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1. Many people at the end of life fear being alone. What can you as the CNA do to lessen this fear?
Focus on providing emotional support and companionship. Engaging in conversation and actively listening can help foster a sense of connection and alleviate feelings of isolation for the patient.
2. Living will is another term for:
Think of a document that expresses a person’s healthcare preferences when they’re unable to communicate, especially regarding end-of-life decisions.
3. Another term for healthcare proxy is:
Think of the legal document that designates someone to make medical decisions on your behalf when you’re unable to do so.
4. The time following death is called the underscore period.
Consider the prefix “post-” commonly used in medical terms to denote events that occur after a specific occurrence.
5. Mr. Graves has terminal lung cancer; therapeutic approaches by the CNA should include:
Focus on creating a supportive environment that encourages open communication and emotional expression. Prioritize empathy and understanding in your interactions.
6. Your 2-year-old pediatric patient is always saying no to your requests. What should you do?
Consider offering choices to empower the child and respect their desire for independence. This approach can lead to more cooperative behavior.
7. Following normal patterns of growth and development, children usually develop cooperative play skills:
Consider the age range when children transition from playing beside each other to actively engaging and collaborating with peers, which is essential for developing social skills.
8. The mother of a three-month-old infant is concerned that her daughter has not begun crawling and asks for your advice. You should tell her:
Reassure the mother that it’s normal for a three-month-old not to crawl yet, as developmental milestones can vary widely. Encourage activities like tummy time to support her child’s motor skills, and suggest seeking pediatric advice if she remains concerned.
9. You work in a pediatrician’s office; which of the following interventions shows you are providing age-appropriate care?
Consider how your communication style and the environment can comfort and educate the child, while promoting clear understanding and appropriate behavior during the visit.
10. The most basic human needs found in the bottom level of Maslow’s hierarchy of needs include:
Think about the essential elements required for human survival that must be met before other needs can be addressed.
11. A patient will be discharged from the hospital today. Which person will most likely arrange the discharge of this patient to their own home, to a nursing home, or assisted living facility?
Consider who typically collaborates with patients and families to assess needs and arrange appropriate post-discharge care options.
12. You are working as a rehabilitation aide. You are working with patients and residents who need:
Consider the primary focus of rehabilitation: helping patients regain independence and function through personalized support and therapeutic activities.
13. You are taking care of a teenage person who is recovering from a serious automobile accident in your Rehabilitation restorative care area. His injuries included broken legs and arms. The most likely goal of this care is to:
Consider the primary objective of rehabilitation for young patients, which emphasizes regaining independence and function to support a return to everyday activities.
14. Teamwork needs:
Consider the importance of collaboration, communication, and mutual respect among team members to enhance patient care and outcomes.
15. Who is the center of care?
Think about who is the primary focus in a healthcare setting, whose needs and preferences guide the actions of the entire care team.
16. Good team members do which of the following?
Consider how individuals contribute to a group’s success by taking ownership of their tasks and supporting their teammates. Look for actions that demonstrate reliability and a commitment to the team’s goals.
17. Normal changes of aging in the integumentary system include:
Consider how skin texture, moisture levels, and temperature sensitivity may change with age, particularly regarding oil production and blood circulation.
18. Mrs. Howell has Parkinson’s disease. With this disease, she may:
Consider the common symptoms associated with Parkinson’s disease, particularly those that affect movement and daily activities.
19. Miss Diamond is alert and oriented but has become withdrawn and now stays in her room which is a change for her to provide an opportunity for conversation and support you should:
Encourage conversation by asking open-ended questions to foster a supportive environment, helping her express her feelings and thoughts while ensuring she feels safe and comfortable to engage.
20. Mrs Nathan has dementia she is normally compliant with care today she resists when you attempt to lift her arm to wash her axilla area you should:
Consider the patient’s comfort and potential reasons for resistance. It’s essential to prioritize their dignity and well-being by seeking guidance from the nurse to assess and address any underlying issues.
21. Mr. Bond complains of pain and numbness in his heel. You notify the nurse. While waiting for the nurse to look at the area, you should:
Consider positioning the foot to reduce pressure and allow for comfort, while avoiding actions that could aggravate the condition.
22. Which natural disaster is most likely to lead to a fire hazard?
Consider natural disasters that create extreme heat and have the potential to ignite vegetation and structures. Look for ones that involve molten materials or intense thermal activity.
