiality and the legal implications of sharing medical information without consent.
32. A standard of care tells you:
Consider the foundational principles that guide healthcare professionals in delivering safe and effective patient care, focusing on the established protocols and practices that define expected actions in various situations.
33. Where can you find scopes of practice for nurses, doctors, and nursing assistants?
Check state regulations and professional licensing boards for specific guidelines on healthcare roles.
34. A CNA who does not give care with the same level of skill that they learned in school can be found guilty of ______________ when this leads to an injury or damage to the person.
Consider the legal concept that holds healthcare providers accountable for failing to meet professional standards, especially when their actions directly result in patient harm.
35. Negligence occurs when a CNA does which of the following?
Think about the responsibilities a CNA holds regarding patient care and the consequences of failing to perform those duties, especially in terms of patient safety and well-being.
36. You are caring for a group of patients in the nursing home. The highest priority greatest need for this group of patients is the need for which of the following?
Consider the most fundamental requirement for maintaining well-being and preventing harm among residents who may have compromised health and mobility.
37. Match the abbreviation with the correct definition: A. bid = at bedtime B. tid = tomorrow C. AC = before meals D. PC = patient care
Remember that “AC” relates to timing in relation to meals, while “PC” indicates something done after meals. Consider the frequency of administration for “bid” and “tid” as well.
38. Which is not an acceptable abbreviation?
Think about abbreviations that could easily be misinterpreted in medical communication, especially those that have multiple meanings. Focus on clarity and the potential for confusion in patient care.
39. Your patient has a number of physical and emotional needs. Some of these needs are the need for safety, the need for fluids, and the need for mobility. Which of these needs must be addressed during all aspects of care?
Consider which need serves as the foundation for ensuring a patient’s overall well-being and prevents harm during care.
40. Which of the following lists the five senses?
Remember the primary ways we experience the world around us: think about how we see, hear, taste, smell, and feel. Each sense has a dedicated organ associated with it, so focus on identifying those five distinct channels of perception.
41. What senses do nursing assistants use to observe patients and residents?
Consider the three key ways nursing assistants gather information about patients: visual observations, auditory communication, and tactile assessments.
42. Which of the following matches one of the five senses with an alternative term or definition?
Consider the technical terminology associated with each of the five senses; one of them has a specific term directly linked to it.
43. Patients and residents who cannot move in their bed on their own should be turned at least:
Remember that regular repositioning is crucial for preventing pressure ulcers. Think about a timeframe that balances safety and comfort for individuals at risk.
44. You will be emptying urinary drainage bags at the end of your shift at 4 p.m. You must do which of the following?
Remember to prioritize infection control by wearing gloves when handling urinary drainage bags to safeguard both yourself and the patient.
45. You have measured the urinary output of your resident at the end of your 8-hour shift. The output is 25 oz. You should do what next?
Remember to convert the urinary output from ounces to cubic centimeters for accurate medical documentation. This is essential for maintaining precise intake and output records.
46. How many ccs are there in 25 oz?
Remember that to convert ounces to cubic centimeters, you need to know the value of 1 ounce in cc, which is about 29.57. Multiply the number of ounces by this conversion factor to find the equivalent in cc.
47. Your patient has finished a 12 oz can of iced tea and 8 oz of fresh orange juice. What will you record on the intake and output form for this patient’s intake?
Remember to convert the total fluid intake from ounces to cubic centimeters before recording it. Use the conversion factor where 1 ounce equals approximately 30 cc.
48. Your patient ate an 8 oz cup of Italian ice. How much will you record on the patient’s intake and output form in terms of this patient’s fluid intake?
Remember to convert ounces to cubic centimeters (cc) when recording fluid intake on the form.
49. A good diet must have all four food groups. The four food groups are:
Remember to consider foods that provide energy, build strong bones, and support overall health—think of the staples that come from fields, farms, and orchards!
50. Dried beans are part of the underscore group of foods.
Think about foods that provide protein but are plant-based, often used as meat substitutes in vegetarian diets.
51. The need for safety is an example of a __________ need according to Maslow’s hierarchy of needs.
Think about the level in Maslow’s hierarchy that comes after basic physical necessities, focusing on what individuals require to feel secure and stable in their lives.
52. Your patient is concerned about their health insurance and the costs associated with their hospital care. Which of Maslow’s needs is your patient expressing?
Consider the basic human needs related to safety and financial stability. Reflect on how concerns about health insurance and medical costs relate to feeling secure in one’s life.
53. Race is the acronym for the things you must do in the case of a fire. What is the first thing that you do if a fire breaks out?
Remember, the first step is always about ensuring the safety of those in danger before addressing the fire itself. Think about how you would help others escape quickly.
54. You see a resident lying on the floor of the bathroom; you are not assigned to this patient. What is the first thing that you should do?
Ensure the scene is safe and assess the resident’s condition while calling for assistance.
55. You are taking care of 12 residents today. One of your residents wants water, another needs help walking to the bathroom, another just stated that they have chest pain, and another is crying because his daughter did not visit him today. Which patient care problem must you deal with first?
Prioritize immediate health concerns over emotional or less urgent physical needs.
56. You are the CNA in a home health agency. You visit many elderly patients in their homes, some have a history of falls. You have to identify environmental factors that place these home care patients at risk for new falls and repeated falls. Which of the following environmental factors should be corrected by the CNA in order to prevent falls in the home?
Consider the flooring and any loose items that could pose a tripping hazard. Ensuring a clear path by removing such obstacles is essential for fall prevention.
57. Tommy R, your 68-year-old patient is at risk for Falls; he has fallen three times in the last month. You should keep Tommy’s __________ in order to prevent him from falling again.
Ensure that Tommy can easily reach an emergency communication device to call for assistance when needed, promoting his safety and independence.
58. You will be escorting a patient to the operating room on a stretcher. In order to prevent this patient from falling, you must do which of the following?
Make sure to secure the patient with a safety belt or strap to prevent them from falling during transport.
59. Albert B is incontinent of urine. He also wears glasses and a hearing aid. His underscore leads to his risk of Falls.
Consider the impact of urgency and visibility when assessing fall risks.
60. All hospitals and nursing homes are mandated to have the goal of a restraint-free environment. The best way to achieve this goal is to:
Consider strategies that prioritize patient safety and dignity while minimizing interventions. Focus on comprehensive assessments and alternatives that respect autonomy and prevent the need for restraints.