23. Experts in radiation and radiation safety rely on the principles of:
Consider key strategies used to minimize exposure to radiation effectively. Think about how the physical space, protective materials, and duration of exposure play crucial roles in safety.
24. Which radiation principle is the foundation for the use of lead aprons in the radiation area of your hospital?
Consider the concept of protection against harmful radiation in medical environments; think about materials that block or absorb radiation effectively.
25. One of your nursing home patients is dependent on a mechanical ventilator for their respiratory needs. The patient cannot breathe on their own. Suddenly, the lights in the patient room and the entire nursing unit go off. You realize that the electric power has been lost. What is the first thing that you should do for this patient?
Assess the situation and locate the nearest emergency power source to ensure the ventilator continues functioning.
26. Which fact about AIDS and HIV is true?
Consider the relationship between HIV and AIDS, focusing on the treatability of HIV and the implications for the immune system.
27. Mobility is an important human function; the hazards of immobility lead to many physical problems and emotional problems. Immobility can lead to detrimental cardiac, muscular, respiratory, skeletal, urinary, gastrointestinal, skin, and emotional changes. Which of the following is an example of a skeletal hazard of immobility?
Consider how immobility impacts bone strength and structure over time, particularly focusing on calcium loss and changes in density.
28. An emotional consequence of immobility is:
Consider how a lack of movement can affect someone’s feelings of independence and social engagement, potentially leading to significant emotional distress.
29. You are working as a rehabilitation care aid. You often move patients about in the bed in order to maintain your own health and mobility. You should use a:
Consider equipment or tools specifically designed to assist with patient transfers and movements, ensuring safety and minimizing strain on your body.
30. Which of the following is a principle of good body mechanics?
Focus on techniques that reduce strain and maintain balance. Consider the advantages of pulling versus pushing, and remember to keep your movements stable and controlled.
31. Patients have a right to:
Consider the ethical foundation that supports patient autonomy and informed decision-making in healthcare.
32. You are working the 8:00 a.m. to 4:00 p.m. shift. You begin to vomit at 3:00 p.m. and you do not think that you are able to continue working. You decide to immediately go home without notifying your RN supervisor. What have you done?
Consider the implications of leaving your post without informing your supervisor, especially regarding patient safety and care continuity. What duty do you have towards your patients in this situation?
33 a patient has a goal of eating at least 50% of each meal the patient refuses to eat so a CNA force feeds the patient in order for them to reach their goal of eating at least 50% of the meal the CNA has committed underscore against this patient.
Consider the importance of respecting a patient’s autonomy and the implications of consent in healthcare practices. How do these principles relate to the ethical treatment of patients who refuse care?
34. A patient is yelling at other residents in the nursing home. A CNA tells the person to stop yelling or the CNA will hit them. The CNA has committed underscore against this patient.
Consider the distinction between making threats and actual physical harm; focus on the emotional impact of the CNA’s words on the patient.
35. Who has the legal need to know what is in the medical record?
Consider the roles of healthcare providers directly involved in patient care and their need for specific information to ensure effective treatment while adhering to confidentiality laws.
36. A laboratory worker comes to your unit and asks to read the entire medical record for Jake. What should you do?
Consider the importance of patient privacy and the regulations that dictate who can access medical records. Is there a legitimate need for this individual to view the entire record?
37. What kinds of things must the CNA immediately report to the nurse?
Think about any noticeable changes in a patient’s physical condition, emotional state, or behavior that could signal a need for immediate medical attention.
38. Your elderly patient has a temperature of 98.5. Is there anything else that the CNA should do in addition to documenting this temperature?
Consider the patient’s overall condition and any relevant health changes before deciding if further action is needed beyond documentation.
39. You are the CNA taking care of Lorraine T. She has a urinary drainage bag. You notice that her urinary output is scant and it is dark amber. What should you do?
Consider the implications of low urine output and the color changes you’ve observed; prioritize communication with the nursing staff to ensure she receives appropriate care.
40. You are giving care to a 76-year-old patient. You noticed an unusual fruity mouth odor when you are providing oral care to this patient. What should you do?
Observe and report any unexpected signs or symptoms, especially those that may indicate metabolic issues or require urgent assessment.
41. The sense that you have used to smell the fruity mouth odor in the above scenario is the underscore sense.
Think about the sensory system that connects scents to your ability to recognize odors, particularly when it comes to identifying specific aromas.
42. The CNA observes sudden changes in their patients health status which of the following changes is the highest in terms of priority?
Consider which changes could directly threaten the patient’s safety or indicate a medical emergency. Focus on the signs that require immediate action or intervention.
43. You weigh the primary care patients using a floor scale. You must be sure that the scale is ______________ before the weight is done.
Ensure the scale displays zero before taking a measurement.
44. You have recently started to do daily weights on your patient Mary Q. Her first daily weight was 154 lb on Monday and it is 176 lb today on Tuesday. You recheck the weight and the scale and it is still 176 lb. This weight gain most likely indicates that Mary has:
Consider the typical time frame and mechanisms behind sudden weight fluctuations, specifically the body’s ability to retain fluid.
45. When you do daily weights for patients, the most accurate daily weights are taken:
Consider the importance of maintaining consistency in timing for daily measurements to mitigate fluctuations caused by daily activities and bodily functions.
46. Mr. Thomas is a well room 68-year-old male patient who had prostate surgery 2 days ago. He has an indwelling catheter and a urinary drainage bag. You have weighed him at 9:00 a.m. each morning for three mornings in a row. Today, on the fourth day, his morning weight is 3 lb more than it was the day before. Why could he have gained these 3 lb in one day on a 1,000 calorie diet?
Consider the impact of fluid accumulation in the urinary drainage bag on Mr. Thomas’s weight. What routine care might have been overlooked that could lead to an unexpected weight change?
47. The purpose of soaking the feet as part of foot care is to:
Consider how soaking the feet can enhance cleanliness and comfort, especially for those experiencing discomfort, while also reflecting on its limits regarding infection prevention.
48. You are providing mouth care to a patient who is in a coma. You should underscore to provide good and safe mouth care.
Ensure the patient’s head is elevated to minimize aspiration risk, and use foam swabs for effective cleaning without water.
49. Which fact about dentures and denture care is true?
Consider how proper hygiene practices for natural teeth also apply to dentures; think about daily routines that keep them clean and safe from damage.
50. You are caring for a diabetic patient who was admitted to the hospital for breast cancer surgery. You notice that her toenails are jagged and they need trimming. You should do which of the following?
Remember to prioritize safety in foot care for diabetic patients; reporting the condition to the nurse is essential for appropriate management.
51 Which of the following has the lowest priority?
Consider which health concern is not immediately life-threatening and is less urgent compared to acute physical issues.
52. You are taking vital signs for a group of elderly residents. Which vital sign characteristic must be reported immediately because it is the greatest priority?
Consider which vital sign reflects the heart’s function and can indicate a potentially serious and immediate health risk if abnormal. Focus on the regularity and rhythm of the heartbeat.
53. The fire alarms in your nursing home begin ringing. What is the first thing you must do?
Think about how to protect the residents in their rooms before taking further action.
54. Who is the most important member of the interdisciplinary healthcare team?
Consider who the entire team is primarily focused on serving, as their needs and outcomes guide the team’s efforts.
55. One of the most important purposes of placing people in long-term care is to:
Consider the major needs and vulnerabilities of individuals who may require assistance due to health issues or age-related challenges. What is the key aspect that those facilities prioritize to protect and support these individuals?
56. Identify the trigger type with the correct trigger that can possibly lead to disturbed behavior.
Consider how unaddressed physical discomfort can influence emotional responses and potentially lead to agitation or distress.
57. You are caring for Lucy. Suddenly, she starts acting out, screaming, and resisting her morning bath. What should you do?
Focus on maintaining Lucy’s emotional comfort and safety. Pause the bath, assess her feelings, and consider alternative ways to provide care. Communicating changes and concerns to the nursing team is essential for her well-being.
58. Which person is most likely capable of workplace violence?
Consider the emotional impact of job loss and resentment, especially in individuals who may feel wronged by their previous employers.
59. Hospitals, nursing homes, and other health care settings are at risk for workplace violence because:
Consider the role of unrestricted access and emotional stress in these environments, along with the impact of potential conflict situations between staff and individuals seeking care.
60. Which governmental agency mandates that workplaces, including health care settings, have security plans in place to prevent workplace violence?
Think about the agency focused on worker safety and health regulations, which includes managing violence risks in various work environments.